iii. Ankle 1. is a good alternative to taping 2. closed basket weave * a. anchor 6 inches above and on instep b. apply 1 st strip posteriorly to the

Transcription

1 Bandaging & Taping I. Bandaging a. strip of cloth or other material used to cover a wound i. May contribute to recovery of injury ii. If applied can cause discomfort and hamper healing time iii. Apply firmly but do not cut off b. Bandage materials i. 1. used for sterile pads for wounds 2. padding to prevent blisters 3. roller bandages ii. cotton cloth 1. ankle wraps 2. triangular bandages iii. roller bandages 1. conforms to body, allows movement 2. act as controlled compression 3. support soft tissue iv. cohesive elastic bandage constant, even pressure c. Roller bandages can be gauze, cloth, elastic i. may cause skin irritation ii. Application 1. apply uniformly and, but not too tightly 2. use large number of turns with tension, not less turns and more tension 3. overlap by on each turn 4. check for circulation 5. ankle wrap see page 200 & 205 * d. elastic wrap techniques i. always check for ii. figure-eight with 1 or 2 loops iii. groin support page 202 (limit adduction) * iv. hip flexor 202 (limit hip flexion) * v. shoulder spica 203 used for support * vi. wrist *

2 e. Triangular and cravat bandages i. Used as first aid devices ii. Easy and speed of application iii. 3 uses 1. arm sling (p. 206) * a. used to support the forearm, wrist and hand b. placed around neck and under arm that needs support c. arm at degree angle 2. shoulder arm sling (p. 206) a. used for forearm support when there is injury to girdle 3. Sling and swathe (p. 206) * a. Stabilize the arm for or fracture II. Taping effectiveness and psychological effects are under research a. Tape usage i. Injury care 1. retention of wound dressings 2. stabilize bandages 3. injuries to prevent additional insult 4. stabilize injury while undergoing rehab ii. injury protection 1. by limiting the of the body part 2. help secure some special device b. linen adhesive tape i. cost, grade of backing, quality of adhesive mass, and unwinding properties should be considered ii. stretch tape 1. conforms better 2. more expensive iii. store in cool place and flat

3 c. using tape i. preparation skin and hair before tape is applied ii. technique 1. used proper width tape 2. if put on wrong, tape can cause more injury iii. tearing move hands quickly in directions (see page 209 for demo) iv. Rules 1. if part is a joint, place it in position. If muscle allow for contraction 2. overlap the width 3. avoid continuous taping causes to much 4. keep tape roll in hand when ever possible 5. smooth and tape as it is laid on the skin 6. allow tape to fit natural of the skin 7. start taping with piece and finish with strip 8. if maximum support is needed tape directly over skin 9. do not apply if skin is or from treatment v. removing tape 1. remove by hand, scissors, or chemical solvents 2. peel from tape, not tape from skin vi. taping supplies 1. razor- hair removal 2. soap clean skin 3. alcohol remove oils 4. adhesive spray tape adherent 5. protect skin 6. heel and pads 7. cutters

4 d. common taping procedures a * indicates the tape procedures that you need to know how to perform i. The arch 1. technique # 1 * a. use arch support b. try to lift the arch c. see page technique #2 * page 212 a. use an procedure for the longitudinal arch b. need 1 inch tape c. use an anchor strip on ball d. start from lateral side and cross to medial e. repeat 3 or 4 times f. lock at ball again and then cover the entire arch again 3. technique # 3(tear drop and forefoot) a. X tear drop b. Stabilize arch and forefoot 4. fan arch support a. support plantar aspect b. start at 3 rd met head, go around heel and back c. repeat for 2 nd and 4 th mets d. lock by covering all tape 5. a. for medial arch, foot pronation, and plantar b. cut out moleskin for sole of foot from mets to calcaneus c. secure as shown on page 213 ii. Toe see pages sprained toe 2. bunions * 3. turf toe * 4. hammer toes

5 iii. Ankle 1. is a good alternative to taping 2. closed basket weave * a. anchor 6 inches above and on instep b. apply 1 st strip posteriorly to the malleolus and attach it to ankle anchor c. pull foot into for inversion ankle sprain (most cases), and into position for eversion sprain d. start the first gibney directly under the malleolus and attach it to the foot anchor e. in an alternating series, place 3 strips and 3 gibneys on the ankle with each piece of tape overlapping at least half f. after applying basket weave seriesd, continue gibney strips up the ankle g. for arch support apply 2-3 circular strips laterally to medially h. apply 2-3 locks i. see page open basket weave 4. continuous-stretch tape technique iv. Lower leg Achilles tendon (page 219) v. Knee 1. better to brace 2. if no brace then use tape 3. medial collateral ligament page rotary taping page hyperextension page patellofemoral taping ( ) * a. corrects,, rotation, and anteroposterior orientation b. position seated with full extension c. apply base tape d. lateral glide * is corrected by applying leuko tape and pushing the patella medially e. lateral tilt * is corrected by applying tape to mid patella and pulling medially f. rotation & AP page 222

6 g. wear during all activities vi. elbow 1. hyperextension taping page vii. wrist and hand 1. technique # 1 * a. for mild strains and sprains b. spread fingers c. start at of wrist and overlap strips 2. technique # 2 page bruised hand sprained thumb 225 * a. 1 inch tape b. apply anchors c. apply splint strips d. add thumb spicas 5. finger and thumb * a. for sprained fingers and thumbs b. 1 inch tape c. spread fingers wide but without pain d. tape middle phalanx to adjacent finger e. apply locking strip