Athletic taping

Athletic taping

Athletic taping is the process of applying tape directly to the skin or over pre-wrap in order to maintain a stable position of bones and muscles during athletic activity. It is a procedure that uses athletic tape (pressure-sensitive tape similar to surgical tape or elastic therapeutic tape), attached to the skin, to physically hold muscles or bones at a certain position. This reduces pain and aids recovery. Taping is usually used to help recover from overuse and other injuries.

The general goals of athletic taping are to restrict the motion of an injured joint, in order to add stability for a temporary period of time. It compresses soft tissues to reduce swelling, support anatomical structures involved in the injury, serve as a splint or secure a splint, secure dressing or bandages, protect the injured joint from re-injury, and protect the injured part while the injured part is in the healing process.[1]

Role of taping

Taping has many roles such as to support the ligaments and capsules of unstable joints by limiting excessive or abnormal anatomical movement. Taping also enhances proprioceptive feedback from the limb or joint. Finally, taping can support injuries at the muscle-tendon units by compressing and limiting movement and secure protective pads, dressings and splints.

Advantages

Injury Prevention: Athletic taping is recognized as one of the top preventative measures for reduction of injuries in collision sports.[2][3][4][5] These injuries often occur as a result of extrinsic factors such as collision with other players or equipment. Athletic taping has also been shown to reduce the severity in injuries, as well as the occurrence of injury in most sports, this is especially helpful for people who are prone to certain injuries.[6][7]

Injury Management: Tape is often applied to manage symptoms of chronic injuries such as medial tibial stress syndrome (or shin splints), patella-femoral syndrome, and turf toe.[8][9][10] Athletic tape can be applied to ease pain symptoms as well. Taping along the nerve tract of irritated or inflamed tissue can shorten the inflamed region and reduce pain.[11][12] There is evidence of Kinesio taping benefit as a complementary therapy in shoulder-pain syndromes.[13]

Other post-injury benefits include: 1) stabilizing and supporting joints after injuries to the muscle or ligament; 2) assisting and allowing the athlete to return to activity after minor injuries; 3) preventing and reducing further harm to injured area; 4) maintaining proper biomechanics during activity; 5) preventing neuromuscular damage; and 6) reducing force on the area during activity.[14]

Disadvantages

  • Incorrect athletic taping may lead to blistering or future injuries.[3]
  • After activity and motion begins, the stiffness of the tape reduces.[15]
  • Physiological dependency on using tape
  • Expensive, especially when it is needed frequently

Techniques

There are set regulations and rules that govern the athletic taping techniques used by trainers and health professionals. There are a few aspects of athletic taping that are standardized.[3][16][17]

  1. Skin preparation: Removal of hair, cleaning of skin, addressing of any lesions with necessary consultation, using adherents and lubricants, underpads, etc.[17]
  2. Functional position of the body to be taped: The athlete's position depends on the area getting taped.[14]
  3. Body mechanics of the trainer/taper: The athlete must be at a comfortable height in order to reduce fatigue over long periods of taping time.[14]
  4. Athletic tape application: Athletic tape must be adhered to a dry and clean area of the body at body temperature to bare skin or pre-wrap in order to prevent slippage and to maintain the effectiveness and rigidity of the wrap. The type and width of the athletic tape must be appropriate (able to strap the given body part suitable) for the area being taped. Areas subject to high friction should be reinforced with protective padding or under-wrap. Athletic tape should be applied: film and wrinkle free; without impairment of circulation, nerves, or muscle movement; and without pressure on body prominences.[14]
  5. Removal: Removal of the athletic tape post athletic activity should be done with tape cutters (sometimes known as 'Sharks') or special tape scissors. The skin must be free of tape residue.[14]

Taping Directions

To properly wrap an injury sustained to the bone or muscle, you must acknowledge the injury that you are assessing. For example, an injury to the ankle would lead to a different wrapping technique than for the shoulder or arm. To begin the wrapping procedure of an ankle injury the materials needed must be gathered.[18] Items necessary would include tape adherent, heel and lace pads, pre-wrap, and athletic tape.[19] Position the patient on a sturdy based table to elevate and extend the leg for easy access to the injury sustained in the ankle.[20] Place the foot at a 90-degree angle and hold for the duration of the taping process.[21] Begin to prepare and pre-wrap the ankle by placing one heel and lace pad on the anterior and another on the posterior of the ankle.[22] Next, cover the foot and ankle with pre-wrap. Start from the arch of the foot while going up to the bottom of the calf muscle using spray adhesive to secure the pre-wrap.[23] Place two anchors of athletic tape at either end of the pre-wrap and then apply the "stirrups" of athletic tape to the foot.[24] Have one stirrup start on the inside of the ankle, wrap it under the heel, and tape along the outside of the foot.[25] Repeat this process two more times for a total of three stirrups on the foot.[26] Once finished, place three horseshoes behind the Achilles tendon to support the ankle.[27] After applying the horseshoes, create a figure eight by starting along the inside of the foot. Wrap around the lower leg, then cross over the top of the ankle and continue to wrap under the arch.[28] Secure the tape by creating a "heel lock" on the inside and the outside of the ankle. After, tape another figure-eight over the heel locks.[29] To end the taping, make sure you close up any openings of tape that could be potentially exposed.[30] If the patient is still experiencing pain, suggest that they go to a doctor to find the root cause of the problem. [31] If the patient is experiencing pain and/or discomfort with the tape on the injured area, reduce mobilization to lower the risk of furthering the injury.[32] In case of an emergency, please contact emergency medical professionals.

Alternatives

Wraps and braces can be used instead or with taping to stabilize the affected area. Braces might alter muscular activity, where tape might not.

Types of tape

Standard athletic tape is classified by the following characteristics:[1]

  • Number of vertical (warp) and horizontal (woof) threads per square inch. These threads vary from 120 to 150 per square inch. A higher thread count is synonymous with a higher quality including higher tensile strength, better adhesive, easier removal, longer lasting, and more expensive.
  • Tensile strength
  • Composition: bleached versus unbleached cotton; cotton versus synthetic fibers versus a blend of both.
  • Rigid tape: provides a firm support, holds and reduces movement of a joint with a strong and sticky material, examples include Strappal or Endura Fix, etc.
  • Under tape: has a different type of fabric that allows more movement and air, examples include Hyperfix or Endura Fix, etc.
  • Elastic tape: flexible tape, that when it is applied, lets your skin breathe and transmit moisture through the type of material used, examples include Tensoplast and Elastikon, etc.
  • Felt tape: this type of tape does not have any glue in the material and is used a barrier to the skin Example: Mueller
  • Bandages: does not have glue in the material which allows them to stick to each other. Example: Coban
  • Kinesio: adjusts to skin and glides as you move, commonly used by athletes [33]

See also

References

  1. 1 2 Birrer RB, Poole B. "General principles, specifics for the ankle, taping of sports injuries: Review of a basic skill." J Musculoskel Med. 2004; 21:197–211
  2. ↑ Engstrom BK, Renstrom PA. How can injuries be prevented in the World Cup soccer athlete? Clin Sports Med. 1998; 17:755-768
  3. 1 2 3 Gissane C, White J, Kerr K, Jennings D. An operational model to investigate contact sports injuries. Med Sci Sports Exerc. 2001; 3:1999-2003
  4. ↑ Marshall SW, Waller AE, Loomis DP, Feehan M, Chalmers DJ, Bird YN, et al. Use of protective equipment in a cohort of rugby players. Med Sci Sports Exerc. 2001; 33:2131-2138
  5. ↑ Parkarri J, Kujala UM, Kannus P. Is it possible to prevent sports Injuries? Review of controlled clinical trials and recommendations for future work. Sports Med. 2002; 31:985-995
  6. ↑ Bahr R, Karlsen R, Lian O, Ovrebo RB. Incidence and mechanisms of acute ankle inversion injuries in volleyball. Am J Sports Med. 1994; 22:595-600
  7. ↑ Butterwick DJ, Nelson DS, LaFavre MR, Meeuwisse WH. Epidemiological analysis of injury in one year of Canadian professional rodeo. Clin J Sports Med. 2004; 6:171-177
  8. ↑ McConnell J. A novel approach to pain relief: pre-therapeutic exercise. J Sci Med Sport. 2000; 3:325
  9. ↑ Specchiulli F, Cofano RE. A comparison of surgical and conservative treatment in ankle ligament tears. Orthoped. 2001; 24:686-688
  10. ↑ Ugalde V, Batt ME. Shin splints: current theories and treatment. Crit Rev Phys Rehabil Med. 2001; 13:217-253
  11. ↑ Heidt RS, Dormer SG, Cawley PW, Scranton PE, Losse EG, Howard M. Differences in friction and torsional resistance in athletic shoe-surface interfaces. Am J Sports Med. 1996; 24:834-842
  12. ↑ McConnell J. Racalcitrant chronic low back and leg pain--a new theory and different approach to management. Man Ther. 2002; 7:183-192
  13. ↑ Ghozy, S., Dung, N. M., Morra, M. E., Morsy, S., Elsayed, G. G., Tran, L., ... & Huy, N. T. (2019). Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. Physiotherapy.
  14. 1 2 3 4 5 Bandyopadhyay, Amit; Mahapatra, Dakshayani (2012). "Taping in Sports: a brief update". Journal of Human Sport and Exercise. 7 (2): 544–552. doi:10.4100/jhse.2012.72.17.
  15. ↑ Wojyts EM, Huston LJ. "Customer-fit" versus "off-the-shelf" ACL functional braces. Am J Knee Surg. 2001; 14:157-162
  16. ↑ Garrett WE, Kirkendall DT, Squire DL. Principles and practice of primary care sports medicine. Philadelphia (PA): Lippincott Williams and Wilkins; 2001
  17. 1 2 Zetaruk, MN. The young gymnast. Clin Sports Med. 2000; 19:757-780
  18. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  19. ↑ "How to Tape an Ankle Like an Athletic Trainer". wikiHow. Retrieved 2021-10-19.
  20. ↑ "How to Tape an Ankle Like an Athletic Trainer". wikiHow. Retrieved 2021-10-19.
  21. ↑ "How to Tape an Ankle Like an Athletic Trainer". wikiHow. Retrieved 2021-10-19.
  22. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  23. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  24. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  25. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  26. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  27. ↑ "How to Tape an Ankle Like an Athletic Trainer". wikiHow. Retrieved 2021-10-19.
  28. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  29. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  30. ↑ "How to Tape an Ankle | FootCareMD". www.footcaremd.org. Retrieved 2021-10-19.
  31. ↑ "How to Tape an Ankle Like an Athletic Trainer". wikiHow. Retrieved 2021-10-19.
  32. ↑ "How to Tape an Ankle Like an Athletic Trainer". wikiHow. Retrieved 2021-10-19.
  33. ↑ Flynn, Jonathon."How, When, And Why To Use Athletic Tape." BodyBuilding.com. TRAINmagazine, 20 May 2015. Web. 18 Oct. 2016


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