Efficacy and Implementation of Patellofemoral Kinesio Taping Christian Conferido Lisa Hermanns Jessica Korpusinski Sue Maccariella

Learning Objectives 

The leaner will demonstrate basic knowledge of Kinesio taping

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The learner will be able to identify contraindications for kinesio taping

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The learner will be able to identify appropriate diagnoses and patient populations for patellofemoral kinesio taping

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The learner will be able to recognize kinesio taping as an adjunct to other physical therapy interventions

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The learner will be able to recognize appropriate special testing and outcome measures for patient progression/regression

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The leaner will be able to utilize a new technique for patient intervention

Kinesio Tex tape 

An elastic therapeutic tape invented and developed in Japan, by Dr. Kenzo Kase, a graduate of the National College of Chiropractic

Kinesio Tex Tape 

Made of latex–free material

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Can be worn several days at a time

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Safe to use on every age group – from pediatric to geriatric

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Used to successfully treat many neuromuscular, orthopedic and neurologic conditions

The Kinesio Taping® Method 

A taping technique used to make the healing process of the body more efficient

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Provides support and stability to muscles and joints without limiting range of motion

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Extends soft tissue manipulation to prolong the benefits of manual therapy

Kinesio Taping Method Benefits 

Applied in a unique style it creates changes in joints, circulatory and lymphatic, neural, muscular, and fascial systems.

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Application is simple

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Costs less over time compared to other modalities

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Can be used over a long period of time

Kinesio® Tex Tape 

Application 

A single “I” strip, an “X”, “Y” shape, and specialized shapes

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Different directions and amount of stretch varies  Dependent on area of body and condition being treated

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Impact of Kinesiotaping in Physical Therapy 

Kinesiotaping can be used to treat patients with: 

Pain

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Swelling

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Facilitate muscle movements to help increase ROM

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Muscle re-education

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Blood circulation

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Lymph edema circulation

Kinesiotaping for lymphedema and swelling

-“Kinesiotaping help alleviates pain and facilitates lymphatic drainage by microscopically lifting the skin. This lifting affect forms convolutions in the skin thus increasing interstitial space and allowing for a decrease in inflammation of the affected areas.” Kinesio Taping Association International (2014)

PatelloFemoral Tracking Syndrome

What is it used for? Who can benefit? Patellar Tracking Syndrome/ PFPS

Hypotonia Lymphedema Management Chondromalacia Prepatellar Bursitis Hyper mobility

Overuse Injury

Ehlers-Danlos Syndrome

Surgical Recovery

Contraindications Physical therapy for knee pain: Evaluate & Treat 2-3X/wk for 4-6wks

•Special tests •ROM •MMT •Gait Analysis •Circumferential Measurements

•DVT •Renal Insufficiency •CHF •Infection •Mestastasis

Before or after treatment? Can I use it with other modalities? How is it billed? “The results showed Kinesio taping can reduce pain and improve the ratio of VMO/VL for the mechanism of patellar stability” – (Chen et al, 2008) “The clinical experience is that there are benefits to gain with kinesiology taping (KT). However there is still a lack of evidence for the effectiveness of KT applications “ – (Ohman, 2013) “Comparing pretreatment and 6th week values, significant improvements were found in pain, soft tissue flexibility and functional performance of both groups (p0.05). The KT group had significantly better hamstring flexibility than the control group at the end of three weeks” – (Akbas et al, 2011)

Outcome Measurement Tools 

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Self Assessment Instruments  Easy format to assess your patient’s pain levels, function and mobility  Non time-consuming Instruments Include:  Knee Society Score (KSS), Oxford Knee Score, Knee Injury and Osteoarthritis Outcome (KOOS), WOMAC Performance Based Assessments  To get a better understanding of a patient’s functional ability under certain circumstances  May take more time, but able to observe more specific details Instruments Include:  Timed Up and Go (TUG), 30 Second Chair Test, Six Minute Walk Test, 4x10 Fast-paced Walk Test.

Objective Testing 

Depends on patient’s chief complaints and presented symptoms

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Tests that may be performed for Patellofemoral Dysfunctions can include: 

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Patellar Apprehension Test, Resisted Knee Extension, Waldron Test, Passive Patellar Tilt Test, Clarke’s sign , Lateral Pull Test, Vastus Medialis Coordination Test, Eccentric Step Test.

To assess the patients progress of treatment: 

All Measurement tools and Objective Testing should be done at the start of the treatment and should be re-taken over at different times to quantify if patient has progressed, or regressed with intervention.

References 

Abkas, E, Atay, A, Yuksel, I,. (2011). The Effects of Additional Kinesio Taping Over Exercise in the Treatment of Patellafemoral Pain Syndrome. Acta Orthopaedica et Traumatologica Turcica, 45(5), 335-341. Retrieved February, 17, 2014 from source

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Chen, P.L., Hong, W.H., Lin, C.H., Chen, W.C. (2008). Biomechanics Effects of Kinesio Taping for Persons with Patellofemoral Pain Syndrome During Stair Climbing. IFMBE Proceedings, 24, 395-7. Retrieved February, 17, 2014 from source.

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Cook, C.E., & Hegedus, E.J. (2013). Physical Examination Tests for the Knee. In M. Cohen & J. Goucher. (2nd Eds.), Orthopedic Physical Examination Tests: An Evidence-Based Approach(pp 469-478). Upper Saddle River, New Jersey: Pearson.

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Dobson F., Bennell K., Hinman R., Roos E., (2013). Recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis http://www.oarsi.org/sites/default/files/docs/2013/manual.pdf retrieved February 19th, 2014.

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Goo , J.Retrieved February 18, 2014, from http://MedicineNet.com HTTP://WWW.KINESIOTAPING.COM/ABOUT/KINESIO-TAPING-METHOD (FEBRUARY 17 2014

References Continued • 

HTTP://WWW.KINESIOTAPING.COM/ABOUT/KINESIO-TAPING-METHOD (FEBRUARY 17 2014) http://www.youtube.com/watch?v=Lsf4tN9XTbI

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Kase, K. (n.d.). Apex | Lakeland Chiropractor & Wellness Services. Retrieved February 18, 2014, from http://apexhws.com

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Kinesio Taping Association International (n.d.). Home. Retrieved February 17, 2014, from http://kinesiotaping.com

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Ohman, A. (2013). Kinesiology Taping a Therapeutic Tool in the Pediatric Population?. Novel Physiotherapies, 3(5), 1-2. Retrieved February, 17, 2014 from source.