
Prepared by Finn Johansen, specialist in rheumatology, in
co-operation with Norvartis Healthcare A/S.
In an attempt to relieve the damaged structures, special tape (often
termed "sports tape") can be attached on the skin.
Taping is especially used on sprains, with the following purpose:
- Primary prevention to protect healthy tendons in particular loads where
there is risk associated.
- Acute treatment after a sprain to avoid further injury of the damaged tendon.
- Rehabilitation after a sprain to control the load, and thereby accelerate
the healing process.
- Secondary prevention to avoid new sprains during the rehabilitation period
(3-6 months), and during a possible subsequent chronic excessive laxity of joint
condition.
Taping can also be utilised for relief of over-loaded structures, such as:
- Bones, i.e. in cases of stress fractures (metatarsus stress fracture).
- Tendons, i.e. in cases of inflammation of the hollow foot tendon (fasciitis
plantaris).
Taping is furthermore used to correct malalignment (bio-mechanical
correction):
- Kneecap stabilisation for pain around the kneecap triggered by faulty
kneecap alignment (patella malalignment).
- Elbow stabilisation to avoid pain triggered by over-stretching (hyper-extensions)
- Fatty-pad stabilisation for pain under the heel triggered by a degenerated
fatty-pad.
General principles for taping:
- Shave the hairs where the tape is to be applied. The tape will thereby
attach more securely, and be less painful to remove.
- Wash and dry the skin thoroughly prior to application, to enable the tape to
attach more securely.
- Tape can better attach itself to tape than to skin. It is therefore often
advisable to set circular strips of tape as "anchors" and "locks".
- Tape which is attached around the arms or legs should be elastic, and
loosely applied whilst the underlying muscles are taut.
- The tape should be applied smoothly, without folds, thereby enabling the
tape to attach more securely and reduce the risk of blister and skin irritation.
- The width of the tape should be chosen in proportion to the structure to be
taped. As a general rule, the tape should be 2.5 - 3.5 cm wide.
- As little tape as possible should be used, and tape application which
compromises normal mobility should be avoided, unless of course, this is the aim
of the taping.
- Rub the tape thoroughly when applied, as the tape will attach more securely
when warm.
- If there are problems with the tape becoming loose, spraying with liquid
plaster or adhesive spray can be attempted before applying the tape.
- Be aware that old tape, or tape which has been subjected to strong heat,
will lose some of its adhesiveness.
- The tape should be carefully separated from the skin when removed to reduce
possible skin irritation.
- Prolonged use of tape can often result in skin irritation and possible
allergic reactions.
S pecific taping:
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