CHALLENGES IN THE TRAINING ROOM TO TAPE OR NOT TO TAPE

Duke Sports Medicine- Tracy Ray MD

Objectives

Discuss Taping principles Explore the 3 primary types of tape used in

training room Establish theories and evidence for use of

taping techniques Provide examples and common uses of tape

in Division I athletic training room

Taping Principles

Requires psychomotor skills and scientific principles to guide use

Taping and bracing are adjuncts to performance and do not replace sound rehab and training

Main indications are prophylactic and rehabilitative

Must consider the anatomical structure mechanism of injury and purpose for which the tape is applied

Taping principles

Suggested Purpose 1 Immobilization 2 Restriction or aid range of motion 3 Support of ligament capsule 4 Support of muscle tendon 5 Proprioceptive feedback 6 Sport specificity and function 7 Decrease swellingedema

Types of Tape

Non-elastic rigid (athletic tape) Non-elastic semi rigid (McConnell tape) Proprioceptive elastic (kinesiotape)

Suggested Theories Non Elastic Rigid Athletic Tape Immobilization Helpful to get athletes back on the field

during a game Similar to ankle brace Protection Prevention

Suggested Theories Non Elastic Semi Rigid McConnell or Leukotape (also used with

Mulligan Mobilzation) Facilitation Inhibition Unloading Postural assist Joint approximation

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Objectives

Discuss Taping principles Explore the 3 primary types of tape used in

training room Establish theories and evidence for use of

taping techniques Provide examples and common uses of tape

in Division I athletic training room

Taping Principles

Requires psychomotor skills and scientific principles to guide use

Taping and bracing are adjuncts to performance and do not replace sound rehab and training

Main indications are prophylactic and rehabilitative

Must consider the anatomical structure mechanism of injury and purpose for which the tape is applied

Taping principles

Suggested Purpose 1 Immobilization 2 Restriction or aid range of motion 3 Support of ligament capsule 4 Support of muscle tendon 5 Proprioceptive feedback 6 Sport specificity and function 7 Decrease swellingedema

Types of Tape

Non-elastic rigid (athletic tape) Non-elastic semi rigid (McConnell tape) Proprioceptive elastic (kinesiotape)

Suggested Theories Non Elastic Rigid Athletic Tape Immobilization Helpful to get athletes back on the field

during a game Similar to ankle brace Protection Prevention

Suggested Theories Non Elastic Semi Rigid McConnell or Leukotape (also used with

Mulligan Mobilzation) Facilitation Inhibition Unloading Postural assist Joint approximation

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Taping Principles

Requires psychomotor skills and scientific principles to guide use

Taping and bracing are adjuncts to performance and do not replace sound rehab and training

Main indications are prophylactic and rehabilitative

Must consider the anatomical structure mechanism of injury and purpose for which the tape is applied

Taping principles

Suggested Purpose 1 Immobilization 2 Restriction or aid range of motion 3 Support of ligament capsule 4 Support of muscle tendon 5 Proprioceptive feedback 6 Sport specificity and function 7 Decrease swellingedema

Types of Tape

Non-elastic rigid (athletic tape) Non-elastic semi rigid (McConnell tape) Proprioceptive elastic (kinesiotape)

Suggested Theories Non Elastic Rigid Athletic Tape Immobilization Helpful to get athletes back on the field

during a game Similar to ankle brace Protection Prevention

Suggested Theories Non Elastic Semi Rigid McConnell or Leukotape (also used with

Mulligan Mobilzation) Facilitation Inhibition Unloading Postural assist Joint approximation

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Taping principles

Suggested Purpose 1 Immobilization 2 Restriction or aid range of motion 3 Support of ligament capsule 4 Support of muscle tendon 5 Proprioceptive feedback 6 Sport specificity and function 7 Decrease swellingedema

Types of Tape

Non-elastic rigid (athletic tape) Non-elastic semi rigid (McConnell tape) Proprioceptive elastic (kinesiotape)

Suggested Theories Non Elastic Rigid Athletic Tape Immobilization Helpful to get athletes back on the field

during a game Similar to ankle brace Protection Prevention

Suggested Theories Non Elastic Semi Rigid McConnell or Leukotape (also used with

Mulligan Mobilzation) Facilitation Inhibition Unloading Postural assist Joint approximation

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Types of Tape

Non-elastic rigid (athletic tape) Non-elastic semi rigid (McConnell tape) Proprioceptive elastic (kinesiotape)

Suggested Theories Non Elastic Rigid Athletic Tape Immobilization Helpful to get athletes back on the field

during a game Similar to ankle brace Protection Prevention

Suggested Theories Non Elastic Semi Rigid McConnell or Leukotape (also used with

Mulligan Mobilzation) Facilitation Inhibition Unloading Postural assist Joint approximation

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Suggested Theories Non Elastic Rigid Athletic Tape Immobilization Helpful to get athletes back on the field

during a game Similar to ankle brace Protection Prevention

Suggested Theories Non Elastic Semi Rigid McConnell or Leukotape (also used with

Mulligan Mobilzation) Facilitation Inhibition Unloading Postural assist Joint approximation

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Suggested Theories Non Elastic Semi Rigid McConnell or Leukotape (also used with

Mulligan Mobilzation) Facilitation Inhibition Unloading Postural assist Joint approximation

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Suggested Theories proprioceptive elastic Kinesiotape (also known as spider tape) Facilitation Inhibition Lymphatic drainage Unloading Decrease pain

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Jury is outhellip

Taping has NOT been standardized to determine one type over

another been proven to assist in any kind of joint

approximation via MRI studies Been shown to affect muscle activation via EMG Demonstrated ability to alter position

senseproprioception been proven to prevent injuries in otherwise

healthy athletes

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Benefits of Taping

Improvements in functional scale scores Someeh et al 2014 Whittingham et al 2004 Bicici et al 2012 Miller et al 2013

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Benefits of Taping

Decreased subjective reports of pain Shaheen et al 2014 Warden et al 2008 Kaya et al 2011 Nambi et al 2012

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Benefits of Taping

May decrease risk of further injury Kaminski et al 2013 Janssen et al 2014 Dizon et al 2010

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Benefits of Taping

Psychological benefits to athletes Hunt et al 2006 Gear et al 2011 Moiler 2006

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Benefits of Taping

Decreases swelling Ristow et al 2014 Donec 2014

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Taping Examples

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Taping Example McConnell

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

What We Know About McConnell

Introduced in Aust J Physiotherapy 1986 as ldquolong term solution for CMPrdquo

1996 prospective randomized trial found no evidence to support it(Am J Sports Med 24(1)61-6)

Again in 2005 no support was shown in a systematic review(J Athl Train40(4)341-51)

Shown to shift patella inferiorly (Phys Ther201090(3)411-9)

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

Taping ExampleKinesiotape

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

What We Know About Kinesio-

Csapo R Alegre LMSci Med Sport 2014 Jun 27 pii S1440-2440(14)00125-X Effects of Kinesioreg taping on skeletal muscle strength-A meta-analysis of current evidencedoi 101016jjsams201406014 [Epub ahead of print)

While the application of Kinesio tapes may have some therapeutic benefits the usage of these tapes does not promote strength gains in healthy adults Parreira Pdo C Costa Lda C Hespanhol Junior LC Lopes AD Costa LOJ Physiother 2014

Mar60(1)31-9 doi 101016jjphys201312008 Epub 2014 Apr 24Current evidence does not support the use of Kinesio Taping in clinical practice a systematic review

Overall Kinesio Taping was no better than sham tapingplacebo and active comparison groups In all comparisons where Kinesio Taping was better than an active or a sham control group the effect sizes were small and probably not clinically significant or the trials were of low quality Conclusion This review provides the most updated evidence on the effectiveness of the Kinesio Taping for musculoskeletal conditions The current evidence does not support the use of this intervention in these clinical populations

More info of Kinesio-

Williams S1 Whatman C Hume PA Sheerin KSports Med 2012 Feb 142(2)153-64 doi 10216511594960-000000000-00000

Kinesio taping in treatment and prevention of sports injuries a meta-analysis of the evidence for its effectiveness

In conclusion there was little quality evidence to support the use of KT over other types of elastic taping in the management or prevention of sports injuries KT may have a small beneficial role in improving strength range of motion in certain injured cohorts and force sense error compared with other tapes but further studies are needed to confirm these findings The amount of case study and anecdotal support for KT warrants well designed experimental research particularly pertaining to sporting injuries so that practitioners can be confident that KT is beneficial for their athletes

Summary Taping should be centered around anatomical

structure and function 3 primary types of type are used with varying

levels of flexibility There are many benefits to taping in the training

room including physical psychological and preventative

Research is extensive but overall mediocre quality so interpret using best clinical judgment

Benefit outweighs risk There is no harm to applying tape vs the many possible gains

References Bicici Seda Karatas Nihan Baltaci Gul Effect of athletic taping and kinesiotaping on measurements in functional

performance in basketball players with chronic ankle sprains Int J Sports Phys Ther 2012 April 7(2) 154ndash166 PMCID PMC3325641

Dizon J M R amp Reyes J J B (2010) A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players Journal of Science and Medicine in Sport 13(3) 309-317

Donec V amp Kriščiūnas A (2014) The effectiveness of Kinesio Tapingreg after total knee replacement in early postoperative rehabilitation period A randomized clinical trial European journal of physical and rehabilitation medicine

Gear William Bookhout Jessica and Solyntjes Amanda (2011) Effect of Ankle Taping and Bracing on Dynamic Balance and Perception of Stability International Journal of Exercise Science Conference Proceedings Vol 5 Iss 2 Article 6

Hunt E amp Short S (2006) Collegiate Athletesrsquo Perceptions of Adhesive Ankle Taping A Qualitative Analysis J Sport Rehabil 15 280-298

Janssen Kasper Mechelen Williem Verhagen Evert Bracing superior to neuromuscular training for the prevention of self-reported recurrent ankle sprains a three-arm randomised controlled trialBr J Sports Med 20144816 1235-1239

Kaminski TW Hertel J Amendola N Docherty CL Dolan MG Hopkins JT Nussbaum E Poppy W Richie D National Athletic Trainers Association National Athletic Trainers Association position statement conservative management and prevention of ankle sprains in athletesJ Athl Train 2013 Jul-Aug48(4)528-45 doi 1040851062-6050-48402

Kaya Erkan Murat Zinnuroglu )Ilknur Tugcu ( (2010) Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome Clinical Rheumatology Volume 30 Issue 2 pp 201-207

References Bicici Seda Karatas Nihan Baltaci Gul Effect of athletic taping and kinesiotaping on measurements in functional

performance in basketball players with chronic ankle sprains Int J Sports Phys Ther 2012 April 7(2) 154ndash166 PMCID PMC3325641

Dizon J M R amp Reyes J J B (2010) A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players Journal of Science and Medicine in Sport 13(3) 309-317

Donec V amp Kriščiūnas A (2014) The effectiveness of Kinesio Tapingreg after total knee replacement in early postoperative rehabilitation period A randomized clinical trial European journal of physical and rehabilitation medicine

Gear William Bookhout Jessica and Solyntjes Amanda (2011) Effect of Ankle Taping and Bracing on Dynamic Balance and Perception of Stability International Journal of Exercise Science Conference Proceedings Vol 5 Iss 2 Article 6

Hunt E amp Short S (2006) Collegiate Athletesrsquo Perceptions of Adhesive Ankle Taping A Qualitative Analysis J Sport Rehabil 15 280-298

Janssen Kasper Mechelen Williem Verhagen Evert Bracing superior to neuromuscular training for the prevention of self-reported recurrent ankle sprains a three-arm randomised controlled trialBr J Sports Med 20144816 1235-1239

Kaminski TW Hertel J Amendola N Docherty CL Dolan MG Hopkins JT Nussbaum E Poppy W Richie D National Athletic Trainers Association National Athletic Trainers Association position statement conservative management and prevention of ankle sprains in athletesJ Athl Train 2013 Jul-Aug48(4)528-45 doi 1040851062-6050-48402

Kaya Erkan Murat Zinnuroglu )Ilknur Tugcu ( (2010) Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome Clinical Rheumatology Volume 30 Issue 2 pp 201-207

References

Miller Joseph Westrick Richard Diebal Angela Marks Christopher Gerber J Parry (2013) Sports Health A Multi-disciplinary Approach MayJune 2013 vol 5no 3 214-219

Gopal Shah Bijal Tarun (2012) Kinesio taping versus Mulliganrsquos mobilization with movement in sub-acute lateral ankle sprain in secondary school Hockey players - Comparative study International Journey of Pharmecuetical Science and Helathcare 2(2)

Ristow O Pautke C Kehl V Koerdt S Schwaumlrzler K Hahnefeld L amp Hohlweg-Majert B (2014) Influence of kinesiologic tape on postoperative swelling pain and trismus after zygomatico-orbital fractures Journal of Cranio-Maxillofacial Surgery 42(5) 469-476

Someeh M Norasteh AA Daneshmandi H Asadi A Immediate effects of Mulligans fibular repositioning taping on postural control in athletes with and without chronic ankle instability Phys Ther Sport 2014 Aug 12

Shaheen AF Bull AM Alexander CM3Rigid and Elastic taping changes scapular kinematics and pain in subjects with shoulder impingement syndrome an experimental studyJ Electromyogr Kinesiol 2014 Aug 4 pii S1050-6411(14)00152-7]

Warden S J Hinman R S Watson M A Avin K G Bialocerkowski A E and Crossley K M (2008) Patellar taping and bracing for the treatment of chronic knee pain A systematic review and meta-analysis Arthritis amp Rheumatism 59 73ndash83 doi 101002art23242

Whittingham Martin Palmer Shea Macmillian Fiona 2004) Journal of Orthopaedic and Sports Physical Therapy 34 (9) 504-510