Kinesio Tape (cont.)
What is Kinesio Tex Tape?
Kinesio Tex Tape is a newly popularized modality that is
used by therapists trained in the Kinesio Taping Method by Certified Kinesio
Taping Instructors (CKTI). Kinesio Tex Tape is a latex-free hypoallergenic
cotton fiber tape with an acrylic
heat-activated backing that stretches only along its longitudinal axis. The tape
can be stretched 40%-60% of its resting length. The tape has no
medicinal properties. The thickness and weight of the tape is designed to
approximate the weight and thickness of skin.
Who is using Kinesio Tape?
Physical therapists, occupational therapists, certified athletic trainers,
chiropractors, physicians, manual therapists, nurses, and physiotherapists
around the world are using Kinesio Tape for many dysfunctions on a wide
spectrum from temporomandibular joint (TMJ) disorder to turf toe. Today, though Kinesio Tex Tape is used primarily by
nonathletic populations, it is also used by high-profile athletes.
How does it work?
The following are the current theories of how properly applied Kinesio Tape
works.
On skin, the Kinesio Tape pulls the upper layers of skin, creating more
space between the dermis and the muscle. The space created is believed to
relieve pressure on the lymph channels in the area between the muscle and the
dermis, creating more space for lymph flow and thus better lymph drainage
through an affected area. This space also houses various nerve receptors that
send specific information to the brain. When the space between the epidermis and
the muscle is compressed, such as during an injury, these nerve receptors are
compressed and send information to the brain regarding continuous touch, light
touch, cold, pain, pressure, and heat. This information causes the brain to send
out certain signals to the body on how to react to particular stimuli. Kinesio
Tape alters the information that these receptors send to the brain and causes a less
reactive response in the body, allowing the body to work in a more normal manner
and removing some of the roadblocks that normally slow down the healing process.
Kinesio Tape also is felt to affect deeper tissues in the body. Increased
space theoretically allows muscles greater contractility, which in turn pushes
more fluid through the muscle, resulting in better muscle performance. The end
results are believed to be reduced muscle fatigue, increase in range of motion,
and better quality of muscle contraction.
Kinesio Tex Tape is used to improve joint alignment by affecting the muscles
and fascia and can reduce poor function of a joint by influencing opposing
muscle groups and joint mobility.
Fascia and lymph have an intimate relationship with each other. Fascia is a
material that divides and separates the muscles and internal organs and helps to
provide support against gravity in some parts of the body. Lymph removes fluids
and chemical substances in the muscles. Lymph channels pass though fascia
between the bone and the muscle and superficially between the skin and the
muscle. Lymph ducts range in size from smaller than a hair to 2 cm lymph nodes.
Major lymph channels can be found in the groin, neck, and armpits. When the flow
of lymph is restricted or increased, an accumulation of fluid occurs behind the
congested area, resulting in swelling that decreases space between the muscle
and skin, causing the body to react to a painful stimulus.
The working model gives rise to the basic theoretical
concepts of the Kinesio Taping Method. There are six basic concepts of the
Kinesio Taping technique called corrections. They are: mechanical, fascia
(fascial), space, ligament/tendon, functional, and circulatory/ lymphatic.
Mechanical corrections are used for improved stability and biomechanics. Fascia
or fascial corrections create or direct movement of fascia. Space corrections
are used for decreasing pressure over a target tissue. Tendon/ligament
corrections decrease stress on a
ligament or tendon. Functional corrections provide sensory stimulation to either
assist or limit a motion. Circulatory/lymphatic corrections help move lymphatic
fluid from more congested to less congested areas.
Kinesio Taping has also been shown to affect scars. Reductions of adhesions
and pitting, softening, flattening, improved pliability, and reduction of
contractures have been seen in some patients.
References:
Kase, K., Hashimoto, T., and Okane, T. (1996) Kinesio Perfect Taping Manual. (pp.1-10).Universal Printing and Publishing, Inc.
Kase, K., Wallis, J., and Kase, T. (2003) Clinical Theraputic applications of the Kinesio Taping Method®. Ken Ikai Co. Ltd, Tokyo, Japan
Martin, P. (2003). 18th Annual Kinesio Taping International Symposium Review. Tokyo, Japan: Kinesio Taping Association.
Maruko, K. (1999). Kinesio Taping® with Aqua Therapy for Pediatric Disability Involving Neurological Impairment. 15th Annual Kinesio Taping International Symposium Review. (pp. 70-73) Tokyo, Japan: Kinesio Taping Association.
Murray, H. (2000). Kinesio Taping®, Muscle Strength and ROM after ACL Repair. Journal of Orthopedic and Sports Physical Therapy, 30, 1.
Nosaka, K. (1999). The Effect of Kinesio Taping® on Muscular Micro-Damage Following Eccentric Exercises. 15th Annual Kinesio Taping International Symposium Review. (pp. 70-73) Tokyo, Japan: Kinesio Taping Association.
Rock Stockheimer, K., Kase, K., and Pillar, N. (2006) Lymphoedema and Chronic Swelling. Kinesio USA, LLC.
Thelan, M., Dauber, J. A., and Stoneman, P. (2008) The Clinical Efficacy of Kinesio Tape for Shoulder Pain: A Randomized, Double-Blinded, Clinical Trial.
J Orthop Sports Phys Ther. 2008;38(7):389-395, published online 29 May 2008. doi:10.2519/jospt.2008.2791
Yasukawa, A., Martin, P., and Kase, K. (2006) Kinesio Taping in Pediatrics. Kinesio USA, LLC.
Last Editorial Review: 2/2/2009