Taping Bambang TW

Disampaikan Pada Workdhop Cedera Olah Raga
Bagi Mahasiswa Fisioterapi
Pada Hari Minggu Tanggal 07 Desember 2014

KINESIO TAPING /
FISIO TAPING/
MEDIKO TAPING /
ATLETIC TAPING
ANIMAL TAPING
???
NOW...
PAJAR HARJATNO
YOGA WINDI ASTONI
BAMBANG TRISNOWIYANTO
CEDERA AKIBAT OLAHRAGA.....
FOR ME,
EXERCISE IS MORE THAN JUST PHYSICAL,
ITS THERAPEUTIC.
MICHELLE OBAMA
Fungsi Olahraga (exercise):
o Therapeutic Program
o Social contact
o Relaxation
o Competician
o Promotes Good Health
Most sport injuries are a result of
Direct blow (bruise or contusion) or
Indirect dynamic force (sprains, strains, tears).
An increasing number of injuries are duct to
overuse stresses (foot, knee, hip & shoulder injuries)
o Correct warm-
warm-up
and warm down
exercise
o Proper stretching
exercise for flexibility
o Protective strapping
in some case
o Correct footwear
o Specific conditioning for a particular sport

o Good general and aerobic fitness
Physiotherapists are hightly qualified and trained in
the assesment and treatment of soft tissue injuries.
With an comprehensive
knowledge of
biomechanics, tissue
pathology and healing,
experienced
physiotherapists are
appointed to many sports
team and monitor the
rehabilitation of injured
players.
SIManagement
Talk
Observation
Touch
Active Mov. Test
Passive M. Test
Skill M. Test
start the P,R.I.C.E.R program :
P : Protect to the injury
R : Rest (injuried tissues must have a period of rest to heal)
I : Ice (10 mins frequently is better than one long application)
C : Compression (moderately firm bandage to control swelling)
E : Elevation (elevate the injuried part to help drainage)
R : Refferal (send to Hospital)
H : Heat increases bleeding
A : Alcohol increases swelling
R : Running or exercising too soon makes an injury worse
M : Massage in the first 24 hours increases swelling and
bleeding
Phases of Soft Tissue Healing
Phase I Inflammatory Response (3-5 Days)
Signs and symptoms Tissue damage initiates White blood cell infiltration
Redness (rubor) inflammation Vasodilation
Vasocontriction
Pain/point tenderness (dolor) Additional blood flow to
Platelet reaction (Provokes clotting at
Warmth (calor) site to plug ruptured vascular Increases cell
Swelling (tumor) structures) permeability causing
Limited ROM (functio laesa) Coagulation (Clot/hematoma is swelling/edema
formed)
Phase II Repair/Regeneration (48 hours 8 weeks)

Signs and symptoms (Decreased sx of inflammation)
Proliferative phase (New blood supply allows for waste removal and arrival of
fibroblasts)
Fibroplasia (Process of generating collagen tissue via fibroblast activity)
Progression of phase (changes in cellular activity). Proliferation of new blood supply
and fibroblast activity reinforce new connective tissue matrix - each fuels the other
Phase III Remodeling/Maturation (6-8 weeks)

Signs and symptoms
Minimal sx &Resolution of sx of inflammation unless complications have arisen
Factors Affecting Rate of Healing
Blood supply
Degree of immobilization
Foreign substances
Vitamin/mineral deficiency
Steroid use
GETTING BACK IN THE GAME
.
o INDIKASI TAPING
o KONTRA INDIKASI
o KARAKTERISTIK TAPING
o EFEK TAPING
o MELEPAS TAPING
o PENGGUNAAN TAPING
o BENTUK TAPING
o PENGULURAN
o TAPING PADA OTOT
o TAPING PADA LIGAMEN
o TAPING PADA SISTEM SIRKULASI

Mekanisme kerja kinesiotaping
Menghilangkan Mempernbaiki Aktivasi
Support otot
tekanan kulit masalah sendi analgesic sistem
Mencegah Mencegah
Meningkatkan Meningkatkan
cidera dan cidera dan
ROM ROM
kram kram
Meningkatkan Meningkatkan Mengurangi Mengurangi

ROM ROM nyeri nyeri
Meningkatkan Mengurangi Mengurangi

sirkulasi inflamasi inflamsi
Menghilangkan
inflamasi
Kontra Indikasi
o Acute trauma without diagnosis
o Fever
o Abnormal pattern of complaints
o Open skin / wound
o Allergic reaction on the tape
o Thrombosis (DVT)
Thrombosis
For women:
If the patient is pregnant
(first 3 months) put no tapes
on in the region around the pelvis
(Possible stimulation of organs
segmental influence)
Allergic Reaction
Karakteristik Taping
Latex free, well tolerated & Works with the body to
allow normal ROM
Air permeable and water permeable (Waterproof)
Can be worn for 7-10 days (longer wear time 3-5 day
period)
Safe for pediatric to geriatric populations,
rehabilitative
130% - 140% stretch in the length
Efek Taping
The Lifting Effect of the Cure Tape provides:
o Pressure relief
o The blood circulation and lymphatic drainage is
better
o The pressure on the pain receptors is less
o The experience of pain is less.
o More physiological movement patterns possible
o Medical Tape may also be used as a stabilizing
For example:
Knee, Ankle, Shoulder stabilization
Kinesio Taping Effects on Pain Receptors,
Lymphatic Vessels and Blood vessels
Kinesio Taping Effects on Superficial Lymphatic Drainage
Lifts the skin, causing convolutions

Creates channels of low pressure in congested areas
Decreases pain
All images and text are copyrighted and property of the Kinesio Taping Association
Relieves pain
On Muscle Increases Range of
Motion
May normalize
length/tension ratios to
create optimal force
Assists tissue recovery
Reduces fatigue
Improves muscle
contraction of a
weakened muscle
(Facilitation)
Stimulate relaxation of
over-contracted muscle
(Inhibition)
Improves joint biomechanics
Joint and alignment
Balances agonist and

antagonist
Reduces protective muscle

guarding and pain
Facilitate ligament & tendon

function
Enhances kinesthetic
awareness
Circulatory /
Lymphatic
System
Increase interstitial
lymphatic fluid flow
Enhance fluid
exchange between
tissue layers
Reduce edema
Equalize temperature
Kinesio Taping after 12 Hours
Bentuk dasar Taping
I Y X Kipas
1. Warna
2. Cara memotong
(ujungnya dipotong)
3. Luka di kulit
4. Jangkar dalam posisi
netral
5. Menghasilkan kerutan
Aplly the tape
Apply the tape from centre
Terminologi Aplikasi taping
TARGET ZONE
Area yang akan ditaping
BASIS
Bagian awal aplikasi tanpa tarikan
ANCHOR
Bagian akhir aplikasi, tanpa tarikan
ZONA TERAPI
tape setelah basis (dilakukan tarikan tape antara basis
dan anchor) / dengan stretch target zone / keduanya
Cara
Memasang
Taping
Make the skin clean and dry

Remove hair (if needed)
Cut the tape on a good length,
takes account the stretch that you use
Corners of tape cut around for better adhesion
Dont touch the adhesive side, because the tape paste only 1 time
The basis and the anchor of the tape will always be placed without stretch.
No wrinkles in the tape or in the skin under the tape, because here will be
easily blisters
If the tape is pasted, the tape rubbing hot for optimal adhesion.
Remove the tape if there is irritation after more than a half hour
PERSENTASI TARIKAN TAPE
Sangat ringan 0 10 %
Kertas dilepas 10 15 %
Ringan 15 25 %
Sedang 25 35 %
Berat 50 75%
Penuh 75 100%
Pada jangkar dan ekor tarikan 0 %

Efek Penguluran Taping
Lymph tape (to improve circulation) 0% - 5%

Muscles (inhibition) 10% - 15%
Muscles (stimulation) 15% - 25%
Ligaments 75% - 100 %
Basis and anchor always without stretch!

The tape on the paper has 10% stretch
Konsep Dasar Arah Aplikasi & Tarikan Taping
Distal ke Proksimal (I ke O)
Untuk inhibisi otot yang overuse, akut dan spasme otot
Tarikan 10 s/d 15 % (15 s/d 25 %)
Proksimal ke distal (O ke I)
Untuk fasilitasi otot yang lemah, kronis dan pemulihan
Tarikan 15 s/d 25% (15 50 % )
Arah terapi adalah recoil dari arah jangkar menuju basis

Zona Terapi adalah daerah target jaringan
Melepas Taping
Usually the tape release after 3 or 4 days
Make the tape wet or rubbed with oil
Carefully remove the tape from the skin, not pull off!
Rubbed with oil

Melepas
Taping
Remove in direction of
hair growth
Roll the tape off using

the base of the hand
to brush/pat skin
gently to reduce
discomfort
Melepas
Taping
Skin from tape method:
Pull the skin back from
the tape
Tape may be removed
while bathing
hand lotion or oil (baby
or mineral) may be
applied to the tape to
break the adhesive
bonds comfortably
Kesimpulan
Tujuan aplikasi taping pada cedera olahraga :
1. Mengurangi nyeri (modulasi nyeri perifer dan
sentral)
2. Memperbaiki sistem sirkulasi limfe (mengurangi
oedema)
3. Fasilitasi inhibisi otot yang cedera
4. Stabilisasi sendi dan memperbaiki reaksi
artrokinetik
Terimakasih
o AC Joint
o ACL
o Achilles Tendonitis Aplikasi
o Bicep Tendonitis Taping
o Brachial Plexus
o Carpel Tunnel Syndrome
o Elbow Bursitis
o Hallux Valgus
o Headaches
o Medial/Lateral
Epicondylitis
o Patella Tendonitis
o Scoliosis
o Shin Splints
o And More
Upper Body Muscle Taping
Deltoid
Lower Back Spasm and Strain
Deltoid
The deltoid muscle being the
major muscle in external
rotation of the humerus, is
composed of anterior, medial
and posterior fibers
Clinical Applications. Chronic

Shoulder Injuries, AC Injuries
Tape Specs. 2 width, 8

length, Y-Shaped Tape
Deltoid Aplication
Position: Flex Elbow, Shoulder to 90*
Measure and cut Y tape
Adhere anchor of Y to deltoid
tuberosity
Activate the glue
Position: Horizontal ABDuction

15-25% tension. D to P (I to O)
Follow anterior deltoid
Attach end to lateral clavicle
Activate the glue
Deltoid Aplication
Position: Horizontal
ADDuction
15-25% tension
Posterior tail along

posterior deltoid
Attach end at lateral edge

of spine of scapula
Activate adhesive
Erector Spinae Muscle Strain, Lumbar Region
This muscle group provides vertebral stabilization

and can become injured as a result of sudden
overld, possibly in extension, weak muscles, trunk
rotation and may be associated with lumbar
intervertebral disk herniation.
The Taping technique will assist in reducing acute

or chronic muscle spasms, edema, and pain.
I strip
Measure from crest of sacrum (SI) to

approximately T12
Cut 2 lengths of Kinesio Tex tape. The

Kinesio I-strips will be placed along the
erector spinae muscles
Anchor tape to Left SI region with no

tension
Begin by placing the patient in a

forward bent position
Position: Lumbar spine flexion

with rotation to opposite side
Apply Kinesio I Strip to the

skin by pulling the paper
backing off while guiding the
tape onto skin
Use only paper off tension

over the musculature
Activate adhesive by rubbing

the Kinesio Tex I strip prior to
any movement
End at T12-L1
The end will be applied with no

tension
Rub until you begin to feel

warmth
Apply second Kinesio I Strip on the right

by repeating these steps:
Apply anchor with no tension
Position patient into lumbar flexion and

rotation as tolerated
Apply with paper off tension
End applied with no tension
Rub to activate adhesive prior to

movement
Anchor at SI area
Paper-off tension
End at T12-L1
Rub to activate the adhesive
Dont rub against the edge of the

tape
LBP
Position: Lumbar spine flexion
Measure and cut I tape
25-50% Tension, Space Correction
Begin by tearing a Kinesio I strip

in the middle
Using 25-50% stretch, apply tape

directly over the region of greatest
pain or spasm
KT Erector Spinae Muscle Strain, Lumbar Region Lab
Completed Taping
Erector Spinae Muscle Group
Two erector I Strips
P to D (O to I) Facilitation
Paper off Tension
Space Correction
I Strip
25-50% Tension in the middle
over region of pain or spasm
No tension on the ends
Erector Spinae Muscle Strain, Lumbar Region Star Technique
Cut an appropriate length of multiple I

strips: 6-8 inches
Tear the center of the I strip
Space Correction 25-50% Tension
With the patient in a neutral position
Apply first strip with 25-50% of available

tension to the center of the I strip
Apply center zone of I strip directly over

therapeutic zone
Lay down anchors with no tension and

activate glue prior to movement
Have the patient move into flexion
Apply a second I strip with 25-50%

tension in the middle
Lay down anchors with no tension

and rub to activate glue
Have the patient move into

flexion with rotation to one side
Apply a third I strip with 25-50%

tension in the middle
Lay down anchors with no

tension and rub to activate glue
Apply fourth I strip having the

patient moving to flexion with
rotation to opposite side
Completed I Strip Star Technique
Measure and cut 4 I strips
25-50% tension in center
Ends with 0% tension
Activate adhesive
M. Deltoid
M. Subscapularis
M. Coracobrachialis Frozen
Options:
Shoulder
M. Supraspinatus
M. Pectoralis minor
General Shoulder Dengan Spasme Otot Deltoid Dan Bursitis Sub Akromialis
M. Biceps Brachi
O: tuberculum supraglenoidale scapulae,

processus coracoideus scapulae
I: tuberositas radii
F: flexion upper arm, flexion elbow,
supination underarm
Ind: trigger points, tendonitis, tennis elbow
Option for the basis

Anterior Posterior Instability Of The Shoulder
Blue tape:
Arm 90abduction, elbow flexion
Tape with 100% stretch on AC-joint
The two anchors without stretch
Red tape:
Arm in neutral position
Tape with 100% stretch, to the proximal
Ventral anchor without stretch, arm in
extension
Dorsal anchor without stretch, arm in
flexion
Option:
Possibly in combination with tape for M. deltoid
Tennis Elbow I Lateral Epicondylitis
Combination of:
M. Supinator
O: epicondylus lateralis humeri
I: fascies lateralis radii (proximal 1/3 part)
F: supination underarm
M. Extensor carpi radialis brevis

O: epicondylus lateralis humeri
I: basis ossis metacarpal III (dorsal)
F: pro-and supination of the forearm ,
extension and radial deviation of the hand.
Tennis Elbow II Lateral Epicondylitis
Combination M.Supinator and M. Extensor carpi radialis brevis:

1. M. Extensor carpi radialis brevis inhibition
2. M. Supinator stimulation
M.supinator taping during moving derotation of tissue,
friction
Option tennis elbow:

Star method by ligaments technique (100% stretch)
paste at the location of the pain
Carpal Tunnel Syndrome
Entrapment Nervus Medianus
1. Wrist flexors general with muscle technique (inhibition). Wrist in dorsal flexion.
2. ligament technique across flexor retinaculum (100% stretch) Wrist in dorsal flexion.
M. Trapezius
O : protuberantia occipitalis externa, ligament nuchae, processes spinosi C7 - Th12

I : extremity acromialis claviculae, acromion, spina scapulae
F : pars. descendens: elevation, latero rotation scalulae
pars. ascendens: detraction, latero rotation scapulae
pars. transversus: retraction scapulae
Ind: tension headaches, trigger points
Always tape 2 sides of the muscle for compensation!

M. Hamstrings (M. Biceps Femoris, M. Semitendinosis)
O: ischial tuberosity, middle part of the labium

lineae asperae lateral, lateral septum
intermusculare
I: caput fibula, lateral condyle tibia, fascies
medial tibia, medial tibial condyle, popliteum
oblique, fascia cruris
F: extension of the hip, external rotation and
internal rotation of the lower leg, knee flexion
Ind: muscle fiber rupture, heuparhrose, knee

instability, posture correction
When a rupture: transverse ligament tape on the location of the rupture,

100% stretch.
Patella Tape
1. Start about the distal 1/3 part of

the upper leg (Quadriceps) Knee in
flexion.
2. Basis and anchors without stretch,
tape 75% stretch
3. Possibly stabilizing tape under the
patella.
4. Important that the patella is taped
in the right position!
Ind: Patello Femoral Pain Syndrome,

overlCederad, instability
Efek Fisiologis Kinesio Taping Pada ACL
Skin function
Circulatory and/ lymph optimalization
Fascial contraction minimization
Improve muscle coordination (muscle spindle
and GTO)
Improve joint proprioception
Kinesio Taping is designed to reduce pain,

enhance performance, re-educate the
neuromuscular system, prevent injury, and
promote lymphatic flow
Colateral Ligament Of Knee
Ind: sprain / rupture

collateral ligament,
instability
Lateral Medial
Use the ligament technique, 100% stretch

Instability Knee
Combination of:
Patella tape
Collateral ligament tape
Extension movement tape
Extension movement tape:

1. Use the X- form tape.
2. Anchors without stretch, tape maximal stretch
(100%)
3. Knee in maximal extension (hyperextension)
Ind: extension restriction, instability
Extension movement tape

Patello Femoral
Pemasangan :
1. Lateral ke medial
2. Tarikan paper tension
Patello Femoral
Pemasangan :
1. Lateral ke medial
2. Tarikan 50% - 100%
3. Lutut semi fleksi
Patello Femoral
Pemasangan :
1. Circulary Lympathic pada
cedera lutut akut
2. Tarikan paper tension
Inner Knee
Outer Knee
Full Knee (For The Athlete)
Upper Knee
Medial Knee Pain
For Knee Joint

Taping Bambang TW

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Taping Bambang TW

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Formats disponibles

Disampaikan Pada Workdhop Cedera Olah Raga

Bagi Mahasiswa Fisioterapi

Pada Hari Minggu Tanggal 07 Desember 2014

o Specific conditioning for a particular sport

Phase II Repair/Regeneration (48 hours 8 weeks)

Phase III Remodeling/Maturation (6-8 weeks)

o TAPING PADA LIGAMEN

o TAPING PADA SISTEM SIRKULASI

Meningkatkan Meningkatkan Mengurangi Mengurangi

Meningkatkan Mengurangi Mengurangi

Lifts the skin, causing convolutions

Balances agonist and

Reduces protective muscle

Facilitate ligament & tendon

Make the skin clean and dry

Pada jangkar dan ekor tarikan 0 %

Lymph tape (to improve circulation) 0% - 5%

Basis and anchor always without stretch!

Arah terapi adalah recoil dari arah jangkar menuju basis

Rubbed with oil

Roll the tape off using

Lower Back Spasm and Strain

Clinical Applications. Chronic

Tape Specs. 2 width, 8

Position: Horizontal ABDuction

Posterior tail along

Attach end at lateral edge

This muscle group provides vertebral stabilization

The Taping technique will assist in reducing acute

Measure from crest of sacrum (SI) to

Cut 2 lengths of Kinesio Tex tape. The

Anchor tape to Left SI region with no

Begin by placing the patient in a

Position: Lumbar spine flexion

Apply Kinesio I Strip to the

Use only paper off tension

Activate adhesive by rubbing

The end will be applied with no

Rub until you begin to feel

Apply second Kinesio I Strip on the right

Apply anchor with no tension

Position patient into lumbar flexion and

Apply with paper off tension

End applied with no tension

Rub to activate adhesive prior to

Rub to activate the adhesive

Dont rub against the edge of the

Position: Lumbar spine flexion

Measure and cut I tape

25-50% Tension, Space Correction

Begin by tearing a Kinesio I strip

Using 25-50% stretch, apply tape

Cut an appropriate length of multiple I

Tear the center of the I strip

Space Correction 25-50% Tension

With the patient in a neutral position

Apply first strip with 25-50% of available

Apply center zone of I strip directly over

Lay down anchors with no tension and

Have the patient move into flexion

Apply a second I strip with 25-50%

Lay down anchors with no tension

Have the patient move into

Apply a third I strip with 25-50%