P5140043

Costochondral Separation or Sprain

A separation or sprain to the juncfion of the castocarłilage and rib is a common injury, even morę common than rib fractures. It is generally caused by rotation to the rib cage or direct blunt trauma (sudi as landing on a bali). Pain and possibie separation will be palpated on the junction of the castocartilage and the ribs. There is difficulty with breathing and rotation movements of the thoracic spine.

The Kinesio Taping Method will assist in reduction or edema, pain and provides stabilization of the injury site. This technique has been found to be pre/emed by patients as it does not apply further pressure to a sensitive anea and aiso allows for easier breathing.

In the acute phase of the injury the practitioner may select to apply a lympha tic correction in a criss-cross paftem over the site of the separation or sprain.

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Acute Phase. first 24-72 hours: In the acute phase two lympha tic correction strips wili be applied. For complete review see iymphatic corrective techniqu_e Begin by placing the base of the Kinesio fan strip superior to the SC joint and lateral to the stemum, direct the tails of the fan over the SC joint and towards the lateral aspect of the ribs.

A second strip begins by placing the base of the Kinesio fan strip interior to the SC joint and lateral to i the stemum, direct the tails of the fan over the SC joint and towards the posterior deltoid region.

The two strips should form a crisscross pattem.

The practitioner may also select to use the donut technique as described in AC joint sprain.

The first Kinesio strip applied is a mechanical correction technique. For complete review see mechanical correction technique.

Have the patient abduct their shoulder to approtf. I mately 90 degrees, or as far as pain allows. Tear the middle of a 6-8 inch Kinesio I strip through the paper backing and apply moderate to severe, 50-75% of available tension to the tape.

Place the center of the Kinesio I strip directly over the SC joint with downward pressure. Make surę to I not apply so much downward pressure as to increase patients pain.

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With the arm in an abducted position, tear the middle of the paper backing of an approximately 4-6 j inch Kinesio I strip and apply 75-100 %of availabie tension.

Apply one mechanical correction strip both anterior and posterior to the SC joint with downward pressure.

Have the patient take in a fuli breath and lay down the two ends of the Kinesio I strip with no tension.

For morę complete description see rib fracture.

Erector Spinae Muscle Strain, Lumbar Region

This musde group provides vertebral stabilization and can become injured as the result of sudden iverload possibly in extension, weak muscles, trunk rotation and may be associated with lumbar inter-ertebral disk hemiation.

The Kinesio taping technique will assist by reducing acute or chronic musde spasm, edema, and pain. everal application techniques will be demonstrated, these aro not the only options available to the practitioner. Following a complete evaluation the practitioner may select variations of the described echniąues.

Anoption which is not shown is the star technique which is demonstrated in the lumbar disk hemia-ion.

Application of basie Kinesio taping method for the erector spinae musde group with a Y strip, bilateral treatment.

Begin by placing the patient in a neutral spine position and apply the base of the Kinesio Y strip in the sacroiliac joint region, a minimum of 2 inches below the initiation of pain. If the pain is located in the thoracic or cervical region apply the base ap-proximately 2 inches below the initiation of pain.

For application of the taił of the Y strip on the right or side, ask the patient to move into flexion with rotation to the opposite side. Apply the taił with 5-10 % or paper off tension.

For the last approximately 2 inches lay down the taił with no tension.

Initiate glue activation prior to any further patient movement.

Either have the patient return to neutral posturę position, or have the patient move into forward flexion with rotation to the opposite side. This will allow the second Kinesio Y taił to be properly applied.

For the last approximately 2 inches lay down the taił with no tension.

Initiate glue activation prior to any further patient movement.

This technique can be applied using the Kinesio Y strip unilaterally or bilaterally

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