Tape It Up: Kinesio Taping Techniques for Oral Motor Issues Copyright Treva Blackman, SLP & Edith McCollom, SLP 2014 1 3/28/14 1 1ape lL up: klneslo Laplng 1echnlques for Cral MoLor lssues March 29, 2014 1reva 8lackman and LdlLh McCollom CLu-Lspresso.com
Part 1
WhaL ls klneslo Laplng?
klneslo Laplng meLhod ls a Lherapeuuc modallLy LhaL glves supporL Lo Lhe muscle wlLhouL resLrlcung range of mouon or blood ow. lL reduces overuse of Lhe muscles and enhances clrculauon. lncreases muscle and sensory funcuon. 1he elasuclLy of Lhe Lape ls slmllar Lo Lhe skln.
Pow does Lhls apply Lo speech Lherapy? uld you ever wlsh you had Lhree hands durlng a Lherapy sesslon? 1aplng can used ln place of manual sLreLchlng wlLh cllenLs who are averslve Lo lnLra/exLra oral sLreLches unul Lhelr Lolerance lmproves.
A Lhlrd hand durlng Lherapy Lo faclllLaLe a funcuonal posluon for nurslng, feedlng, eaung, and speaklng. Pow? lor Lxample: llp closure, oral resung posLure or [aw supporL.
Lmpowers Lhe cllenL wlLh Lhe success durlng funcuonal Lasks whlch ln Lurn lncreases carry over and neuromuscular re- educauon.
rovldes sensory lnpuL, lncreases awareness and proprlocepuon
Careglvers can be easlly Lralned. uocumenL reLurn demonsLrauon. Pome Lxerclse rogram. pro
1hls does noL Lake Lhe place of skllled Lherapy, lL ls anoLher modallLy Lo lnLegraLe lnLo your currenL lnLervenuon reperLolre.
8ag of 1rlcks = Modallues
Cral moLor exerclses 8eckman nMLS- vlLal Sum, LS Lecuve Swallow roLocol unS:--oops, now l have daLed myself
Addlng Loday: klneslo Laplng
Modallues" also requlre physlclans orders: 1herapeuuc muscle Laplng Lo lncrease ( funcuon sLaLemenL).
Who founded Lhls new (Lo speechles) modallLy?
ur. kenzo kase, u.C, !apanese ChlropracLor 1970's whlle ln Lhe pracuclng ln unlLed SLaLes, ur. kase began researchlng and examlnlng new LreaLmenL meLhods for Lhe body Lo heal lLself. 1980, ur. kase publlshed hls rsL book on klneslo Laplng 1993, began Lo be used ln sporLs and medlclne ln Lhe unlLed SLaLes. 3/28/14 2 Clymplcs WhaL do Lhe aLhleLes have Laped on Lhelr body?
klneslo 1ape!
now physlcal and occupauonal LheraplsLs, sporLs medlclne, aLhleuc Lralners, and physlclans all use klneslo Laplng as a regular modallLy ln Lhelr Loolbox all around Lhe globe.
Lven Lhe cosmeuc/beauLy lndusLry has beaL us (Speechles) ln uullzlng Lhls modallLy. WhaL? !" !"#$%%&&&'()*+*,-'.)/%&0+.!123456789*:;9<=>?>3-/
!"#$%&'( Muscle: sLreLch before applylng Lhe Lape
rlnclples depend on Lhe goal of Laplng. 1. SupporL 2. 8ehablllLauve aln lnammauon 8eneLs of klneslo Laplng AsslsL ln supporung muscles and Lo prevenL muscle over-conLracuon.
1he sLreLch applled Lo Lhe muscle, creaLes space under Lhe skln and creaLes Lhe deslred eecL on Lhe muscles.
Manlpulauon of Lhe muscles aecLs change ln deeper layers of fascla.
8eneLs of klneslo Laplng SubcuLaneous blood ow lncreases lmprovlng sensauon.
uecreases lnammauon and pressure on recepLors.
See references 1ape Cuallues
Cuallues LhaL allow Lhe Lape Lo be worn 24 hours a day comforLably.
1. Allows smooLh muscle range of mouon because Lhe Lape has slmllar elasuclLy as Lhe skln and muscle. 2. 100 couon whlch allow lL Lo breaLhe wlLh your skln. 3. 1he Lhln deslgn ls llghL and comforLable 4. Mlld adheslve wlLh alr clrculaung waves LhaL ls heaL acuvaLed, allows Lape Lo sLay on durlng exerclse and showerlng (noL droollng). uemonsLrauon SLreLch of Lhe Lape: 4 pleces of Lape
1ape wlLh paper backlng. 1ape peeled away and placed back down on backlng ls approxlmaLely 10 less. 1ape placed aL maxlmum sLreLch 1ape ls applled wlLh approxlmaLely 13-20 of Lhe sLreLch. (1hls ls used wlLh Crlgln Lo lnseruon sllghL sLreLch.) 3/28/14 3 rlnclples for Laplng: know your goal.
Supporuve or 8ehablllLauve
SupporL Laplng for weak muscles. (laclllLaung)
8ehab Laplng for over used or conLracLed muscles. (8elaxlng) ulerences: SupporL / laclllLaLe Apply Lape Lo muscle from Origin lnseruon
SumulaLes underused, weak muscles 1ape pulls Loward Lhe Crlgln conLracung Lhe muscle 8ehab / 8elax Apply Lape Lo muscle from lnseruon origin
8elax ughL, conLracLed, or overused muscles 1ape pulls Loward Lhe lnseruon relaxlng Lhe muscle promoung shorLenlng of Lhe muscle *+#%(+",-&% .( '/%0% - (+1#+2$-#$% '" '/% $"3"0(4
1he physlcal producL ls baslcally Lhe same beLween Lhe colored Lapes. 8elge ls Lhe mosL popular color for edema Laplng. lnk, black and blue are Lhe mosL popular colors for sporLs and physloLherapy Laplng. 1he dlerenL colors ln klneslo re-cuL packeLs are deslgned so you can easlly ldenufy where each Lape sLrlp should be applled. *+#%(+",-&% ,/% ('0%'$/ 05#( 3%#1'/6+(% "7 '/% '-&% 8"6 '" 9%-(50% '-&% #%%:%:; Measure Lhe Lape before cumng on Lhe face of Lhe person lL wlll be applled on Lhen subLracL Lhe amounL needed for Lhe sLreLch. 1ape Appllcauons
See references 3/28/14 4 lacemenL 1 <$="# >%(+0%: lncrease lablal proLruslon, roundlng, and closure. ?5($3%( Crblcularls orls and recrulLmenL of surroundlng muscles
lacemenL 1 @3-$%9%#' >%($0+&="# CuL 2-3 lnch narrow sLrlp Lo ouLllne upper llp above Lhe vermllllon border. 1ear Lape backlng ln Lhe mlddle. Anchor Lape aL cenLer whlle llps are exLended Apply wlLh paper o Lenslon. ress from cenLer Lo llp corners-one aL a ume lacemenL 2 <$="# >%(+0%: lncrease lablal proLruslon, roundlng, and closure. ?5($3%( Crblcularls orls and recrulLmenL of surroundlng muscles
lacemenL 2 @3-$%9%#' >%($0+&="# CuL 2-3 lnch narrow sLrlp Lo ouLllne lower llp below Lhe vermllllon border. 1ear Lape backlng ln Lhe mlddle. Anchor Lape aL cenLer whlle llps are exLended Apply wlLh paper o Lenslon. ress from cenLer Lo llp corners- one aL a ume lacemenL 3 <$="# >%(+0%: lncrease lablal proLruslon, roundlng, and closure. lncrease sensory awareness, decreased oral leakage, lmproved lablal funcuon ?5($3%( Crblcularls orls and recrulLmenL of surroundlng muscles
lacemenL 3 @3-$%9%#' >%($0+&="# AL llp corners, Lape should Louch or sllghLly overlap Lo supporL enure orblcularls orls and perhaps engage Lhe bucclnaLors. 3/28/14 3 lacemenL 4 <$="# >%(+0%: uecrease droollng ( @->-09.! 09B.C-: See 8eferences) Applled ln mornlng and removed every nlghL for 4 weeks. osluve resulLs for droollng managemenL. ?5($3%( SupporL and proprlocepuon of Lhe mylohyold and dlgasLrlc belly of Lhe suprahyolds.
lacemenL 4 @3-$%9%#' >%($0+&="# Cn sub mandlbular Lrlangle below Lhe mandlble. lnslde [aw llne on Longue base. CuL sLrlp 1-1 1/2 lnch long, Lhen cuL ln Thank you Cuesuons ?
'()*+, -,./,0 Tape It Up: Kinesio Taping Techniques for Oral Motor Issues Copyright Treva Blackman, SLP & Edith McCollom, SLP 2014 2
Kinesiotape Cutting Configurations
X cut Y cut I cut
What do the different colors mean?
The physical product is basically the same between the colored tapes. Beige is the most popular color for edema taping. Pink, black and blue are the most popular colors for sports and physiotherapy taping. The different colors in Kinesio Pre-cut packets are designed so you can easily identify where each tape strip should be applied.
The stretch runs lengthwise of the tape
How to measure tape needed:
Measure the tape before cutting on the face of the person it will be applied on then subtract the amount needed for the stretch. Tape It Up: Kinesio Taping Techniques for Oral Motor Issues Copyright Treva Blackman, SLP & Edith McCollom, SLP 2014 3
Engage obicularis oris Cut 2-3 inch narrow strip to outline upper lip. Tear tape backing in the middle. Anchor tape at center while lips are extended & apply with paper off tension. Press from center to lip corners-one at a time.
1b
Increase labial protrusion rounding, and closure.
Engage obicularis oris Cut 2-3 inch narrow strip to outline lower lip. Tear tape backing in the middle. Anchor tape at center while lips are extended & apply with paper off tension. Press from center to lip corners-one at a time.
1c
Increase labial protrusion rounding, closure, Possible recruiting of the buccinators.
Engage obicularis oris and possible recruitment of the buccinators. At lip corners, tape should touch or slightly overlap to support entire orbicularis oris and perhaps engage the buccinators.
2
Decrease drooling
Article: Esther de Ru.
Applied in morning & removed every nite for 4 wks. Positive results for drooling management.
Support and proprioception of the mylohyoid and digastric belly of suprahyoids On sub mandibular triangle. Inside jaw line on tongue base. Cut strip 1-1 inch long, then cut in half so stretch is horizontal. Anchor in middle on sub mandibular triangle. Paper off tension to both sides.
Tape It Up: Kinesio Taping Techniques for Oral Motor Issues Copyright Treva Blackman, SLP & Edith McCollom, SLP 2014 4
References Print prior to Meeting: www.aipro.info/drive/File/TAPING_IN_PEDIATRICS._di_K._Kase.pdf http://www.theratape.com/education-center/wp- content/uploads/2013/10/Applying-and-Removing-Kinesiology-Tape.pdf
References http://www.asha.org/Events/convention/handouts/2011/Jones-Raminick/ Oral Facing Taping for Feeding and Speech. Results that Stick! http://www.athletictapeinfo.com/kinesiology-tape-information/kinesiology-taping-in-pediatric-care/ Kase K, Hashimoto T, and Okane T (1996). Kinesio Taping Perfect Manual. Albuquerque, New Mexico: Universal Printing and publishing, Inc. Kase K. (1994) Illustrated Kinesio Taping. Albuquerque, New Mexico: Universal Printing and publishing, Inc. Kase, K, Wallis J, Kase T, (2003). Clinical Therapeutic Applications of the Kinesio taping Method. Kase, Advance Healing, Winter 2007, page 22 http://www.kinesiologytapeinfo.com/how-to-apply-kinesiology-tape-step-1-preparation/ http://www.kinesiologytapeinfo.com/how-to-apply-kinesiology-tape-step-2-application/ http://kinesioproducts.com/index.php for products Martin, P. (2003). 18th Annual Kinesio Taping International Symposium Review.Tokyo, Japan: Kinesio Taping Association. www.pediastaff.com/blog/a-look-at-kinesio%C2%AE-taping-3595 A Look at Kinesio Taping | PediaStaff Pediatric SLP, OT and PT Blog http://www.pediastaff.com/resources-a-look-at-kinesio%C2%AE-taping-featured-may-26-2011, OT4Kids Esther de Ru-BPT PPT OMT(2003). Drooling-New treatment method to help reduce excessive drooling www.medlcalLaplng.com/lnLernaLlonal-Cure-1ape-dealers/newsleLLer20SepL202009. Yasukawa, A. (2006). Pilot Study: Investigating the Effects of Kinesio Taping in an Acute Pediatric Rehabilitation Setting. American Journal of Occupational Therapy 60, 1.
Tape It Up: Kinesio Taping Techniques for Oral Motor Issues Copyright Treva Blackman, SLP & Edith McCollom, SLP 2014 5
Brands of Kinesiotape http://www.kinesiotaping.com/ $15 a roll http://www.kttape.com/ $13 a roll http://www.rocktape.com/ $18 a roll http://www.spidertech.com/ $15 a roll http://www.performtex.com/ $8 a roll $11.23 for pediatric gentle - Monkey
?ou Lube: 1here are many vldeos on klnesloLaplng.
Tape It Up: Kinesio Taping Techniques for Oral Motor Issues Copyright Treva Blackman, SLP & Edith McCollom, SLP 2014 6
Interactions between the Craniomandibular System and Cervical Spine: The influence of an unilateral change of occlusion on the upper cervical range of motion