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    Taping Script

    Uploaded by

    JOVI ANNE MACARAEG
    A physical therapist performs an inferior radioulnar joint taping technique on a patient's left wrist to reduce residual pain during pronation and supination. The patient suffered a left Colles fracture 3 months prior. The therapist checks for allergies, ensures the skin is clean, and positions the wrist neutrally before applying tape to glide the ulna dorsally over the radius. Movement is tested and found to be pain-free. The patient is instructed to remove the tape after 24 hours and reapply in the morning to prevent irritation.

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    Taping Script

    Uploaded by

    JOVI ANNE MACARAEG
    46 views3 pages
    A physical therapist performs an inferior radioulnar joint taping technique on a patient's left wrist to reduce residual pain during pronation and supination. The patient suffered a left Colles fracture 3 months prior. The therapist checks for allergies, ensures the skin is clean, and positions the wrist neutrally before applying tape to glide the ulna dorsally over the radius. Movement is tested and found to be pain-free. The patient is instructed to remove the tape after 24 hours and reapply in the morning to prevent irritation.

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    A physical therapist performs an inferior radioulnar joint taping technique on a patient's left wrist to reduce residual pain during pronation and supination. The patient suffered a left Colles fracture 3 months prior. The therapist checks for allergies, ensures the skin is clean, and positions the wrist neutrally before applying tape to glide the ulna dorsally over the radius. Movement is tested and found to be pain-free. The patient is instructed to remove the tape after 24 hours and reapply in the morning to prevent irritation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    46 views3 pages

    Taping Script

    Uploaded by

    JOVI ANNE MACARAEG
    A physical therapist performs an inferior radioulnar joint taping technique on a patient's left wrist to reduce residual pain during pronation and supination. The patient suffered a left Colles fracture 3 months prior. The therapist checks for allergies, ensures the skin is clean, and positions the wrist neutrally before applying tape to glide the ulna dorsally over the radius. Movement is tested and found to be pain-free. The patient is instructed to remove the tape after 24 hours and reapply in the morning to prevent irritation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    TAPING

    You have a pt who suffered a (L) Colle’s fx 3 mos ago due to a FOOSH accident during  a football
    game. After the cast was removed and a significant number of PT sessions,  he still presents
    with residual wrist pain during supination and pronation of the wrist.  Perform a taping
    technique that could help reduce the sx of this pt.

    Good morning po! My name is Jovi, and I will be your PT for today.
    Pwede ko po ba malaman yung name niyo po?
    Ma’am, confirm ko lang po, kayo po yung nagka colles fracture sa left side, tama po?

    So bago po tayo mag start, mag ask lang po ako ng mga questions para malaman po natin if
    pwede po tayo mag proceed with taping

     May pinahid po ba kayong oil, lotion sa area


     Allergic po kayo sa any kind of tape, or any material like wearing band aid or anything na
    similar
     Meron po ba kayong sugat sa area (inspect lang)
     Any condition or past injuries bukod po dito?

    Okay po. Based po sa chart niyo, nagka colles fracture po kayo 3 mos ago, and nakakaramdam
    pa rin po kayo ng pain kapag iniikot niyo po yung kamay niyo ng ganito po? Tama po? Ok po. So
    sa forearm po kasi natin may dalawang buto po. Radius and ulna, so dito po yung nangyari nung
    nagka fracture tayo, yung dulo po nung radius, yung buto dito is nag bend po backward. So
    kung naalala niyo po ginawa natin sa inyo yung mobilization with movement, ang sabi niyo po
    nabawasan yung pain.

    Since effective po yung mobilization with movement, gagawin po natin itong tinatawag po na
    inferior radioulnar joint taping para tuluyan po nating ma correct or maialign ng maayos yung
    position po ng bone natin dito, yung ulna sa bone dito which is radius to help para mabawasan
    yung pain po na nafefeel niyo, kapag ginagawa niyo po yung ganitong movement.

    So we will use this 1.5 inch inelastic tape po para matape natin yung bandang dito niyo po nang
    dalawang beses with overlap.
    Okay lang po?

    So maam anne, and yung kapatid niyo po na si maam eva, pakipanood na lang po yung gagawin
    ko and ituturo ko po sa inyo kung paano po ito gawin.

    So simple lang naman po.

    >>> chineck na kanina if may allergy, wala naman po. So we can use this tape
    >>> provide a towel lang to make maam anne comfortable
    >>> ensure na walang sugat, linisan niyo po muna, tanggalin kung may pinahid man, then I wipe
    po. So nalinis naman na po natin
    >>> dapat ganito position ni pt; relaxed and hindi po naka bend pataas or pababa yung wrist; so
    neutral lang po dapat, tas nakadapa po yung forearm

     Palmar aspect of ulnar condyle – apply tension


     End sa point kung saan nag start to cover
     Apply another strip sa baba just to secure the tape – apply tension
     End sa point kung saan nag start to cover

    Okay lang po? Comfortable po ba? May pain po?

    >>> remember po to avoid wrinkes, creases para maiwasan yung skin irritation, so dapat po
    smooth yung pagkaka tape
    >>> wag naman pong sobrang sikip kasi baka mas lalo po mag cause ng pain di po mag circulate
    yung blood, so magkaroon po ng problem sa blood flow; wag naman din pong sobrang luwag
    since hindi naman po siya magiging effective
    >>> remember lang po na magpuput kayo ng tension tuwing yung tape ay nasa taas tulad nung
    pinakita ko po kanina.

    Kumusta maam wala naman pong pain?

    >>> so to check po if tama yung ginawa, dapat po walang pain na nafefeel si maam anne
    >>> then I try niyo po igalaw yung wrist niya taas baba, ipagalaw yung wrist – may pain po?
    >>> okay naman po? Hindi naman po masyadong mahigpit?
    >>> can you try to move it (harap/dapa) – pronate supinate – may pain po?

    So tapos na po tayo ma’am. Remind ko lang po kayo na wag niyo po siya iiwanang nakalagay for
    more than 24 hours. Pwede niyo po siya tanggalin sa gabi, and itape po ulit s aumaga para
    maiwasan yung skin irritation.

    Kapag may changes po like lumala po yung sakit, or tingin niyo po naiirritate na yung skin,
    tanggalin niyo na lang po kaagad. You can use yung flat scissors po para tanggalin and hindi
    makatusok.

    Ok maam, so do you have anymore questions pa po? Ok po. So tapos na po tayo and thank you
    po for your cooperation today.

    Steps

    Taping if a dorsal glide of the ulna on the radius corrects painful movement.
    1. Place tape over palmar surface of the ulna.
    2. Apply and maintain an MWM to the ulna (Fig. 11.18).
    3. In a dorsal direction, wrap tape obliquely across the wrist and around the radius (Fig. 11.19).
    4. Tape will end on the palmar aspect of the wrist, near where the taping began.
    5. Place a second piece of tape on the initial taping to secure.

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