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Mcconnell taping technique

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Radhika Chintamani
Radhika Chintamani

it is another taping technique which inhibits or control the movement. it is helpful in postural correction and movement pattern correction as well. usually used clinically

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R A D HI K A C H IN T A M A N I McConnell Concept of Taping
Contents: Introduction to McConnell taping. Effects and uses of taping. Steps before and after taping. Static posture and its correction. Gait biomechanics and its correction. Literature on McConnell taping.
Introduction to McConnell Taping  McConnell tape was invented by Jenny McConnell, a PT from Australia, who used taping to help patients with patellar tracking and was effective in reducing the pain.  McConnell taping is a bracing or strapping technique using a super-rigid, cotton mesh highly adhesive tape in order to restrict the mobility.  McConnell taping affects the biomechanics of a joint and is primarily used for neuromuscular re-education i.e. training the correct joint movement and inhibiting or nullifying the incorrect joint movement of the affected part.
Uses To support inert structures, e.g ligaments, joint capsule. To limit joint movement. To act prophylactically: by inhibiting the wrong movements or painful momvvements for few days to reduce the pain. To secure the ends of stretch tape: acting as anchors for kinesiotape. To enhance proprioception: by nullifying the wrong direction movement it, thus guides the correct movement thus enhancing proprioception.
Methods Of Application Unloading taping- to reduce musculoskeletal pain Proprioceptive taping-to improve movement patterns. Direct methods- Longitudinal offload - Transverse offload Indirect methods.
Mandatory Steps to take before and after taping Posture analysis- Static and Dyanamic:  Pre post assessment is done to analyse the effectiveness of taping on postural correction.  Eg: Upper cross syndrome (static) and Patellofemoral pain syndrome (dynamic) Movement analysis:  Pre post assessment of range of motion and pain during motion is analysed to check for the effectiveness of taping on motion.  Eg: PFPS, Tennis elbow, Back pain during walking
1. Posture: a. Static  Janda's Upper crossed syndrome: a static postural malalignmnet which occurs due to tightness of suboccipitalis & pectorals and weakness of rhomboids- trapezius & cervical flexors as well.
For upper trapezius For upper pectoralis
1. Posture: b. Dynamic  In subjects with Patellofemoral pain syndrome; patellar movement or tracking during knee flexion is painful. McConell taping: offloading technique: the tape lifts off the patella thus; creating space underneath between patella and femur and hence reducing pain.
2. Movement  Back extensor under spasm guards the movement in which they tend do either get activated or stretched. McConell taping longitudinal load shift method; takes off the load from the muscle thus creating the space between myofascia and enhancing healing.
Effects of taping Longitudinal offload- The free nerve endings and C-fiber end-organs which interwine with the tissues are irritated by the mechanical and chemical effects of the tissue under tension. This is reduced by holding tissue in a shortened position therfore reducing pain fiber stimulation.
Effects of taping Transverse offload- Transverse offloading of muscle structures may be inhibitory or may alter the free nerve endings position in connective tissue. Transverse offloading is also used for correction of positional faults. Eg: in severe cases of PFPS: the patella gets positioned into: laterally shift lateral tilt and supero-lateral rotation. So the correction would be in the order; rotation tilt  shift
Physiological mechanisms Tape applied Information gained from the mechanoreceptors of the skin, muscles, fascia, tendons and articular structures is integrated with visual and vestibular input at CNS level Perception of : position sense(in static application) and kinesthesia(in dynamic application)
Continued.. McConell taping technique acts as Proprioceptive biofeedback because the tape has an effect of providing little or no tension when the body part is held in certain position (static) or moved in the desired direction or plane (dynamic). Thus avoiding abnormal movement or postural pattern. When movement occurs out of the restricted plane more tension is developed which is cut off by the tape by providing mechanical stimulus to the subjects.
Continued.. Altering muscle function- taping is applied in a fashion that a chronically inhibited muscle is held in a shortened position. Similarly, taping can be applied in such a fashion that a relatively short, overactive, muscle is held in a lengthened position.
Steps to follow for application of McConell tape  Prepare the skin: clean the area shave it (mandatory) clean it with sanitizer again  application/not of adhesive spray depending on the therapist preference apply the under warp without any tension cut the tape according to size  without any tension on the tape hold the base and while applying the rest of the tape squeeze the skin/soft tissue structures around apply the end without any tension  While taking the soft tissue or skin around the tape and squeezing it leads to formation of creases; helps in reducing the chances of bruises formed.  Anchors may/may not be applied at the ends
Types of application of McConell Taping Application techniques 1. Longitudinal 2. Transverse 3. Offloading 4. Corrective 5. Box taping 6. With mulligan glide 7. With other assistive devices
Longitudinal Technique of application Example In this technique the muscle is held in shortened position longitudinally thus keeping the muscle short for certain time and taking the load off from the muscle.
Transverse Technique of application Example Same as described above But this technique is better when used for joint and along with mulligan glide
Offloadding Technique of application Example The technique involves application of three to four tapes in order to offload certain muscles thus creating space underneath
Box taping Technique of application Example Same as offloading; but this technique involves the contralateral side too thus reducing the space between the structures and giving a constricted effect
Corrective Technique of application Example Can be longitudinal/transverse Used for application at joint structures Corrects the mal-aligned joints
With Mulligan Glide Technique of application Example Mulligan glide given and maintained Application of tape with the glide So that the glide remains for certain duration during daily activity
With assistive devices Technique of application Example Devices like tension reducers can also be used near the site of tape application.
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Mcconnell taping technique

  • 1. R A D HI K A C H IN T A M A N I McConnell Concept of Taping
  • 2. Contents: Introduction to McConnell taping. Effects and uses of taping. Steps before and after taping. Static posture and its correction. Gait biomechanics and its correction. Literature on McConnell taping.
  • 3. Introduction to McConnell Taping  McConnell tape was invented by Jenny McConnell, a PT from Australia, who used taping to help patients with patellar tracking and was effective in reducing the pain.  McConnell taping is a bracing or strapping technique using a super-rigid, cotton mesh highly adhesive tape in order to restrict the mobility.  McConnell taping affects the biomechanics of a joint and is primarily used for neuromuscular re-education i.e. training the correct joint movement and inhibiting or nullifying the incorrect joint movement of the affected part.
  • 4. Uses To support inert structures, e.g ligaments, joint capsule. To limit joint movement. To act prophylactically: by inhibiting the wrong movements or painful momvvements for few days to reduce the pain. To secure the ends of stretch tape: acting as anchors for kinesiotape. To enhance proprioception: by nullifying the wrong direction movement it, thus guides the correct movement thus enhancing proprioception.
  • 5. Methods Of Application Unloading taping- to reduce musculoskeletal pain Proprioceptive taping-to improve movement patterns. Direct methods- Longitudinal offload - Transverse offload Indirect methods.
  • 6. Mandatory Steps to take before and after taping Posture analysis- Static and Dyanamic:  Pre post assessment is done to analyse the effectiveness of taping on postural correction.  Eg: Upper cross syndrome (static) and Patellofemoral pain syndrome (dynamic) Movement analysis:  Pre post assessment of range of motion and pain during motion is analysed to check for the effectiveness of taping on motion.  Eg: PFPS, Tennis elbow, Back pain during walking
  • 7. 1. Posture: a. Static  Janda's Upper crossed syndrome: a static postural malalignmnet which occurs due to tightness of suboccipitalis & pectorals and weakness of rhomboids- trapezius & cervical flexors as well.
  • 8. For upper trapezius For upper pectoralis
  • 9. 1. Posture: b. Dynamic  In subjects with Patellofemoral pain syndrome; patellar movement or tracking during knee flexion is painful. McConell taping: offloading technique: the tape lifts off the patella thus; creating space underneath between patella and femur and hence reducing pain.
  • 10. 2. Movement  Back extensor under spasm guards the movement in which they tend do either get activated or stretched. McConell taping longitudinal load shift method; takes off the load from the muscle thus creating the space between myofascia and enhancing healing.
  • 11. Effects of taping Longitudinal offload- The free nerve endings and C-fiber end-organs which interwine with the tissues are irritated by the mechanical and chemical effects of the tissue under tension. This is reduced by holding tissue in a shortened position therfore reducing pain fiber stimulation.
  • 12. Effects of taping Transverse offload- Transverse offloading of muscle structures may be inhibitory or may alter the free nerve endings position in connective tissue. Transverse offloading is also used for correction of positional faults. Eg: in severe cases of PFPS: the patella gets positioned into: laterally shift lateral tilt and supero-lateral rotation. So the correction would be in the order; rotation tilt  shift
  • 13. Physiological mechanisms Tape applied Information gained from the mechanoreceptors of the skin, muscles, fascia, tendons and articular structures is integrated with visual and vestibular input at CNS level Perception of : position sense(in static application) and kinesthesia(in dynamic application)
  • 14. Continued.. McConell taping technique acts as Proprioceptive biofeedback because the tape has an effect of providing little or no tension when the body part is held in certain position (static) or moved in the desired direction or plane (dynamic). Thus avoiding abnormal movement or postural pattern. When movement occurs out of the restricted plane more tension is developed which is cut off by the tape by providing mechanical stimulus to the subjects.
  • 15. Continued.. Altering muscle function- taping is applied in a fashion that a chronically inhibited muscle is held in a shortened position. Similarly, taping can be applied in such a fashion that a relatively short, overactive, muscle is held in a lengthened position.
  • 16. Steps to follow for application of McConell tape  Prepare the skin: clean the area shave it (mandatory) clean it with sanitizer again  application/not of adhesive spray depending on the therapist preference apply the under warp without any tension cut the tape according to size  without any tension on the tape hold the base and while applying the rest of the tape squeeze the skin/soft tissue structures around apply the end without any tension  While taking the soft tissue or skin around the tape and squeezing it leads to formation of creases; helps in reducing the chances of bruises formed.  Anchors may/may not be applied at the ends
  • 17. Types of application of McConell Taping Application techniques 1. Longitudinal 2. Transverse 3. Offloading 4. Corrective 5. Box taping 6. With mulligan glide 7. With other assistive devices
  • 18. Longitudinal Technique of application Example In this technique the muscle is held in shortened position longitudinally thus keeping the muscle short for certain time and taking the load off from the muscle.
  • 19. Transverse Technique of application Example Same as described above But this technique is better when used for joint and along with mulligan glide
  • 20. Offloadding Technique of application Example The technique involves application of three to four tapes in order to offload certain muscles thus creating space underneath
  • 21. Box taping Technique of application Example Same as offloading; but this technique involves the contralateral side too thus reducing the space between the structures and giving a constricted effect
  • 22. Corrective Technique of application Example Can be longitudinal/transverse Used for application at joint structures Corrects the mal-aligned joints
  • 23. With Mulligan Glide Technique of application Example Mulligan glide given and maintained Application of tape with the glide So that the glide remains for certain duration during daily activity
  • 24. With assistive devices Technique of application Example Devices like tension reducers can also be used near the site of tape application.