| BANDAGING Bandage = Strip of cloth or other material used to cover a wound Dressing = Covering, protective or supportive, that is applied to an injury or wound Bandaging Materials Gauze; Sterile pads for wounds Padding in the prevention of blisters on a taped ankle Roller bandage for holding dressing and compresses in place Cotton cloth; cloth ankle wraps and triangular and cravat bandages Elastic roller bandage; Most popular because of extensibility Control hemorrhage or swelling Cohesive elastic bandage; Two layers of nonwoven rayon Roller Bandages 2-inch width by 6-yard length for hand, finger, toe, and head bandages 3-inch width by 10-yard length for extremities 4-inch or 6-inch width by 10-yard length for thigh, groin, and trunk · Wrinkles or seams in roller bandages may irritate skin Application - To apply a roller bandage, hold it in preferred hand with the loose end extending from the bottom of the roll: From distal to proximal and Tighter distally to aid venous return - Begin anchoring bandages at the smallest part of the limb Cloth ankle wrap Materials needed Position of the athlete Procedure Elastic Wrap Techniques - Check circulation after applying an elastic wrap - Ankle and foot spica (A figure-eight bandage with one of the two loops larger than the other - Spiral bandage - Groin support - Shoulder spica - Elbow figure-eight bandage - Gauze hand and wrist figure eight Triangular and Cravat Bandages - Cervical arm sling arm bent 70 degree: Hand should be slightly higher than the elbow - Shoulder arm sling (Kenny Howard sling) - Procedure 1. Place the upper end of the shoulder sling over the uninjured shoulder side 2. Bring the lower end of the triangle over the forearm and draw it between the upper arm and the body, swinging it around athletes back &then upward to meet other end, where around a square know is tied. 3. Bring the apex end of the triangle around to the front of the elbow and fasten with a safety pin. - Sling and swathe TAPING Injury care - Retention of wound dressings - Stabilization of compression bandages that control external and internal hemorrhaging - Support of recent injuries to prevent additional insult that might result from the activities of the athlete - Stabilization of an injury while the athlete is undergoing an exercise rehabilitation procedure Injury Protection Linen Adhesive Tape - When purchasing linen tape, consider; - Grade of backing - Quality of adhesive mass - Winding tension Stretch Tape - Increasingly, tape with varying elasticity is being used in sports medicine Tape Storage - Store tape in a cool place, and stack it flat Using Adhesive Tape in Sports Preparation for Taping - Skin should be cleansed and hair should be shaved before tape is applied Proper Taping Technique Tearing Tape Rules for Tape Application 1. If the part to be taped is a joint, place it in the position in which it is to be stabilized. 2. Overlap the tape at least half the width of the tape below 3. Avoid continuous taping (nonyielding linen-backed tape) 4. Keep the tape roll in the hand whenever possible 5. Smooth and mold tape as it is laid on the skin 6. Allow tape to fit the natural contour of the skin 7. Start taping with an anchor piece and finish by applying a lock strip 8. Where maximum support is desired, tape directly over skin 9. Do not apply tape if skin is hot or clod from a therapeutic treatment Removing Adhesive Tape Manual removal Peel the skin from the tape, not the tape from the skin Use of tape scissors or cutters Taping Supplies Razor hair removal Soap cleaning skin Alcohol oil removal from skin Adhesive spray tape adherent Prewrap material skin protection Heel and lave pads White zinc oxide tape (Linen-backed tape) Adhesive and stretch tape Felt and foam padding material Tape scissors Tape cutters Elastic bandages Common Taping Procedures The Arch - With pad support - X for the longitudinal arch - X teardrop arch and forefoot support - Fan arch support - LowDye technique (Moleskin + Horse shoe) The Toes - The sprained great toe (Half figure-eight) - Bunion (Fan @ medial aspect of 1st metatarsal) - Turf toe (Fan @ plantar aspect of 1st metatarsal) - Hammer, or clawed toes (Lace under adjacent and over next toe) - Fractured toes The Ankle Joint - Routine noninjury taping - Closed basket weave (Gibney) technique - Open basket weave - Continuous-stretch tape technique The Lower Leg - Achilles tendon The Knee - Medial collateral ligament - Rotary taping for instability of an inured knee - Hyperextension - Patellofemoral taping (McConnell technique) The Elbow - Elbow restriction The Wrist and Hand - Wrist technique - Bruised hand - Sprained thumb - Finger and thumb checkreins OTHER CONSIDERATIONS OF BANDAGING AND TAPING - If tape is applied to the skin after hot or cold treatments, the skin may be damaged when tape is removed - For taping to be effective, the trainer must know motions must be limited - Internal rotation and adduction position shoulder taping for return to competition after a dislocation - Tape first and third toes for fracture of the second toe - Buddy tape finger with some flexion & backet weave affected joint for a proximal Interphalangeal joint dislocation (is reduced) - Elastic bandages should be moistened prior to compressing an acute injury to keep the body part cold |
| Bandaging and Taping |