The tape direction and technique used are determined based on tissue assessment. Kinesio Taping Method suggests two assessment tools: Manual Direction Test (MDT) for the tissue and Manual Direction Test (MDT) for the muscle. MDT for the tissue includes three components: glide, decompression, and compression. MDT for the muscle has one component: glide

Kinesio Taping Method is a therapeutic tool utilised by rehabilitation specialists in all programs (paediatric,[1] geriatric, orthopaedic,[2] neurological, oncology and others) and levels of care (acute care,[3] inpatient rehabilitation,[4] outpatient, home care and Day Rehab). The idea of using elastic tape to mimic the therapist's hands was first presented by Dr Kenzo Kase in the 1970s. Since then, it became the modality used in pain management[5], soft tissue injury[6], tissues and joints malalignment[1], oedema[7], and more. Kinesio Taping Method utilises four types of Kinesio Tex Tapes, each with specific properties designed for use on fragile, sensitive skin or applied with higher tensions. Kinesio Taping Method has also effectively treated animals[8] and two special tapes are used: Kinesio Equine and Kinesio Canine.

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Lymphatic and Circulatory System: the application of Kinesio Tex Tape facilitates the opening of microvalves due to a dynamic pressure variation due to alteration in skin density. This decompression activates lymphatics in the dermis and improves lymphatic flow. The end result is a tissue inflammation and swelling reduction.[15]It is also theorised that lifting the skin detaches filaments that attach the skin to endothelial cells of the lymphatic and capillary beds. This is proposed to create channels that allow lymph to drain, thus reducing swelling and allowing increased blood flow to the area.[19]

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The target tissue should be elongated before the tape application.  Various amounts of stretch on the tape can be used depending on the tissue we choose to affect.

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There is high inconsistency with research on the Kinesio Taping Method's effectiveness. Several factors contribute to this problem:

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Kinesio Taping theory is based on the neurophysiological mechanisms and the effect of mechanical stimuli on various systems in the body:

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Fascia: the application of Kinesio Tex Tape changes the tension elements in tissues to encourage homeostasis. The tension imposed from the tape frees the fascia of any movement limitations through the movement of the skin relative to the target tissue.[17] [9]

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TapingMachine

Example: Kinesio Tex Performance+, one 6 squares, 5 cm I strip, Mechanical correction with 75% tension applied in the middle for patella stabilisation. The patient's initial position is supine, with the knee flexed 20 degrees.

Central Nervous System (CNS): Kinesio Tex Tape applied on the skin with varying degrees of stretch creates a mechanical stimulus and activates an afferent pathway to CNS

Tapingvideo

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Technique used (EDF, Fascia Correction, Mechanical Correction, Space Correction, Lymphatic Correction, Overactive or Underactive Muscle, Ligament and Tendon Correction)

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It is up to individual physiotherapists to use their judgement when choosing Kinesio Taping Method. The decision must be based on the physiotherapist's clinical experience and experience with taping gained by attending Kinesio Taping Method certification courses.

Skin: Kinesio Tex Tape applied on the skin with a low degree of stretch changes the density and the concentration of the tissue in the dermis and epidermis.[11] This mechanical stimulus converted into electrical impulses is called mechanotransduction[12] and can produce cell movement.[13][14]Kinesio Tex Tape produces pressure and stretch on the skin that may be able to stimulate mechanoreceptors. This stimulus interacts with CNS and modulates pain responses.[15]

Kinesio Tex Tape contains either 100% cotton and elastic fibres or a blend of polyester and cotton with elastic fibres. The latter is preferable for Kinesio Taping application on sensitive skin when higher tensions on the tape are needed for the desired outcome. The tape is applied on the paper backing using an acrylic adhesive with 10-15% stretch. This amount of stretch is used with some Kinesio Taping techniques and is called "paper off tension". Other characteristics of Kinesio Tex Tape include[9]:

Currently, 4 types of tapes are available for Kinesio Taping Method applications for humans and 2 types for animals. Each clinician can choose the most appropriate type of tape based on the desired outcome and the client's skin condition. When an untrained individual considers taping, it is suggested to use Classic or Performance+ Tape.

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