- Upper limb (Instruction)


Instability of the shoulder joint

Indications: Stabilisation of shoulder

1. We will require two I-tape with the same length. The length is about 20 cm, depending on patient’s anatomic features. Perform the application around the shoulder.
2. Upon application of the first tape, use ligament method. For muscular relaxation — the arm is abducted by 90 degrees in shoulder. Apply the tape on the upper part of the trapezius muscle. Apply the bases on the greater pectoral muscle and on the upper part of the lateral side of scapula.
3. Upon application of the second tape, use ligament method as well. Apply the tape on the deltoid muscle. Apply the bases over the bases of the first tape on the greater pectoral muscle and on the upper part of the lateral side of scapula.


Carpal tunnel syndrome

Indications: Carpal tunnel syndrome, instability of the wrist, traumatic (medial) epicondylitis

1.  We will require one I-tape and one Y-tape.
2. First of all, apply Y-tape. Strips of the tape are applied without tension from the middle third of the hand palm. Then following extension in the wrist, apply an operating part of the tape with a 15 % tension towards the medial condyle.
3. Apply the second tape in the perpendicular direction to the first one, on the wrist following extension with a maximal tension. Apply tape ends without tension. This part of application is performed to unload the wrist.


Deltoid muscle

Indications: Hypertonic muscle, trigger points

1. In this case, we need one Y-tape approximately 15-20 cm long. The tape length directly depends on the patient’s anatomic features.
2. Divide the tape on one side into two parts equal in width, and the tape base is 3-4 cm, and is left integer.
3. Apply the base of the tape on the deltoid tuberosity. Upper limb is in its neutral position
4. For application of the first strip on the posterior fascicle of the deltoid muscle, we need to put a hand on the opposite shoulder and raise the elbow to the level of the clavicle. Doing so, we stretch posterior fascicle. Then apply the tape arch-wise with a 15 % tension towards the acromion, according to the anatomic passage of posterior fascicle of the deltoid muscle.
5. For application of the strip on the anterior fascicle of the deltoid muscle, ask the patient to abduct the upper limb posteriorly in the shoulder. In this position, apply the second strip arch-wise with a 15 % tension towards acromioclavicular joint, according to the anatomic passage of anterior fascicle of the deltoid muscle.