My two cents on Kinesiology taping

Healers

Hope you had a great week and abolished some major pain and misery wherever you are. Keep up the good fight. Today I’d like to discuss one of my favorite tools I incorporate in my practice every day. Not only has it helped my patients immensely but it has taught me a valuable lesson which has changed the way I treat my patients (more on that later). If you have not guessed it by now my opinion is biased in favor of these colorful pieces of tape. Like most, I first saw it on TV watching sports sometime in the summer of 2010 and like most I was intrigued and confused by it at the same time. To convince myself it was more than just some athletes attempt at fashion I decided to go for my first workshop and have never looked backed ever since.
I learned taping from two different schools- K-active (European based) and Rock Tape (American). Rather than stating their differences I would say the two schools of taping have more similarities in principles then differences. Both taping techniques have no set protocol to tape like the original kinesiology tape which teaches taping from origin to insertion and vice versa. This meant the direction of my taping is based on my assessment and not dictated by some preset protocol (I have tried that too, not with the best results for me and my patients).

Taping for neck and shoulder pain.
Taping for neck and shoulder pain.

Reasons why I love kinesiology taping (rock tape) and incorporate it in my practice –

1. If manual therapy and soft tissue work is a big part of your treatment, taping helps in locking down any progress that you make with the patient who might not be very compliant with home exercise program. It’s like taking part of your therapy home with them.

2.The assessment that I learned from K-active and tweak taping @ rocktape is a quick assessment (does not take more than 1-2 minutes) that helps me differentiate between pain originating from soft tissue structures and muscle guarding (most of the times) compared to patho-anatomical and bio mechanical reasons like disc herniation, nerve compression, arthritis etc as seen and exaggerated by MRI’s and other diagnostic imaging (less common).

3. It’s a great tool to quickly reduce pain, increase ROM, control swelling and bolster movement. I love the fact that it does not restrict movement like rigid elastic taping.

4. The teaching principles of K-active and rocktape resonated well with me as they are based upon modern concepts of manual therapy and movement science and incorporate the work of gray cook, janda, sharmann, lewit, Tom Myers and likes. I love the fact that it teaches us to tape movements over individual muscles and function over structure.

5. It generates great interest among people when they watch someone sport a colorful tape. Rest assured people will ask you or your patients about it and kinesiology tape might help bring in more business for you ( at rocktape you could also design your own custom print on your tape- a brilliant marketing idea but a little pricy).

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I was clearly too excited for this course.

If the above reasons were not enough, one of the best things that came out of learning this technique was how it influenced the way I perform my manual therapy and soft tissue work. Gone are my days of deep tissue myofacial release and elbow kneeding to alter fascia ( hopefully, we now know we can’t alter fascia). Not only did these old techniques leave some of my patients with soreness and often times bruises and discoloration, it also took a toll on my hands (mind you I am a new professional and I’m in it for the long haul). It made me believe that if a simple tape on skin could alter pain perception and improve movement, I didn’t have to dig my hands into my patients skin. light pressure during soft tissue manual therapy works way better than deep pressure for me. If you haven’t incorporated this in your tool box yet, I highly recommend it. As always comments are welcome and if you like the content please feel free to share.

Pursue Excellence –

Abhijit Minhas PT

(BPT,MS,CMP,FMT)

MASTERS IN THE USA- Are you confused? Part 2

Sorry for the short hiatus people, but I am back with my first ever guest blog post by my fellow PT and a good friend Pulatsya Maliwad. He currently resides in charlottesville in the state of Virginia  and did a good job on going over his curriculum in the university of Pittsburgh. Here’s what he has to say-

Hi Friends,

First of all, I would like to thank my dear friend  Abhijit Minhas to provide me an opportunity to write a blog about my experience pursuing masters in physical therapy. A little about myself first, I am physical therapist and I have earned my masters degree of M.S.P.T. from University of Pittsburgh and B.P.T from M.S.University, India. I am here to share my experience pursuing M.S.P.T at the University of Pittsburgh.

As Abhijit has already mentioned in his blog, it is true that there are not many universities providing Masters in physical therapy course in USA, and as per my knowledge these are the available master’s courses-

1) University of Pittsburgh, Pittsburgh, PA.

• Course – Master of science in Rehabilitation sciences

• Concentration – Musculoskeletal Physical therapy or Neuro-muscular physical therapy

2) MGH institute of health professionals, Boston, MA.

• Course – Master of science in physical therapy for international students

3) Loma Linda University, Loma Linda, CA.

• Course – Master of science in rehabilitation

4) Oakland University, Rochester, MI.

• Course – Master of Science in physical therapy.

My program at University of Pittsburgh in Musculoskeletal physical therapy is a 1 year course with 3 semester starting from August to July of the following year. This course is a little hectic as the school has tried to shrink a 4 semester course into 3 semester pattern and also it is a little expensive tuition wise . I finished my course in August 2011 and I paid almost 50,000 USD for a one year course (I apologies for the jaw drops). And I might be wrong but the university has already increase tuition fees by 5000 USD so far ( again I might be wrong, please contact university for accurate information). Yes, the tuition is a little steep but it is worth the money. The things that I learned in the area of physical therapy in this course, I wouldn’t have learnt anywhere else. Basically, the musculoskeletal course is more leaned towards Manual therapy techniques in physical therapy but that is not the only thing it entails. I also had one neuro-muscular subject which taught me how to get approximate area of brain damage or level of spinal cord injury just by knowing patient’s symptoms. Yes I know what I am writing, but that is true. Many Neuromuscular masters PT’s will say that is not a big deal  but as an Orthopedic PT, it simplified a very complex topic I always had a tough time wrapping my head around. Well getting back to my favorite topic, Orthopedic course is basically divided into three major divisions – Upper extremity, Lower extremity and Spine. (I think that wasn’t very hard to guess!!!!)

1) Upper extremity

The part of Upper extremity is covered in the last semester. The course covers basic anatomy and bio mechanics of shoulder, elbow and wrist. Then it leads to common disorders of every joint and pathology behind it  followed by  the treatment part which majorly includes postural correction (Abhijit has already discussed this part very effectively), exercises and manual therapy. Now, whenever I heard about manual therapy in India, I always thought of Mulligan or Mckenzie. But that is far from the complete picture. There are different schools of thoughts and not all of them are supported by evidence which is a big deal in USA. So most of the techniques I learned were from different concepts and were all evidence based.

2) Lower extremity

This part is taught by Dr. Fitzgerald – a Knee genius. He has spent all his life in research for knee rehabilitation. His midterm exams still wake me up at night but all in all he was a great guy and his knowledge is amazing. He teaches only knee joint and for hip and ankle joint he either calls a specialist to teach or asks his teaching assistance. Once again, the course includes same stuff as UE like basic anatomy and bio mechanics leading to discussing different conditions and treatment options. One of the most interesting thing I learned was different patho-mechanics during daily activities and sports leading to injuries. This course covers common outpatient injuries but does not include orthopedic inpatient population found in hospital i.e total hip or knee replacement, fracture cases or congenital deformities etc.

3) Spine

This is my favorite part. At University of Pittsburgh, the spine is covered in two semesters.Cervical and thoracic spine in the last semester and Lumbar spine in the first semester.  These semesters deepened my understanding regarding bio mechanics of the spine. Honestly speaking, after my B.P.T. and mulligan workshop I knew only few treatments for low back pain – Short wave diathermy, Back extension exercises and Mulligan MWM’s. Sometimes I had no idea why I was even giving those treatments. But the course empowered me to perform better, more through assessment of patients with back pain complain and decide which treatment will get rid of the cause of pain. So in simple words, I learned to treat cause of pain instead of treating a symptom.

So this is just a brief review about what is covered in the orthopedic physical therapy track of the course. Other than these there were other subjects like

1) Falls and balance dysfunction (small portion covered in Musculoskeletal PT program but a major subject for Neuro PT program) covering causes of falls, different test for falls risk and treatment options.

2) Research subject including how to do a research, types of research and crazy mathematics about data.

3) Case presentations (kind of boring sometimes), and also an options to get one elective course for which I took cardio-pulmonary physical therapy (as I was always interested in pulmonary drainage techniques and have done them in hospitals in India. In USA they have respiratory therapist for it so mostly we don’t need to worry about suctioning or draining patient’s lungs).

I hope my blog will provide you with a brief idea about the M.S.P.T. course  offered at University of Pittsburgh, and if anyone has question please put it in comment box and I will try my best to answer your questions. One again thank you Abhijit for inviting me to write a blog and I would like to wish you good luck for your new endeavor.

Thank you

Poolatsya Maliwad PT

(BPT, MSPT)

 

Pulatsya Maliwad

I would like to thank Pulatsya for taking the time out of his busy schedule to contribute a very informative blog in this series. You can reach him at poolatsya2007@gmail.com. Hang tight while I try to get other great PT’s to write their experiences in this series.

Pursue excellence-

Abhijit Minhas PT

(BPT,MS,CMP,FMT)