Therapeutic Taping for the Lumbar Spine and Pelvis Dr. Dyanna Haley-Rezac, PT, DPT, OCS, CSCS, CKTP...

Therapeutic Therapeutic Taping for the Taping for the Lumbar Spine Lumbar Spine

and Pelvisand Pelvis

Dr. Dyanna Haley-Rezac, PT, DPT, OCS, CSCS, CKTPDr. Dyanna Haley-Rezac, PT, DPT, OCS, CSCS, CKTP

Dr. Scott Rezac, PT, DPT, OCS, CSCS, CKTP, CEASDr. Scott Rezac, PT, DPT, OCS, CSCS, CKTP, CEAS

Scott & Dyanna Rezac - Taping Lumbar SpineScott & Dyanna Rezac - Taping Lumbar Spine


Rectus AbdominisRectus AbdominisKinesio® TechniqueKinesio® Technique

Two single strips suprapubic to xyphoid mod to max Two single strips suprapubic to xyphoid mod to max stretchstretchApplied with patient in extension (can lean back in chair)Applied with patient in extension (can lean back in chair)Applications: Applications: PregnancyPregnancy Abdominal ObesityAbdominal Obesity Spinal StenosisSpinal Stenosis SpondylolysisSpondylolysis SpondylolisthesisSpondylolisthesis Anterior Pelvic TiltAnterior Pelvic Tilt Poor abdominal controlPoor abdominal control


External Abdominal ObliqueExternal Abdominal Oblique“Stork Support”“Stork Support”

Two single strips starting suprapubic with mod to max Two single strips starting suprapubic with mod to max stretch to lateral ribs V-XIIstretch to lateral ribs V-XIITape with patient in extensionTape with patient in extensionApplications: Applications:

PregnancyPregnancy Abdominal ObesityAbdominal Obesity Lumbar disc bulge / HNPLumbar disc bulge / HNP Anterior Pelvic TiltAnterior Pelvic Tilt Poor abdominal controlPoor abdominal control ColitisColitis Ossifying Costal CartilageOssifying Costal Cartilage

Great with rectus taping!Great with rectus taping!


Erector SpinaeErector SpinaeKinesio® TechniqueKinesio® Technique

Single strip from unilateral or bilateral Single strip from unilateral or bilateral Minimal stretch for inhibition, mod to max stretch Minimal stretch for inhibition, mod to max stretch for facilitationfor facilitationTape with patient in flexionTape with patient in flexionApplications: Applications: PregnancyPregnancy Abdominal ObesityAbdominal Obesity Lumbar disc herniationLumbar disc herniation Lumbar extension weaknessLumbar extension weakness ScoliosisScoliosis


Pelvic StabilizationPelvic StabilizationMulligan & McConnellMulligan & McConnell

Postural CorrectionPostural Correction Works similarly to an SI belt, Works similarly to an SI belt, but does not slip!but does not slip! Correct pelvic alignment first!Correct pelvic alignment first! Maximal pull from iliac crest Maximal pull from iliac crest across sacrum to contralateral across sacrum to contralateral side, repeat opposite directionside, repeat opposite direction 2 single strips, no pull on ends2 single strips, no pull on ends


L5-S1 or SI Space CorrectionL5-S1 or SI Space CorrectionMcConnell & Kinesio®McConnell & Kinesio®

3-5 space correction strips3-5 space correction strips

3 squares, remove middle3 squares, remove middle

Maximal stretch across middleMaximal stretch across middle

No stretch on endsNo stretch on ends

Each one in a different orientationEach one in a different orientation

Can combine with erector spinae Can combine with erector spinae and / or pelvic stabilization as and / or pelvic stabilization as neededneeded


Taping for PregnancyTaping for PregnancyMcConnell, Mulligan & Kinesio®McConnell, Mulligan & Kinesio®


Spine Vertebral RotationsSpine Vertebral RotationsMulligan TechniqueMulligan Technique

Single strip moderate Single strip moderate stretch across stretch across vertebral segment vertebral segment mobilizedmobilized

Can augment with Can augment with space correction if space correction if neededneeded


Spine Vertebral RotationsSpine Vertebral RotationsMulligan & Kinesio® TechniqueMulligan & Kinesio® Technique

2 erector spinae 2 erector spinae strips over involved strips over involved segmentsegment

Single strip mod to Single strip mod to max stretch across max stretch across vertebral segment vertebral segment mobilizedmobilized


Kinesio® Tape on Trunk ROMKinesio® Tape on Trunk ROMFlexion AROM ImprovedFlexion AROM Improved

Yoshida A, Kahanov L. (2007) “The Effect of Yoshida A, Kahanov L. (2007) “The Effect of Kinesio Taping on Lower Trunk Range of Kinesio Taping on Lower Trunk Range of Motions”. Research in Sports Medicine, Motions”. Research in Sports Medicine, 15:103-112.15:103-112.30 subjects 30 subjects without back pain volunteeredwithout back pain volunteeredLumbar flexion, extension and lateral flexion Lumbar flexion, extension and lateral flexion AROM were measured pre/post taping.AROM were measured pre/post taping.Significant improvement was noted in flexion Significant improvement was noted in flexion AROM onlyAROM only


Spine Unload TapeSpine Unload TapeMcConnell TechniqueMcConnell Technique

For acute LBPFor acute LBPTape with person in Tape with person in flexionflexionSingle strip across spine Single strip across spine above pain and two single above pain and two single strips in a V pulling upstrips in a V pulling upEssentially a large space Essentially a large space correction with pain correction with pain segment in middle of segment in middle of three pieces of tapethree pieces of tape


SI / Lumbar Joint – EdemaSI / Lumbar Joint – EdemaKinesio® TechniqueKinesio® Technique

Applied over lumbar Applied over lumbar spine or painful SI jointspine or painful SI joint

Apply 2 split strips (cut Apply 2 split strips (cut into 4-8 strips) over into 4-8 strips) over edema site in a edema site in a perpendicular fashionperpendicular fashion

Applied with patient in Applied with patient in flexionflexion

No stretchNo stretch


SI DysfunctionSI Dysfunction

Piriformis and / or gluteal facilitationPiriformis and / or gluteal facilitation Kinesio® Kinesio®

Split strip from lateral thigh mod to max Split strip from lateral thigh mod to max stretch with strips approximating stretch with strips approximating borders of muscleborders of muscleWith hip in flex, add, IRWith hip in flex, add, IR

ModifiedModifiedSingle strip for PiriformisSingle strip for Piriformis

Recommend with:Recommend with: SI space correctionSI space correction SI edemaSI edema

Can also consider adding:Can also consider adding: Pelvic stabilizationPelvic stabilization Abdominal facilitationAbdominal facilitation


Clinical Evidence-BasedClinical Evidence-Based

AROM – increased range, decreased painAROM – increased range, decreased pain

Pain – rating at rest and with movementPain – rating at rest and with movement Retest aggravating direction Retest aggravating direction Retest actionsRetest actions Retest positional toleranceRetest positional tolerance

Outcome MeasuresOutcome Measures OswestryOswestry


Clinical Evidence-BasedClinical Evidence-Based

Functional Improvements (improved ability, Functional Improvements (improved ability, longer period of time)longer period of time) Sitting, Standing, Walking ToleranceSitting, Standing, Walking Tolerance ADL – housework, yardwork, childcareADL – housework, yardwork, childcare Work – single/multiple lift (reps, weight)Work – single/multiple lift (reps, weight) Lifting, bending, twistingLifting, bending, twisting

Special testing – SLR, SI Tests, SLS, prone Special testing – SLR, SI Tests, SLS, prone instabilityinstabilityImproved muscular controlImproved muscular control Increased MMT LE or coreIncreased MMT LE or core Decreased aberrant movementDecreased aberrant movement


Questions / Comments / DiscussionQuestions / Comments / Discussion

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Therapeutic Taping for the Lumbar Spine and Pelvis Dr. Dyanna Haley-Rezac, PT, DPT, OCS, CSCS, CKTP...

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