Session 12 – The Kinesiology tape debate: ‘To KT or not to KT’ with Paul Coker & Paul Westwood

Nov 30, 2014
CH Admin

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Session 12 – The Kinesiology tape debate: ‘To KT or not to KT’ with Paul Coker & Paul Westwood

Session 12 features the first extended debate edition of The Physio Matters Podcast in which Jack Chew discusses the pros and cons of Kinesiology tape with Rocktape UK’s medical director, Paul Coker and staunch tape skeptic, Paul Westwood. As per usual, evidence, clinical reasoning, mechanisms of effect and professional roles are under the spotlight, so listen in and pick a side!

Huge thanks to Rocktape UK for sponsoring session 12. A truly unique kinesiology tape company who actively encourage critical analysis of their product’s use. Check them out at www.rocktape.net

Check them out at www.rocktape.net and be sure to use our discount codes:

chewshealth for 40% off tape. 

chewshealthedu for 20% off education courses.

Podcast Timeline:

0:00 – 2:45    Intro

-1st debate edition of the Podcast!

-Welcome to Paul and Paul

 

2:45 – 5:55    Debaters histories

-Paul Coker (To KT)

-Paul Westwood (To Not KT)

 

5:55 – 10:20  Why not use KT?

-We don’t need another analgesic (Paul W.)

-Pain is a fallible system and KT is side-effect free (Paul C.)

 

10:20 – 15:40 KT can help to facilitate movement

-Could Inhibit cross training/offloading, reassurance and reloading much more appropriate (Paul W.)

-Used in the right way with reassurance, KT can help to decrease fear of movement and accelerate rehabilitation (Paul C.)

 

15:40 – 22:30 There are some overt issues with KT claims of effect

-Posture altering

-Advertising imagery/wording

-Over complexity of application

 

22:30 – 34:10 Evidence geek off round

-Current evidence does not support use of KT (Paul W.)

-Some evidence shows promise but could be better (Paul C.)

-Strongest evidence in pain relief

-Research quality and its future

-Interpretation of research varies

 

34:10 – 38:25 Do the negatives of KT outweigh the positives?

-Injury/pain is very multifactorial and muscles adapt to assistance (Paul W.)

-Temporary increase in function is useful in a clinical setting (Paul C.)

-Short vs long term goals

 

38:25 – 42:45 Is there a patient ‘type’ KT works with?

 

42:45 – 52:00 Mechanism of effect

-Pain gate, decompression of fascial layers, neuro sensory stimulus (Paul C.)

-It’s a crutch and there are better therapy techniques (Paul W.)

 

52:00 – 59:10 As a ‘played down’ adjunct is KT still problematic?

-Why take the risk? (Paul W.)

-Its all in the delivery (Paul C.)

 

59:10 – 1:05:20 Central Governor Theory of Fatigue

– Actual effect vs Perceived effect

 

1:05:20 – 1:09:50 Does KT belittle Physiotherapists skill set?

-It’s a way of gaining buy in to therapy and shouldn’t be used as a recipe (Paul C.)

 

1:09:50 – 1:12:15 Where is KT most feasible?

-Last resort… (Paul W)

 

1:12:15 – 1:16:20 When should tape not be used?

-Little research for swelling/bruising (Paul C.)

-Performance enhancement (Paul W.)

 

1:16:20 – 1:20:30 Rationing Paul C…

 

1:20:30 – 1:23:50 The Rise and Rise of KT

 

1:23:50 – 1:28:00 Marketing Issues

-RockTape is different (Paul C.)

-RockTape is not different (Paul W.)

 

1:28:00 – 1:29:40 Plugs and Thanks

 

1:29:40 – 1:33:11 Outro and Signoff (with a cheese topper)

Twitter: @TPMPodcast @Chews_Health @Rocdocuk @triathlonphysio

Previous episodes:

Session 1 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 1

Session 2 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 2

Session 3 – The Rugby Shoulder with Dr Ian Horsley

Session 4 – Know Pain: Metaphoric Expression with Mike Stewart – Part 1

Session 5 – Know Pain: Metaphoric Expression with Mike Stewart – Part 2

Session 6 – Achilles Tendons with Seth O’Neill

Session 7 – Critical Thinking, Twitter & Manual Therapy Myths with Adam Meakins

Session 8 – Haemodynamics with Alan Taylor

Session 9 – Psychological Interventions in Physiotherapy with Dr Richard Bennett

Session 10 – Exercise Promotion with Ann Gates

Session 11 – Treating Tendons with Seth O’Neill