strapping


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strapping

 [strap´ing]
the application of strips of adhesive tape, one overlapping the other, to cover and exert pressure on a limb or other area of the body; see illustration.
Types of strapping.

strapping

the application of overlapping strips of adhesive tape to an extremity or body area to exert pressure and hold a structure in place, performed in the treatment of strains, sprains, dislocations, and certain fractures.

strapping

The use of adhesive tape or firm bandages to maintain the desired relationship of parts of the body or to rest an injured or inflamed part.

strapping

varying widths of woven/non-woven tape spread with adhesive, used to retain clinical padding/wound dressing, to create a soft splint (see soft splint), or to protect vulnerable areas of skin; several layers of strapping are used to form a lesion mask (see mask (2)) (Table 1)
Table 1: Techniques of strapping
StrappingApplication
Church doorThree lengths of strapping applied around the periphery of a pad, as a triangle
Goal postFour lengths of strapping applied around the periphery of a pad, as a rectangle
ShiplapSeveral lengths of strapping that are applied transversely across the pad from proximal to distal so that each subsequent strap overlaps the previous by one-third
FanSeveral lengths of strapping that are applied longitudinally across a joint (to form a soft splint), so that one end of each subsequent strap overlies the previous strap but the other end lies adjacent to the previous strap, so that the whole assemblage resembles a fan
Top strapThe distal transverse bar of goal post strapping, whose distal margin is shaped to reflect the line of the plantar webbing, allowing maximum plantar adhesion but minimal restriction of the toes
FlaskA strap cut to the shape of a bottle or flask, so that the 'neck' is applied to the pad, and the 'belly' to the skin
BananaA strap cut into the shape of a banana
Bow/false plantar fasciaLengths of strapping applied longitudinally along the sole of the foot from the heel to the plantar web line Figure 1
MaskSeveral layers of strapping laid one on another with a central hole cut to match the size of a lesion Figure 2
StirrupLengths of strapping applied to the ankle/subtalar joint area, applied from the medial to lateral malleolus (for a medial ankle sprain) or from the lateral to medial malleolus (for a lateral ankle sprain)
MetatarsalStrapping applied transversely across the plantar and dorsal surfaces of the forefoot to restrict metatarsal movement

Note: To aid retention, strapping should always be cut to create a smooth outline (e.g. corners are rounded) and applied firmly allowing for digital movement - unless the intention is to provide a soft splint to rest the part.

Figure 1: Bow strapping. A: Application of longitudinal straps B: Overlaying of transverse straps. This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).
Figure 2: Mask: several layers of adhesive strapping with a central hole into which a caustic ointment is placed (A), overlain by a cavitied felt pad (B), strapped into place (C). This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).
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