0:05 This is Brent of the Brookbush Institute at the Independent Training 0:08 Spot, bringing you our first taping video. Now I prefer to use kinesiological 0:13 taping to reinforce the activation techniques that I've used during that 0:18 session, that implies that I have taping techniques for muscles with a propensity 0:23 towards under activity. Today we're bringing you tibialis anterior taping. 0:28 Now the tibialis anterior has a propensity towards under activity as an 0:32 inverter of the ankle. So for those of you guys using the overhead squat 0:37 assessment, this is all those individuals who's feet flatten, feet turnout, or have an 0:42 excessive forward lean. I tend to use this a lot with individuals who have 0:47 ankle, knee, hip, and even low back pathologies. Anybody who has a 0:54 restriction in dorsiflexion that may be improved by tibialis anterior activation. 1:00 So I'm going to have my friend Melissa come out, she's going to help me demonstrate 1:02 this technique. It is a tricky little technique I'll tell you guys that. I went 1:07 ahead and pre-cut my tape here, but so you guys see how I measured this out, 1:15 this tape should, with Melissa's foot dorsiflexed and inverted, go all the way 1:22 from the top of her tibialis anterior, all the way around the bottom of her 1:27 foot, and then all the way hook on the edge of her lateral foot over here. So 1:33 the path is going to be down this way, of course over the tibialis anterior tendon. 1:38 It then, and this is just because the tape tends to unstick if we were to stop 1:43 it there, which I know is the insertion of the tibialis anterior. We 1:47 need to go all the way across the bottom of the foot, and hook it around here. So 1:52 it will stay for a couple days, and give us that that improvement in carryover 1:57 that we're looking for. Now I did round the edges of my tape right, we don't want 2:02 any sharp corners that may tend to roll off and and and shorten the lifespan of 2:10 the taping. The next thing we need to do is create 2:13 an anchor, so I'll add about three centimeters. I'm just going to go ahead 2:18 and pull the paper apart and then fold the paper back here. Now this is the 2:25 trickiest part of tibialis anterior taping, its keeping a hold of your 2:30 anchors and getting this first anchor at the right angle, because the tape is so 2:37 long. So what I suggest you do is go ahead and place the tape over the 2:44 tendon there, at the insertion of the tibialis anterior. Once you know you have 2:48 the angle right, then set down your anchor, make sure there's no stretch on 2:56 that anchor, we don't want it pulling it off. You're then going to keep them 3:01 dorsiflexed, and sometimes I'll go ahead and put their foot up against my chest, 3:04 or my thigh if I'm standing. I'm going to pull off over her tibialis anterior 3:11 tendon, come across the bottom of her foot, try not to get too distal there 3:22 like to come right up over the cuboid. It might be wishful thinking, but I like to 3:28 consider that the arthrokinematic dyskinesis of the cuboid is usually 3:32 toward medial rotation, this would be a little lateral force. Alright and then 3:36 I'm just going to go ahead and lay the tape down 3:45 and give it a good rub here. This is heat activated adhesive, so we want to make 3:52 sure that it's all the way flattened down, and give a little bit of friction, 3:56 warm it up a little bit, and then once Melissa goes into plantar flexion she 4:06 should feel a little tug that wants her to pull back up into dorsiflexion. 4:09 Good, and so it's just that little reminder after we've done all that 4:14 tibialis anterior activation, that hey I want your foot here, even while she's 4:19 sleeping, I want your foot here right, hopefully 4:22 that keeps her out of ending up here and feeling like that's comfortable, which 4:28 isn't going to help us get her range of motion back to normal. Now I want to show 4:32 you guys the other leg so that you have both views. 4:41 Be very careful where you put those scissors you guys use on this, if you 4:45 guys are using fabric scissors they do have a tendency to be extremely sharp. 4:49 Once again I'm going to go ahead and put her in a shortened position. Now the 4:54 reason I put her in a shortened position guys is you notice I didn't put any 4:58 tension in the tape, and part of that is I feel like it's a little hard to be 5:03 consistent. I see these videos with 30%, 50%, 80% tension; how about we just put 5:11 them in the shortest range possible and use tape off tension if our goal is 5:16 facilitation. I think it works out very well. I have very few problems with the 5:21 tape pulling itself off because I've applied too much tension, seem to get 5:27 very consistent outcomes this way, good. Once again I'm going to go ahead and 5:32 measure that angle out, put my anchor down, 5:41 every once while your paper gets stuck back on which is a drag, but not the end 5:48 of the world. Go ahead keep that dorsiflexed tape off tension here, all 5:55 the way over her tibialis anterior tendon, underneath her foot. Making sure I 6:00 don't get too distal so that I end up right over the top of her cuboid. Lay the 6:06 tape down. 6:15 Alright you have a little bit of friction there, make sure the adhesive 6:22 warms up a little bit. 6:32 Make sure it's very solid over the bottom of the foot in the edge of the 6:36 cuboid, and if Melissa goes into plantarflexion she should notice a nice 6:41 little pull. Guys I keep it simple when it comes to taping, you know, 6:48 do I know everything that goes on with tape, no. I know it's fairly effective 6:53 though. I think for the most part these facility techniques work by stretching 6:59 the skin a little bit, activating those stretch receptors in the skin, that kind 7:04 of give us that signal of I don't really like to be stretched that way, and 7:07 hopefully her tibialis anterior will get a little bit of an increase in signal, 7:13 over the course of the couple of days I'm not going to see that person after 7:18 our session to stay active. Now safety considerations guys, this is a very 7:26 strong adhesive on this tape, some people's skin is sensitive. If you think 7:31 somebody has sensitive skin please be careful with taping, maybe try a test 7:37 patch first. You know if you notice psoriasis, or dry skin, or a wound or 7:45 maybe older brittle skin, just don't do it. And then of course when you're taking 7:50 the tape off, please don't rip it off. If this did happen to make Melissa itch, and 7:54 she's like I don't really like it, what I'm going to do is I'm going to brace 7:58 the skin, I'm going to roll the corner back, I'm going to, since Melissa has shaved 8:05 her legs here, I'm going to have to imagine the direction that her hair goes, 8:08 right, and her hair kind of goes in this direction here. So I want to go with the 8:13 direction of her hair, peel a little segment, come back, brace the skin again, 8:18 peel a little segment, brace the skin again, peel a little segment, brace the 8:23 skin, and of course this barely hurts at all. And you guys should love me for this 8:29 little cue, because this also works for band-aids. 8:31 There's no reasons to lose hair, all right and we can peel it all the way off. 8:36 So there you guys go, tibialis anterior activation taping. 8:41 Once again I do tend to use taping to 8:43 reinforce activation techniques. I can tell you quite honestly the carryover 8:48 I've had since using taping has been far improved, for example if I kept 50% of 8:58 the dorsiflexion I got somebody from session to session before taping, now I'm 9:04 keeping like 70%. Those are just made-up numbers, don't quote me on those, but you 9:09 guys get what I'm saying. Like the carryover has been really really great, 9:12 which has led to much faster improvements from session to session. I 9:16 have been enjoying it very much. I will talk with you guys soon, and bring you 9:20 guys more taping techniques. 9:31
