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