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Toe Abduction Taping (1st and 5th Metatarsophalangeal Abduction)

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Toe Abduction Taping (1st and 5th Metatarsophalangeal Abduction) is a taping technique used to treat foot ailments such as hallux abducto valgus (bunions) and hallux limitus. It involves the taping of the first and fifth metatarsophalangeal joint on the big toe, to keep it in a corrected, abducted position to restore foot function and reduce discomfort. Toe taping is a simple and

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Transcript

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This is Brent of the Brookbush
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Institute, and in this video we're going over
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kinesiology taping technique to help support our interventions for foot
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dysfunction. Now one of the components of foot dysfunction is excessive adduction
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of the first and fifth toe, where the first and fifth metatarsal phalangeal
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joins. You guys have probably heard terms like bunion, or hallux adductus, or
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hallux valgus referring to the first MTP, and tailor's bunion or bunionette, referring
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to the fifth MTP. Overall, this plays a role in the common impairment that
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starts to create some pain and dysfunction of the foot. Now while the
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interventions to start correcting some of that dysfunction can get a little
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complicated involving mobilization of all of the little joints of the foot and
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toes, as well as the altered length of all the muscles that cross the toes and
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all of those joints in the foot. The taping technique to reinforce those
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interventions, super, super, super simple. I'm going to have my friend Melissa come
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out she's going to help me demonstrate.
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Now usually I combine some taping with these gel inserts you guys have probably
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seen at your local drugstore. You can buy them for of course between the first and
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second toe, to help improve that adduction. You can also buy ones that
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look like a smooshed out pac man, and they're a little flatter for between the
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fourth and fifth toe, and they work they work pretty good. But i have found that
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they don't do a whole lot to help reinforce some of the corrective stuff,
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as far as like our activation techniques So if i'm working on somebody with
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activating their their short toe flexors or the adductors of their pinkie and
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first toe, i find that the tape maybe because of the way it irritates the skin,
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or because of the way it stretches the skin, helps me get a little bit more
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muscular involvement and i think overall improves carryover. So to give you guys
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an idea of how to put this tape on its actually
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very very simple. What I'm usually going to want to do, is I want to first
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start by finding something that's going to abduct their toe, and I'm going
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to stick it between the toe I'm trying to abduct and the next toe. Mostly
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because I want my hands-free, both hands-free for the tape. So I've used
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pens, I've used folded up pieces of paper, for between the fourth and fifth toe
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I could use the spacer for the first and second toe. You just need something that
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goes a little beyond the abduction you're looking for. You're then going to
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take the tape and you're going to pull off as much paper as you have length of
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the toe. So we're going to use the whole side of the toe as an anchor here,
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obviously pinkie toe is not going to be as much tape as the first toe.
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I'm going to lay that down just like so, get a nice anchor point. Good, make sure
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once again that my spacer is working out for me, I got lots of abduction. I'm
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then going to go ahead, and while at other videos have shown you guys putting
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muscles in either shortened or lengthened positions, and just using tape
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off tension. The foot because it's so rigid, it's so resilient because we walk
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on it, I'm going to go ahead and put quite a bit of tension in this tape. if
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this is a hundred percent I'm just going to back off a little bit. Since we're
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doing the fifth toe I'm go right across her fifth metatarsal. I want to go all the
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way back to the heel with that tension, and then I'm going to go ahead and leave
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the rest of it with no tension, and create my anchor just behind the heel.
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Now with this taping technique, the length is going to be set by you being
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able to get a piece of tape from her toe all the way around her heel. This is
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the foot so the tape tends to come off pretty easy already, just from
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putting socks on and off, walking, and the rubbing of shoes, from the way we move
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our feet in our sleep. If you don't get it all the way around the heel, this tape
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will fall off in a few hours. It doesn't last very long. I do find that if I get
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it around the heel, usually I can get to that 24 to 48 hour point and get at
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least some good carryover. So let's go ahead and do the other toe here since I
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just happen to have two spacers handy. I'm going to use that to help me abduct
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her first MTP. Once again I wouldn't use two spacers necessarily with somebody,
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that's a lot of abduction, but just while I'm setting this tape to help increase
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the tension, I'm going to go ahead and pull off as much paper as I have toe.
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Which in this case being the first toe is a lot more space,
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or a lot more tape rather. Once again once i get a good anchor, go ahead and
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pull off with a lot of tension, a lot of tension there. Go ahead and follow the
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arch of your foot. make sure there's no bubbles in the tape, no folds on the
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tape. I'm going to get to her heel, and then with no tension lay down the anchor.
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Go back and fix my spacers here,
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and hopefully Melissa's foot pain will be reduced. Hopefully it will stay reduced
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now that we've done our intervention and reinforced it with tape for a couple
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days, and then hopefully she'll come back I'll get the chance to do this again. If
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it continues to be successful we could even possibly teach Melissa how to do
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this taping on herself, since this taping is actually extremely easy to do.
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I hope you guys enjoy this technique. It's one of the first videos that we've laid
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down on correcting foot dysfunction. I think you guys will find that foot
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dysfunction is a hidden killer to performance with a lot of athletes. I
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look forward to hearing your comments on this technique, on you using this
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technique and the results that you get, and of course any modifications that you
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can think of on this technique that might make it a little better. I'll talk
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with you guys soon.