00:00:0400:00:07
This is Brent of the Brookbush
00:00:0400:00:07
Institute, and in this video we're going over
00:00:0700:00:11
kinesiology taping technique to help support our interventions for foot
00:00:1100:00:16
dysfunction. Now one of the components of foot dysfunction is excessive adduction
00:00:1600:00:21
of the first and fifth toe, where the first and fifth metatarsal phalangeal
00:00:2100:00:27
joins. You guys have probably heard terms like bunion, or hallux adductus, or
00:00:2700:00:32
hallux valgus referring to the first MTP, and tailor's bunion or bunionette, referring
00:00:3200:00:39
to the fifth MTP. Overall, this plays a role in the common impairment that
00:00:3900:00:42
starts to create some pain and dysfunction of the foot. Now while the
00:00:4200:00:47
interventions to start correcting some of that dysfunction can get a little
00:00:4700:00:51
complicated involving mobilization of all of the little joints of the foot and
00:00:5100:00:56
toes, as well as the altered length of all the muscles that cross the toes and
00:00:5600:01:00
all of those joints in the foot. The taping technique to reinforce those
00:01:0000:01:05
interventions, super, super, super simple. I'm going to have my friend Melissa come
00:01:0500:01:07
out she's going to help me demonstrate.
00:01:0800:01:15
Now usually I combine some taping with these gel inserts you guys have probably
00:01:1500:01:20
seen at your local drugstore. You can buy them for of course between the first and
00:01:2000:01:26
second toe, to help improve that adduction. You can also buy ones that
00:01:2600:01:31
look like a smooshed out pac man, and they're a little flatter for between the
00:01:3100:01:39
fourth and fifth toe, and they work they work pretty good. But i have found that
00:01:3900:01:44
they don't do a whole lot to help reinforce some of the corrective stuff,
00:01:4400:01:48
as far as like our activation techniques So if i'm working on somebody with
00:01:4800:01:55
activating their their short toe flexors or the adductors of their pinkie and
00:01:5500:02:02
first toe, i find that the tape maybe because of the way it irritates the skin,
00:02:0200:02:08
or because of the way it stretches the skin, helps me get a little bit more
00:02:0800:02:14
muscular involvement and i think overall improves carryover. So to give you guys
00:02:1400:02:18
an idea of how to put this tape on its actually
00:02:1800:02:22
very very simple. What I'm usually going to want to do, is I want to first
00:02:2200:02:26
start by finding something that's going to abduct their toe, and I'm going
00:02:2600:02:31
to stick it between the toe I'm trying to abduct and the next toe. Mostly
00:02:3100:02:36
because I want my hands-free, both hands-free for the tape. So I've used
00:02:3600:02:42
pens, I've used folded up pieces of paper, for between the fourth and fifth toe
00:02:4200:02:46
I could use the spacer for the first and second toe. You just need something that
00:02:4600:02:51
goes a little beyond the abduction you're looking for. You're then going to
00:02:5100:02:56
take the tape and you're going to pull off as much paper as you have length of
00:02:5600:03:01
the toe. So we're going to use the whole side of the toe as an anchor here,
00:03:0100:03:07
obviously pinkie toe is not going to be as much tape as the first toe.
00:03:1200:03:23
I'm going to lay that down just like so, get a nice anchor point. Good, make sure
00:03:2300:03:30
once again that my spacer is working out for me, I got lots of abduction. I'm
00:03:3000:03:34
then going to go ahead, and while at other videos have shown you guys putting
00:03:3400:03:38
muscles in either shortened or lengthened positions, and just using tape
00:03:3800:03:43
off tension. The foot because it's so rigid, it's so resilient because we walk
00:03:4300:03:47
on it, I'm going to go ahead and put quite a bit of tension in this tape. if
00:03:4700:03:52
this is a hundred percent I'm just going to back off a little bit. Since we're
00:03:5200:03:57
doing the fifth toe I'm go right across her fifth metatarsal. I want to go all the
00:03:5700:04:03
way back to the heel with that tension, and then I'm going to go ahead and leave
00:04:0300:04:08
the rest of it with no tension, and create my anchor just behind the heel.
00:04:0800:04:14
Now with this taping technique, the length is going to be set by you being
00:04:1400:04:20
able to get a piece of tape from her toe all the way around her heel. This is
00:04:2000:04:25
the foot so the tape tends to come off pretty easy already, just from
00:04:2500:04:30
putting socks on and off, walking, and the rubbing of shoes, from the way we move
00:04:3000:04:35
our feet in our sleep. If you don't get it all the way around the heel, this tape
00:04:3500:04:39
will fall off in a few hours. It doesn't last very long. I do find that if I get
00:04:3900:04:44
it around the heel, usually I can get to that 24 to 48 hour point and get at
00:04:4400:04:50
least some good carryover. So let's go ahead and do the other toe here since I
00:04:5000:04:56
just happen to have two spacers handy. I'm going to use that to help me abduct
00:04:5600:05:02
her first MTP. Once again I wouldn't use two spacers necessarily with somebody,
00:05:0200:05:06
that's a lot of abduction, but just while I'm setting this tape to help increase
00:05:0600:05:11
the tension, I'm going to go ahead and pull off as much paper as I have toe.
00:05:1100:05:16
Which in this case being the first toe is a lot more space,
00:05:1600:05:22
or a lot more tape rather. Once again once i get a good anchor, go ahead and
00:05:2200:05:30
pull off with a lot of tension, a lot of tension there. Go ahead and follow the
00:05:3000:05:37
arch of your foot. make sure there's no bubbles in the tape, no folds on the
00:05:3700:05:46
tape. I'm going to get to her heel, and then with no tension lay down the anchor.
00:05:4800:05:55
Go back and fix my spacers here,
00:05:5500:06:04
and hopefully Melissa's foot pain will be reduced. Hopefully it will stay reduced
00:06:0400:06:08
now that we've done our intervention and reinforced it with tape for a couple
00:06:0800:06:13
days, and then hopefully she'll come back I'll get the chance to do this again. If
00:06:1300:06:17
it continues to be successful we could even possibly teach Melissa how to do
00:06:1700:06:22
this taping on herself, since this taping is actually extremely easy to do.
00:06:2200:06:28
I hope you guys enjoy this technique. It's one of the first videos that we've laid
00:06:2800:06:32
down on correcting foot dysfunction. I think you guys will find that foot
00:06:3200:06:37
dysfunction is a hidden killer to performance with a lot of athletes. I
00:06:3700:06:42
look forward to hearing your comments on this technique, on you using this
00:06:4200:06:46
technique and the results that you get, and of course any modifications that you
00:06:4600:06:48
can think of on this technique that might make it a little better. I'll talk
00:06:4800:06:51
with you guys soon.