0:05 This is Brent of the Brookbush Institute, and in this video we're doing another 0:07 kinesiology taping. This taping is for wrist, forearm and elbow dysfunction. The 0:12 common postural impairment here is excessive pronation, ulnar deviation and 0:18 extension. Now some of you guys can just see by putting myself in that position, 0:22 all of our desk jockeys end up kind of like this for long hours. That could be 0:28 contributing to some of this dysfunction. If you guys have seen some of our 0:32 kinesiology taping videos before, you know that I don't use taping as a 0:36 modality unto itself. It's never a therapeutic intervention by itself. We 0:41 use it to reinforce corrective modalities that we've done within the 0:46 session. So I'm going to have my friend Melissa come out, and I'm going to 0:50 explain how we kind of came up with this technique. Now first things first I kiind 0:54 of explained that postural dysfunction, you might have started to put together 0:57 the extensors are overactive and flexors are under active. So we should just 1:02 facilitate the flexors right. Just put one big piece of tape right down here. 1:06 Big problem with that is, putting tape on the palm of the hand is very problematic. 1:11 It comes off very very quick. So now we have to go, well what happens if we go 1:16 this way? Well now it has to be more of like an inhibition taping versus a 1:20 facilitation taping, and we can do that. Inhibition tapings we just tape muscles 1:25 when they're in there completely lengthened position, and what you'll see 1:29 ends up happening is, when you do that, as you bring the tape up, it starts to bunch. 1:34 Which probably also is a bit of an irritant, or a bit of a signal to the 1:39 body that hey maybe that's not a real great thing to do either. There is an 1:44 extensor taping that's very common. We're going to use that, then we're going to go 1:47 ahead and modify it a little bit, because as I've been experimenting with this 1:51 technique, I've realized that I can inhibit my extensors and still 1:57 facilitate a little radial deviation. Alright so I want to facilitate a little 2:02 radial deviation this way, and then I want to get people out of pronation. I want to 2:06 get them into supination so I can facilitate a little radial deviation and 2:12 supination, by just changing the angle of my extensor 2:17 inhibition taping. I know that sounds complicated but stick with me here. So 2:23 I'm going to take my piece of tape, and I already measured this one out just to 2:26 save a little time on this video. But the taping is going to go from the back 2:29 of her hand, to her elbow. I'm going to go ahead and peel off a couple centimeters 2:35 worth of paper so I have a nice anchor. Can you put your hand back out, there you 2:40 go. She's going to start like this, and then I'm going to tweak her a little bit 2:46 and get her into as much radial deviation as i can, and then the most 2:49 important thing guys is that I start this tape right along the line of her 2:56 second metacarpal. I'm going to get it as far medial, the tape that is, as I can. So 3:05 there we go, that's going to help me facilitate that radial deviation. I still 3:12 got our extensors in a lengthened position, so they'll still be inhibited. 3:17 But man I might as well get as much radial deviation as I can. Now she's 3:22 going to go ahead and face me, and what you guys will see i'll do, is rather than 3:27 go straight down this way to facilitate a little supination, i'm actually going 3:32 to tape in kind of a corkscrew pattern here, right down to her olecranon 3:39 process. I'm just going to use some tape off tension, 3:46 and boom. You don't actually want to cross her elbow, this is going to cause 3:49 more stretching the tape at that one segment, probably increase the chance 3:54 that you're actually going to pull the tape apart. So I'll give it a 3:59 good rub, make sure that I got it all stretched out. Try to make sure there's 4:07 no bubbles this time to make tape come off a little quicker, and what Melissa 4:12 should feel is maximal extension doesn't feel like a great position, because it 4:19 bunches up behind her wrist. She should feel a little force that pulls her into 4:24 radial deviation a little bit, like ulnar deviation doesn't feel good. And then she 4:29 should feel just a little bit of reminder to do supination. It's not going 4:35 to be like a super strong like she's gonna have to walk around like this, but 4:40 extremes of pronation like typing, she'll get a little reminder that hey I should 4:44 probably get out of this every once in a while, and when she's just sitting 4:47 relaxed, hopefully I get her to relax maybe a little bit more in this neutral 4:52 position, than here. I think you guys could see where all of those little 4:57 pieces of feedback over the course of the next 24 or 48 hours, might be real 5:02 good for reinforcing the corrective intervention that I've just done on her 5:07 wrist, forearm or elbow. Let's say she had maybe lateral epicondylitis, and 5:12 hopefully that increases my carry over. The next time i see her she'll have kept 5:17 much more of what i did in that session. I'll get her much better in fewer 5:22 sessions, and she'll be back to the sports that she loves. I hope you guys 5:26 enjoyed this video. I hope you enjoyed this fancy little tape job here. Alright 5:33 so that's extensor inhibition taping with facilitation for radial 5:39 deviation and supination. Thank you. 5:49
