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