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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.