Ankle-Foot Taping packet

advertisement
AT 243
Ankle/Foot Taping Packet
You are receiving a series of proficiencies that you have gone over in AT 243 Taping Lab. On top
of each page you will see a spot for your name as well as a brief description of the task you are
to perform. You will then see a check-off box; you are to demonstrate everything that you can
to the athletic training student (ATS) or ACI/CI. In order to pass on a proficiency you need to
score an 80% or higher. If you do not score an 80% or higher on your first attempt, you will be
given a second attempt. If you still do not score an 80% you will be given an average of the two
scores and asked to repeat the skill with the course instructor.
Your grade is calculated by adding up the total number of points for each skill and the total
number of points you receive on each skill. At the end of the semester you will receive this
grade out of all the points for all skills in the course.
If you get these signed off by an ACI/CI (any staff member) you must sign up for a time in the
appointment book. You may not walk into the athletic training room and ask to do these. The
ACI/CI has every right to remove you from the athletic training room if this is the case. DO NOT
show up late for your appointment, two late appointments and that ACI/CI will not see you
anymore! If you are getting these signed off by an ATS make sure they have time to delegate to
you.
*No late work is accepted-no questions asked-you will receive a zero for all skills*
This specific packet is Due:________________________
1
Taping/Wrapping
Name:___________________________________
Closed basket weave taping. Please demonstrate how you would perform a closed basket weave taping
to prevent excessive inversion of the ankle. You have 2 minutes to complete this task.
Tester places athlete and limb in correct position
Seated (leg supported in full extension)
Ankle/foot dorsiflexed to 90 degrees (maintained throughout)
Taping Technique
Places heel/lace pads on dorsal ankle joint line and on Achilles’ tendon
Secures pads with a layer of pre-wrap
Places three anchors around the lower leg at the base of the gastrocnemius muscle
Places second anchor around the instep, proximal to the base of the 5th metatarsal
Applies 3 stirrups (medial to lateral)
Places an anchor strip after each stirrup
Place a horseshoe around the foot just below the malleoli
Repeats the above two steps two additional times
Applies a figure-eight, starting at the dorsal aspect of the ankles, followed by heel
locks
Closes taping with horseshoes, overlapping by half the tape width-distal to proximal
Places a final anchor around the instep, proximal to the base of the 5th metatarsal
Support and Neatness
Limits excessive inversion
Checks circulation to the foot and toes
No holes and/or loose ends
1st attempt: ___________/15
Yes
No
Yes
No
2nd attempt:__________/15
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
2
Name:___________________________________
Open basket weave. Please demonstrate how you would perform an open basket weave taping to help
compress and support an acutely injured ankle. You have 3 minutes to complete this task.
Tester places athlete and limb in appropriate position
Seated, leg supported in full extension
Ankle/foot dorsiflexed to 90 degrees
Taping Technique
Places three anchor strips around the lower leg, around the gastrocnemius muscle.
Making sure that the anterior portion of the leg is exposed.
Places second anchor around the instep, proximal to the base of the 5th metatarsal
Applies 3 stirrups (medial to lateral)
Places an anchor strip after each stirrup-making sure that anterior portion of the leg
is exposed
Place a horseshoe around the foot just below the malleoli-making sure the anterior
portion of the leg is exposed.
Repeats the above two steps two additional times
Applies a figure-eight, starting at the dorsal aspect of the ankles, followed by heel
locks
Closes taping with C-strips, overlapping by half the tape width-distal to proximal
Places an ACE wrap from distal to proximal
Support and Neatness
Anterior aspect of the leg is open-no tapeCompresses acutely injured ankle
Checks capillary bed refill after ACE wrap is applied
1st attempt: ___________/14
Yes
No
2nd attempt:__________/14
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
3
Name:________________________
Achilles’ tendon taping. Please demonstrate how you would perform an Achilles’ tendon taping in order
to prevent dorsiflexion of the ankle. You have 3 minutes to complete this task.
Tester places athlete and limb in appropriate
Seated, leg supported in full extension
Ankle/foot plantarflexed about 25 degrees
Taping Technique
Places heel/lace pad over the dorsal ankle joint (distal Achilles’ tendon)
Places anchor around the proximal gastrocnemius and around the instep of foot
Measures a strip of elastic tape slightly longer than the distance between the two
anchors and cuts both ends of the strip about 1 inch longitudinally
With one end of the strip, wraps the split under the plantar side of the foot
Pulls the strip up, pulling foot into plantarflexion and attaches it to the proximal
anchor by wrapping the split ends of the strip around the gastrocnemius
Secures both ends of the elastic strip with an anchor strip
Closes the tape job with either elastic or adhesive tape from distal to proximal
Support and Neatness
Limits excessive dorsiflexion
Checks circulation to the foot
No holes or loose ends
1st attempt: ___________/12
Yes
No
2nd attempt:__________/12
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
4
Name:_______________________________
Arch Taping. Please demonstrate how you would tape the longitudinal arch to give added support to the
involved bones, ligaments and muscles. You have 3 minutes to complete this task.
Tester Places Athlete and limb in appropriate position
Seated, leg supported in full extension
Ankle/foot slightly plantarflexed
Taping Technique
Place an anchor at the head of the metatarsals
Begins at the medial head (first metatarsal); attaches a strip of tape beginning
at the medial aspect of the foot, around the heel and diagonally along the
plantar surface of the foot
Repeat step above
Makes a teardrop beginning on the plantar side of the 3rd metatarsal head, back
around the heel, and returns to starting point
Repeats above step
Places the tape on the plantar side of the 5th metatarsal head and draws the
tape diagonally across the foot to the medial side of the heel, around the heel,
and back to the lateral head of the 5th metatarsal.
Repeats above step
Places tape strips along the plantar surface of the foot, pulling the tape from
lateral to medial, beginning distally and moving proximally; each strip
overlapping by half of the width of the tape
Places tape around the heads of the metatarsals to anchor
Support and Neatness
Provides support to the longitudinal arch
Checks circulation to the foot/toes
No holes and/or loose ends
1st attempt: ___________/14
Yes
No
2nd attempt:__________/14
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
5
Name:________________________________
Turf toe taping. Please demonstrate turf toe (great toe) taping in order to neutralize the first
metatsophalangeal joint. You have 3 minutes to complete this task.
Tester places athlete and limb in appropriate position
Seated, leg supported in full extension
First metatarsal places in a neutral position and/or slight hyperextension
Taping Technique
Places 2-inch elastic anchor around midfoot (lateral to medial), 1-inch tape anchor
around the distal great toe
A fan of 3-6 strips of tape should be placed on the dorsal side of the foot, beginning
on the distal anchor and attaching on the proximal anchor
Repeat above step
Using a continuous strip of tape, make a figure-eight around the great toe and
midfoot, aiding in abduction of the 1st metatarsal joint
Secures the figure-eight with elastic type tape
Support and Neatness
Limits excessive motion of the 1st MP joint (flexion/extension)
Checks circulation of the toes (capillary refill)
No holes and/or loose ends
1st attempt: ___________/10
Yes
No
2nd attempt:__________/10
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
6
Name:_________________________________
Patellar tendon strap. Please demonstrate how you would perform a patellar tendon strap in order to
help reduce symptoms of patella tendonitis. You have two minutes to complete this task.
Tester places athlete and limb in appropriate position
Standing
Knee slightly flexed
Taping Technique
Wraps pre-wrap around either the upper thigh or mid-calf muscle
Rolls pre-wrap around the patellar tendon, applying direct pressure to the tendon
Asks if the pre-wrap is tight enough
Support and Neatness
Reduces stress on the patellar tendon
Good circulation to the lower leg, no numbness or coldness
1st attempt: ___________/7
Yes
No
2nd attempt:__________/7
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
7
Name:___________________________
Shin splint taping. Please demonstrate how you would perform a shin splint taping to help support and
compress the lower leg. You have 3 minutes to complete this task.
Tester places athlete and limb in appropriate position
Standing
Knee slightly flexed (about 20 degrees)
Taping Technique
Applies two anchor strips inferior popliteal fossa
Applies two anchor strips superior to the malleoli
Applies tape in an oblique direction pulling medial to lateral-the entire way up the
leg
Applies tape in an oblique direction pulling lateral to medial-the entire way up the
leg
Applies a closing strip inferior to popliteal fossa
Applies a closing strip superior to malleoli
Closes tape job using a stretchy tape
Support and Neatness
Provides compression to the shins
Checks dorsal pedal pulse
No holes and/or loose ends
1st attempt: ___________/12
Yes
No
Yes
No
2nd attempt:__________/12
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
8
Name:____________________________
Ace wrap. Please demonstrate your ability to apply an ace wrap to the ankle/foot to aid in the reduction
of swelling. You have 2 minutes to complete this task.
Tester places athlete and limb in appropriate position
Seated
Leg in full extension
Taping Technique
Uses a single 6” ace wrap
Starts distal to proximal (at the toes)
Medial to lateral
Pulls with enough force to provide support and “push out the swelling”
Overlaps by half in a “weaving” manner
Stops about mid-calf
If using a horseshoe (next page) it is properly secured
Support and Neatness
Provides compression to the foot/ankle
Checks dorsal pedal pulse
No holes and/or loose ends
1st attempt: ___________/12
Yes
No
Yes
No
2nd attempt:__________/12
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
9
Name:______________________________
Horseshoe. Please demonstrate your ability to make a horseshoe to aid in the reduction of swelling. You
have 2 minutes to complete this task.
Tester places athlete and limb in appropriate position
Seated
Leg in full extension
Taping Technique
Uses a piece of felt ranging in size from 1’-2” (depends on availability)
Traces the outline of a horseshoe on the felt
Using scissors cuts out the piece of felt
Looks like a horseshoe
Cleans up any “loose ends”
The middle should be big enough to fit around the malleoli
Places the horseshoe to proper cover the malleoli
Support and Neatness
Uses an ACE wrap to secure the horseshoe
Checks dorsal pedal pulse
No holes and/or loose ends
1st attempt: ___________/12
Yes
No
Yes
No
2nd attempt:__________/12
Student Signature:___________________________________________________________
ATS/ACI/CI Signature and date:_____________________________________________________
10
Download