今回はFRTについて、ご紹介。このテーピングテクニックはMechanical ankle instability （MAI）をもってるAthletesによく使ってます。
Purpose: Correct an anterior and inferior positional fault of the distal fibula
One of MAI factors
Arthrokinematic impairments after lateral ankle sprain
The lateral malleolus is displaced anteriorly and inferiorly
↓↓↓
The ATFL may be slack in its resting position
When the Rearfoot begins to supinates, the talus can go through a greater ROM before the ATFL becomes taut
↓↓
Positional fault of the distal fibula
Technique
- Locate thenar eminence of a palm hand on anterior and inferior distal fibula
- Stabilize the distal leg
- Apply posterior or superior force to distal fibula
- Place foot neutral PF and DF
- Apply tape 2.5 cm anteriorly to the distal fibula
- Apply superior and posterior force
- Anchoring tape anterior aspect of tibia
- Repeat 5-6 for 2nd strip with greater force
EBM
• Moiler et al (2006)
– The Role of Fibular Tape in the Prevention of Ankle Injury in Basketball: A Pilot Study
– 123 male BB players
• FRT or Control (other types of prophylaxis)
– FRT:
• 2 ankle injuries incidence/224 BB exposure
– Control
• 7 ankle injuries incidence/ 209 BB exposure
• East M (2008)
– Thesis( UNC at
– 30 subjects with CAI (FRT vs. Placebo vs. no tape)
– ÔPF at initial contact and Ô mean EMG amplitude of TA during preparatory phase of landing
Cost
One roll of tape (15yd/$7.95)
+
Cover roll (4x10 yd/$17.45)
=
17 players
Reference
Mulligan BR. Manual therapy “NAGS,” “SNAGS,” “MWMS,” etc. 4th ed. Welington, NZ: Plane View Services, 1999.
Mulligan Taping Techniques (RXDVD) Authored by Rick Crowell, PT, MS, GDMT, FAAOMPT, MCTA, and Julie Paolino, PT, ATC, MCTA.
Moiler, K., Hall, TM., and Robinson, K. (2006). The role of fibular tape in the prevention of ankle injury in basketball: A pilot study. Journal of Orthopaedic & Sports Physical Therapy 36(9), 661-668.
East M et al. The immediate effects of fibular repositioning tape on ankle kinematics and muscle activity. UNC at Chappell hills 2008
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