Mr Ryan Sports Medicine Stages of Soft Tissue Healing Stage 1 Acute inflammatory Approx 2 days Phagocytes Specialized cells that engulf and gobble up the dead cells Leukocytes Infection fighting white blood cells ID: 509090
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FOOT & ANKLE STABILITY
Mr. Ryan – Sports MedicineSlide2
Stages of Soft Tissue Healing
Stage 1
— Acute inflammatory, Approx. 2 days
Phagocytes
— Specialized cells that engulf and gobble up the dead cells.
Leukocytes
— Infection fighting white blood cells.
Platelets
— Cells that carry blood clotting materials.
Stage 2
— Repair, 6 weeks-3 months
Fibroblast
— Begin building fibers across the area of injury (form the scar)
Stage 3
— Remodeling, 1 year or more
Rebuilding of tendons, ligaments, and musclesSlide3Slide4
TO tape
OR NOT TO tape…
There are differing opinions on whether
ta
ping
an ankle is as functional as it may seem…
Some Athletic Trainers believe that wrapping an ankle provides support, stability, and aids in preventing injuries.
While other trainers do not deny the benefits of wrapping an ankle, some believe that wrapping an ankle “WEAKENS” the joint by simply not strengthening it. (NATURE VS. NURTURE)Slide5
ANKLE taPING
– WHAT NOT TO DO…
Wrapping too tight limits range of motion and cuts off blood circulation.
Wrapping too loose is caused by improper tape angle. This results in “blousing”.
Leave open areas
. (TAPE CUTS & BLISTERS!)
Improper angles on Heel Locks.
Accidentally poke, prod, or jostle the athlete.
Drop or set down your roll of tape.Slide6
TEARING TAPESlide7
TA
PING AN ANKLE STEP 1 – proximal anchors (3)
Make sure the athlete’s foot is at 90 degrees!
Place
three “ANCHORS” at approximately mid ankle.
Where the
gastrocnemius
begins to contour to the
achilies
tendon. Make
sure that it is not
limiting ROM.
The “ends” of your tape should start facing at an upward angle and work their way downward.
This allows for the tape to contour to the lower limb
.Slide8Slide9
STEP 2 – DISTAL ANCHOR (1)
Place around the tarsal – metatarsal joint area.
Pull tape from the Plantar side of the foot to provide support and prevent “blousing”Slide10
STEP 3 – STIRRUPS (3)
Used to limit inversion/
eversion
movements in the ankle joint.
Inversion sprains
– Stirrups should be applied medial to lateral.
Eversion
sprains
– Stirrups should be applied lateral to medial.
3 stirrups should be applied
. 1. Covering the
malleolus
directly. 2. Front side of the
malleolus
. 3. Backside of the
malleolus
.
All three stirrups should cross the heel/
calcaneous
at the same point.Slide11Slide12
STEP 4 – CLOSE UP – CIRCULAR STRIPS
These strips should be placed underneath the proximal anchors.
Until 1” from the bottom of the foot.
They help to secure the stirrups and provide support.
Pull tape from the
achilies
tendon side.
The “end pieces” of tape should be facing downward.Slide13Slide14
STEP 5 – HEEL LOCKS (2)
Begin on lateral side of the ankle using ½ the tape above
malleolus
.
Tape angling down and posterior under the
calcaneous
.
Come up to the dorsal side of the foot towards the medial
malleolus
.
Go down and around the
calcaneous
.
Come up to the dorsal side and finish.Slide15Slide16
STEP 6 – FIGURE 8
Starting on the lateral side of foot
Bring the tape over to the medial side
T
o
the arch of the
foot and under
the
foot.
Continue a
round
the back of the ankle and finish where started.Slide17
STEP 7 – CLOSE UP
Place more strips around to secure heel locks. Check for gaps and cover them with strips.
Be sure there are no significant folds in tape to avoid blistering or cuts.