Date: Tuesday March 25, 2014 re Tape: 1! "hec# the acti$e mo$ements o% the an#le& dorsi 'e(ion, plantar 'e(ion, toe 'e(ion, lateral %our toe 'e(ion, toe e(tension, and lateral %our toe e(tension) 2! "hec# passi$e dorsi 'e(ion and great toe e(tension comparing *ilaterally %or pain) +! alpate the medial tu*ercle o% the calcaneous and along the longitudinal arch %or tenderness) 4! ,ule out any circulatory pro*lems, allergies to adhesi$es, and o*ser$e %or any s#in a*rasions or lesions) Tools: 1- .inc o(ide tape Tu/ S#in atient osition: 1! The patient should *e in a seated position on a ta*le 0ith their leg %ully e(tended and their %oot o$er the edge) 2! The toes and an#le should *e placed in rela(ed position) ,ationale: The plantar %ascia is a thic# connecti$e tissue, 0hich supports the arch on the plantar sur%ace o% the %oot) 1t originates on the calcaneal tu*erosity and inserts onto the metatarsal *ones o% the %oot) The plantar %ascia contri*utes to the support o% the arch 0here it undergoes tension 0hen the %oot *ears 0eight) lantar %asciitis is the straining o% the ligament that supports arch o% the %oot) This in2ury may *e caused *y e(cessi$e pronation, a high arch or 'at %eet, or a tight Achilles tendon or cal% muscles) lantar %asciitis results in pain on the underside o% the %oot characteri.ed *y in'ammation and 3*rosis o% the connecti$e tissue) The purpose o% this taping techni4ue is to attempt to ta#e load o/ o% the plantar %ascia tissue, and pro$ide e(tra support to the structure to allo0 it time to heal) Steps: 1! Spray the %oot 0ith Tu/ S#in to remo$e any e(cess perspiration) This 0ill allo0 the tape to adhere more 3rmly to the s#in) 2! lace an anchor o% 1- .inc o(ide tape around the %ore%oot 0here the plantar %ascia muscle inserts into the heads o% the metatarsals) +! 5rap another anchor o% 1- .inc o(ide tape around the heel) 4! 6nsuring that the %oot is #ept in a rela(ed position, place + pieces o% tape %rom the anchor o% the %ore%oot to the anchor around the heel in a %anned position) 5! lace one addition piece in a $ertical position %rom the *ase o% the 1 st metatarsal to the anchor at the heel to allo0 %or e(tra support at the arch o% the %oot) 7! lace another anchor o$ertop the tape applied to the %ore%oot %or e(tra support) 8! lace another anchor o$ertop the tape applied to the heel %or e(tra support) 9! Applt a heel loc#: the tape runs %rom the *ase o% the 1 st metatarsal, along the arch o% the %oot, around the heel, and *ac# to the *ase o% the 1 st metatarsal) This 0ill pro$ide e(tra support to the medial arch o% the %oot, 0hich tends to o$erpronate 0ith plantar %asciitis) :! Add one additional anchor around the %ore%oot to add additional sta*ility and adherence to the tape 2o*) ost Tape: 1! ;a$e the patient 0al# on their %eet to test the tape 2o*) 2! ,e<chec# circulation)