[ Clinical Pearl ] How to Use Ace Wrap in Gait Training (for Toe Clearance issues)

EducatedPT
EducatedPT
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This technique is intended for use by a licensed healthcare professional (e.g. physical therapist) that is involved in the physical rehabilitation of a patient recovering from a neurological event.

In this case, the technique may be useful in facilitating an effective session of gait training that is otherwise being hindered by poor gait mechanics (e.g. decreased foot clearance/toe drag secondary to a stroke or peroneal nerve injury). Additionally this technique can be used while the patient awaits a more permanent and fitted orthotic.

This video is meant for educational purposes only.


INSTRUCTIONS:
- With your ace wrap, begin by creating an anchor by wrapping around the patient's midfoot in a medial to lateral direction to encourage a supinated foot position.

- From the medial side (inside part of the foot) diagonally work the wrap upwards to the lateral (outside) part of the patient's knee joint.

- Create an anchor just below the patient's knee joint. Two anchors here should be good enough.

- Work the wrap from the medial side of the knee joint diagonally back down to the lateral part of the foot.

- Create additional anchors around the midfoot as you did in the first step and repeat the whole procedure. Once you get back up to your knee anchors, you may tuck any additional ace wrap away.


KEY POINTS:
- Do NOT wrap the patient's leg too tightly. You do not want to cut off their blood flow. A slight pulling on the ace wrap as you follow the procedure should be enough. Practice is STRONGLY encouraged!
- Monitor the skin for irritation, pulling of hair, or signs of allergy to the wrap material.
- Utilize appropriate assistance devices to aid in safe and effective gait training (walkers, canes, handheld assistance).

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8 سال پیش در تاریخ 1395/08/20 منتشر شده است.
27,924 بـار بازدید شده
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