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Dye taping can be used as a short term management prior to follow up orthotic therapy. However is it possible to use functional orthoses and dye taping at the same time for controlling abnormal pronation? I am aware that padding can be accomodated with dye taping, yet is there any research testing orthoses and dye taping?
is it possible to use functional orthoses and dye taping at the same time for controlling abnormal pronation?
Ive used low dye taping with orthoses plenty of times, and seems to work just fine. Sometimes a patient already has orthoses and may come in with a new complaint, or the patient may want another taping as they are breaking in their orthoses. Regardless ive never had a problem.
I cant help you with any research, but looks like admin2 took care of that
The Following User Says Thank You to Mark_M For This Useful Post:
Thanks Mark for your useful post. I thought it should not be a problem combining functional orthoses and dye taping. I just was not sure whether there is any relevant research evidence of the efficacy of this intervention.
Harradine PD, Herrington L, Wright R: The effect of low dye taping upon rear foot motion before and after exercise. The Foot. 11(2):2001. p57-61
The effect of Low Dye taping was assessed upon rearfoot motion and position of seven excessively pronated individuals (14 feet). A measurement of calcaneal stance position was taken prior to taping and before and after 30 minutes of walking while taped. Taping immediately reduced resting calcaneal stance position significantly (P<0.05) but this control was lost after exercise. Taping made no significant difference to total pronation or maximum pronation velocity measured during walking.
It was concluded that Low Dye taping may still be beneficial to certain specific conditions but its use as amethod of reducing dynamic excess pronation or static pronation over a period of time may be inappropriate.
We don't know whether low dye taping has a kinetic effect from this study, but it doesn't appear to have much of a kinematic effect during dynamic function.
[color="Blue"]We don't know whether low dye taping has a kinetic effect from this study, but it doesn't appear to have much of a kinematic effect during dynamic function.
There has been a recent systematic review on the effects of low-Dye taping:
Radford JA, Burns J, Buchbinder R, Landorf KB, Cook C. The effect of low-Dye taping on kinematic, kinetic, and electromyographic variables: a systematic review.
J Orthop Sports Phys Ther. 2006 Apr;36(4):232-41.
STUDY DESIGN: A systematic review. OBJECTIVE: To determine the strength of evidence of the effect of low-Dye taping on lower limb kinematic, kinetic, and electromyographic variables. BACKGROUND: Low-Dye taping is a foot-taping technique that aims to limit foot pronation and is commonly used to treat a number of foot disorders. METHODS AND MEASURES: Systematic review of randomized or quasi-randomized trials examining the effect of low-Dye taping compared with no taping on kinematic, kinetic, and electromyographic variables. Trials were identified by searching CINAHL, EMBASE, MEDLINE, SPORTDiscus, and CENTRAL, and by recursive checking of bibliographies. Data were extracted from published trials and from mail contact with authors for further information as necessary. Meta-analyses were planned for all outcomes using the generic inverse variance method. Sensitivity analyses were planned by pooling data from nonrandomized trials. Statistical heterogeneity was assessed using the quantity I2. RESULTS: Six trials met inclusion criteria and, of these, 5 trials reported sufficient data on kinematic and kinetic variables to be included in the analysis. Results from the 5 randomized trials were considered robust when pooled with data from 7 nonrandomized trials in a sensitivity analysis. When compared to no taping, low-Dye taping increased navicular height immediately after application (weighted mean difference [WMD], 5.90 mm; 95% confidence interval [CI], 0.41 to 11.39; P = .04) and had no effect on navicular height post exercise (WMD, 4.70 mm; 95% CI, -0.61 to 10.01; P = .08), maximum rearfoot eversion while walking (WMD, -0.59 degrees; 95% CI, -2.53 to 1.35; P = .55), and total rearfoot range of motion while walking (WMD, 2.3 degrees; 95% CI, -0.64 to 5.24; P = .13). CONCLUSIONS: Low-Dye taping provides a small change in navicular height post application, although it is unclear whether this change is clinically important. There was high heterogeneity between some trials examining other variables, indicating that more research is needed to confirm the results of previous trials.
Footwear perhaps will enhance or detract the efficacy of the LD taping, since plantar peak pressures may be altered as result of the intervention. I would thought appropriate advice should be given to patients when this intervention introduced, although it is only used for a short period of time.
Hi Here are some papers looking at the effect of Low dye taping;
1.Vicenzino B, Feilding J, Howard R, et al. Investigation of anti-pronation effect of two taping measures after application and exercise. Gait Posture 1997;5;1-5
2.O’Sullivan K, Kennedy N, O’Neill E, et al. The effect of low dye taping on rearfoot motion and plantar pressure during the stance phase of gait. BMC Musculoskelet disord. 2008;9;111
3.Vicenzino B, McPoil T, Buckland S. Plantar foot pressures after the application of Altered Low Dye Technique. J Athl Train 2007;42:374-380
4.Franettovich M, Chapman A, Blanch P, Vicenzino B. A physiological and psychological basis for anti-pronation taping from a critical review of the literature. Sports Med. 2008;38:617-31.
5.Franettovich M, Chapman A, Vicenzino B. Tape that increases medial longitudinal arch height also reduces leg muscle activity: A preliminary study. Med Sci Sports Exerc 2008;4;593-600.
6.Radford JA, Landorf KB, Buchbinder R and Cook C. Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial Musculoskelet disord 2006, 7:64
7.Lange B, Chipchase L, Evans A. The effect of low dye taping on plantar pressures, during gait, in subjects with navicula drop exceeding 10mm. J Orthop Sports Phys Ther 2004;4;201-9.
We have been conducting studies looking at the effect of Augmented Low Dye taping on plantar pressure and EMG of vasti and gluteals during running. The paper has only recently been sent for publication, hopefully available for all to see in the not too distant future.
In order to determine if the use of antipronation taping could be used to direct foot orthoses prescription, seven high school athletes with lower extremity or foot pain caused by overuse stress were taped for 3 days during practice sessions. A visual pain scale and the Foot and Ankle Ability Measure sports subscale were used to monitor pain and function improvement caused by taping. If the taping was effective, foot orthotics were fabricated and posted according to the change in foot posture created by the tape. After wearing the foot orthotics for 4 weeks, all athletes reported a substantial short-term (4-week) reduction in pain and an increase in function. The results of this case series indicate that changes in foot posture created by taping can be used to guide foot orthosis prescription.
BACKGROUND: Low-Dye taping is used for excessive pronation at the subtalar joint of the foot. Previous research has focused on the tape's immediate effect on plantar pressure. Its effectiveness following exercise has not been investigated. Peak plantar pressure distribution provides an indirect representation of subtalar joint kinematics. The objectives of the study were 1) To determine the effects of Low-Dye taping on peak plantar pressure immediately post-application. 2) To determine whether any initial effects are maintained following exercise.
METHODS: 12 asymptomatic subjects participated; each being screened for excessive pronation (navicular drop > 10mm). Plantar pressure data was recorded, using the F-scan, at four intervals during the testing session: un-taped, baseline-taped, post-exercise session 1, and post-exercise session 2. Each exercise session consisted of a 10-minute walk at a normal pace. The foot was divided into 6 regions during data analysis. Repeated-measures analysis of variance (ANOVA) was used to assess regional pressure variations across the four testing conditions.
RESULTS: Reduced lateral forefoot peak plantar pressure was the only significant difference immediately post tape application (p=0.039). This effect was lost after 10 minutes of exercise (p=0.036). Each exercise session resulted in significantly higher medial forefoot peak pressure compared to un-taped; (p=0.015) and (p=0.014) respectively, and baseline-taped; (p=0.036) and (p=0.015) respectively. Medial and lateral rearfoot values had also increased after the second session (p=0.004), following their non-significant reduction at baseline-taped. A trend towards a medial-to-lateral shift in pressure present in the midfoot immediately following tape application was still present after 20 minutes of exercise.
CONCLUSIONS: Low-Dye tape's initial effect of reduced lateral forefoot peak plantar pressure was lost after a 10-minute walk. However, the tape continued to have an effect on the medial forefoot after 20 minutes of exercise. Further studies with larger sample sizes are required to examine the important finding of the anti-pronatory trend present in the midfoot.
each being screened for excessive pronation (navicular drop > 10mm).
duh? Everyone with a big foot will have > 10mm!
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