Tuesday, January 26, 2010

Trying Something New

Matthew had physio today. I told Steve that I was sure that Matthew's talus was protruding again. I even brought the pictures from last year to compare. He agreed, it had to be the talus.

I told him this is the pattern. His foot starts to supinate, the talus comes out, dorsiflexion decreases and it goes down hill from there.

Steve feels his dorsiflexion is still really good right now but after some thought asked if we could try taping to keep his foot pronated and keep his talus in proper position.

So, here we go... taping.

Btw, the green was added by Steve, seeing it is Matthew's favorite color.


This taping stays on for 2-3 days, then we go back in for a change of tape. We are going to try to keep this up until we go to St. Louis in 12 days. See what Dr. Dobbs thinks about it.

I'm not convinced this is will help, but it can't hurt. And right now, I am game for anything.

193 comments:

Anonymous said...

We've thought about kinesiotaping too, but just haven't done it yet with Levi. Theoretically it makes sense to me that it should help maintain the position, depends on the strength of the other muslces and their pull. I'm actually hoping to take a continuing education course on it because I don't do much in my line of work. Glad you heard from Kristina, if you are going to be there, might as well wait and get to see Dobbs, you and I both know her well, I think if she knows you really need to see him, she will make it happen. Let me know how the trip goes. Jamie

Anonymous said...

We've thought about kinesiotaping too, but just haven't done it yet with Levi. Theoretically it makes sense to me that it should help maintain the position, depends on the strength of the other muslces and their pull. I'm actually hoping to take a continuing education course on it because I don't do much in my line of work. Glad you heard from Kristina, if you are going to be there, might as well wait and get to see Dobbs, you and I both know her well, I think if she knows you really need to see him, she will make it happen. Let me know how the trip goes. Jamie

Jenn M said...

Well i for one am hoping that it works. :) Good luck in St Louis.

Michelle said...

What a great idea - I really look up to you and how much you know about your son's condition. Keeping my fingers crossed that it works!

Sue said...

Hmmm ... OK, I get the idea of the tape for the talus bone, but I'm not seeing how it's going to help the curve -- at least not the way it's on in the photo.

Is this Kinesio tape or something else? When Grace was going through PT, our therapist tried Kinesio tape for a while with, surprisingly, good results. I was astounded to see how her foot actually MOVED and responded with the tape on. Pretty wild.

The way her foot was taped, however, looks very different from what's going on with Matthew. Our PT had the tape running along the outside of her foot and then up her ankle midway to her calf (gosh, I hope I'm remembering this correctly). Then there was a strip of tape starting at the midpoint on the sole of her foot, right under the "ball" of her foot, and then pulled tight, up and around to the top of her foot. Somehow that positioning actually pulled her foot outward, fighting the MA that wanted to pull it inward. My goodness, does that make any sense at all? I could email you with more details, but seriously ... for the 3 months we did it, I could see a good improvement.

You might want to bring this up with Steve. Like you said, it can't hurt -- but the tape needs to actually do the pulling, and from the photo it just looks like its wrapped around the foot and not really "fighting" against where his foot is trying to go. The key is how it's positioned. Anyway, hope this helps a bit -- keep posting! I'm so curious how this is going to turn out ...

Jo-Ann said...

Sue, thanks so much for the info and the experience. Right now, the goal of the taping is to keep the talus in place. He is supinating again when he walks. The tape is to try and get him to be more pronated. Haven't even bridged the MA question yet. If the talus moves out of postion, it won't be long before he can't even get into neutral. Then we loose dorsiflexion like crazy.

I will ask him about the MA and will also ask Dr. Dobbs about the MA. I had hoped that wearing the AFO all day long would have countered that. Guess not.

Hua said...

I hope the taping works! Good luck with your appointment. I truly admire all the work you are doing for your son.

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