PROTECTIVE / PREVENTIVE
TAPING TECHNIQUE
Ankle Wrapping for Prevention
of the Inversion Ankle Sprain
R.T. Floyd, EdD, ATC
The University of West
Alabama
Mechanism of Injury:
Typically occurs due to excessive
inversion or inversion/plantarflexion of the
ankle.
Materials:
- 1-tightly rolled 2"
non-elastic cotton wrap.
- 1½" white athletic tape or
2" light elastic tape.
- 2-3"x3" heel & lace
pads.
Preparation:
Foot/ankle placement is important
throughout the procedure. The ankle should be
held in neutral inversion/eversion position with
a 90 degree dorsiflexion angle. Heel & lace
pads are not usually necessary but may be
utilized if blisters or friction appear to be a
problem.
Procedure:
- 1st Figure 8
- Begin with wrap placed in lace
area and directed toward inner longitudinal arch.
- Roll the wrap medially and
inferiorly underneath the foot.
- The wrap should proceed straight
across the plantar aspect of the foot and
progress around the lateral border back to the
lace area and cross over itself.
- After leaving the lace area, the
wrap proceeds posteromedially around the Achilles
and back to the lace area.
- 1st Lateral Heel Lock
- Proceed from lace area
inferomedially underneath the foot being careful
to angle posterolaterally toward the lateral
heel.
- Pull the wrap snugly around the
lateral heel as the wrap continues posteriorly
around the Achilles angling medially back to the
lace area.
- 1st Medial Heel Lock
- Proceed from lace area
inferolaterally underneath the foot being careful
to angle posteromedially toward the medial heel.
- Pull the wrap snugly around the
medial heel as the wrap continues posteriorly
around the Achilles angling laterally back to the
lace area.
- Repeat Step 1.
- Repeat Step 2.
- Repeat Step 3. if enough wrap is left on
roll, if not proceed to closeouts.
- Closeouts
- Proceed from lace area moving
proximally by no more than ½ widths of the wrap
in a circumferential fashion. Generally the wrap
should end approximately 2" above the
malleoli.
- Secure end of wrap with one strip of tape.
- Repeat Step 1. with tape.
- Repeat Step 2. with tape.
- Repeat Step 3. with tape.
- Repeat 8., 9., & 10. if more support
is desired.
- Tape Closeouts
- Place 1 or possibly 2 closeouts
circumferentially around midfoot with the tape
placed equally on the distal wrap and on the
sock.
- Place 2 to 5 closeouts
circumferentially around proximal wrap with the
most proximal strip placed equally on the
proximal wrap and on the sock.
Upon Completion:
Check wrap for windows, gaps,
neatness, support, comfort, and function.
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