hi my name is Johnny Benson today I'm going to look at patellar taking for March rakion or my alignment of the patella femoral joint what we need is to factor tape this is what we call let go I fix a mole or Mike report type of tape and this basically is protecting the skin and then what we do then we apply and Luco tape or Tiger tank tape directly over the white porous tape the idea will be that we want to try to keep the patella slightly medial to the tropical groove most of the time if patients has patella femoral pain the vastus medialis muscle you need to work on also the glute medius and maybe look at the control mechanism of the foot but this is very good at controlling the position of the knee short term to try to then instigate reactivation of the vastus medialis so first of all what we can do is have a leg in normal extension and then just take a rough measurement of the fixable tape so we're going to have two of these like so and what we're going to do is just rip one end so I'll just peel that back why this so we got the tail of that so we're going to go slightly inferior to patella I tend to angle at no tension on this tape so just stick that down the same again this one's going to go directly over it like so so ice-covered the patella femoral joint okay good now what we gonna do with a brown blue go tape the first one is literally from the center a patella down to the MCL so a small piece trip the tape if you're able to we're trying to get it stuck and then apply back directly onto the patella in the center and literally I saw let's do it is literally just tilted okay so it's a slight tilt medially down to that medial side try not to if you can leave the brown tip on the skin if you do then you need some white tape directly underneath it because we can leave this on for a day or two the second one is going to go from the lateral side of a medial side like so and again rip okay and then what we can do this one is apply it on that lateral side use a new thumb to push so we're going to push a patella medially and then lock down the position and then you see the crease or not medial side it's hard to know exactly how far because where the tests would be the patients would walk up and down stairs and if the tape is on then we would leave it in our position if the patient comes in and says it's not quite right then I call the third safe my fine tuner and what I mean by that is let's say the patient says it's not quite right and you felt you might have pulled it too far and what we can do is push it back slightly and lock it down or we can push it a bit further so we can literally pull it further into our position or you might be but notice there's a rotation if it's a rotation say slightly lateral I would call this one and we can angle the tape like so and then if I rotate in the patella we can use the tape to keep it and we can rotate it and lock it in our position there and then we can stick that down so that's now in a rotated position if I felt it wouldn't need that sort of taping mechanism then I would just go back to the original once you happy when a patient has less pain then you would apply two strips directly over the brown tip and you'd leave out on for the tension up to two to three days