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Consensus-based guidelines for intervention protocols targeting the foot spring mechanism during landing: A modified

Ceridwen R Radcliffe¹, Nicholas A T Brown², Phil Newman³

¹University of Canberra Research Institute for Sport and Exercise, Canberra, Australia.

Journal of Science and Medicine in Sport

|October 16, 2025

Summary

Experts reached consensus on 23 exercises and 21 prescription statements for enhancing foot function in landing tasks. These functional, multi-joint exercises, including plyometrics, align with established guidelines for improved performance.

Keywords:

Artificial intelligence Plyometrics Strengthening

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Area of Science:

Biomechanics and Exercise Physiology
Sports Science and Rehabilitation

Background:

Optimizing foot energetic function is crucial for landing tasks in sports and physical activity.
Current literature lacks consensus on specific exercises and prescription guidelines for foot training.

Purpose of the Study:

To establish expert consensus on exercise selection and prescription for enhancing the foot's energetic function during landing.
To identify effective exercises and parameters for training foot spring and energy recycling.

Main Methods:

A modified Delphi methodology involving three rounds of questionnaires.
Twenty-eight experts (clinicians, biomechanists, exercise physiologists, scientists, athletic trainers) participated.
Participants evaluated exercises and prescription statements using open-ended questions and Likert scales.

Main Results:

Consensus was reached on 23 out of 46 presented exercises.
Consensus was achieved on 21 out of 54 exercise prescription statements.
One prescription statement reached consensus of disagreement.

Conclusions:

Consensus exercises were multi-joint and functionally integrated, including plyometrics, supporting increased musculotendinous stiffness and energy recycling.
The identified exercises differ from those previously reported in foot training literature.
Prescription statements aligned with American College of Sports Medicine guidelines and plyometric training literature.