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Related Experiment Videos

Pronation in runners. Implications for injuries

B Hintermann1, B M Nigg

  • 1Orthopaedic Department, University of Basel, Switzerland.

Sports Medicine (Auckland, N.Z.)
|November 5, 1998
PubMed
Summary

Excessive foot pronation can lead to lower extremity overuse injuries. The way foot eversion transfers to tibial rotation is key in predicting injury risk.

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Area of Science:

  • Biomechanics
  • Sports Medicine
  • Orthopedics

Background:

  • Understanding of ankle joint complex biomechanics, particularly foot-leg coupling, has advanced.
  • Mechanisms behind lower extremity overuse injuries remain poorly understood.
  • Excessive foot pronation, while sometimes physiological, can be detrimental.

Purpose of the Study:

  • To investigate the biomechanical factors contributing to lower extremity overuse injuries.
  • To explore the relationship between foot eversion, tibial rotation, and knee overloading.
  • To determine the predictive value of individual foot eversion transfer mechanisms for injury risk.

Main Methods:

  • Analysis of biomechanics of the ankle joint complex.
  • Investigation of foot and leg coupling mechanisms.
  • Assessment of excessive pronation and its transfer into tibial rotation.

Main Results:

  • The amount of foot eversion is less critical than its transfer into tibial rotation for knee stress.
  • Individual mechanisms of transferring foot eversion into internal tibial rotation may predict injury risk.
  • Compensatory overpronation can arise from anatomical factors.

Conclusions:

  • The specific mechanism by which foot eversion translates to tibial rotation is crucial for predicting lower extremity overloading injuries.
  • Further research is needed to elucidate the pathological significance of biomechanical abnormalities in overuse injuries.

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