Hyperpronation
Rehabilitation training for the injury
Description of hyperpronation
Hyperpronation of the feet is one of the most frequent causes of lower limb problems associated with running. Hyperpronation is a mechanical problem. Normal pronation occurs in walking / running in the initiation of movement (impetus), but in hyperpronation the foot does not regain a stable axis, and continues in pronated position, so that the pronation becomes too long. This results in poor biomechanics, and often a lot of compensatory problems up through the lower extremities, pelvis and back. For this reason, it makes sense to correct, support and / or re-align this unintentional movement, thus making walking and running mechanics more optimal. You do not have to be flatfooted to show a tendency towards hyperpronation, but many hyperpronators are flatfooted. It is most commonly men who hyperpronate, which means up to almost 40% of all men need running shoes that prevent hyperpronation. In testing by running style analysis, hyperpronation is determined by the angle of the heel, that is, if the heel (calcaneus) angles more than 6 degrees (valgus) relative to the Achilles tendon the test is positive for hyperpronation. In the case of hyperpronation of the foot, there is also an inward twisting of the lower leg, and as a runner’s foot on average hits the ground 5000 times per hour, it may not come as a surprise to anyone that symptoms of overuse/overload may occur.
Symptoms of hyperpronation
- Pain and tenderness along the inner foot edge, especially during and after running.
- Pain on the inside of the Achilles tendon.
- Pain in the lower leg (front and back).
- Thigh and knee pain/discomfort.
- Dilapidated arch under strain.
- Outward rotation of the heel.
Examination hyperpronation
- Analysis / inspection / palpation / movement test.
- Inspection of running shoes.
- Running Gait analysis.
Symptoms of hyperpronation
These techniques of taping, changing foot position using shoes etc. should be temporary changes until rehab training has corrected the hyperpronation.
- Sports Taping.
- Shock absorbing inserts/insoles.
- Anti-pronation shoes.
- Anti-pronation inserts/insoles.
- Kinesiology tape
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