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Use of Foot Doming for Increasing Dynamic Stability and Injury Prevention in Runners and Athletes

Vincent, Kevin R., MD, PhD, FACSM, FAAPMR; Vincent, Heather K., PhD, FACSM

Current Sports Medicine Reports: October 2018 - Volume 17 - Issue 10 - p 320–321
doi: 10.1249/JSR.0000000000000522
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Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL

Address for correspondence: Heather K. Vincent, PhD, FACSM, University of Florida, Gainesville, FL; E-mail: vincehk@ortho.ufl.edu.

Recently, the intrinsic muscles of the foot and foot mechanics have gained more attention as important factors in both injury rehabilitation and prevention. Focused training of these structures has been lacking in both training and rehabilitation programs for runners and athletes. The collective muscle functions of the foot have been likened to the “core” of the trunk, whereby the intrinsic foot muscles and global muscle movers of the foot act to stabilize the body during dynamic tasks (1). Stability is especially important during the single-legged stance phase of running motion, jump landings, cutting, and change of direction. Poor foot strength and activation of muscles that create the arch can contribute to arch collapse and a variety of chronic musculoskeletal complaints in runners, including medial tibial stress syndrome (2) and posterior tibial tendon pain (3).

The “foot doming” exercise is a simple but effective foundational exercise for running rehabilitation and injury prevention programs to improve activation of the foot muscles (1). When done properly, doming activates adductor hallicus and abductor hallucis, and activates the latter more effectively than other intrinsic foot exercises (4). When performed 3 minutes a day for 4 wk, this exercise can reduce navicular drop (arch collapse) by 14.2% and enhance star excursion balance 3.9% to 6.5% (5). The exercise procedure is shown in the Figure. Methods to enhance effectiveness of the foot doming exercise include: (a) performance of doming barefoot while doing load-bearing balance exercises (6), and (b) addition of barefoot walking and running bouts to the training program (1).

Figure

Figure

The authors declare no conflict of interest and do not have any financial disclosures.

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References

1. McKeon PO, Hertel J, Bramble D, et al. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br. J. Sports Med. 2015; 49:290.
2. Becker J, Nakajima M, Wu WFW. Factors contributing to medial tibial stress syndrome in runners: a prospective study. Med. Sci. Sports Exerc. 2018. [Epub ahead of print]. doi: 10.1249/MSS.0000000000001674.
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4. Kim MH, Kwon OY, Kim SH, et al. Comparison of muscle activities of abductor hallucis and adductor hallucis between the short foot and toe-spread-out exercises in subjects with mild hallux valgus. J. Back Musculoskelet. Rehabil. 2013; 26:163–8.
5. Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man. Ther. 2013; 18:425–30.
6. Sauer LD, Saliba SA, Ingersoll CD. Effects of rehabilitation incorporating short foot exercises on self-reported function, static and dynamic balance in chronic ankle instability patients. J. Athl. Train. 2010; 45:S67.
Copyright © 2018 by the American College of Sports Medicine.