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Effect of an Antipronation Foot Orthosis on Ankle and Subtalar Kinematics


Medicine & Science in Sports & Exercise: December 2012 - Volume 44 - Issue 12 - p 2384–2391
doi: 10.1249/MSS.0b013e318265df1d
Applied Sciences

Introduction/Purpose The aim of this study was to describe the effect of an antipronation foot orthosis on motion of the heel relative to the leg and explore the individual contributions of the ankle and subtalar joints to this effect.

Methods Five subjects were investigated using invasive intracortical pins to track the movement of the tibia, talus, and calcaneus during walking with and without a foot orthosis.

Results The antipronation foot orthosis produced small and unsystematic reductions in eversion and abduction of the heel relative to the leg at various times during stance. Changes in calcaneus–tibia motion were comparable with those described in the literature (1°–3°). Changes at both the ankle and subtalar joints contributed to this orthotic effect. However, the nature and scale of changes were highly variable between subjects. Peak angular position, range of motion, and angular velocity in frontal and transverse planes were affected to different degrees in different subjects. In some cases, changes occurred mainly at the ankle; in other cases, changes occurred mainly at the subtalar joint.

Conclusion The changes in ankle and subtalar kinematics in response to the foot orthosis contradict existing orthotic paradigms that assume that changes occur only at the subtalar joint. The kinematic changes due to the orthosis are indicative of a strong interaction between the often common function of the ankle and subtalar joints.

1Centre for Health Sciences Research, University of Salford, Salford, UNITED KINGDOM; 2Karolinska Institute, Stockholm, SWEDEN; 3The Swedish School of Sport and Health Sciences, Stockholm, SWEDEN; and 4Sensory-Motor Systems Lab, ETH Zurich and University, Zurich, SWITZERLAND

Address for correspondence: Christopher James Nester, Ph.D., Brian Blatchford Building, School for Health Sciences, University of Salford, Salford M6 6PU, United Kingdom; E-mail:

Submitted for publication February 2012.

Accepted for publication June 2012.

©2012The American College of Sports Medicine