3. Checking Ankle Alignment in standing and walking
Foot is presenting with slight pronation while walking in weight bearing phase. In a healthy foot, the arch of the foot will be restored after a quick pronation movement such as a spring. This movement absorbs landing stress and also help pumping the blood circulation. A person having a high arch will present with supinated foot with minimal pronation movement while bearing weight in walking. Treatment for this population should focus on increasing pronation movement in the weight bearing phase by the stretching and flexibility program. Over pronation is the most common foot problem in walking or running. The arch of the foot is collapsing significantly in the landing phase and it restores slowly. It can lead to ligament and joint stress in the whole body ( knee valgus movement (moving medially) and hip internal rotation ).
For this population, treatment should focus on activating the weak arch muscles with specific manual treatment techniques and exercise program (Arch, toe, ankle restoration exercise program).