The Effect of Foot Structure and Range of Motion on Musculoskeletal Overuse Injuries

The purpose of this prospective study was to determine whether an association exists between foot structure and the development of musculoskeletal overuse injuries. The study group was a well-defined cohort of 449 trainees at the Naval Special Warfare Training Center in Coronado, California. Before...

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Bibliographic Details
Published in:The American journal of sports medicine 1999-09, Vol.27 (5), p.585-593
Main Authors: Kaufman, Kenton R., Brodine, Stephanie K., Shaffer, Richard A., Johnson, Chrisanna W., Cullison, Thomas R.
Format: Article
Language:English
Subjects:
Achilles Tendon - pathology
Adolescent
Adult
Ankle Injuries - etiology
Ankle Joint - physiology
Biological and medical sciences
Cohort Studies
Cumulative Trauma Disorders - etiology
Diseases of the osteoarticular system
Flatfoot - complications
Foot
Foot - anatomy & histology
Foot Deformities - complications
Foot Injuries - etiology
Fractures, Stress - etiology
Humans
Injuries
Joint Diseases - complications
Knee Injuries - etiology
Leg Injuries - etiology
Male
Measurement
Medical sciences
Military Personnel
Miscellaneous. Osteoarticular involvement in other diseases
Overuse injuries
Periostitis - etiology
Physiological aspects
Posture - physiology
Prospective Studies
Range of Motion, Articular - physiology
Repetition strain injury
Risk Factors
Runners (Sports)
Sports injuries
Subtalar Joint - physiology
Tendinopathy - etiology
Walking - physiology
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Summary:The purpose of this prospective study was to determine whether an association exists between foot structure and the development of musculoskeletal overuse injuries. The study group was a well-defined cohort of 449 trainees at the Naval Special Warfare Training Center in Coronado, California. Before beginning training, measurements were made of ankle motion, subtalar motion, and the static (standing) and dynamic (walking) characteristics of the foot arch. The subjects were tracked prospectively for injuries throughout training. We identified risk factors that predispose people to lower extremity overuse injuries. These risk factors include dynamic pes planus, pes cavus, restricted ankle dorsiflexion, and increased hindfoot inversion, all of which are subject to intervention and possible correction.
ISSN:0363-5465
1552-3365
DOI:10.1177/03635465990270050701