Assessing Pronation: Pronation is the movement sequence in the lower body that allows for proper shock absorption in gait. To test it, have the athlete stand and reach with one leg out to the side, keeping the foot just off the ground. You may allow the athlete to gently tap their foot at the end reach, however, don’t allow her to distribute any weight onto the foot. Ideally, you will see the following: the arch of the foot collapses (everts) to some extent, the ankle everts and rotates medially, the tibia abducts at the knee, the tibia and femur internally rotate, and the femur adducts at the hip. If any of these movements are lacking, ground forces will not be absorbed by the muscles of the leg, but rather by joints further up the chain – usually the hip capsule or lumbar spine – and causes receptive stress and eventually injury.
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