Burden, S. B.

Wintec Research Archive

SMNZ (Waikato) Evening Seminar SeriesClinical GemsFoot “core” trainingStephen Burden MSc (Medicine) Exercise ScienceRegistered Clinical Exercise Physiologist (CEPNZ)The foot “core” systemThree subsystems:• Passive– Bones, ligaments and joint capsules• Active– Muscles and tendons• Neural– Sensory receptors in the plantar fascia, ligaments, muscles, tendons and joint capsules(McKeon & Fourchet, 2015)Foot core system (cont.)• “The functional configuration of the bony anatomy of the foot results in four distinct arches – medial & lateral longitudinal; anterior and posterior transverse metatarsal arches” (McKeon et al. 2015, pg2).• McKenzie (1955) proposed that these arches work as “functional half domes”, able to flex and adapt to load changes during dynamic activities.Foot “core” ExercisesFreeing the Foot – Integrating the Foot Core System into Rehabilitation for Lower Extremity Injuries (McKeon & Fourchet, Clin Sports Med, 2015)Isolated foot core training Short foot contractionFoot “core” ExercisesNeuromuscular Electrostimulation (NMES) for Active-Assisted Intrinsic Foot muscle training (McKeon & Fourchet, 2015) Foot “core” Exercises• Balance & foot muscle retraining(Orton, 2013)• 30ₒ Slant board :• Start with 2 poles for balance (30s; 60s; 2min)Foot “core” Exercises• Balance & foot muscle retraining (Orton, 2013)• Progress to 1 pole; then no poles for balance (30s; 60s; 2min)Forward Uphill DownhillAdvanced Foot “core”ExercisesSide lift (uphill)Frog lift (downhill)Knee drive (forward)

Sports Medicine Seminar 2 - Clinical Gems

http://researcharchive.wintec.ac.nz/5300/8/SMNZ%20presentation%20%2D%20foot%20core.pdf

Sports Medicine Seminar 2 - Clinical Gems

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