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The American Journal of Sports Medicine 27:585-593 (1999)
© 1999 American Orthopaedic Society for Sports Medicine

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

Kenton R. Kaufman, PhD*,{dagger}, Stephanie K. Brodine, CAPT, MC, USN{ddagger}, Richard A. Shaffer, CDR, MSC, USN{ddagger}, Chrisanna W. Johnson, MPH{ddagger} and Thomas R. Cullison, CAPT, MC, USN§

* Biomechanics Laboratory, Mayo Clinic/Foundation, Rochester, Minnesota
{ddagger} Department of Epidemiology and Health Sciences, Naval Health Research Center, San Diego, California
§ Naval Hospital, Camp Lejeune, North Carolina

{dagger} Address correspondence and reprint requests to Kenton R. Kaufman, PhD, PE, Biomechanics Laboratory, 128 Guggenheim, Mayo Clinic/Foundation, 200 First Street, SW, Rochester, MN 55905

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.




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