Challenge
Patients often find these exercises difficult as they can’t figure out how to active the Intrinsic Foot Muscles (IFM).
The foot core strengthening can benefit not only the runners affected by excessive pronation related injuries but also those who sustained a long term lower limb injury and may be affected by a detraining process.
Patients often find these exercises difficult as they can’t figure out how to active the Intrinsic Foot Muscles (IFM).
Foot Core System includes Neural, Passive and Active subsystems.
NMES+ works on both Neural and Active subsystems.
Research shows that strengthening the IFM muscles using neuromuscular electrical stimulation (NMES+) is a promising strategy and the result can persist over 2 months.
With NMES, patient can learn (and feel) precisely how to activate the IFM rather than try to figure it out themselves. Then progress to short foot exercise training.
Work on short foot exercise training to improve both local foot postural control and dynamic single-leg balance
Combining foot core strengthening protocol with NMES is recommend for any lower limb injury prevention programme or strength and conditioning plan for runners.
Foot core strengthening: relevance in injury prevention and rehabilitation for runners. Fourchet et al, Swiss Sports & Exercise Medicine, 64 (1), 2016
Foot core strengthening: an update about the intrinsic foot muscles recruitment. Fourchet et al, British Journal of Sports Medicine 49, 2015
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