This article examines the commonly used term “overpronation” and puts forward the case that it should be abandoned from the vocabulary of every sports injury professional who deals with lower limb pathology. Despite being one of the most frequently used terms associated with foot mechanics, the basis upon which it is used is nothing more than conventional habit, with next to no evidence supporting it as a medical concept. A review of the literature regarding foot level pronation is presented, and the historical assumptions of ‘normal’ (upon which most biomechanical evaluations and treatment plans are based) are challenged.
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Ian Griffiths completed his BSc (Hons) podiatry degree in 2003, his PGCert in sports podiatry in 2006, and his MSc in sports injury in 2010. He remains actively involved in research, his particular areas of interest being supination resistance and foot orthoses. He is the director of Sports Podiatry Info Ltd and consults privately across London and in Essex.
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