The Exercises for the treatment of Flat Feet are
divided into two main groups:
Non-Weight Bearing (Sitting) and Weight
Bearing (Standing).
Non-Weight Bearing Exercises.
- Sitting: active foot rolling. The patient tries to
draw an 'O' with his/her big toe. For the right foot clockwise; for the left foot
anti-clockwise.
- Sitting: trying to pick up a duster. A duster is
placed under the foot, and the patient tries by using both feet to screw the duster into a
ball, then inverting (raising the internal arch of) both feet, he/she tries to throw the
duster into the air and catch it. Similarly the patient can be encouraged to pick up
balls, match boxes, etc., with the feet.
- Sitting with strong extension of the knees:
dorsi-flexion, holding them in position.
- Sitting: alternative toe clawing. The toes of one
foot are actively flexed as far as possible, gripping the floor and pulling the heel of
the foot two or three inches forwards. The toes are extended, and the opposite foot is
similarly exercised. In other words, the toes pull the foot a short distance along the
ground. Care must be taken to ensure that the patient does not push the foot along using
the leg muscles.
- Sitting: sliding the sole of one foot up the leg of
the other.
- Sitting: foot shortening. The foot is slightly
inverted (the internal arch is raised), but the sole is not turned upwards. That is to
say, the height of the arch is increased, whilst the toes are still gripping the ground.
- Sitting: foot-closing. An attempt should be made to
close the foot, like a fist.
- Sitting: toe adduction and abduction. This means the
toes are pulled away from then towards one-another.
- Sitting with both feet crossed and inverted. Holding
them in position.
Weight Bearing Exercises.
- Walking on the outer borders of the foot. Each foot
should be lifted over the other one at each step.
- Standing: heel raising and lowering to the outer
borders. The patient starts with the feet inverted, raises the heels, and lowers the outer
borders.
- Standing with the feet inverted. Holding this
position.
- Standing on a book: the edge of which is placed
immediately under the metatarso-phalangeal joints. The toes are then flexed and extended.
- Standing: foot shortening.
- Walking along a straight line.
- Correct heel and toe walking:
The patient is taught to walk with the feet along parallel lines. Any tendency towards
slaying must be immediately corrected. The heels should first be placed on the ground, the
outer border next, the toes finally.. The weight should not at any time in this procedure
be taken on the inner border. The heel is then cleanly raised from the ground, the five
metatarsals used as the fulcrum, and the big toe for a concluding propulsion to a straight
leverage. The heel and toe walk brings all the muscles into equal action, and ensures
normal balance.
All the above exercises should only be undertaken when the patient
is rested and not tired.
The amount and frequency of the exercises would be decided
by the
patient's Chiropodist.
Disclaimer: We do not recommend that you undertake any of these
exercises without
proper consultation with a qualified professional. These are for information purposes
only.
You do them at your own risk.
