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Underfoot Pressure Tracings of Forefoot, Midfoot, and Heel Strikes in Barefoot Runners: We All Supinate!

Posted on October 20 2012

Foot Pressure TracingThere is a lot of misinformation out there regarding how the foot initially contacts the ground during running. For example, some people like to refer to themselves as “supinators,” as if it’s a diagnosis of something unique and bad. Some think that a midfoot landing involves the entire bottom of the foot contacting the ground at the same time.The reality is that we almost always make initial contact somewhere on the outside margin of the foot with the foot in a supinated position. I don’t think I have ever seen a runner not do this in all of the videos I have, and thus a midfoot strike does not equal a flat foot strike, and we are all in fact “supinators.”

After initial contact along the outside margin, the foot everts and rolls inward (what we commonly refer to as pronation). The amount of intial supination, the speed with which the foot pronates, and the amount that it pronates are largely what differ between runners.

To illustrate the initial contact point, I want to direct you to three great videos from Daniel Lieberman’s lab at Harvard. These videos are part of the supplementary information from his 2010 study in Nature and provide underfoot pressure tracings from barefoot runners exhibiting forefoot, midfoot, and rearfoot strikes. Watch how pressure migrates from outside to inside in all three – in no case is there any pressure under the ball behind the big toe at initial contact. I’ve had some trouble getting the videos to play in my browser, so if that doesn’t work you can right-click and save them to watch them on your computer.

Video 1: Pressure Tracing – Forefoot Strike

Video 2: Pressure Tracing  – Midfoot Strike

Video 3: Pressure Tracing – Heel Strike

What you will also notice is that in all three videos the center of pressure marker passes right under the second metatarsal head toward the big tow at toe-off. Ever wonder why second metatarsal stress fractures are the most common type of foot fracture in runners? That’s why – it’s due to bending in late stance, not initial impact since the second met isn’t even touching the ground at contact!

So next time you hear someone call themselves a supinator, ask them exactly what they mean by that. My guess is most people don’t even know and were simply told that by someone else who watched them run. You can direct them to these videos because just as pronation is a completely normal part of the gait cycle, so is supination.

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