Date of Award


Document Type

Scholarly Project

Degree Name

Master of Physical Therapy (MPT)


Physical Therapy

First Advisor

Thomas Mohr


Pronation; Subtalar Joint


Excessive compensatory pronation at the subtalar joint is a common foot disorder that affects a large population of people. It is a disorder that stems from a wide variety of causes including both congenital and acquired as well as intrinsic and extrinsic factors. Excessive compensatory pronation is also the cause of many other disorders which may affect not only the foot but other joints including the knee, hip, and back. The scope of this study will focus on acquired pronation and its causes as well as the proper orthotic choice and prescription to best treat the problem.

This literature review will discuss the anatomy and biomechanics of the foot, paying particular attention to the subtalar joint as compensatory pronation usually occurs at this joint. It will also discuss various acquired causes of subtalar joint pronation. This review will provide information on material characteristics and patient characteristics that must be considered in order to prescribe the correct orthotic. Studies discussing the effectiveness of treating excessive pronation with orthotics will also be presented.