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4,5 Nevertheless, all movements of the ankle during normal gait â dorsiflexion, plantar flexion, supination, and pronation â occur at multiple levels and involve several hindfoot and midfoot joints. 6 For example, movement of the hindfoot results from a combination of movements about the tibiotalar and subtalar joints.-11 The motions of plantar flexion and dorsiflexion are the major contributors to overall ankle motion are of particular import during clinical evaluation. The average plantar flexion and dorsiflexion of the ankle has been measured at 40Â°-56Â° and 13Â°-33Â°, respectively. 4,5,10,12-15.
Inversion is where the sole of the foot is turned inwards, plantar flexion is where the foot and toes point downwards and adduction of the ankle involves the toes pointing across the body. Combine all three movements and you have supination.When standing, supination occurs as the foot rolls outwards, placing most of the weight onto the outside of the foot and raising the arch. Supination is a normal part of the gait cycle (walking/running) which allows the foot to form a rigid structure for propulsion.The opposite movement to supination is pronation, this is also a normal part of the gait cycle and when excessive is termed overpronation.nversion is where the sole of the foot is turned inwards, plantar flexion is where the foot and toes point downwards and adduction of the ankle involves the toes pointing across the body. Combine all three movements and you have supination.