Condition Postural Dysfunction Benchmarked

Flat Feet (Pes Planus)

Collapsed medial arch with excessive pronation during stance and gait. Driven by tibialis posterior weakness, intrinsic foot muscle atrophy, and proximal hip rotation deficits that cascade distally.

Clinical note: Flexible flat foot responds to strengthening. Rigid flat foot is structural and managed, not corrected. Orthotics may be appropriate as a bridge while strength develops.
6
ROM Tests
4
Corrective Priorities
4
Risk Factors
3
Red Flags

Key ROM Tests

1 Arch Height Index
2 Ankle Dorsiflexion
3 Hip Internal Rotation
4 Foot Tripod
5 Single Leg Balance
6 Gait Analysis

Risk Factors Assessed

Arch Height Index
Ankle Dorsiflexion
Hip Internal Rotation
Foot Tripod

Expected Timeline

8-16 weeks for intrinsic foot strengthening, 16-24 weeks for arch height improvement

Frequently Asked Questions

Can flat feet (pes planus) be corrected with exercise?
Typical improvement timeline is 8-16 weeks for intrinsic foot strengthening, 16-24 weeks for arch height improvement. The protocol includes 4 prioritized corrective interventions and screens for red flags that require medical referral.
What assessments are done for flat feet (pes planus)?
The protocol assesses Arch Height Index, Ankle Dorsiflexion, Hip Internal Rotation, Foot Tripod. Each test identifies the specific driver of the condition, guiding the corrective sequence.
Is flat feet (pes planus) the same for everyone?
No. The assessment differentiates structural from functional causes and identifies the individual's primary driver. The corrective plan is ordered by priority, with the highest-leverage corrections addressed first.
How do I get started with the Flat Feet (Pes Planus) protocol?
Apply for an assessment through AKMI. Your coach will run the Flat Feet (Pes Planus) protocol as part of your initial structural evaluation, then build a personalized corrective plan based on the findings.

Get your Flat Feet (Pes Planus) assessment

Your coach runs this protocol as part of your structural evaluation, then builds a personalized corrective plan based on the data.

Apply for Assessment

Protocol Details

Category
Condition
Subcategory
Postural Dysfunction
ROM Tests
6
Corrective Targets
4
Benchmarked
Yes
Red Flag Screens
3
Timeline
8-16 weeks for intrinsic foot strengthening, 16-24 weeks for arch height improvement
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Related Condition Protocols

Hip Impingement (FAI)

Femoroacetabular impingement — bony contact between the femoral head/neck and acetabulum during hip flexion and rotation. Assessment targets hip IR/ER in flexion, FABER/FADIR provocation, hip flexion ROM, and cam vs pincer differentiation.

 Calf Pain / Calf Strain

Calf muscle strain or chronic tightness affecting gait and sport performance. Assessment targets gastrocnemius and soleus flexibility, Achilles tendon health, ankle ROM, and proximal hip contribution.

 Shoulder Impingement (Subacromial)

Subacromial pain syndrome — compression of rotator cuff tendons and bursa between the humeral head and acromion. Assessment targets shoulder IR/ER ratio, scapular dyskinesis, thoracic extension, rotator cuff strength, and pec length.

 Plantar Fasciitis

Plantar heel pain, typically worst with first steps in the morning. Assessment targets the windlass mechanism, ankle dorsiflexion, calf endurance, arch height, first ray mobility, and gait pattern.

 Medial Knee Pain

Pain on the inner aspect of the knee. Differential includes MCL strain, medial meniscus, pes anserine bursitis, and medial compartment OA. Assessment covers MCL stress, VMO activation, hip adductor flexibility, and pes anserine assessment.

 Hypermobility (Generalized)

Generalized joint hypermobility (Beighton score 4+) requiring stability-first programming. Assessment identifies which joints are hypermobile, screens for connective tissue disorder indicators, and builds strength within available range rather than stretching.