Tibialis Posterior Strengthening | Flat Feet Exercise

In this video I’m going to show you the
best exercise for the tibialis posterior in flat feet Hi and welcome back to
Physiotutors! The tibialis posterior is an essential stabilizer of the foot
during standing and walking. The tibialis posterior tendon provides dynamic
support along the plantar aspect of the foot and arch and when the muscle or
tendon are deficient decreases in longitudinal arch height often occur and
can lead to flat feet For this reason tibialis posterior
strengthening is recommended next to foot orthosis in the rehabilitation of
painful pes planus to prevent tibialis posterior tendon dysfunction and foot
arch collapse. But how can we strengthen this muscle ideally? Kulig et al. did an
MRI study to determine which exercise most selectively and effectively activates the tibialis posterior They found the greatest
isolated activation with the following exercise: Have your patients sit on the
bench with his knees about a full arm length apart and flexed about 80°. Then the patient is asked to stabilize his leg by placing the
contralateral forearm between the knees and reinforcing it with the ipsilateral
hand. Then an elastic band is looped around the medial and distal part of the
foot that is to be trained and stretch to full tension, while maintaining an
inclination angle of 45 degrees While the examiner ensures tension throughout the whole movement, the patient is asked to slide his forefoot into adduction
from full abduction with the foot remaining in contact with the floor. The
total range of motion can be marked with a tape to ensure full range of motion
with every repetition In 2005 Kulig et al. compared the
activation of the tibialis posterior in patients with flat feet and found a
higher selective activation in those patients when wearing foot orthosis and
shoes. As this is the patient group you would want to give this exercise to
wearing insoles and footwear is recommended. Progression can be adjusted based on the tension of the theraband by the examiner or by choosing a
theraband with a higher resistance Like with any other rehabilitation program
the total volume of the exercise should be slowly increased over time. Kulig et al.
were able to decrease pain and increase function in their third study
in 2009 after a 10 week program with 3 sets of 15 repetitions twice per day.
Alright, this was our video on the resisted foot adduction exercise to
strengthen the tibialis posterior. If you want to learn how to assess for forefoot
over pronation check out our video on the navicular drop test right next to me.
At last, if you liked this video please give it a “thumbs up”, subscribe to our
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webpage at physiotutors.com for more content or get our newly released
Assessment E-book. Thanks a lot for watching! I’ll see in the next video – bye


  1. Thank you for the video! How can I do this exercise myself?

  2. Hey guys, thanks for another video!
    Q: When setting reps, shouldn't the muscle be pushed to its fatigue and then that number written down? Or do you set reps (and later sets), based on type of load the chosen muscle should endure?

  3. Thanks a lot
    Can I do it in standing position!?!?

  4. Hi guys, thank you so much for all your informative videos. They have been a great help to me.

    Quick question, I really like your tshirts. Which company do you get them from/get them printed at? Thanks!

  5. Thank you so much for sharing. Watching the video I could feel exactly how to activate the tendon doing that exercise. Genius.

  6. I have those shoes 😛 . Thanks a lot for the information. That is what I was looking for.

  7. Where can I get shoes to help with this….I tend to walk inward.

  8. Love that German accent dude!

  9. Is there an efficient way to do this on your own, without someone else holding the band?

  10. I have weak calf muscles and also plantar fasciitis. I would like to do heel raises to strengthen the calfs.Would performing heel raises stretch or further damage the Plantar fascia?please help

  11. Does he worn the altra boost ?

  12. Hello. If I will do this exercise can I cure flat feet? Thank you.

  13. Very helpful. Thanks!

  14. This did not help me. I decided to get my tibia surgically removed instead. Thanks a lot Kai.

  15. very helpful🌹💚

  16. Should I do this with PTT

  17. I wish this it had been CLEARER!!

    The video shows where the hands are in relationship to the knees

    And another part of the video shows the band extending down to the foot in a diagonal.

    But the video is in fragments, i.e. we don't see where the arms is while the band is in its diagonal position.

  18. Would strengthening this muscle help with ankle mobility? I've had a history of ankle sprains

  19. 3 sets of 15 ? sounded like u said 50 lol

  20. Hi Kai, would this work for a marathon runner with pain over the medial plantar surface of the foot currently diagnosed as tibialis posterior tendinopathy?

  21. Thank you!!!!

  22. The 2009 article focuses upon eccentric exercise. This video demonstrates concentric contraction of the posterior tib. I am unable to access the full text of the 2009 article. Can you describe how they perform this eccentric version of the exercise in the 2009 article, by chance? Thank you!

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