It’s often believed that foot pronation is a big risk factor for injury in runners. It’s a big driver for the industry to sell motion control trainers to runners.
This paper reports on the DAnish NOvice RUNning study (DANORUN) prospective cohort study. After a year of follow up they found that 252 runners were injured out of 927 novices.
They had analysed the foot posture of all the novices at the start of the study and categorised them into: highly supinated; supinated; neutral; pronated; and highly pronated. There was no association between the cumulative risk of injury (adjusted for BMI) and foot posture. In fact, there was a reduced risk of injury in pronated feet when compared with neutral feet.
if you are a novice runner who wants to reduce your risk of injury don’t spend too much time fretting about pronation.
Reference: Nielsen RO, Buist I, Parner ET, et al. Foot pronation is not associated with increased injury risk in novice runners wearing a neutral shoe: a 1-year prospective cohort study. Br J Sports Med 2014;48:440–7. doi:10.1136/bjsports-2013-092202