National Physical Therapy Examination (NPTE) Practice Exam

A patient with plantar fasciitis and excessive forefoot pronation would benefit most from which intervention?

1. Placement of a metatarsal pad

2. Stretching to the anterior tibialis muscle

3. Strengthening of the flexor digitorum longus muscle

4. A heel cushion

The correct answer is: Placement of a metatarsal pad

The placement of a metatarsal pad is the most beneficial intervention for a patient with plantar fasciitis and excessive forefoot pronation. A metatarsal pad can help redistribute pressure away from the sensitive areas of the forefoot, alleviating stress on the plantar fascia, which is often strained in cases of plantar fasciitis. In addition, by helping to adjust the position of the metatarsal heads, this intervention can address the excessive pronation that contributes to the patient's symptoms, providing support where it is needed and improving overall foot mechanics. While stretching the anterior tibialis muscle, strengthening the flexor digitorum longus muscle, and using a heel cushion can have their own benefits, they may not address the specific issues associated with excessive forefoot pronation and the associated plantar fasciitis as effectively. Stretching may improve flexibility but does not directly relieve pressure on the fascia. Strengthening the flexor digitorum longus could help with foot stability but doesn't specifically target the structural issues presented by forefoot pronation. A heel cushion may provide some comfort but is unlikely to directly correct the alignment and pressure redistribution needed for effective management of both the plantar fasciitis and the excessive pronation.