Big Toe Extension Assessment

Mobility

Assesses big toe extension range of motion.

Purpose

Screen for Big Toe Extension findings.

Execution

1. Sit with the foot supported and ankle in neutral
2. Stabilize the midfoot and heel
3. Extend the big toe upward as far as possible
4. Estimate or measure the extension angle
5. Compare left vs right

Key Observations

• Big toe extension angle
• Comparing left vs right

Views

• medial

Protocol

1. Observe from: medial.
2. Standardize start position and instructions.
3. Perform 2-3 trials per side when applicable.
4. Record key observations and any positive indicators.
5. Compare left vs right when applicable.

Reference

First MTPJ extension / windlass. Hicks JH. J Anat. 1953;87:345-357. Jack's test, FHL: López et al. Foot Ankle Int. 2020;41(4):457-462. PMID: 31994419.