Position of the therapist:
- Standing distal and lateral of the patient
Position of the patient:
- Supine lying position
Hand placement:
- Claw grip of the index and middle finger around patient’s proximal phalanx
- Optional: Fixate distal metatarsal with the other hand
- Alternative to claw grip: Grip proximal phalanx with index finger and thumb
Direction of the manipulation:
- Traction in distal direction