Position of the therapist:
- Standing distal to the patient
Position of the patient:
- Supine lying position
Hand placement:
- Flexed index finger placed under patient’s proximal phalanx
- Thumb placed on dorsal and distal part of the toe
- Optional: Fixate this position with the other hand
Direction of the manipulation:
- MTP in submaximal flexion and slight traction
- Impuls in dorsal direction