TMT1 Manipulation Dorsal Capsule

Position of the therapist:

• Standing at the short edge of the bench facing cranially

Position of the patient:

• Prone lying position
• Foot over the short edge of the bench

Hand placement:

• Contralateral hand grabs foot from medial
• Thumb placed on the base of the 1st metatarsal
• Other thumb placed on top

Impuls:

• Whip motion: big amplitude at the beginning with a short impulse at the end.
• The big motion brings the talocrural joint into plantarflexion and the short whip is achieved by radially deviating the hands