Figure 15.17 Plantarflexion of the Whole Foot

Figure 15.18 Plantarflexion of the Midfoot

Figure 15.19 Forefoot Plantarflexion

Step One: The subject is placed in prone with the knee flexed and resting pain is assessed.

Step Two: The examiner places the posterior hand on the postero-plantar calcaneus and the anterior hand on the dorsal forefoot.

Step Three: The foot and ankle are then passively plantarflexed to the first point of concordant pain (if present). Repeated movements or sustained holds are applied to determine if the symptoms increase or decrease. The foot and ankle is then passively moved toward end range, allowing the same process of assessment for repeated movements and sustained holds. Step Four: Differentiation of whole foot and midfoot can be made with hand placement changes. The clinician stabilizes the hindfoot and passively applies a plantarflexion force on the midfoot. Pain and range-pain behavior is reassessed.

Step Five: The forefoot can be differentiated from the midfoot by stabilizing the midfoot and forcing the forefoot into plantarflexion. Pain and range-pain behavior is reassessed. A comparison of the subject’s reaction to pain with the various positions implicates which anatomical region is the likely source of the pain.

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