The above video demonstrates the 4 common self mobilization maneuvers patients can do to create more motion in their big toe joints (first metatarsal phalangeal joints). The most important points to remember are:
- Mobilization maneuvers are not the normal motions of a joint.
- Mobilization maneuvers are over very small distances
- Mobilization maneuvers should never hurt. If they hurt, the joint will be tighter when you finish then when you started.
- Mobilization maneuvers occur to only one-half of the joint, you must stabilize the other half.
- Long Axis Extension (joint distraction)
- Dorsal Plantar Glide (up/down motion)
- Counterclockwise and Clockwise Rotation (joint rotation)
- Abduction Adduction (side to side motion)