The First Metatarsophalangeal Joint: How Much Motion Is Needed?

The First Metatarsophalangeal Joint (MPJ) How Much Motion Is Needed At The First MPJ? We recently posted on a new way of thinking about motion in gait, both normal and abnormal, the Forward Transition Paradigm (FTP). One of the central proposals was that rather than focusing on the time-honoured subtalar joint range of motion, in…

Simon Bartold
Director of Bartold Clinical

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2 responses to “The First Metatarsophalangeal Joint: How Much Motion Is Needed?”

  1. Assessing 1st mpj passive ROM & QOM forms a frequent part of a pathway for me. This done with leg extended and foot relaxed and then at plantigrade, with the supporting hand mimicking the resistant ground surface, as best as possible. Use it in OA folk and healthy joint folk. Not uncommon to find healthy joints folk speak of the joint feeling tight, limited, sore on the top and assessment indicate there appears limited ROM on their affected side compared to unaffected side. Anecdotally, this seems linked with what I perceive as a general increased muscle tightness Within the foot and the flexors of the hallux. Altering this tension appears to impact significantly reassessment of passive ROM and, actively, to give a patient perceived sense of being able to “walk thru the foot better” and more easily. That little phrase interests me as they also use terms like “freer”, “just seems I can use my ankle better”. Just some low evidence, anecdotal musings.

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