ROM Assessment Guide

Toe ROM

Learn how to assess toe movement using Active, Passive and Resisted ROM.

Movement Selector
Selected Movement

Toe Flexion

Active ROM

Ask the client to curl the toes downward.

Passive ROM

Support the foot and gently move the toes into flexion.

Resisted ROM

Client attempts toe flexion while resistance is applied against the plantar surface of the toes.

What to Observe

  • Pain
  • Range restriction
  • Compensation
  • Difference between sides
Assessment Flow

Assessment Flow

Observe→Active ROM→Passive ROM→Resisted ROM→Compare sides→Focused Assessment
Focused Assessment

Focused Assessment

MTP Joint

Check for local tenderness, swelling and painful movement.

Toe Flexors

Assess pain or weakness with resisted toe flexion.

Toe Extensors

Assess pain or weakness with resisted toe extension.

Great Toe MTP Joint

Assess mobility and pain during great toe flexion and extension.

Quick Check

Quick Check

1. Which movement curls the toes downward?

2. Which movement lifts the toes upward?

For educational revision only. ROM and orthopaedic test findings should be interpreted together with the client’s history, symptoms and other assessment findings.