DynaMo Plus Test: Toe Strength Protocol

Patient position	Sitting off the edge of the bed with feet not touching the floor, arms relaxed and hands rested on their thighs, with hips and knees each at 90 degrees flexion, and ankle in plantigrade.
Contact point	Plantar surface of the big toe.
Device orientation	Vertical, with the tested end down, the palm pad supported by the practitioner and the flat pad in contact with the patient.
Position of examiner	Split kneeling in front of the patient, supporting the patient's lower leg with one hand and the DynaMo Plus with the other, using the floor to block movement, resisting downward force.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Flat pad, palm pad.

Patient position	Long sitting with their lower leg extending past the table, allowing the ankle to be unsupported, in a plantarflexed position.
Contact point	Plantar surface of the big toe.
Device orientation	Angled slightly upwards with the tester end down and palm pad supported by the practitioner and the curved end in contact with the patient.
Position of examiner	Seated at the foot of the bed, medial to the leg being tested, supporting the patient just proximal to their ankle with one hand, and holding the DynaMo Plus with the other.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad, curved pad.

Patient position	Long sitting with their lower leg extending past the table, allowing the ankle to be unsupported, in a neutral / plantigrade position.
Contact point	Plantar surface of the big toe.
Device orientation	Horizontal, with the device and palm pad supported by the practitioner and the curved end in contact with the patient.
Position of examiner	Seated at the foot of the bed, medial to the leg being tested, supporting the patient just proximal to their ankle with one hand, and holding the DynaMo Plus with the other.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Palm pad, curved pad.

Patient position	Sitting off the edge of the bed with feet not touching the floor, arms relaxed and hands rested on their thighs, with hips and knees each at 90 degrees flexion, and ankle in plantigrade.
Contact point	Dorsal surface of the big toe.
Device orientation	Vertical, with the tester end up, the palm pad supported by the practitioner and the flat pad in contact with the patient.
Position of examiner	Split kneeling in front of the patient, supporting the patient's ankle with one hand and the DynaMo Plus with the other, resisting upward force.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Flat pad, palm pad.

Patient position	Long sitting with their lower leg extending past the table, allowing the ankle to be unsupported.
Contact point	Dorsal surface of the big toe.
Device orientation	Vertical, with the tester end up, the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner	Seated at the foot of the bed, medial to the leg being tested, supporting the patient just proximal to their ankle with one hand, and holding the DynaMo Plus with the other.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Curved pad, palm pad.

Patient position	Long sitting with their lower leg extending past the table, allowing teh ankle to be unsupported, in a neutral / plantigrade position.
Contact point	Dorsal surface of the big toe.
Device orientation	Horizontal, with the device and palm pad supported by the practitioner and the curved end in contact with the patient.
Position of examiner	Seated at the foot of the bed, medial to the leg being tested, supporting the patient just proximal to their ankle with one hand, and holding the DynaMo Plus with the other.
Instruction	Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments	Curved pad, palm pad.

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