Paper Pull Out Test
Other Names
- Paper Pull Out Test
- Paper Pull-Out Test
- Toe Grip Test
- Paper Grip Test
- Toe Flexion Strength Test
- Digital Flexor Strength Test
- Toe Pinch Test
- Plantar Plate Grip Test
Purpose
- Assess the strength of plantarflexion of the toes, especially the great toe
Description
- A strip of paper (approximately 1 cm × 6 cm) is placed under the affected toe tip
- While the patient plantar flexes the affected digit grasps the ground
- The examiner pulls the paper strip out from beneath the toe
- Positive test
- The paper strip is pulled out intact without tearing.
Pathology
Evidence
- Hutchison et al[4]
- Sensitivity: 80%
- Specificity: 88%
See Also
References
- ↑ Jastifer, James R., Jesse Doty, and Leif Claassen. "Current concepts in the treatment of metatarsophalangeal joint instability of the lesser toes: review, surgical technique, and early outcomes." Fuß & Sprunggelenk 15.4 (2017): 225-236.
- ↑ Jastifer, James R., and Michael J. Coughlin. "Metatarsophalangeal joint instability of the lesser toes: review and surgical technique." SA Orthopaedic Journal 13.2 (2014): 35-41.
- ↑ Flint, Wesley W., et al. "Plantar plate repair for lesser metatarsophalangeal joint instability." Foot & ankle international 38.3 (2017): 234-242.
- ↑ Hutchison, Marcey Keefer, et al. "Validity of the Paper Pull Test for Strength in Patients with Hallux Valgus." Foot & Ankle Orthopaedics 5.4 (2020): 2473011420S00280.
Created by:
John Kiel on 31 January 2022 06:32:52
Authors:
Last edited:
27 March 2026 14:16:11
Categories: