Windlass Test

Other Names

Example of the setup of the windlass test

• Windlass Mechanism Test

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Purpose

• Evaluate the foot for Plantar Fasciitis

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Description

Part 1: Seated

• Examiner stabilizes the ankle in neutral with 1 hand just proximal to the 1st metatarsal head
• Then the examiner extends the first phalange while allowing the interphalangeal joint to flex
• Positive test
  • if passive extension is continued to end range
  • Or until the patient's pain is reproduced.

Part 2: Standing

• This portion is weight bearing
• The patient stands on a stool with the metatarsal heads just off the edge of the stool
• The weight should be distributed equally
• Examiner passively extends the first phalanx while allowing the interphalangeal joint to flex
• Positive test
  • Passive extension is continued to end range
  • Or until the patient's pain is reproduced.

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Pathology

• Plantar Fasciitis

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Evidence

• Unknown

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See Also

• Physical Exam Foot
• Foot Pain (Main)

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