Paper Grip Test Special Test

What is it used for?

• Testing the strength of the intrinsic muscles of the foot (toe plantar flexion).
• Screening for intrinsic muscle weakness (e.g., in diabetic neuropathy or claw toe deformity).

How to Perform

• Position: Patient sits with the foot flat on the floor.
• Action: Place a piece of paper (or business card) under the patient's toes.
• Command: Ask the patient to curl their toes to grip the paper while you try to pull it away.

Interpretation of Results

• Positive Test: Inability to hold the paper (weakness) compared to the uninjured side.

References

• Magee, D. J. (2021). Orthopedic Physical Assessment (7th ed.). Elsevier.