Purpose:  To increase range of motion of the talocrural joint. 

Procedure:  With the patient in supine, the therapist grips the patient’s foot with both hands with the thumbs wrapping around the plantar aspect of the foot and the fingers wrapping across the dorsal aspect just distal to the talocrural joint.  The therapist should provide a distraction force to the patient’s talocrural joint. At end range the therapist can provide a high-velocity low-amplitude force further into distraction.