Priyanshi is a 68-year-old female referred to physical therapy for gradually increasing right forefoot pain and difficulty walking longer distances. During gait assessment, the physical therapist observes decreased push-off on the right during terminal stance and pre-swing. Examination reveals the following findings:
* Right first metatarsophalangeal joint extension PROM: 40°
* Right ankle dorsiflexion PROM: 10°
* Right ankle plantar flexor strength: 4/5
* Right quadriceps strength: 3+/5
* Right gluteus maximus strength: 3+/5
Which of the following interventions would be MOST appropriate to address the impairment primarily contributing to the observed gait deviation?
A) Progressive resisted strengthening of the right plantar flexors
B) Progressive resisted strengthening of the right gluteus maximus
C) Joint mobilization to improve extension of the right first metatarsophalangeal joint
D) Progressive resisted strengthening of the right quadriceps
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