Traction Manipulation Capitate on Lunate

Position of the therapist:

  • Standing in front of the patient

Position of the patient:

  • Standing in front of the therapist in a split stance
  • Arm fully extended and in 90° abduction
  • Patient leans onto back leg to take up slack

Hand placement:

  • Therapist grabs the patient’s hand with both hands
  • Thumbs placed on the capitate bone dorsally
  • Index fingers placed on the capitate bone from palmar

Direction of the manipulation:

  • Distal