Pivot Manipulation Capitate on Lunate

Position of the therapist:

  • Standing at the long edge of the bench

Position of the patient:

  • Supine lying position
  • Arm of the wrist to be treated on the bench

Hand placement:

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

Impuls:

  • Elbow moved into extension
  • Wrist moved into dorsiflexion
  • Fingers around capitate apply slight traction into distal and palmar direction