For radiocarpal distraction joint mobilization, what is the patient position?

• A. Standing
• B. Supine
• C. Prone
• D. Seated

Answer: (D)

Radiocarpal distraction uses a long-axis traction to separate the distal radius from the proximal carpal row, so the position that best supports stable stabilization of the forearm while giving easy access to the wrist is seated. In a seated setup, the forearm can rest on a table with the elbow supported, allowing the therapist to firmly stabilize the distal forearm and apply a smooth, consistent traction along the forearm’s axis without the patient needing to hold or adjust posture. This minimizes unwanted movements at the elbow or shoulder and keeps the wrist in a comfortable, accessible position for the distraction force.

If the patient were standing, stabilization of the forearm becomes more challenging and the traction can be less controlled. Lying prone or supine can complicate access to the dorsal or volar wrist and may require awkward table or arm positioning, making it harder to maintain a clean, repeatable traction. Seated thus provides practical stability and control for this joint mobilization.