In treating posterior radial head dysfunction using muscle energy technique, what position should the radial head be placed in prior to patient resistance?

When utilizing the muscle energy technique for treating posterior radial head dysfunction, it is essential to place the radial head in a position of supination prior to soliciting resistance from the patient. The rationale behind this is that supination optimally positions the forearm for effective treatment of posterior radial head dysfunction. This positioning allows the practitioner to facilitate better access to the joint restrictions and to engage the muscles effectively in the treatment process.

In supination, the interosseous membrane and other soft tissue structures are in a position that can better assist in the mobilization of the radial head back into its proper alignment. This results in direct engagement of the relevant muscle groups that can help restore function and alleviate restrictions. Providing the patient with resistance while the radial head is held in supination assists in creating a more effective coupling of the muscle energy technique, leading to a potential resolution of the dysfunction.

Alternative positions, such as pronation or flexion, do not apply the same biomechanical principles to facilitate effective muscle engagement and may not provide the same level of access to achieve the desired functional outcome. Neutral positioning lacks the necessary tension and engagement that is critical in the muscle energy technique. Consequently, supination is the preferred initial position to encourage optimal treatment results.