Academic literature on the topic 'Supination'

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Journal articles on the topic "Supination"

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GSCHWIND, C., and M. TONKIN. "Surgery for Cerebral Palsy: Part 1. Classification and Operative Procedures for Pronation Deformity." Journal of Hand Surgery 17, no. 4 (August 1992): 391–95. http://dx.doi.org/10.1016/s0266-7681(05)80260-8.

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32 patients with cerebral palsy underwent operations for pronation deformity. The deformity is classified into four groups. Patients in group 1 are capable of supination beyond neutral. No surgery is necessary. Those in group 2 are able to supinate to the neutral position. A pronator quadratus release is advised and may be combined with a flexor aponeurotic release. In group 3, patients have no active supination. However a full range of passive supination is readily achieved. A pronator teres transfer is advised. Patients in group 4 have no active supination. Full passive supination may be present, but is tight. A flexor aponeurotic release and a pronator quadratus release may unmask active supinator activity. An active transfer for supination is possible as a secondary procedure.
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ROUKOZ, S., N. NACCACHE, and G. SLEILATY. "The Role of the Musculocutaneous and Radial Nerves in Elbow Flexion and Forearm Supination: A Biomechanical Study." Journal of Hand Surgery (European Volume) 33, no. 2 (April 2008): 201–4. http://dx.doi.org/10.1177/1753193408087036.

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The intention of this prospective study was to evaluate the role of the musculocutaneous and radial nerves in elbow flexion and forearm supination. The study included 29 patients having loco-regional anaesthesia for minor hand surgery. Elbow flexion and forearm supination forces were evaluated before and after an isolated musculocutaneous nerve block in one group and an isolated radial nerve block in another group. The results showed that the biceps tendon is responsible for 47% of the forearm supination force and the combination of brachioradialis and the supinator for 64% of this force. It showed also that the musculocutaneous and radial nerves contribute by 42% and 27.5%, respectively, to the flexion force of the elbow. These results are intended to help surgeons in decision making when treating chronic biceps tendon rupture, in repair of traumatic brachial plexus neuropathy and in using tendon transfers, such as the Steindler transfer, around the elbow.
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EBERHARD, D. "Transposition of the Bicipital Tuberosity for Treatment of Fixed Supination Contracture in Obstetric Brachial Plexus Lesions." Journal of Hand Surgery 22, no. 2 (April 1997): 261–63. http://dx.doi.org/10.1016/s0266-7681(97)80077-0.

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In nine patients with obstetric brachial plexus lesions (Klumpke type), an impingement of the bicipital tuberosity on the ulna was the main cause for the forearm and hand to be fixed in supination. A surgical technique using reinsertion of the biceps tendon on the bicipital tuberosity is described in detail. It has substantially improved all patients. After a mean follow-up of 29.4 months the hand was in a more functional position than preoperatively in all patients. In seven cases pronation could be increased by contraction of the biceps muscle. By relaxing the biceps muscle and by contraction of the supinator muscle a limited active supination was possible in six cases.
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Bellringer, Simon F., Joideep Phadnis, Taaibos Human, Christine L. Redmond, and Gregory I. Bain. "Biomechanical comparison of transosseous cortical button and Footprint repair techniques for acute distal biceps tendon ruptures." Shoulder & Elbow 12, no. 1 (January 15, 2019): 54–62. http://dx.doi.org/10.1177/1758573218815312.

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Background The biceps brachii is the main forearm supinator, which is a direct consequence of its anatomic arrangement. The primary aim of distal biceps rupture is to restore supination strength and function. Cadaveric studies demonstrate that anatomic repairs significantly improve the supination moment when compared to more anterior repairs; however, this has not been tested in the clinical setting. The aim of this study was to compare biomechanical and clinical outcomes of an anatomic repair (Footprint), with a widely used transosseous technique (Endobutton). Methods Twenty-two patients were retrospectively identified from a clinical database (11 Footprint versus 11 Endobutton). Biomechanical performance of strength and endurance for flexion and supination was assessed using a validated isokinetic dynamometry protocol and clinical outcome scores (Quick Disabilities of the Arm, Shoulder and Hand Outcome Measure and the Mayo Elbow Performance Score) were collected for all patients. Results For supination, the Footprint group demonstrated a superior trend for all biomechanical parameters tested. This was statistically significant for mean peak torque, total work of maximal repetition and work in the last third of repetitive testing (p = 0.031, p = 0.036 and p = 0.048). For flexion, the Footprint group demonstrated a superior trend for all biomechanical parameters tested but this was only statistically significant for work in the last third of repetitive testing (p = 0.039). The clinical outcomes were good or excellent for all patients in both groups. Conclusion This study is the first to demonstrate that an anatomic Footprint repair restores superior biomechanical supination strength and endurance compared to a conventional Endobutton technique in a clinical setting. Both techniques, however, provide good or excellent clinical outcomes.
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El Amiri, Laëla, Yuka Igeta, Chiara Pizza, Sybille Facca, Juan José Hidalgo Diaz, and Liverneaux Philippe. "Distal radius fluoroscopic skyline view: extension–supination versus flexion–supination." European Journal of Orthopaedic Surgery & Traumatology 29, no. 3 (October 29, 2018): 583–90. http://dx.doi.org/10.1007/s00590-018-2335-3.

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Chan, Yue-Yan, Daniel Tik-Pui Fong, Patrick Shu-Hang Yung, Kwai-Yau Fung, and Kai-Ming Chan. "A mechanical supination sprain simulator for studying ankle supination sprain kinematics." Journal of Biomechanics 41, no. 11 (August 2008): 2571–74. http://dx.doi.org/10.1016/j.jbiomech.2008.05.034.

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Griffiths, Ian B., and Islay M. McEwan. "Reliability of a New Supination Resistance Measurement Device and Validation of the Manual Supination Resistance Test." Journal of the American Podiatric Medical Association 102, no. 4 (July 1, 2012): 278–89. http://dx.doi.org/10.7547/1020278.

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Background: Kinematic observations are inconsistent in predicting lower-extremity injury risk, and research suggests that kinetic variables may be more important in this regard. Before kinetics can be prospectively investigated, we need reliable ways of measuring them clinically. A measurement instrument was manufactured that closely mirrors a manual test used to clinically estimate supination resistance force. The reliability of the instrument and the validity of the clinical test were investigated. Methods: The left feet of 26 healthy individuals (17 men and 9 women; mean ± SD age, 25.9 ± 9.2 years; mean ± SD weight, 77.7 ± 13.3 kg) were assessed. Foot Posture Index (FPI-6), manual supination resistance, and machine supination resistance were measured. Intrarater and interrater reliability of all of the measurements were calculated. Correlations of the supination resistance measured by the device with FPI-6, the manual supination resistance test, and body weight were investigated. Results: Interrater reliability of all of the measurements was generally poor. The supination resistance machine correlated highly with the manual supination test for the rater experienced with its use. Supination resistance measurements correlated poorly with the FPI-6 and weakly with body weight. Conclusions: The supination resistance machine was shown to have sufficient limits of agreement for the study, but improvements need to be made for more meaningful research going forward. In this study, the force required to supinate a foot was independent of its posture, and approximately 12% of it was explained by body weight. Further work is required with a much larger sample size to build regression models that sufficiently predict supination resistance force and that will be of clinical use. The manual supination test is a valid clinical test for clinicians experienced in its use. (J Am Podiatr Med Assoc 102(4): 278–289, 2012)
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Kramer, John F., Deborah Nusca, Leslie Bisbee, Joy MacDermid, Debora Kemp, and Sally Boley. "Forearm Pronation and Supination." Journal of Hand Therapy 7, no. 1 (January 1994): 15–20. http://dx.doi.org/10.1016/s0894-1130(12)80036-6.

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Ploegmakers, Joris, Bertram The, Allan Wang, Mike Brutty, and Tim Ackland. "Supination and Pronation Strength Deficits Persist at 2-4 Years after Treatment of Distal Radius Fractures." Hand Surgery 20, no. 03 (September 21, 2015): 430–34. http://dx.doi.org/10.1142/s0218810415500355.

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Forearm rotation is a key function in the upper extremity. Following distal radius fracture, residual disability may occur in tasks requiring forearm rotation. The objectives of this study are to define pronation and supination strength profiles tested through the range of forearm rotation in normal individuals, and to evaluate the rotational strength profiles and rotational strength deficits across the testing range in a cohort of patients treated for distal radius fracture associated with an ulnar styloid base fracture. In a normative cohort of 29 subjects the supination strength profile showed an increasing linear relationship from supination to pronation. Twelve subjects were evaluated 2-4 years after anatomical open reduction and volar plate fixation of a distal radius fracture. The injured wrist was consistently weaker (corrected for hand dominance) in both supination and pronation strength in all testing positions, with the greatest loss in 60 degrees supination. Mean supination strength loss across all testing positions was significantly correlated with worse PRWE scores, highlighting the importance of supination in wrist function.
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El Amiri, Laëla, Yuka Igeta, Chiara Pizza, Sybille Facca, Juan José Hidalgo Diaz, and Philippe Liverneaux. "Correction to: Distal radius fluoroscopic skyline view: extension–supination versus flexion–supination." European Journal of Orthopaedic Surgery & Traumatology 29, no. 5 (January 4, 2019): 1161. http://dx.doi.org/10.1007/s00590-018-02361-8.

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Dissertations / Theses on the topic "Supination"

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Nortunen, S. (Simo). "Stability assessment of isolated lateral malleolar supination-external rotation-type ankle fractures." Doctoral thesis, Oulun yliopisto, 2018. http://urn.fi/urn:isbn:9789526217932.

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Abstract Isolated lateral malleolar supination-external rotation (SER) -type ankle fractures without incongruity on the standard radiographs can be either stable or unstable depending on the status of the deep deltoid ligament. Neither clinical signs of injury on the medial aspect of the ankle nor the displacement of fibular fracture on mortise radiographs seem to predict stability. Therefore, stress testing has been adopted in clinical use. No “gold standard” method exists but the manual external rotation (ER) stress test is the most extensively studied. The ER stress test has some disadvantages, and other methods—such as gravity stress radiography and magnetic resonance imaging—have been suggested instead. However, the evidence to support the use of these methods is still insufficient. The aims of this dissertation were to assess the roles of (1) morphological factors from standard radiographs of 286 patients, (2) clinical findings on the medial side of the ankle and gravity stress radiography of 79 patients, and (3) MRI of 61 patients in evaluating the stability of the ankle mortise in patients with unimalleolar SER-type fractures with no talar shift on standard radiographs. The ER stress test result was considered to be the reference for stability throughout these studies. We found that a fracture line width < 2 mm in lateral radiographs, only two fracture fragments, and female sex are independent factors predicting a stable ankle mortise. Neither clinical signs on the medial side of the ankle nor gravity stress radiography alone predict the stability of the ankle mortise accurately. According to our MRI findings, total tears of the deep deltoid ligaments are rare, and partial tears are common in this this patient group. The reliability of the MRI assessment is only moderate. In conclusion, patients with non-comminuted fractures and < 2 mm displacement on lateral radiographs have stable ankle mortises and need no further stress testing. The gravity stress radiography is an accurate test for the evaluation of the ankle mortise stability only if the clinical signs indicate a similar result with the gravity stress radiographs. The use of MRI provides no additional benefit compared to ER stress testing for stability evaluation of an SER-type ankle fracture
Tiivistelmä Supinaatio-ulkokiertomekanismilla syntyneet isoloidut ulkokehräsluun murtumat ilman röntgenkuvassa näkyvää telaluun siirtymää voivat olla joko vakaita tai epävakaita nilkan sisemmän nivelsiteen syvän lehden tilasta riippuen. Kliinisessä tutkimuksessa todettujen nilkan sisäreunan vamman merkkien tai röntgenkuvauksella todettavan ulkokehräsluun murtuman virheasennon ei ole osoitettu ennustavan nivelhaarukan mahdollista epävakautta, joten nilkkaa kuormittaen tehtäviä röntgenkuvauksia on otettu kliiniseen käyttöön. Mikään näistä kuvausmenetelmistä ei ole niin sanottu kultainen standardi, mutta ulkokiertovääntötestiä (ER-testi) on tutkittu laajimmin. ER-testin käyttöön liittyy kuitenkin ongelmia, joiden vuoksi niin sanottua painovoimakuvausta tai muun muassa magneettikuvausta (MRI) on ehdotettu käytettäväksi sen sijaan. Näiden menetelmien käyttöä tukeva tieteellinen näyttö on kuitenkin vielä riittämätöntä. Tämän väitöskirjatyön tarkoituksena oli tutkia (1) 286 potilaan tavallisista kuormittamattomista röntgenkuvista morfologisten tekijöiden, (2) 79 potilaan nilkan sisäreunan kliinisen tutkimuksen ja painovoimakuvauksen sekä (3) 61 potilaalla MRI:n merkitystä ja tarkkuutta arvioitaessa supinaatio-ulkokiertomekanismilla syntyneiden ulkokehräsluun murtumien vakautta. ER-testin tulosta käytettiin referenssinä nivelhaarukan vakaudelle kaikissa osatöissä. Sivukuvasta mitattuna ulkokehräsluun murtuman leveys < 2 mm, vain kahden kappaleen murtuma ja naissukupuoli ovat itsenäisiä vakaata nivelhaarukkaa ennustavia tekijöitä. Kliininen tutkimus tai painovoimakuvaus eivät yksinään pysty ennustamaan nivelhaarukan vakautta riittävän tarkasti. MRI:n perusteella sisemmän nivelsiteen syvän lehden täydelliset repeämät ovat tässä vammatyypissä harvinaisia mutta osittaiset repeämät ovat hyvin tavallisia huolimatta ER-testin tuloksesta. MRI:n tulkinnan luotettavuus on ainoastaan kohtalainen. Yhteenvetona voidaan todeta, että ilman ilmeistä telaluun siirtymää röntgenkuvassa yksinkertaiset supinaatio-ulkokiertomekanismilla syntyneet ulkokehräsluun murtumat ovat vakaita eikä nivelhaarukan vakauden testaaminen ole tarpeen, jos murtumaraon leveys sivukuvassa on < 2 mm. Painovoimakuvaus on luotettava, mikäli sen tulos on sama ulkoisten vamman merkkien kanssa. Magneettikuvauksesta ei ole hyötyä arvioitaessa tämän nilkkamurtumatyypin vakautta
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Dahrouj, Ahmad Sami. "The development of a novel system to assess the effect of sudden foot and ankle inversion/supination on the musculoskeletal system." Thesis, University of Dundee, 2011. https://discovery.dundee.ac.uk/en/studentTheses/dffc0272-143a-41cc-98d2-a00160606e65.

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Ankle sprains are one of the most common type of sports injury. They occur most frequently when the foot is in a supine or inverted position. Recovery from an ankle sprain can take from one and up to 26 weeks depending on the severity of the injury. During that period the individual will be unable to participate in any meaningful sports activity and as such it is important to be able to prevent the occurrence of such injuries. Prevention of ankle sprain injuries would require a better understanding of the risk factors of this injury. Several studies attempted to assess such risk actors by inducing foot inversion or supination however the platforms used in these studies were shown to be limited. Hence the main aim of this project is to develop a system that can be used to assess the effect of sudden foot and ankle inversion/supination on the musculoskeletal system of dynamic subjects (e.g. walking, running, jumping, etc.). For this purpose a three degrees of freedom (DOF) rotating platform has been designed, manufactured and installed in the Institute of Motion Analysis and Research (IMAR) Sports Laboratory. The platform rotates around 3 different axes allowing inversion or supination of the foot and ankle of dynamic subjects. The degree of rotation around each axis can easily be set by the researcher/operator. A strain gauge was used to detect foot strike to the platform. As a safety measure laser emitter/receivers check that the entire foot is on the footplate before the platform rotates. Optical encoders provide essential feedback of rotation angles, speed and acceleration. The necessary software and user interface for controlling the platform were also written and tested. The platform was synchronised with a bilateral four-channel EMG (electromyography) system and a 12 camera Vicon® MX-13 system thus allowing measurement of muscle activity and kinematic data during the supination of the foot. A set of software modules were written to allow automated management and processing of the data generated by the new system. The new system was then implemented in a study to validate it and to assess the role of shoes in ankle sprains. In this study, subjects would walk in three different foot conditions: barefoot, and with two different types of sports shoes, along the walkway of the Sports Laboratory where the platform was fitted. When a subject steps on the embedded platform, it rotates causing the subject's foot to supinate. At the same time, the EMG data from the peroneus longus, tibialis anterior, and lateral gastrocnemius muscles are recorded, along with the kinematics of the subject's whole body. The obtained results demonstrated the validity of the newly developed system. Data from the validation study also revealed increased muscle activity following induced foot supination in shod conditions compared to barefoot. Muscle activity of the rotating platform step was found to be significantly higher than the steps before and after. The platform rotation was also found to have an observable effect on body kinematics. The newly developed system is hoped to help provide a better understanding of the risk factors of ankle sprain injury and how to prevent this injury. The system can be used to help improve the design of current footwear and identify which footwear provides better protection against ankle sprain injury. The system can also be used to assess the effectiveness of different ankle injury rehabilitation schemes and different training programs that aim to reduce ankle sprain injuries. The new system can be utilised to identify individuals who are at risk of sustaining an ankle sprain injury. The system can also be utilised in studies outside the scope of ankle sprain injuries.
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Miguel, Andres Israel. "Contribution of the anconeus muscle to the elbow kinematics : range of motion of 90° of flexion-extension and pronation-supination." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/contribution-of-the-anconeus-muscle-to-the-elbow-kinematics-range-of-motion-of-90-of-flexionextension-and-pronationsupination(457e1132-6600-4954-ae28-c8c7b9553247).html.

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The anconeus, a small triangular muscle positioned on the posterolateral part of the elbow joint, has been the subject of considerable research without a satisfactory conclusion being reached regarding the role it plays during normal elbow kinematics. The aim of this investigation was to elucidate the function of the anconeus muscle and find the relative contribution that it makes to elbow kinematics by examining relative electrical muscle activity and elbow kinematics both before and after anconeus defunctioning carried out using a local anaesthetic (lidocaine). The study was performed through an examination of the myoelectric activity of the representative elbow flexor and extensor muscles (biceps brachii and triceps brachii) and the elbow kinematics and kinetics. Right-handed, healthy volunteers performed elbow flexion-extension and supination-pronation movements in both horizontal and sagittal planes before and after blocking of the anconeus. The kinematics and kinetics of the elbow were assessed using inertial sensors, and muscle electrical activity was recorded using surface electromyography. In the following stage of the study, the anconeus muscle was blocked through an injection of lidocaine and then the flexion-extension and pronation-supination movements were repeated. The relative electrical activity results from the anconeus before blocking clearly indicate that the activity of the muscle was higher during the extension portion of the flexion-extension cycle, suggesting that it behaves as an extensor muscle. However, from the paired sample t-test analysis, it was found that blocking of the anconeus had no effect on the kinematics and kinetics of the elbow, including the angular velocity, net torque, power and net joint work. Moreover, the angular velocity data for the elbow, before and after the blocking for all movements, showed a linear trend with slopes and Pearson's correlations close to unity, indicating no apparent difference on the elbow kinematics. In addition, the relative electrical activity of the biceps and triceps brachii muscles did not alter significantly following blocking of the anconeus. These findings suggest that the anconeus muscle is a relatively weak elbow extensor as it is likely that the small contribution that the anconeus provides during extension before blocking is compensated by the triceps brachii after the anconeus is deactivated. In order to provide additional weight and support to the findings of the experimental study, a computational model of the elbow joint was created in Abaqus CAE with the aim of investigating the contribution of the anconeus during the flexion-extension motion. In particular, the effect on the range of motion and contact area of the elbow joint was investigated both before and after anconeus blocking. The analysis was done in a range of motion of 90°, starting with the elbow extended 30° and ending flexed 120°. The elbow joint model considered cortical bone, trabecular bone, cartilage, collateral ligaments, the anconeus, biceps brachii and triceps brachii. The results of the investigation indicated that the anconeus muscle does not produce a significant change in the range of motion and contact area in the articulation, an outcome that supports the findings of the experimental investigation.
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Gesar, Fredrik. "Idrottsskador vid löpning, vilken betydelse har löparskons egenskaper? : En Litteraturstudie." Thesis, Högskolan i Gävle, Idrottsvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24438.

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Löpning är en av de största fysiska aktiviteterna runt om i världen. Det räknas med att 37-56 % av alla som löper någon gång drabbas av en skada i samband med löpningen. Studiens syfte är att undersöka effekten av olika dämpningsmaterial, drop samt motion-kontroll av löparskor på skadefrekvens i samband med pronation och supination under löpning. Studien gjordes som en litteraturstudie där 11 vetenskapliga artiklar ingick i studien. Resultatet visar att motion-kontroll skor rekommenderas till pronerande löpare och neutrala skor till supinerande eller neutrala löpare. Minskat drop leder till minskad skaderisk. Framfotslöpning är att föredra jämfört med häl till tå löpning. En mjuk sula är bättre vid kortdistans och en hårdare sula vid långdistans. EVA material visade på en bättre återhämtningseffekt än TPU.
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Xu, Jing [Verfasser], Andrés [Akademischer Betreuer] Kecskeméthy, Annelie [Akademischer Betreuer] Weinberg, and Wojciech [Akademischer Betreuer] Kowalczyk. "An Improved 2DOF Elastokinematic Surrogate Model for Continuous Motion Prediction and Visualisation of Forearm Pro-and Supination for Surgical Planning / Jing Xu. Gutachter: Annelie Weinberg ; Wojciech Kowalczyk. Betreuer: Andrés Kecskeméthy." Duisburg, 2014. http://d-nb.info/1047062240/34.

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Eckburg, Meredith L. "Sex and Foot Posture Affects Ground Reaction Forces during a Single-leg Drop Landing." Ohio University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1212624080.

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Bruckmann, Carolin [Verfasser]. "Prospektive klinische Studie zur Evaluierung des Supinations-Ellenbogen-Extensions-Tests als einen klinischen Untersuchungs-Test für die Beurteilung der Hyperlaxität der Schulter / Carolin Bruckmann." Düsseldorf : Universitäts- und Landesbibliothek der Heinrich-Heine-Universität Düsseldorf, 2016. http://d-nb.info/1101693967/34.

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劉佳哲. "A Kinematic Analysis of the Serve Movement of Tennis: Pronation and Supination." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/91802208943577019540.

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碩士
國立體育大學
運動技術研究所
95
Abstract The purpose of this study was to investigate:(1)The discrepancy of kinematic parameter of a flat serve movement in tennis either pronate or supinate position.(2)The discrepancy of kinematic parameter on a topspin movement in tennis either pronate or supinate position. In this research, six young male tennis players, who study at The National College of Physical Education and Sports, served as subjects. A Mega high-speed video camera (600Hz) was used to record the subjects’ serve movement. A Sony video camera (60Hz) recorded the height of the toss in serving. A 2D film was used for the purpose of investigating and analyzing the serve pattern of tennis players in different positions, either pronation or supination positions with the influence of kinematic parameters. As aforementioned, the conclusions were as follows: (1)The advantage of the pronation in a flat serve is: the wrist linear velocity is fast, the speed of the racquet head is fast, the speed of the ball deviating the racquet is fast. The weakness is: The shoulder joint angle of batting is small, the formation of the angle of the ball deviate on the racquet, and horizontally the angle is larger, the percentage of hits is lower. (2)The advantage of the supination in a flat serve is: the shoulder joint angle of batting is big, the formation of the angle of the ball deviate on the racquet, and horizontally the angle is smaller, the percentage of hits is higher. The weakness is: the wrist linear velocity is slow, the speed of the racquet head is slow, the speed of the ball deviating the racquet is slow. (3)The advantage of the pronation in a topspin serve is: the wrist linear velocity is fast, the speed of the racquet head is fast, the speed of the ball deviating the racquet is fast, the elbow joint angle of batting is big, the formation of the angle of the ball deviate on the racquet, and horizontally the angle is larger, the percentage of hits is higher. The weakness is: the shoulder joint angle of batting is small. (4)The advantage of the supination in a topspin serve is: the shoulder joint angle of batting is big. The weakness is: the wrist linear velocity is slow, the speed of the racquet head is slow, the speed of the ball deviating the racquet is slow, the elbow joint angle of batting is small, the formation of the angle of the ball deviate on the racquet, and horizontally the angle is smaller, the percentage of hits is lower.
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Wu, Chih-Chan, and 吳志展. "Biomechanical Analysis of Elbow End-Feel Test in Supination, Pronation, Neutral Positions." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/71103226430778669200.

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碩士
國立成功大學
物理治療研究所
96
Background and Purpose. End-feel test is a conventional practice for the therapist to screen lesions and guide interventions. The popular practice does not prove its reliability and validity. Conversely, it is a questionable diagnosis tool reported by the previous studies. Lack of biomechanical study misleads the professional judgments on the pathologies and even therapeutic effect. To reveal the true picture of end-feel test I examined the angle displacement and joint torque curve of the end-feel test to portray the profile of two normal type end-feels on the elbow joint which are soft-tissue approximation in flexion and bone-to-bone in extension first proposed by Dr. Cyriax. In general although the forearm rotation doesn’t change the normal end-feels in the elbow joint, the difference of angle-torque relationship in different forearm positions was also examined connect with elbow structures. Method 10 male and 13 female healthy subjects were recruited to this study. Kine-matics of the elbow motion was recorded by electrical magnetic system (Fastrak, Polhe-mus), and my exertion was measured by a loadcell (MLP SERIES LOAD CELL, Transducer Techniques Inc.) installed on the customized wrist splint. Flexion and extension end-feel tests in three forearm positions (supination/ pronation/ neutral) were employed in this study. The joint torque regarded as the resistance of end-feel perceived by me and was adjusted by gravity compensates. The angle-torque curve was then divided into four parts which are the neutral zone (NZ), first section of the toe region (T1), second section of the toe region (T2), and terminal linear region (TL) as material testing. Four slopes of the curve were derived by regression method. Other parameters are the angle displacement in the toe region (AT), and from the beginning of the toe region to certain torque, such as 4 Nm (A4), 8 Nm (A8). The angle displacements are the indicators of how long the resis-tance development. Repeat measure MANOVA was used to observe the difference from types of end-feels, forearm positions, gender, and elbow hyperextension or not. Results. The flexion end-feel is larger than extension in Neutral Zone slope (p=0.019), angle displacement in the toe region (p=0.002), angle displacement from the beginning of the toe region to 4 Nm (p=0.008), and to 8 Nm (p=0.017). The forearm positions only took action on the second section of the toe region slope. In neutral position the second section of the toe region slope is the largest (p=0.016 for pronation, 0.029 for supination). The male subject has larger Neutral Zone slope than female (p=0.019). Conclusion. The forearm positions presented the difference in the toe region of the angle-torque curve slope but this distinction is rather vague for people to detect. What clinicians can distinguish is the angle displacements from initial resistance rising to certain resistance, but the distinguishable feeling cannot be directed to specific tissues, as Dr. Cyriax proposed. However, The angle-torque curve is an honest profile of end-feel and the distinguishable characteristic of the angle-torque curve is still feasible to create the end-feel diagnosis model in the future.
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Delgado, Madalene C. "Effect of a supination splint on upper limb function of cerebral palsy children after Botulinum Toxin A." Diss., 2006. http://upetd.up.ac.za/thesis/available/etd-11062007-135438.

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Book chapters on the topic "Supination"

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Miyamoto, Wataru, Masato Takao, and Hajo Thermann. "Diagnosis of Chondral Injury After Supination Trauma." In Talar Osteochondral Defects, 1–7. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-45097-6_1.

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Spannagel, M., A. Seuser, G. Schumpe, W. Effenberger, and H. H. Brackmann. "Pro- und Supination des Hämophilen Ellenbogens:Eine biomechanische Studie." In 26. Hämophilie-Symposion 1995, 289–93. Berlin, Heidelberg: Springer Berlin Heidelberg, 1997. http://dx.doi.org/10.1007/978-3-642-60418-8_42.

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Hesselbach, J., M. B. Helm, H. Kerle, M. Frindt, and A. M. Weinberg. "Kinematics of the Human Forearms Pro- and Supination." In Advances in Robot Kinematics: Analysis and Control, 551–60. Dordrecht: Springer Netherlands, 1998. http://dx.doi.org/10.1007/978-94-015-9064-8_56.

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Anderson, Mark W., and Christine B. Chung. "Elbow Imaging with an Emphasis on MRI." In IDKD Springer Series, 23–39. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71281-5_3.

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AbstractThe elbow is a complex joint made up of three separate articulations within a common capsule. The proximal ulna articulates with the trochlea and functions as a hinge joint, while the proximal radioulnar joint provides for rotational movement of the forearm. The radiocapitellar joint allows for both hinge and rotational movements. Together, these allow for flexion and extension of the arm and, in conjunction with the distal radioulnar joint at the wrist, pronation and supination as well.
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Bublitz, J. B., D. T. Forrester, Andrew Roy, and H. V. Vo. "The Effects of Supination and Pronation on Oblique Fractures." In 6th International Conference on the Development of Biomedical Engineering in Vietnam (BME6), 393–96. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-4361-1_66.

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Menschik, Alfred. "Pro- und Supination des Unterschenkels und die Gegenbewegung des Oberschenkels." In Biometrie, 96–111. Berlin, Heidelberg: Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-642-72618-7_13.

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van Dijk, C. Niek. "The Role of Arthroscopy for Chronic Pain Problems After Supination Trauma." In Ankle Arthroscopy, 209–16. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-35989-7_10.

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Díez, Jorge A., Andrea Blanco, José M. Catalán, Francisco J. Badesa, José M. Sabater, and Nicolas Garcia-Aracil. "Design of a Prono-Supination Mechanism for Activities of Daily Living." In Converging Clinical and Engineering Research on Neurorehabilitation II, 531–35. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-46669-9_88.

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McLaurin, Toni M., and Abhishek Ganta. "Unimalleolar Ankle Fracture: Lateral Malleolus Only/Supination External Rotation (SER) 4." In Fractures of the Foot and Ankle, 1–9. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-60456-5_1.

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Contreras-Calderón, Maria Guadalupe, and Eduardo Castillo-Castañeda. "PRSX: An End-Effector for Pronation and Supination Adaptable to Arm Rehabilitation Devices." In Advances in Service and Industrial Robotics, 149–58. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-48989-2_17.

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Conference papers on the topic "Supination"

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Lambercy, Olivier, Ludovic Dovat, Hong Yun, Seng Kwee Wee, Christopher Kuah, Karen Chua, Roger Gassert, Theodore Milner, and Etienne Burdet. "Rehabilitation of grasping and forearm pronation/supination with the Haptic Knob." In 2009 IEEE International Conference on Rehabilitation Robotics: Reaching Users & the Community (ICORR). IEEE, 2009. http://dx.doi.org/10.1109/icorr.2009.5209520.

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Ziegelmanl, Liran, Yang Hu, and Manuel E. Hernandez. "Neuromechanical Simulation of Hand Pronation and Supination Task in Parkinson’s disease." In 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2018. http://dx.doi.org/10.1109/embc.2018.8512605.

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Nojiri, Kousei, Takuya Kiyokawa, and Yoji Okayama. "Forearm skeleton modeling for pro-/supination movement using CT image measurement." In 2015 IEEE International Conference on Advanced Intelligent Mechatronics (AIM). IEEE, 2015. http://dx.doi.org/10.1109/aim.2015.7222646.

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Kawano, Tsuneo, Yutaka Fukui, and Nobuhiro Sugimura. "Construction of 3D Skeletal Model for Pronation and Supination of the Forearm." In Digital Human Modeling for Design and Engineering Symposium. 400 Commonwealth Drive, Warrendale, PA, United States: SAE International, 2008. http://dx.doi.org/10.4271/2008-01-1906.

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Tapia, Pablo, Marco Ciaccia, and Ivan Iglesias. "Compact Transhumeral Prosthesis Mechanism with Integrated Flexo-Extension and Prone-Supination Movements." In 2020 IEEE ANDESCON. IEEE, 2020. http://dx.doi.org/10.1109/andescon50619.2020.9271980.

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Dezman, Miha, Tamim Asfour, Ales Ude, and Andrej Gams. "Exoskeleton Arm Pronation/Supination Assistance Mechanism With A Guided Double Rod System." In 2019 IEEE-RAS 19th International Conference on Humanoid Robots (Humanoids). IEEE, 2019. http://dx.doi.org/10.1109/humanoids43949.2019.9034992.

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Park, Se-Hun, Jaehyun Yi, DongWook Kim, Youngbin Lee, Helen Sumin Koo, and Yong-Lae Park. "A Lightweight, Soft Wearable Sleeve for Rehabilitation of Forearm Pronation and Supination." In 2019 2nd IEEE International Conference on Soft Robotics (RoboSoft). IEEE, 2019. http://dx.doi.org/10.1109/robosoft.2019.8722783.

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Araz, Matthew, and Behzat Bahadir Kentel. "Preliminary design of a novel kinematic forearm model for pro/supination motion." In 2020 4th International Symposium on Multidisciplinary Studies and Innovative Technologies (ISMSIT). IEEE, 2020. http://dx.doi.org/10.1109/ismsit50672.2020.9254962.

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Schimoler, Patrick J., Jeffrey S. Vipperman, Laurel Kuxhaus, Angela M. Flamm, Daniel D. Budny, Mark E. Baratz, and Mark Carl Miller. "Control System for an Elbow Joint Motion Simulator." In ASME 2007 International Mechanical Engineering Congress and Exposition. ASMEDC, 2007. http://dx.doi.org/10.1115/imece2007-42806.

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The many muscles crossing the elbow joint allow for its motions to be created from different combinations of muscular activations. Muscles are strictly contractile elements and the joints they surround rely on varying loads from opposing antagonists for stability and movement. In designing a control system to actuate an elbow in a realistic manner, unidirectional, tendon-like actuation and muscle co-activation must be considered in order to successfully control the elbow’s two degrees of freedom. Also important is the multifunctionality of certain muscles, such as the biceps brachii, which create moments impacting both degrees of freedom: flexion / extension and pronation / supination. This paper seeks to develop and implement control algorithms on an elbow joint motion simulator that actuates cadaveric elbow specimens via four major muscles that cross the elbow joint. The algorithms were validated using an anatomically-realistic mechanical elbow. Clinically-meaningful results, such as the evaluation of radial head implants, can only be obtained under repeatable, realistic conditions; therefore, physiologic motions must be created by the application of appropriate loads. This is achieved by including load control on the muscles’ actuators as well as displacement control on both flexion / extension and supination / pronation.
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Zhou, Longjiang, Kai Keng Ang, Chuanchu Wang, Kok Soon Phua, and Cuntai Guan. "A forearm pronation/supination assessment method integrated into Haptic Knob for stroke rehabilitation." In 2013 6th International IEEE/EMBS Conference on Neural Engineering (NER). IEEE, 2013. http://dx.doi.org/10.1109/ner.2013.6696171.

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