• The Journal of Korean Physical Therapy
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• v.7 no.1
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• pp.43-49
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• 1995

The purpose of this study were to determine the effect of testing posture and elbow position on grip strength. Two hundred college students 100 males and 100 females aged 18 to 28 years, participated in the study. A Grip-Strength Dynamometer was used to measure the grip strength in two testing posture(sitting and standin) and four elbow position$(0^{\circ},\;45^{\circ},\;90^{\circ}\;and\;135^{\circ}\;flexion)$ correlations and t-test was used to determine any significant difference in grip strength between the testing posture and the elbow position. The results were as follows : 1. The grip strength was affected by testing pasture and flexion degree of elbow. 2. The grip strength was stronger in the standing than sitting in subjects 3. The grip strength decreased according to elbow flexion increase in subjects. 4. The higher grip strength gained in the standing with the elbow 0 flexion. 5. The grip strength by elbow flexion degree showed significant difference at sitting and standing posture. The grip strength was significant differenced by testing position at same elbow flexion degree.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.14 no.2
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• pp.25-33
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• 2008

Purpose : This study was investigated the effect on grasp and pinch strength according to degree of flexion in elbow joint. Methods : Thirty male and thirty female students, aged 20 to 31 years were tested for using opened positioning with their shoulder abduction at $55^{\circ}$ and shoulder horizontal adduction at $30^{\circ}$ in four elbow flexion($0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$). An electronic dynamometer(E-LINK V900s Evaluation System)and goniometer were used to measure grasp and pinch strength. Results : The average grasp strength of the dominant hand was strongest at elbow $45^{\circ}$ however, weakest at elbow $135^{\circ}$ flexion in both of male and female. The average pinch strength of the dominant hand was strongest at elbow $135^{\circ}$ flexion in both of male and female. The average pinch strength of dominant hand was weakest at elbow $45^{\circ}$ flexion in both of male and female. According to degree of elbow flexion in both of male and female, grasp and pinch strength was no significant statistically. In analyzing correlations, the grasp strength of male showed the most significant difference at elbow $45^{\circ}$ & $90^{\circ}$ flexion, and the pinch strength was most significant difference at elbow $0^{\circ}$ & $45^{\circ}$ flexion. Conclusion : In analyzing correlations, the grasp strength of female showed the most significant difference at elbow $90^{\circ}$ & $135^{\circ}$ flexion, and the pinch strength was most significant difference at elbow $45^{\circ}$ & $90^{\circ}$ flexion.

• Journal of International Academy of Physical Therapy Research
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• v.1 no.2
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• pp.113-119
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• 2010

The purpose of this study was to determine the difference of the pinch strength according to testing posture(standing and sitting) and elbow flexion degree($0^{\circ}$, $45^{\circ}$, $90^{\circ}$ and $135^{\circ}$). Forty normal young adults(male: 20, female: 20, mean age: $22.68{\pm}2.91$ years) participated in this study. The methods of this study were categorized as follows: 1) One set of measurement was performed on four elbow flexion degrees($0^{\circ}$, $45^{\circ}$, $90^{\circ}$ and $135^{\circ}$) in two testing postures(standing and sitting) and all subjects were measured for 3 sets testing procedures in every experimental sessions. 2) Pinch strength in various elbow flexion degree was measured after 2 min rest time, and then each test set was repeatedly performed with 5 min rest time to prevent fatigue of muscles involved in the elbow joint. The result was obtained as follow: 1) In standing posture, there was statistically significant difference at $0^{\circ}$ and $45^{\circ}$, $0^{\circ}$ and $90^{\circ}$, $0^{\circ}$ and $135^{\circ}$, $45^{\circ}$ and $90^{\circ}$, $45^{\circ}$ and $135^{\circ}$, $90^{\circ}$ and $135^{\circ}$. 2) In sitting posture, there was statistically significant difference at $0^{\circ}$ and $45^{\circ}$, $0^{\circ}$ and $90^{\circ}$, $0^{\circ}$ and $135^{\circ}$, $45^{\circ}$ and $90^{\circ}$, $45^{\circ}$ and $135^{\circ}$, $90^{\circ}$ and $135^{\circ}$. 3) Statistically, there was no significant difference between standing and sitting posture in same elbow flexion degree, however pinch strength in standing posture was higher than sitting posture.

• Journal of the Korean Society of Physical Medicine
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• v.4 no.4
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• pp.209-214
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• 2009

Purpose：The purpose of this study are analysis characteristic of grasping power with each different elbow flexion degree and grasping power with each different elbow each different hand position and announcement. Methods：Measuring about 10cm wide open position with both feet for each elbow in the line positions of the $0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$, and forearm position of supination, mid position, pronation is of the order. Results：The averge position of maximal grip strength was $0^{\circ}$ of elbow flexion with mid position in male and $90^{\circ}$ of elbow flexion with mid position in female. Grip strength in change of wrist position according to elbow flexion was significant difference(P<0.05). Grip strength in change of wrist position according to elbow flexion by sex was significant difference(P<0.05) Conclusion：When the elbow has flexion with $0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$ then grasping power has a intimate relation with forearm position. Grasping power with forearm supination, pronation and mid position also has a intimate relation with elbow flexion.

• Clinics in Shoulder and Elbow
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• v.1 no.2
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• pp.242-249
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• 1998

Stiffness of the elbow joint is relatively common after trauma, ectopic ossification, bum, postoperative scar, and etc. Mild flexion deformity can be reduced by use of active or passive motion exercise, dynamic sling, hinged distractor device, or turnbuckle orthosis. But these methods have disadvantages of difficulty in gaining acceptable range of motion only with stretching exercise, re-contracture after conservative managements and poor results that flexion contracture remained. The common described operative exposures for treatment of the stiff elbow are anterior, lateral, posterior, and medial approach. Through Anterior, lateral and medial approach each has not access to all compartments of the elbow. But, posterior approach has benefits that access to posterior, medial and lateral aspects of the elbow and as needed, fenestration to the olecranon fossa that produces a communication between the anterior and posterior compartments of the elbow are possible. From June 1991 through April 1997, 11 patients who had posttraumatic stiff elbow, were treated with debridement arthroplasty through the posterior approach. The purpose of this study are to introduce technique of the debridement arthroplasty and to evaluate final outcomes. With regarding to preoperative pain degree, mild degree matches to 3 cases, moderate to 3 cases, and severe to 2 cases. In preoperative motion, flexion was average 85° and extension was 30°. Postoperatively nine patients had got the complete relief of pain and two patients continued to have mild pain intermittentely. Postoperative flexion improved to 127° and extension to 2°, so that elbow flexion had improved by an average of 42° and elbow extension by 28°. On the objective scale all patients had good or excellent results and they all felt that they were improved by operation. Debridement arthroplasty is one of excellent procedures for the intractable stiff elbow if it is not unstable or it has not incongrous. But it need a meticulous operative technique and a well-programmed rehabilitation.

• Korean Journal of Applied Biomechanics
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• v.13 no.3
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• pp.311-325
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• 2003

A relation between the movement range of arms and arising moment has been studied to find out efficient movement range to minimize impact concerning arm landing in sports aerobics. Four male athletes who won top three in national-level sports aerobics competition were chosen for the experiment. They were allowed to jump in between two force platform so that the right hand and the right leg could land onto the front and rear force platform, respectively. The sampling frequency was 200 Hz. The main conclusions based on the analysis of the angle and joint moment parameters of wrist, elbow, and shoulder are as follows: 1. The wrist moment was small when its angle was small, indicating that the dorsi-flexion of the wrist joint offered a positive influence to reduce wrist moment. 2. The elbow angle increased as wrist angle decreased and vice versa. This means that the movement range of the wrist joint affects that of the elbow joint. The darsi-flexion of the wrist is the position to absorb the impact of the elbow effectively rather than to absorb the impact of the wrist itself. The impact is absorbed by the flexion of wrist joint rather than the wrist. 3. The degree of moment transfer of the shoulder joint, having absorbed the impact from the elbow and elbow joint, became dependent on the efficiency of the fore-joints impact absorption.

• Journal of the Korean Society of Physical Medicine
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• v.4 no.4
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• pp.275-280
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• 2009

Purpose：We have investigated to analysis biomechanics for pinch strength due to elbow flexion degree. Methods：Pinch strength was measured by Electro Dynamometer(G-100) using four elbow flexion degree ($0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$). Results：In experimental results, we found that pinch strengths were 5.4kg($0^{\circ}$), 4.8kg($45^{\circ}$), 5.6kg($90^{\circ}$) and 5.2kg($135^{\circ}$), respectively. The Pinch strengths got maximum at $90^{\circ}$ degree, minimum at $45^{\circ}$ degree. We have calculated F1 values using $\sum$T=0. As a result F1 values were 540N($0^{\circ}$), 480N($45^{\circ}$), 560N($90^{\circ}$) and 520N($135^{\circ}$), respectively. F1 values got maximum at $90^{\circ}$ degree, minimum at $45^{\circ}$ degree. Data curve line of $F_1$ values was increased in 45~90 section and decreased in 0~45, 90~135 sections, respectively. Conclusion：$F_1$ (Flexor digitorum superficialis and profundus) values were 10 times bigger than pinch strengths. Data curve line of $F_1$ values was similar to active length-tension curve in 45~90, 90~135 sections.

• Clinics in Shoulder and Elbow
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• v.13 no.2
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• pp.293-298
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• 2010

Purpose: Since an injured elbow joint can disturb the activity of daily life by limiting motion, especially if the motion is restricted over 40 degree of flexion contracture and under 105 degree of further flexion, it is imperative to select the best method and the timing of treatment of the elbow stiffness. Therefore this review will discuss open surgical techniques for stiff elbows based on the literature. Materials and Methods: It is important to take sufficient clinical examination of the patient, including history taking. And, a surgeon should select appropriate procedure after accurately understanding about the status and cause of the stiff elbow with radiographic methods. Surgical methods include arthroscopic release open release, distraction arthroplasty, total elbow replacement and there are four approachs in the open release - anterior approach, medial "over the top" approach, limited lateral approach: column procedure, posterior extensile approach-. Results and Conclusion: Although at present the arthroscopic technique is emphasized for the treatment of elbow stiffness, a surgeon should know conventional open techniques.

• Clinics in Shoulder and Elbow
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• v.8 no.1
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• pp.14-18
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• 2005

Purpose: Limitation of motion of the elbow joint due to stiffness affect on life quality of the patients. So contracture of the elbow should be treated as soon as possible. Among the many treatment modalities, we described the result of arthroscopic treatment. Materials and Methods: From Mar. 2000 to Mar. 2003, 40 patients, who received the arthroscopic treatment by author for contracted elbow, were the subjects. We estimated the range of motion (ROM) of elbow joint before and after surgery by goniometer. The clinical result was evaluated by Severance elbow scoring system. The final ROM was evaluated at the point of no further increasement of joint motion. Male ware 30 cases, female ware 7 cases, average 42.6 years old and mean follow up period were 31 months. During arthroscopic treatment we had done release of the joint capsule or resection, synovectomy, removal of loose bodies. We used traditional portals. Results: The avarage preoperative ROM of elbow joint was 72.5 degree(range, 5 - 132 degree) and the increasement of ROM was totally 49.3 degree in flexion 26.5 degree and extension 22.8 degree. There was no other complication. Conclusion: Arthroscopic treatment for contracted elbow permit early joint ROM and it decrease the secondary injury to the elbow joint. Also there are few complications. It is thought to be a good treatment modality in contracted elbow joint.

• Journal of Industrial Technology
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• v.21 no.B
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• pp.265-272
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• 2001

The human arm is modeled by three rigid bodies(the upper arm, the forearm and the hand)with seven degree of freedom(three in the shoulder, two in the elbow and two in the wrist). The objective of this work is to present a method to determine the three-dimensional kinematics of the human elbow joint using a magnetic tracking device. Euler angle were used to determine the elbow flexion-extension, and the pronation-supination. The elbow motion for the various driving conditions is measured through the driving test using a simulator. Discomfort levels of elbow joint motions were obtained as discomfort functions, which were based on subjects' perceived discomfort level estimated by magnitude estimation. The results showed that the discomfort posture of elbow joint motions occurred in the driving motion.