{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T09:32:11Z","timestamp":1793611931718,"version":"4.5.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"KAKENHI","award":["18K10750"],"award-info":[{"award-number":["18K10750"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Wrist range of motion (ROM) supports coordinated upper-limb function during self-feeding. Wrist restriction may induce proximal compensation, yet the kinematic consequences of discrete wrist positions remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Ten healthy young women performed a standardized eating task under four wrist positions: free (FP), palmar-flexed (PFP; 20\u00b0), intermediate (IP; 0\u00b0), and dorsiflexed (DFP; 20\u00b0). Upper-limb kinematics were recorded with a wearable IMU system (100\u00a0Hz). Discrete outcomes included maximum\/minimum joint angles and event-based angles at the end of scooping and mouth reaching. Parametric data were analyzed using repeated-measures ANOVA with Dunnett comparisons versus FP; non-parametric data used Friedman tests with Bonferroni correction (\u03b7\n                      <jats:sup>2<\/jats:sup>\n                      ). Statistical Parametric Mapping (SPM) was applied to time-normalized waveforms to localize condition effects across the movement cycle.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Wrist position systematically altered kinematics. Compared with FP, PFP produced the largest deviations, including reduced maximum elbow flexion (108 \u00b1 8\u00b0 vs 124 \u00b1 8\u00b0) and forearm supination (68 \u00b1 12\u00b0 vs 93 \u00b1 12\u00b0; \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      up to 0.44). At mouth reaching, PFP similarly reduced elbow flexion (108 \u00b1 8\u00b0 vs 123 \u00b1 9\u00b0) and supination (67 \u00b1 12\u00b0 vs 93 \u00b1 12\u00b0) and shifted wrist posture toward palmar flexion. IP and DFP showed smaller departures from FP. SPM indicated the largest effects mainly during late transport\/mouth reaching for elbow flexion and supination, and near movement initiation\/termination for wrist radial\/ulnar deviation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Non-neutral wrist positioning\u2014particularly palmar flexion\u2014disrupts self-feeding coordination and elicits proximal compensation. Findings may inform orthosis positioning and exercise progression; confirmation in patient cohorts is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17589983261431249","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T02:24:26Z","timestamp":1774664666000},"page":"279-289","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of wrist motion restriction on self-feeding: Compensatory strategies using an orthotic fixation model \u2014 A proof of concept study"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5017-2105","authenticated-orcid":false,"given":"Noboru","family":"Chiba","sequence":"first","affiliation":[{"name":"Yamagata Prefectural University of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadayoshi","family":"Minamisawa","sequence":"additional","affiliation":[{"name":"Yamagata Prefectural University of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honoka","family":"Okuyama","sequence":"additional","affiliation":[{"name":"After-School Day Service POCCO SAGAE, Specified Nonprofit Corporation Hibiki, Sagae City, Yamagata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Koyamada","sequence":"additional","affiliation":[{"name":"Kanazawa Medical and Welfare Center for Children"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3727\/036012917X14908026365007"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1288764"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.09.575"},{"key":"e_1_3_4_5_2","first-page":"71","article-title":"Forearm diaphyseal fractures in children: intramedullary Kirschner\u2019s wire fixation treatment","volume":"62","author":"Mahecha-Toro M","year":"2018","unstructured":"Mahecha-Toro M, Vergara-Amador E, Gonz\u00e1lez Ram\u00edrez M. 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