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Supination at Side (Elbow at 90°) Handle creates upward pressure on pinky and ring fingers with downward pressure on the base knuckle pad of the index finger. https://images.squarespace-cdn.com/content/v1/6a0c8a6ae3f1043f8d95e5d4/604d6f58-5554-4dcc-b302-006615596a16/Figure+2-1+Front+View+Pronation+at+Side.jpg Insights - The Light-Load Isometric Protocol That Fixed My Son’s Little League Elbow in 10 Days - 2. Pronation at Side (Elbow at 90°) Handle creates downward pressure on the interior of the thumb with upward pressure on the pinky base knuckle pad. https://images.squarespace-cdn.com/content/v1/6a0c8a6ae3f1043f8d95e5d4/0dc34228-2485-4c49-a1c1-60f01d3cbb1e/Figure+3-1+Front+View+Supination+at+External+Rotation.jpg Insights - The Light-Load Isometric Protocol That Fixed My Son’s Little League Elbow in 10 Days - 3. 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