Isokinetic strength of collegiate baseball pitchers during a season

Pitching is suggested to expose the arm to physical stress that may lead to a decrease in strength. The purpose of this study was to examine the isokinetic internal and external rotational shoulder strength of Division II pitchers preseason, midseason, and postseason. The 9 pitchers were 23 +/- 0.67 years of age and weighed 91.2 +/- 3.14 kg. Each subject was evaluated utilizing a Biodex Isokinetic Dynamometer. Isokinetic internal and external concentric strength was assessed at 90 degrees of shoulder abduction and 90 degrees of elbow flexion at 300 and 450 degrees .s(-1) at each time point. A repeated-measures analysis of variance statistical analysis was performed using SPSS software. All data are reported as mean +/- SEM. Mean internal peak torques at 300 and 450 degrees .s(-1) preseason, midseason, and postseason were 50.66 +/- 2.27, 49.70 +/- 2.54, and 51.70 +/- 2.94 N.m and 37.14 +/- 2.54, 37.36 +/- 2.74, and 38.26 +/- 2.50 N.m, respectively. Mean external peak torques at 300 and 450 degrees .s(-1) preseason, midseason, and postseason were 30.16 +/- 1.69, 29.50 +/- 2.22, and 29.79 +/- 2.08 N.m and 17.68 +/- 2.15, 16.89 +/- 2.46, and 18.20 +/- 2.35 N.m, respectively. There were no differences in isokinetic internal or external concentric shoulder rotational mean peak torque of Division II pitchers at any speed tested or time point examined.     

High school and college baseball pitchers response and glove movements to line drives

The timing of glove movements used by baseball pitchers to catch fast approaching balls (i.e., line drives) was examined in two tests to determine the responses and temporal characteristics of glove movements in high school and college baseball pitchers. Balls were projected toward the head of participants at 34.8 m.s-1 (78 mph) on average in an indoor test and at speeds approaching 58.1 m.s-1 (130 mph) in a field test. Pitchers caught over 80% and 15% of the projected balls in the indoor and field tests, respectively. Analyses of glove responses indicated that all pitchers could track the line drives and produce coordinated glove movements, which were initiated 160 ms (+/-47.8), on average, after the ball was launched. College pitchers made initial glove movements sooner than high school pitchers in the field test (p=0.012). In contrast, average glove velocity for pitchers increased from 1.33 (+/-0.61) to 3.45 (+/-0.86) m.s-1 across the tests, but did not differ between experience levels. Glove movement initiation and speed were unrelated, and pitchers utilized visual information throughout the ball's flight to catch balls that approached at speeds exceeding the estimated speeds in competitive situations.     

Effects of upper trunk rotation on shoulder joint torque among baseball pitchers of various levels

High rotational torques during baseball pitching are believed to be linked to most overuse injuries at the shoulder. This study investigated the effects of trunk rotation on shoulder rotational torques during pitching. A total of 38 pitchers from the professional, college, high school, and youth ranks were recruited for motion analysis. Professional pitchers demonstrated the least amount of rotational torque (p = .001) among skeletally mature players, while exhibiting the ability to rotate their trunks significantly later in the pitching cycle, as compared to other groups (p = .01). It was concluded that the timing of their rotation was optimized as to allow the throwing shoulder to move with decreased joint loading by conserving the momentum generated by the trunk. These results suggest that a specific pattern in throwing can be utilized to increase the efficiency of the pitch, which would allow a player to improve performance with decreased risk of overuse injury.     

Effects of high volume upper extremity plyometric training on throwing velocity and functional strength ratios of the shoulder rotators in collegiate baseball players

To achieve maximal force output, clinicians and coaches have been experimenting with upper extremity plyometric exercises for years, without sufficient scientific validation of this training method. The goal of this study was to examine the effects of an 8-week course of high volume upper extremity plyometric training on the isokinetic strength and throwing velocity of a group of intercollegiate baseball players. Twenty-four Division I collegiate baseball players (age: 19.7 +/- 1.3 years; height: 183.9 +/- 5.9 cm; mass: 90.7 +/- 10.5 kg) were recruited to participate in this study. Throwing velocity, isokinetic peak torque, isokinetic functional strength ratios, and time to peak torque were measured pre- and posttraining. Subjects were rank-ordered according to concentric internal rotation (IR) strength and were assigned randomly to either the plyometric training group (PLY) or the control group (CON). Training consisted of 6 upper extremity plyometric exercises ("Ballistic Six") performed twice per week for 8 weeks. Subjects assigned to CON performed regular off-season strength and conditioning activities, but did not perform plyometric activities. PLY demonstrated significant increases (p < 0.05) in throwing velocity following 8 weeks of training when compared with CON (83.15 mph [pre] vs. 85.15 mph [post]). There were no statistically significant differences in any of the isokinetic strength measurements between PLY and CON groups pre- to posttraining. Statistically significant differences were seen within PLY for concentric IR and eccentric external rotation (ER) isokinetic strength at 180 degrees x s(-1) and 300 degrees x s(-1); and within CON for eccentric ER isokinetic strength at 300 degrees x s(-1) and concentric IR isokinetic strength at 180 degrees x s(-1). The Ballistic Six training protocol can be a beneficial supplement to a baseball athlete's off-season conditioning by improving functional performance and strengthening the rotator cuff musculature.     

The relationship between age and baseball pitching kinematics in professional baseball pitchers

Joint range of motion and physical capacities have been shown to change with age in both throwing athletes and non-athletes. The age of professional baseball pitchers could span from late teens to mid-40s. However, the effects of age on the pitching kinematics among professional baseball pitchers are still unknown. In this study, 67 healthy professional baseball pitchers were tested using a 3D motion analysis system. Their mean age was 23.7+/-3.3 years (range 18.8-34.4). The 12 pitchers more than one standard deviation older than the mean (i.e., older than 27.0 years) were categorized into the older group, and the 10 pitchers more than one standard deviation younger than the mean (i.e., younger than 20.4 years) were defined as the younger group. In all, 18 kinematic variables (14 position and 4 velocity) were calculated, and Student's t-tests were used to compare the variables between the two groups. Six position variables were found to be significantly different between the two groups. At the instant of lead foot contact, the older group had a shorter stride, a more closed pelvis orientation, and a more closed upper trunk orientation. The older group also produced less shoulder external rotation during the arm cocking phase, more lead knee flexion at ball release, and less forward trunk tilt at ball release. Ball velocity and body segment velocity variables showed no significant differences between the two groups. Thus, differences in specific pitching kinematic variables among professional baseball pitchers of different age groups were not associated with significant differences in ball velocities between groups. The current results suggest that both biological changes and technique adaptations occur during the career of a professional baseball pitcher.     

Lumbopelvic control and pitching performance of professional baseball pitchers

This study assessed the correlation between lumbopelvic control during a single-leg balancing task and in-game pitching performance in Minor-League baseball pitchers. Seventy-five healthy professional baseball pitchers performed a standing lumbopelvic control test during the last week of spring training for the 2008 and 2009 seasons while wearing a custom-designed testing apparatus, the "Level Belt." With the Level Belt secured to the waist, subjects attempted to transition from a 2-leg to a single-leg pitching stance and balance while maintaining a stable pelvic position. Subjects were graded on the maximum sagittal pelvic tilt from a neutral position during the motion. Pitching performance, number of innings pitched (IP), and injuries were compared for all subjects who pitched at least 50 innings during a season. The median Level Belt score for the study group was 7°. Two-sample t-tests with equal variances were used to determine if pitchers with a Level Belt score <7° or ≥7° were more likely to perform differently during the baseball season, and chi-square analysis was used to compare injuries between groups. Subjects scoring <7° on the Level Belt test had significantly fewer walks plus hits per inning than subjects scoring ≥7° (walks plus hits per inning pitched, 1.352 ± 0.251 vs. 1.584 ± 0.360, p = 0.013) and significantly more IP during the season (IP, 78.89 ± 38.67 vs. 53.38 ± 42.47, p = 0.043). There was no significant difference in the number of pitchers injured between groups. These data suggest that lumbopelvic control influences overall performance for baseball pitchers and that a simple test of lumbopelvic control can potentially identify individuals who have a better chance of pitching success.     

Influence of shoulder abduction and lateral trunk tilt on peak elbow varus torque for college baseball pitchers during simulated pitching

Elbow varus torque is a primary factor in the risk of elbow injury during pitching. To examine the effects of shoulder abduction and lateral trunk tilt angles on elbow varus torque, we conducted simulation and regression analyses on 33 college baseball pitchers. Motion data were used for computer simulations in which two angles-shoulder abduction and lateral trunk tilt-were systematically altered. Forty-two simulated motions were generated for each pitcher, and the peak elbow varus torque for each simulated motion was calculated. A two-way analysis of variance was performed to analyze the effects of shoulder abduction and trunk tilt on elbow varus torque. Regression analyses of a simple regression model, second-order regression model, and multiple regression model were also performed. Although regression analyses did not show any significant relationship, computer simulation indicated that the peak elbow varus torque was affected by both angles, and the interaction of those angles was also significant. As trunk tilt to the contralateral side increased, the shoulder abduction angle producing the minimum peak elbow varus torque decreased. It is suggested that shoulder abduction and lateral trunk tilt may be only two of several determinants of peak elbow varus torque.     

The relationship between balance and pitching error in college baseball pitchers

The objective of the study was to examine the relationship between balance and pitching error in college baseball pitchers. Sixteen college baseball pitchers, 9 National Association of Intercollegiate Athletics (NAIA) and 7 National Collegiate Athletic Association (NCAA) Division III, participated in the study. Balance ability, expressed as average sway velocity (deg.s(-1)), during dominant leg unilateral stance with eyes open and eyes closed was quantified for each subject utilizing the Balance Master System 7.04 (long force plate). Additionally, each subject underwent sensory organization testing on the SMART EquiTest System providing information regarding the effective use of the somatosensory, visual, and vestibular inputs. Pitching error was assessed with a high-speed video camera recorder during spring practice. A JUGS radar gun measured pitch velocity. The mean pitching error was 37.50 cm with a mean pitch velocity of 78 miles.h(-1) (35 m.s(-1)). No significant correlation was demonstrated between unilateral stance eyes open and pitching error (r = -0.24; p = 0.36) or unilateral stance eyes closed and pitching error (r = -0.29; p = 0.27). A significant negative correlation was demonstrated between sensory organization test 5 and pitching error (r = -0.50; p = 0.05) and between sensory organization test 5/1 and pitching error (r = -0.50; p = 0.05). Additionally, unilateral stance eyes closed demonstrated a positive correlation with pitch velocity (r = 0.52; p = 0.04). The results reveal that low levels of vestibular input utilization may lead to high levels of pitching error in college baseball pitchers.     

Effect of torso rotational strength on angular hip, angular shoulder, and linear bat velocities of high school baseball players

This investigation examined the effect of torso rotational strength on angular hip (AHV), angular shoulder (ASV), linear bat-end (BEV), and hand velocities (HV) and 3 repetition maximum (RM) torso rotational and sequential hip-torso-arm rotational strength (medicine ball hitter's throw) in high school baseball players (age 15.4 +/- 1.2 y). Participants were randomly assigned to 1 of 2 training groups. Group 1 (n = 24) and group 2 (n = 25) both performed a stepwise periodized resistance exercise program and took 100 swings a day, 3 days a week, for 12 weeks with their normal game bat. Group 2 performed additional rotational and full-body medicine ball exercises 3 days a week for 12 weeks. A 3RM parallel squat and bench press were measured at 0 and after 4, 8, and 12 weeks. Participants were pre- and posttested for 3RM dominant and nondominant torso rotational strength and medicine ball hitter's throw. Angular hip velocities, ASV, BEV, and HV were recorded pre- and posttraining by a motion capture system that identified and digitally processed reflective markers attached to each participant's bat and body. Groups 1 and 2 increased (p < or = 0.05) BEV (3.6 and 6.4%), HV (2.6 and 3.6%), 3RM dominant (10.5 and 17.1%) and nondominant (10.2 and 18.3%) torso rotational strength, and medicine ball hitter's throw (3.0 and 10.6%) after 12 weeks. Group 2 increased AHV (6.8%) and ASV (8.8%). Group 2 showed greater improvements in BEV, AHV, ASV, 3RM dominant and nondominant torso rotational strength, and medicine ball hitter's throw than group 1. Groups 1 and 2 increased predicted 1RM parallel squat (29.7 and 26.7%) and bench press (17.2 and 16.7%) strength after 12 weeks. These data indicate that performing additional rotational medicine ball exercises 2 days a week for 12 weeks statistically improves baseball performance variables.     

Effect of 12 weeks of wrist and forearm training on high school baseball players

This study examined the effect of 12 weeks of wrist and forearm training on male high school baseball players (mean age = 15.3 +/- 1.1 years). Participants (N = 43) were tested for 10 repetition maximum (RM) wrist barbell flexion, wrist barbell extension, dominant (D) and nondominant (ND) hand-forearm supination, D and ND forearm pronation, D and ND wrist radial deviation, D and ND wrist ulnar deviation, D and ND grip strength, and a 3RM parallel squat (PS) and bench press (BP). Group 1 (n = 23) and group 2 (n = 20), randomly assigned by a stratified sampling technique, performed the same resistance exercises while training 3 days a week for 12 weeks according to a stepwise periodized model. Group 2 also performed wrist and forearm exercises 3 days a week for 12 weeks to determine if additional wrist and forearm training provided further wrist and forearm strength improvements. All wrist and forearm strength variables were measured before and after 12 weeks of training. The 3RM PS and BP were measured at 0 and after 4, 8, and 12 weeks of training. Both groups significantly increased wrist and forearm strength (kg +/- SD) except 10RM D and ND forearm supination for group 1 (p < 0.05). Group 2 showed statistically greater improvements (p < 0.05) in all wrist and forearm strength variables than did group 1 except for D and ND grip strength. Predicted 1RM (kg +/- SD) PS and BP increased significantly (p < 0.05) after weeks 4, 8, and 12 for both groups. These data indicate that a 12-week stepwise periodized training program can significantly increase wrist, forearm, PS, and BP strength for both groups. Additionally, group 2 had further wrist and forearm strength gains.     

Effect of twelve weeks of medicine ball training on high school baseball players

This study examined the effect of 12 weeks of medicine ball training on high school baseball players. Forty-nine baseball players (age 15.4 +/- 1.2 years) were randomly assigned using a stratified sampling technique to 1 of 2 groups. Group 1 (n = 24) and group 2 (n = 25) performed the same full-body resistance exercises according to a stepwise periodized model and took 100 bat swings a day, 3 days per week, with their normal game bat for 12 weeks. Group 2 performed additional rotational and full-body medicine ball exercises 3 days per week for 12 weeks. Pre- and post-testing consisted of a 3 repetition maximum (RM) dominant and nondominant torso rotational strength and sequential hip-torso-arm rotational strength (medicine ball hitter's throw). A 3RM parallel squat and bench press were measured at 0 and after 4, 8, and 12 weeks of training. Although both groups made statistically significant increases (p < or = 0.05) in dominant (10.5 vs. 17.1%) and nondominant (10.2 vs. 18.3%) torso rotational strength and the medicine ball hitter's throw (3.0 vs. 10.6%), group 2 showed significantly greater increases in all 3 variables than group 1. Furthermore, both groups made significant increases in predicted 1RM parallel squat and bench press after 4, 8, and 12 weeks of training; however, there were no differences between groups. These data indicate that performing a 12-week medicine ball training program in addition to a stepwise periodized resistance training program with bat swings provided greater sport-specific training improvements in torso rotational and sequential hip-torso-arm rotational strength for high school baseball players.     

The effect of fatigued internal rotator and external rotator muscles of the shoulder on the shoulder position sense

The purpose of this study was to investigate which muscle group, the agonist or antagonist, contributes most to the shoulder position sense (SPS). The SPS was tested under 2 conditions: fatigued shoulder internal rotator (IR) muscles (pectoralis major and latissimus dorsi) and fatigued external rotator (ER) muscles (infraspinatus). In each condition, the SPS was measured before and after a fatiguing task involving the IR or ER muscles by repeating shoulder joint rotation. SPS was measured using a method in which subjects reproduced a memorized shoulder joint rotation angle. The position error values in all conditions (fatigued IR and ER muscles) and measurement periods (before- and after-fatigue task) were compared using 2-way analysis of variance with repeated measures (IR/ER × before/after). Position error increased significantly after both fatigue tasks (before- vs. after-fatigue: IR muscle, 2.68° vs. 4.19°; ER muscle, 2.32° vs. 4.05°). In other words, SPS accuracy decreased when either the agonist or antagonist muscle was fatigued. This finding indicated that SPS may be affected by an integrated information of the afferent signals in the agonist and antagonist muscles.     

The impact of pitch counts and days of rest on performance among major-league baseball pitchers

Although the belief that overuse can harm pitchers is widespread, there exists little evidence to show that the number of pitches thrown and the days of rest affect future performance and injury among adults. The purpose of this study is to quantify the effects of pitches thrown and the days of rest on pitcher performance. We examined performances of major-league baseball starting pitchers from 1988 to 2009 using fractional polynomial multiple regression to estimate the immediate and cumulative impact of pitches thrown and the days of rest on performance, while controlling for other factors that likely affect pitcher effectiveness. Estimates indicate each pitch thrown in the preceding game increased earned run average (ERA) by 0.007 in the following game. Each pitch averaged in the preceding 5 and 10 games increased the ERA by 0.014 and 0.022, respectively. Older pitchers were more sensitive to cumulative pitching loads than younger pitchers were, but they were less affected by pitches thrown in the preceding game. Rest days were weakly associated with performance. In summary, we found that there is a negative relationship between past pitches thrown and future performance that is virtually linear. The impact of the cumulative pitching load is larger than the impact of a single game. Rest days do not appear to have a large impact on performance. This study supports the popular notion that high pitching loads can dampen future performance; however, because the effect is small, pitch-count benchmarks have limited use for maintaining performance and possibly preventing injury.     

Plyometric training effects on physical fitness and muscle damage in high school baseball players

[Purpose]The objective of this study was to investigate the effects of plyometric training on physical fitness and muscle damage in high school baseball players.[Methods]The participants in the study included 21 high school baseball players who are healthy and well-training. The participants were randomly allocated to the plyometric training (n=11) and control (n=10) groups. The plyometric training was applied 3 times a week for a total of 8 weeks and the control group took part in only regular baseball skills training without plyometric training. For physical fitness, measures included maximal strength (left and right hand-grip strength), muscle endurance (sit-up), agility (side-step), power (standing long jump), and balance (left and right Rhomberg test). For muscle damage, creatine kinase (CK) and lactate dehydrogenase (LDH) levels were measured.[Results]The results showed a significant interaction effect between time and groups in left hand-grip strength (P = 0.022), side-step (P = 0.004), and standing long jump (P < 0.001) after the 8-week plyometric training, with greater improvement in the plyometric training group than the control group. On the other hand, there was no significant interaction effect between time and groups in right hand-grip strength, situp, left and right Rhomberg test, CK level, and LDH level (P > 0.05).[Conclusion]In conclusion, 8-week plyometric training had a positive effect on improving physical fitness, such as maximal strength, agility, and power, in high school baseball players without causing additional muscle damage.     

Comparison of three baseball-specific 6-week training programs on throwing velocity in high school baseball players

Throwing velocity is an important baseball performance variable for baseball pitchers, because greater throwing velocity results in less time for hitters to make a decision to swing. Throwing velocity is also an important baseball performance variable for position players, because greater throwing velocity results in decreased time for a runner to advance to the next base. This study compared the effects of 3 baseball-specific 6-week training programs on maximum throwing velocity. Sixty-eight high school baseball players 14-17 years of age were randomly and equally divided into 3 training groups and a nontraining control group. The 3 training groups were the Throwers Ten (TT), Keiser Pneumatic (KP), and Plyometric (PLY). Each training group trained 3 d·wk(-1) for 6 weeks, which comprised approximately 5-10 minutes for warm-up, 45 minutes of resistance training, and 5-10 for cool-down. Throwing velocity was assessed before (pretest) and just after (posttest) the 6-week training program for all the subjects. A 2-factor repeated measures analysis of variance with post hoc paired t-tests was used to assess throwing velocity differences (p < 0.05). Compared with pretest throwing velocity values, posttest throwing velocity values were significantly greater in the TT group (1.7% increase), the KP group (1.2% increase), and the PLY group (2.0% increase) but not significantly different in the control group. These results demonstrate that all 3 training programs were effective in increasing throwing velocity in high school baseball players, but the results of this study did not demonstrate that 1 resistance training program was more effective than another resistance training program in increasing throwing velocity.     

Shoulder joint movement of the non-throwing arm during baseball pitch—comparison between skilled and unskilled pitchers

The shoulder of a non-throwing arm during a baseball pitch must be in a constant position while the shoulder of the throwing arm moves in a nearly circular path around it. However, it has not been investigated whether a skilled pitch requires less shoulder-joint movement. It was hypothesized that pitchers with less shoulder movement of the non-throwing arm can be considered to have higher skill and to attain higher initial ball velocity. Nine baseball pitchers were used as subjects. The coach classified them into a skilled and an unskilled group. The pitching motions were recorded using two high-speed cameras. The time series of three-dimensional landmark coordinates of the shoulder joint of the non-throwing arm during the baseball pitch were calculated using the direct linear transformation method. The shoulder-joint movement (SJM) index, which expresses the movement (displacement) of the shoulder joint of the non-throwing arm quantitatively, was proposed to compare the SJM at different skill levels and investigate the relationship between SJM and initial ball velocity. The SJM of the skilled pitchers was smaller than that of the unskilled pitchers, and the smaller value of the SJM led to faster initial ball velocity. The data suggest that the less SJM of the non-throwing arm is required to attain a skilled pitch and higher initial ball velocity.     

Strength requirements for internal and external prostheses

Throughout the history of development of joint replacement implants and external prostheses there have been mechanical failures due to a discrepancy between material strength, cross-sectional characteristics and the loads developed in normal or abnormal function by the patient utilising the device. Particularly for internal prostheses attention is being paid at the present time to wear characteristics and the requirements for the articulating surfaces and the volume of wear particles produced during tests simulating the use of the device within the patient. The particular importance of the wear particles is that they seem to be associated with accelerated resorption of bone at areas essential for successful fixation of the implant within it. This article will consider joint replacements at the knee and hip and external prostheses for the leg. If failure due to external trauma is ignored the loads to be considered in testing standards correspond in implants to the muscular and ligamentous forces related to the forces developed between ground and foot and to the bending moments in the structure of leg prostheses. Generally it can be assumed that the treatment of the patient following trauma is more easily accomplished and more likely to be successful if the prosthesis has failed and not the bony structure of the patient. However, the author is unaware that these devices have ever been designed to have lower intrinsic strength than the anatomical structures to which they are connected; indeed in many cases particularly for implants they are much stronger than the bone to which they are connected. The major difficulty in rational design of prosthetic devices has been uncertainty about the importance of occasionally applied loads of a high value relative to those on a frequent basis and also to the frequency of application of these overloads. In this paper consideration is given to methods of determination of load systems relevant to the mechanical performance of implanted joint replacements at the hip and the knee and external prostheses for leg amputees. New data are presented relating to walking, other daily activities and the corresponding frequency of occurrence of these. Loading data on implants obtained by various biomechanical models is compared and related to the loads actually measured by implanted transducers. The philosophy of the standardised test load systems and the performance requirements is reviewed.     

The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome

PurposeThis study aimed to investigate the effect of elastic taping on kinematics, muscle activity and strength of the scapular region in baseball players with shoulder impingement.ScopeSeventeen baseball players with shoulder impingement were recruited from three amateur baseball teams. All subjects received both the elastic taping (Kinesio Tex^TM) and the placebo taping (3 M Micropore tape) over the lower trapezius muscle. We measured the 3-dimensional scapular motion, electromyographic (EMG) activities of the upper and lower trapezius, and the serratus anterior muscles during arm elevation. Strength of the lower trapezius was tested prior to and after each taping application. The results of the analyses of variance (ANOVA) with repeated measures showed that the elastic taping significantly increased the scapular posterior tilt at 30° and 60° during arm raising and increased the lower trapezius muscle activity in the 60–30° arm lowering phase (p < 0.05) in comparison to the placebo taping.ConclusionsThe elastic taping resulted in positive changes in scapular motion and muscle performance. The results supported its use as a treatment aid in managing shoulder impingement problems.