In a recent 2015 article published in the Journal of Shoulder and Elbow Surgery authors concluded baseball pitchers between the ages of 13 and 18 who demonstrated side-to-side range of motion (ROM) deficits of 15 degrees or greater in the direction of shoulder horizontal adduction (HA) during preseason screenings had a four times higher likelihood of either a shoulder injury or elbow injury during the course of the season.
Additionally, the authors concluded baseball pitchers between the ages of 13 and 18 who demonstrated side-to-side ROM deficits of 13 degrees or greater in the direction of of internal rotation (IR) during preseason screenings had a six times higher likelihood of either a shoulder injury or elbow injury during the course of the season.
The application of this study’s findings is simply to incorporate a preseason screening for baseball pitchers (I am a proponent of screening all baseball players regardless of position) to identify pitchers who are at a higher risk. Athletic Training and Conditioning, Inc. can assist in these types of screenings for individuals or teams. Upon identifying those who are at a higher risk, a strategic course of action needs to be developed and implemented in a timely manner to ensure sufficient time is available to produce a physiological response in the target tissues / areas.
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