Identifying Risk Factors of Upper Extremity Injuries in Collegiate Baseball Players: A Pilot Study.
acute-to-chronic workload (acwr)
injury prevention
movement system
overhead throwing
time loss injury
Journal
International journal of sports physical therapy
ISSN: 2159-2896
Titre abrégé: Int J Sports Phys Ther
Pays: United States
ID NLM: 101553140
Informations de publication
Date de publication:
01 Jun 2021
01 Jun 2021
Historique:
entrez:
14
6
2021
pubmed:
15
6
2021
medline:
15
6
2021
Statut:
epublish
Résumé
Repetitive pitching places tremendous forces on the shoulder and elbow which can lead to upper extremity (UE) or lower extremity (LE) overuse injuries. The purpose of this study was to evaluate pre-season physical measurements in collegiate baseball players and track in-season baseball throwing volume to determine which factors may predict throwing overuse injuries. Retrospective Cohort study. Baseline preseason mobility, strength, endurance, and perception of function were measured in 17 collegiate baseball pitchers. Participants were then followed during the course of the season to collect rate of individual exposure, estimated pitch volume, and rating of perceived exertion in order to determine if changes in workload contributed to risk of injury using an Acute-to-Chronic Workload ratio (ACWR). Participants developing an injury had greater shoulder internal rotator strength (p=0.04) and grip strength in a neutral position (p=0.03). A significant relationship was identified between ACWR and UE injuries (p <0.001). Athletes with an ACWR above or below 33% were 8.3 (CI ACWR change in a positive or negative direction by 33% was the primary predictor of subsequent injury. This finding may assist sports medicine clinicians by using this threshold when tracking pitch volume to ensure a safe progression in workload during a baseball season to reduce the risk of sustaining overuse upper or lower extremity injuries. 3b.
Sections du résumé
BACKGROUND
BACKGROUND
Repetitive pitching places tremendous forces on the shoulder and elbow which can lead to upper extremity (UE) or lower extremity (LE) overuse injuries.
PURPOSE
OBJECTIVE
The purpose of this study was to evaluate pre-season physical measurements in collegiate baseball players and track in-season baseball throwing volume to determine which factors may predict throwing overuse injuries.
STUDY DESIGN
METHODS
Retrospective Cohort study.
METHODS
METHODS
Baseline preseason mobility, strength, endurance, and perception of function were measured in 17 collegiate baseball pitchers. Participants were then followed during the course of the season to collect rate of individual exposure, estimated pitch volume, and rating of perceived exertion in order to determine if changes in workload contributed to risk of injury using an Acute-to-Chronic Workload ratio (ACWR).
RESULTS
RESULTS
Participants developing an injury had greater shoulder internal rotator strength (p=0.04) and grip strength in a neutral position (p=0.03). A significant relationship was identified between ACWR and UE injuries (p <0.001). Athletes with an ACWR above or below 33% were 8.3 (CI
CONCLUSION
CONCLUSIONS
ACWR change in a positive or negative direction by 33% was the primary predictor of subsequent injury. This finding may assist sports medicine clinicians by using this threshold when tracking pitch volume to ensure a safe progression in workload during a baseball season to reduce the risk of sustaining overuse upper or lower extremity injuries.
LEVEL OF EVIDENCE
METHODS
3b.
Identifiants
pubmed: 34123531
doi: 10.26603/001c.24146
pii: 24146
pmc: PMC8169003
doi:
Types de publication
Journal Article
Langues
eng
Pagination
797-806Déclaration de conflit d'intérêts
No conflicts of interest to report.
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