Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder Kinematics

# Background Baseball players are aware of the potential of shoulder problems due to repetitive throwing. However, few studies have examined how pitching repeatedly affects the thoracic spine and shoulder. # Purpose This study aimed to determine the effects of pitching repeatedly on the endurance...

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Main Authors: Takuya Aso, Yoshinori Kagaya
Format: Article
Language:English
Published: North American Sports Medicine Institute 2023-04-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.73038
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author Takuya Aso
Yoshinori Kagaya
author_facet Takuya Aso
Yoshinori Kagaya
author_sort Takuya Aso
collection DOAJ
description # Background Baseball players are aware of the potential of shoulder problems due to repetitive throwing. However, few studies have examined how pitching repeatedly affects the thoracic spine and shoulder. # Purpose This study aimed to determine the effects of pitching repeatedly on the endurance of trunk muscles and kinematics of the thoracic spine and shoulder. # Study design Cohort study # Methods Trunk muscle endurance was assessed in flexion, extension, and lateral flexion positions in 12 healthy amateur baseball players. The positions of stride foot contact (SFC) during the early cocking phase and maximal shoulder external rotation (MER) during the late cocking phase were used to compute the thoracic and shoulder kinematics in degrees. Participants were then asked to throw 135 fastballs (~9 innings with 15 throws per inning). Throwing motions were monitored throughout the first, seventh, eighth, and nine innings, whereas trunk muscular endurance was assessed before and after the repetitive throwing activity. Ball speed during pitching was measured using a radar gun. All outcome measures were statistically compared to examine differences over time. # Results The trunk muscle endurance declined after the throwing task. In the eighth inning, compared with the first inning, the thoracic rotation angle at the SFC increased toward the throwing side. In contrast, the shoulder horizontal adduction angle at MER decreased in the seventh and ninth innings. # Conclusion With repeated pitching, trunk muscle endurance gradually declines, and repetitive throwing significantly altered kinematics of the thoracic rotation at SFC and shoulder horizontal plane at MER. # Level of Evidence 2a
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spelling doaj-art-57370cc7fa274d1482c037084d54915d2025-02-11T20:30:06ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-04-01182Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder KinematicsTakuya AsoYoshinori Kagaya# Background Baseball players are aware of the potential of shoulder problems due to repetitive throwing. However, few studies have examined how pitching repeatedly affects the thoracic spine and shoulder. # Purpose This study aimed to determine the effects of pitching repeatedly on the endurance of trunk muscles and kinematics of the thoracic spine and shoulder. # Study design Cohort study # Methods Trunk muscle endurance was assessed in flexion, extension, and lateral flexion positions in 12 healthy amateur baseball players. The positions of stride foot contact (SFC) during the early cocking phase and maximal shoulder external rotation (MER) during the late cocking phase were used to compute the thoracic and shoulder kinematics in degrees. Participants were then asked to throw 135 fastballs (~9 innings with 15 throws per inning). Throwing motions were monitored throughout the first, seventh, eighth, and nine innings, whereas trunk muscular endurance was assessed before and after the repetitive throwing activity. Ball speed during pitching was measured using a radar gun. All outcome measures were statistically compared to examine differences over time. # Results The trunk muscle endurance declined after the throwing task. In the eighth inning, compared with the first inning, the thoracic rotation angle at the SFC increased toward the throwing side. In contrast, the shoulder horizontal adduction angle at MER decreased in the seventh and ninth innings. # Conclusion With repeated pitching, trunk muscle endurance gradually declines, and repetitive throwing significantly altered kinematics of the thoracic rotation at SFC and shoulder horizontal plane at MER. # Level of Evidence 2ahttps://doi.org/10.26603/001c.73038
spellingShingle Takuya Aso
Yoshinori Kagaya
Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder Kinematics
International Journal of Sports Physical Therapy
title Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder Kinematics
title_full Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder Kinematics
title_fullStr Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder Kinematics
title_full_unstemmed Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder Kinematics
title_short Effects of Repetitive Pitching on Trunk Muscle Endurance and Thoracic and Shoulder Kinematics
title_sort effects of repetitive pitching on trunk muscle endurance and thoracic and shoulder kinematics
url https://doi.org/10.26603/001c.73038
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