400 Collins Rd NE, MS 154-100 Cedar Rapids, IA 52498
First and foremost, we have to understand Why All The Injuries?
One reason could simply be due to the fact that the athlete is throwing way too much. In baseball for example, they are either exceeding recommended pitch counts or throwing all year round which is 3-4 more months than advised. Poor throwing mechanics is also a possible explanation to include improper breaking of the hands, arm slot, release point or lower half mechanics to name a few. Another possible cause that often gets overlooked is muscle imbalance.
This problem exists in part due to the tremendous force that is placed on the body when throwing. For example, it can take up to 1.5x body weight of eccentric muscle force to slow the arm down during the baseball throw. This can undoubtedly place excessive stress to the tissue ultimately leading to injury. Adding to this is the fact that throwing is highly repetitive, using the same muscles throw after throw which can contribute to imbalance in mobility and strength.
Multiple studies have shown a direct correlation between this imbalance (loss of motion/strength) and increased injury risk for throwers. One study of 23 high school pitchers demonstrated that of the 12 who experienced pain, ALL had significantly decreased strength of the scapular muscles and rotator cuff. Another study of pro pitchers indicated a loss of only 5 degrees of external rotation range of motion was associated with a 200% increased chance of shoulder injury!
Early detection of these imbalances/deficits can help prevent more serious injuries from occurring. Even Better News… At RCPT, we would love to help with this detection by offering Free Arm Care Consults. We will provide a 15 minute screen to assess strength and mobility to determine if there are any deficits that may be concerning. We can then discuss if specific exercises or a comprehensive program is advised.
More Good News… There are some great comprehensive arm care programs backed by leading PTs in the field that have been shown to reduce injury risk for the throwing athlete. We are excited to be able to provide such an arm care program that would be uniquely tailored to the individual if indicated by the free arm care consult and desired by the athlete.
If this topic hits home with you as an athlete or for your son or daughter, we at RCPT would love to help! If you have any questions or would like to schedule a Free Arm Care Consult, please contact us right away! 319-295-8899
Consults Performed By: Justin Wagner, PT, MPT
Justin is originally from Marion and was an All-State Baseball player at Linn-Mar High School. Justin went on to play baseball at St. Ambrose University where he earned his Bachelor’s degrees in Biology and Masters in Physical Therapy. His passion for baseball as a player and coach has led him to a special interest in properly training the throwing athlete. His 20 plus years of experience as a physical therapist in combination with performing numerous youth, high school and collegiate arm care consults has made him an expert in the mechanics/assessment of the throwing athlete.