Clinical Measures of Shoulder Mobility in the Professional Baseball Player.

作者: Eric L Sauers , Jacquelyn M Downar

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摘要: Context: Professional baseball players must achieve a delicate balance between shoulder mobility and stability to attain optimal sports performance. The sport-specific demands of repetitive overhead throwing may result in an altered mobility-stability relationship.Objective: To evaluate clinical measures professional order examine differences the nonthrowing shoulders describe chronic adaptations throwing.Design: Descriptive.Setting: athletic training room at Maryvale Baseball Park, Phoenix, AZ.Patients or Other Participants: Twenty-seven (20 pitchers, 7 position players; age = 20 +/- 1.6 years, height 190.5 4.8 cm, mass 91.6 9.6 kg) with no previous history elbow injury.Main Outcome Measure(s): We recorded scapular upward rotation 4 levels humeral elevation plane (rest, 60 degrees , 90 120 ); posterior tightness; passive, isolated glenohumeral joint internal external range motion.Results: Scapular was significantly greater (14.2 6.5 ) than (10.6 6.1 (P .04). observed statistically significant difference tightness (30.2 4.6 cm) (28.0 .09). In addition, exhibited decrease (56.6 12.5 compared (68.6 12.6 .001), concomitant increase (throwing 108.9 9.0 101.9 5.9 P .0014). An analysis total arc motion (internal + rotation) revealed sides .15).Conclusions: shoulder. Further research is necessary determine relation these adaptive changes, if any, injury disability.

参考文章(29)
Eric L. Sauers, Paul A. Borsa, Mark K. Timmons, Scapular-Positioning Patterns During Humeral Elevation in Unimpaired Shoulders. Journal of Athletic Training. ,vol. 38, pp. 12- 17 ,(2003)
Stephen S. Burkhart, Craig D. Morgan, W. Benjamin Kibler, Shoulder injuries in overhead athletes. The "dead arm" revisited. Clinics in Sports Medicine. ,vol. 19, pp. 125- 158 ,(2000) , 10.1016/S0278-5919(05)70300-8
Leslie Gross Portney, Mary P. Watkins, Foundations of Clinical Research: Applications to Practice ,(2015)
Frank W. Jobe, Marilyn M. Pink, Operative Techniques In Upper Extremity Sports Injuries ,(1995)
Heber C. Crockett, Lyndon B. Gross, Kevin E. Wilk, Martin L. Schwartz, Jamie Reed, Jay OMara, Michael T. Reilly, Jeffery R. Dugas, Keith Meister, Stephen Lyman, James R. Andrews, Osseous Adaptation and Range of Motion at the Glenohumeral Joint in Professional Baseball Pitchers American Journal of Sports Medicine. ,vol. 30, pp. 20- 26 ,(2002) , 10.1177/03635465020300011701
Daryl C. Osbahr, David L. Cannon, Kevin P. Speer, Retroversion of the Humerus in the Throwing Shoulder of College Baseball Pitchers American Journal of Sports Medicine. ,vol. 30, pp. 347- 353 ,(2002) , 10.1177/03635465020300030801
K.M. Reagan, Keith Meister, Mary Beth Horodyski, Dave W. Werner, Cathy Carruthers, Kevin Wilk, Humeral Retroversion and Its Relationship to Glenohumeral Rotation in the Shoulder of College Baseball Players American Journal of Sports Medicine. ,vol. 30, pp. 354- 360 ,(2002) , 10.1177/03635465020300030901
Arthur M. Pappas, Richard M. Zawacki, Claire F. Mccarthy, Rehabilitation of the pitching shoulder American Journal of Sports Medicine. ,vol. 13, pp. 223- 235 ,(1985) , 10.1177/036354658501300403
Timothy F. Tyler, Timothy Roy, Stephen J. Nicholas, Gilbert W. Gleim, George J. Davies, Kevin E. Wilk, Todd Ellenbecker, Timothy F. Tyler, Reliability and Validity of a New Method of Measuring Posterior Shoulder Tightness Journal of Orthopaedic & Sports Physical Therapy. ,vol. 29, pp. 262- 274 ,(1999) , 10.2519/JOSPT.1999.29.5.262
RONALD S. KVITNE, FRANK W. JOBE, The diagnosis and treatment of anterior instability in the throwing athlete. Clinical Orthopaedics and Related Research. pp. 107- 123 ,(1993) , 10.1097/00003086-199306000-00013