CC BY-NC-ND 4.0 · Sports Med Int Open 2021; 05(01): E8-E13
DOI: 10.1055/a-1244-1621
Orthopedics & Biomechanics

The Effects of Body Mass Index on Softball Pitchers’ Hip and Shoulder Range of Motion

Kenzie B. Friesen
1   School of Kinesiology, Auburn University, Auburn, AL, USA
,
Adam W. Anz
2   Andrews Research and Education Foundation, Gulf Breeze, FL, USA
,
Jeffrey R. Dugas
3   Andrews Sports Medicine and Orthopaaedic Center, Birmingham, AL, USA
,
James R. Andrews
2   Andrews Research and Education Foundation, Gulf Breeze, FL, USA
,
Gretchen D. Oliver
1   School of Kinesiology, Auburn University, Auburn, AL, USA
› Author Affiliations

Abstract

Currently it is hypothesized that increased body mass index may contribute to overuse injuries. Thus, if hip or shoulder range of motion is affected by body mass index, pitchers may be placing additional stress on joints as they seek to pitch at maximal velocity. The purpose of this study was to examine if range of motion at the hips and shoulders were related to body mass index classification. A sample of 147 female softball pitchers (17.0±4.2 years; 167.6±11.8 cm; 70.6±17.5 kg; body mass index=24.8±4.7 kg/m2) participated. Bilateral hip and shoulder range of motion were assessed. Multivariate analysis of variance results indicated body mass index [Wilks’ Λ=0.742, F=1.722, p=0.014, η2=0.095] significantly affected range of motion of the shoulder and hip. Post hoc results indicated the underweight group had significantly more range of motion than the obese group in hip internal range of motion on both the throwing side (mean difference=12.39, p=0.005) and glove side (mean difference=11.98, p=0.004). Although body composition is not overly emphasized among softball pitchers, the current study reveals excess weight may inhibit proper mechanics. Coaches, athletic trainers, strength and conditioning personnel, and athletes should acknowledge the role that body composition can play in affecting pitch outcomes.



Publication History

Received: 07 July 2020

Accepted after revision: 12 August 2020

Article published online:
16 December 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Hales CM, Carroll MD, Fryar CD. et al. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief 2017; 10: 1-8
  • 2 Rose MS, Emery AC, Meeuwusse HW. Sociodemographic predictors of sport injury in adolescents. Med Sci Sports Exerc 2008; 40: 444-450. doi:10.1249/MSS.0b013e31815ce61a
  • 3 Emery CA. Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med 2003; 13: 256-268
  • 4 Richmond SA, Kang J, Emery CA. Is body mass index a risk factor for sport injury in adolescents?. J Sci Med Sport 2013; 16: 401-405
  • 5 Heir T, Eide G. Age, body composition, aerobic fitness and health condition as risk factors for musculoskeletal injuries in conscripts. Scand J Med Sci Sports 1996; 6: 222-227
  • 6 Kibler WB. Biomechanical analysis of the shoulder during tennis activities. Clin Sports Med 1995; 14: 79-85
  • 7 Oliver GD, Gilmer GG, Friesen KB. et al. Functional differences in softball pitchers with and without upper extremity pain. J Sci Med Sport 2019; 22: 1079-1083
  • 8 Friesen K, Downs J, Wasserberger K. et al. Glenohumeral and hip range of motion in youth softball athletes. Int J Sports Med 2019; DOI: 10.1055/a-1019-7742.
  • 9 Greenberg E, Lawrence T, Fernandez-Fernandez A. et al. Physical and functional differences in youth baseball players with and without throwing-related pain. Orthop J Sports Med 2017; 5: 1-7
  • 10 Zeppieri G, Lentz TA, Moser MW. et al. Changes in hip range of motion and strength in collegiate baseball pitchers over the course of a competitive season: a pilot study. Int J Sports Phys Ther 2015; 10: 505-513
  • 11 Picha KJ, Harding JL, Bliven KH. Glenohumeral and hip range-of-motion and strength measures in youth baseball athletes. J Athl Train 2016; 51: 466-473. doi:10.4085/1062-6050-51.7.09
  • 12 Robb AJ, Fleisig G, Wilk K. et al. Passive ranges of motion of the hips and their relationship with pitching biomechanics and ball velocity in professional baseball pitchers. Am J Sports Med 2010; 38: 2487-2493. DOI: 10.1177/0363546510375535.
  • 13 Li X, Ma R, Zhou H. et al. Evaluation of hip internal and external rotation range of motion as an injury risk factor for hip, abdominal and groin injuries in professional baseball players. Orthop Rev (Pavia) 2015; 7: 6142
  • 14 Shanley E, Rauh MJ, Michener LA. et al. Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players. Am J Sports Med 2011; 39: 1997-2006 DOI: 10.1177/0363546511408876.
  • 15 Wilk KE, Macrina LC, Fleisig GS. et al. Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. Am J Sports Med 2011; 39: 329-335. DOI: 10.1177/0363546510384223.
  • 16 Scher S, Anderson K, Weber N. et al. Associations among hip and shoulder range of motion and shoulder injury in professional baseball players. J Athl Train 2010; 45: 191-197. DOI: 10.4085/1062-6050-45.2.191.
  • 17 Shanley E, Michener LA, Ellenbecker TS. et al. Shoulder range of motion, pitch count, and injuries among interscholastic female softball pitchers: a descriptive study. Int J Sports Phys Ther 2012; 7: 548-557
  • 18 Saito M, Kenmoku T, Kameyama K. et al. Relationship between tightness of the hip joint and elbow pain in adolescent baseball players. Orthop J Sports Med 2014; 2: 232596711453242
  • 19 Bedi A, Warren RF, Wojtys EM. et al. Restriction in hip internal rotation is associated with an increased risk of ACL injury. Knee Surg Sports Traumatol Arthrosc 2016; 24: 2024-2031
  • 20 VandenBerg C, Crawford EA, Enselman ES. et al. Restriction in hip rotation is correlated with an increased risk for anterior cruciate ligament injury. Arthroscopy 2017; 33: 317-325
  • 21 Tainaka K, Takizawa T, Kobayashi H. et al. Limited hip rotation and non-contact anterior cruciate ligament injury: A case-control study. Knee 2014; 21: 86-90
  • 22 Camp CL, Zajac JM, Pearson D. et al. The impact of workload on the evolution of hip internal and external rotation in professional baseball players over the course of the season. Orthop J Sports Med 2018; 6 DOI: 10.1177/2325967117752105.
  • 23 Kettunen JA, Kujala UM, Räty H. et al. Factors associated with hip joint rotation in former elite athletes. Br J Sports Med 2000; 34: 44-48
  • 24 Czeck MA, Raymond-Pope CJ, Stanforth PR. et al. Total and regional body composition of NCAA Division I collegiate female softball athletes. Int J Sports Med 2019; 40: 645-649
  • 25 Peart A, Wadsworth D, Washington J. et al. Body composition assessment in female National Collegiate Athletic Association Division I softball athletes as a function of playing position across a multiyear time frame. J Strength Cond Res 2019; 33: 3049-3055. DOI: 10.1519/jsc.0000000000002600.
  • 26 Skillington SA, Brophy RH, Wright RW. et al. Effect of pitching consecutive days in youth fast-pitch softball tournaments on objective shoulder strength and subjective shoulder symptoms. Am J Sports Med 2017; 45: 1413-1419
  • 27 Centers for Disease Control and Prevention Body Mass Index (BMI). 2015 https://www.cdc.gov/healthyweight/assessing/bmi/
  • 28 Harriss D, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2020; 40: 813-817
  • 29 Ellenbecker TS, Roetert EP, Bailie DS. et al. Glenohumeral joint total rotation range of motion in elite tennis players and baseball pitchers. Med Sci Sports Exerc 2002; 34: 2052-2056 DOI: 10.1249/01.MSS.0000039301.69917.0C.
  • 30 Sauers EL, Huxel Bliven KC, Johnson MP. et al. Hip and glenohumeral rotational range of motion in healthy professional baseball pitchers and position players. Am J Sports Med 2013; 42: 430-436. DOI: 10.1177/0363546513508537.
  • 31 Oliver GD, Plummer H, Brambeck A. Hip and glenohumeral passive range of motion in collegiate softball players. Int J Sports Phys Ther 2016; 11: 738-745
  • 32 Dwelly PM, Tripp BL, Tripp PA. et al. Glenohumeral rotational range of motion in collegiate overhead-throwing athletes during an athletic season. J Athl Train 2009; 44: 611-616
  • 33 Laudner KG, Moore SD, Sipes RC. et al. Functional hip characteristics of baseball pitchers and position players. Am J Sports Med 2010; 38: 383-387. DOI: 10.1177/0363546509347365.
  • 34 Mertler CA, Reinhart RV. Advanced and Multivariate Statistical Methods: Practical Application and Interpretation. 6th ed. New York: Routledge-Taylor & Francis; 2017
  • 35 Friesen KB, Barfield JW, Murrah WM. et al. The association of upper-body kinematics and earned run average of National Collegiate Athletic Association Division I softball pitchers. J Strength Cond Res 2019; DOI: 10.1519/JSC.0000000000003287.
  • 36 Oliver GD, Friesen K, Barfield J. et al. Association of upper extremity pain with softball pitching kinematics and kinetics. Ortho J Sports Med 2019; 7 DOI: 10.1177/2325967119865171.
  • 37 Werner SL, Guido JA, McNeice RP. et al. Biomechanics of youth windmill softball pitching. Am J Sports Med 2005; 33: 552-560 DOI: 10.1177/0363546504269253.
  • 38 Seroyer STNS, Bach BR, Bush-Joseph CA. The kinetic chain in overhand pitching: its potential role for performance enhancement and injury prevention. Sports Health 2010; 2: 135-146
  • 39 Bollinger LM. Potential contributions of skeletal muscle contractile dysfunction to altered biomechanics in obesity. Gait Posture 2017; 56: 100-107