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Int J Sports Med 2021; 42(08): 760-765
DOI: 10.1055/a-1303-4369
Orthopedics & Biomechanics

Relationship Between Humeral Energy Flow During the Baseball Pitch and Glenohumeral Stability

Jeff W. Barfield 
1   Department of Physical Education and Exercise Science, Lander University, Greenwood, USA
,
Kyle W. Wasserberger
2   School of Kinesiology, Auburn University, Auburn, USA
,
Gretchen D. Oliver
2   School of Kinesiology, Auburn University, Auburn, USA
› Author Affiliations Funding: No financial support has been received for the authorship, research, and/or publication of this article.
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Abstract

Researchers suggest that motion deriving energy from the more proximal segments of the body is important to reduce injury susceptibility. However, limited clinical assessments have been associated with efficient energy flow within a complex movement such as the baseball pitch. This research aimed to determine the relationship between glenohumeral stability as determined by the closed kinetic chain upper extremity stability test and energy transfer into and out of the humerus during the baseball pitching motion. Kinematic and kinetic data were collected at 240 Hz on twenty-four baseball pitchers. Participants performed the closed kinetic chain upper extremity stability test prior to throwing three fastballs at game speed to a catcher with the fastest fastball used for analysis. Spearman’s Rho were used to examine relationships between energy flow in and out of the humerus with glenohumeral stability as determined by the average score and normalized stance width during the closed kinetic chain upper extremity stability test. There was a significant negative correlation between the average score and normalized peak power leaving the humerus (r s[22]=−0.42, p=0.04). This result provides preliminary support for the use of the closed kinetic chain upper extremity stability test as a clinical assessment of a pitcher’s ability to efficiently transfer energy within the upper extremity during the pitch.

Key words

biomechanics - pitching - proximal stability - stability assessment


Publication History

Received: 11 July 2020

Accepted: 24 October 2020

Article published online:
22 December 2020

© 2020. Thieme. All rights reserved.

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  • References

  • 1 Camp CL, Zajac JM, Pearson DB. et al. Decreased shoulder external rotation and flexion are greater predictors of injury than internal rotation deficits: analysis of 132 pitcher-seasons in professional baseball. Arthroscopy 2017; 33: 1629-1636
    CrossrefPubMedGoogle Scholar
  • 2 Chalmers PN, Wimmer MA, Verma NN. et al. The relationship between pitching mechanics and injury: A review of current concepts. Sports Health 2017; 9: 216-221
    CrossrefPubMedGoogle Scholar
  • 3 Oliver GD, Weimar WH. Hip and shoulder range of motion in youth baseball pitchers. J Strength Cond Res 2016; 30: 2823-2827
    CrossrefPubMedGoogle Scholar
  • 4 Thomas SJ, Swanik KA, Huxel KC. et al. Change in glenohumeral rotation and scapular position after competitive high school baseball. J Sport Rehabil 2010; 19: 125-135
    CrossrefPubMedGoogle Scholar
  • 5 Jobe FW, Pink M. Shoulder injuries in the athlete: The instability continuum and treatment. J Hand Ther 1991; 4: 69-73
    CrossrefPubMedGoogle Scholar
  • 6 Burkhart SS, Morgan CD, Ben Kibler W. The disabled throwing shoulder: Spectrum of pathology Part I: Pathoanatomy and biomechanics. Arthroscopy 2003; 19: 404-420
    CrossrefPubMedGoogle Scholar
  • 7 Fleisig GS, Andrews JR, Dillman CJ. et al. Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med 1995; 23: 233-239
    CrossrefPubMedGoogle Scholar
  • 8 Jobe CM. Posterior superior glenoid impingement: Expanded spectrum. Arthroscopy 1995; 11: 530-536
    CrossrefPubMedGoogle Scholar
  • 9 Graaf E, van der Hoozemans M, Nijhoff M. et al. Timing of peak pelvis and thorax rotation velocity in baseball pitching. Journal of Physical Fitness and Sports Medicine 2018; 7: 269-277
    CrossrefPubMedGoogle Scholar
  • 10 Hirashima M, Yamane K, Nakamura Y. et al. Kinetic chain of overarm throwing in terms of joint rotations revealed by induced acceleration analysis. J Biomech 2008; 41: 2874-2883
    CrossrefPubMedGoogle Scholar
  • 11 Aguinaldo A, Escamilla R. Segmental Power analysis of sequential body motion and elbow valgus loading during baseball pitching: Comparison between professional and high school baseball players. Orthop J Sports Med 2019; 7: 2325967119827924
    Google Scholar
  • 12 Naito K, Takagi T, Kubota H. et al. Multi-body dynamic coupling mechanism for generating throwing arm velocity during baseball pitching. Hum Mov Sci 2017; 54: 363-376
    CrossrefPubMedGoogle Scholar
  • 13 Washington JK, Gilmer GG, Barfield JW. et al. Differences in segmental speeds as a function of maturation in youth baseball pitchers. Int J Sports Med 2018; 39: 462-467
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Wilk KE, Arrigo CA, Andrews JR. Closed and open kinetic chain exercise for the upper extremity. J Sport Rehabil 1996; 5: 88-102
    CrossrefPubMedGoogle Scholar
  • 15 Dillman CJ, Murray TA, Hintermeister RA. Biomechanical differences of open and closed chain exercises with respect to the shoulder. J Sport Rehabil 1994; 3: 228-238
    CrossrefPubMedGoogle Scholar
  • 16 de Oliveira VMA, Pitangui ACR, Nascimento VYS. et al. Test-retest reliability of the Closed Kinetic Chain Upper Extremity Stability Test (Ckcuest) in adolescents: reliability of ckcuest in adolescents. Int J Sports Phys Ther 2017; 12: 125
    PubMedGoogle Scholar
  • 17 Pontillo M, Spinelli BA, Sennett BJ. Prediction of in-season shoulder injury from preseason testing in division I collegiate football players. Sports Health 2014; 6: 497-503
    CrossrefPubMedGoogle Scholar
  • 18 Roush JR, Kitamura J, Waits MC. Reference values for the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) for collegiate baseball players. N Am J Sports Phys Ther 2007; 2: 159–163
    PubMedGoogle Scholar
  • 19 Goldbeck TG, Davies GJ. Test-retest reliability of the closed kinetic chain upper extremity stability test: A clinical field test. J Sport Rehabil 2000; 9: 35-45
    CrossrefPubMedGoogle Scholar
  • 20 Naito K, Takagi H, Maruyama T. Mechanical work, efficiency and energy redistribution mechanisms in baseball pitching. Sports Technol 2011; 4: 48-64
    CrossrefPubMedGoogle Scholar
  • 21 Winter DA. Biomechanics and Motor Control of Human Movement. Fourth Edition. John Wiley & Sons, 2009
  • 22 Harriss DJ, Macsween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813–817
  • 23 Oliver GD, Keeley DW. Gluteal muscle group activation and its relationship with pelvis and torso kinematics in high-school baseball pitchers. J Strength Cond Res 2010; 24: 3015-3022
    CrossrefPubMedGoogle Scholar
  • 24 Oliver GD, Keeley DW. Pelvis and torso kinematics and their relationship to shoulder kinematics in high-school baseball pitchers. J Strength Cond Res 2010; 24: 3241-3246
    CrossrefPubMedGoogle Scholar
  • 25 Wu G, Van Der Helm FCT, Veeger HEJ. et al. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion - Part II: Shoulder, elbow, wrist and hand. J Biomech 2005; 38: 981-992
    CrossrefPubMedGoogle Scholar
  • 26 Wu G, Siegler S, Allard P. et al. ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion—part I: Ankle, hip, and spine. J Biomech 2002; 35: 543-548
    CrossrefPubMedGoogle Scholar
  • 27 Day JS, Murdoch DJ, Dumas GA. Calibration of position and angular data from a magnetic tracking device. J Biomech 2000; 1039-1045
    CrossrefPubMedGoogle Scholar
  • 28 Keeley DW, McClary MA, Anguiano-Molina G. et al. Reliability of an electromagnetic tracking system in describing pitching mechanics. Sports Technol 2015; 8: 112-117
    CrossrefPubMedGoogle Scholar
  • 29 Veeger HEJ. The position of the rotation center of the glenohumeral joint. J Biomech 2000; 33: 1711-1715
    CrossrefPubMedGoogle Scholar
  • 30 Barfield JW, Anz AW, Andrews JR. et al. Relationship of glove arm kinematics with established pitching kinematic and kinetic variables among youth baseball pitchers. Orthop J Sports Med 2018; 6: 2325967118784937
    Google Scholar
  • 31 Fleisig GS, Barrentine SW, Zheng N. et al. Kinematic and kinetic comparison of baseball pitching among various levels of development. J Biomech 1999; 32: 1371-1375
    CrossrefPubMedGoogle Scholar
  • 32 Keeley DW, Oliver GD, Dougherty CP. et al. Lower body predictors of glenohumeral compressive force in high school baseball pitchers. J Appl Biomech 2015; 31: 181-188
    CrossrefPubMedGoogle Scholar
  • 33 Howenstein J, Kipp K, Sabick MB. Energy flow analysis to investigate youth pitching velocity and efficiency. Med Sci Sports Exerc 2019; 51: 523-531
    CrossrefPubMedGoogle Scholar
  • 34 Ellenbecker T, Manske R, Davies GJ. Closed kinetic chain testing techniques of the upper extremities. Orthop Phys Ther Clin N Am 2000; 9: 219-230
    PubMedGoogle Scholar
  • 35 Tucci HT, Felicio LR, McQuade KJ. et al. Biomechanical analysis of closed kinetic chain upper extremity stability test. J Sport Rehabil 2015; 42-50
    PubMedGoogle Scholar
  • 36 Clark M, Lucett S, Kirkendall D. NASM’s Essentials of Sports Performance Training. Lippincott Williams & Wilkins; 2010
    Google Scholar
  • 37 An KN, Korinek SL, Kilpela T. et al. Kinematic and kinetic analysis of push-up exercise. Biomed Sci Instrum 1990; 26: 53-57
    PubMedGoogle Scholar
  • 38 Escamilla RF, Barrentine SW, Fleisig GS. et al. Pitching biomechanics as a pitcher approaches muscular fatigue during a simulated baseball game. Am J Sports Med 2007; 35: 23-33
    CrossrefPubMedGoogle Scholar
  • 39 Aguinaldo AL, Buttermore J, Chambers H. Effects of upper trunk rotation on shoulder joint torque among baseball pitchers of various levels. J Appl Biomech 2007; 23: 42-51
    CrossrefPubMedGoogle Scholar
  • 40 Naito K, Takagi T, Kubota H. et al. The effect of multiple segment interaction dynamics on elbow valgus load during baseball pitching. P I Mech Eng P-J Spo 2018; 232: 285-294
    PubMedGoogle Scholar
  • 41 Aguinaldo AL, Chambers H. Correlation of throwing mechanics with elbow valgus load in adult baseball pitchers. Am J Sports Med 2009; 37: 2043-2048
    CrossrefPubMedGoogle Scholar
  • 42 Lee D-R, Kim LJ. Reliability and validity of the closed kinetic chain upper extremity stability test. J Phys Ther Sci 2015; 27: 1071-1073
    CrossrefPubMedGoogle Scholar
  • 43 Sciascia A, Uhl T. Reliability of strength and performance testing measures and their ability to differentiate persons with and without shoulder symptoms. Int J Sports Phys Ther 2015; 10: 655–666
    PubMedGoogle Scholar
  • 44 Tucci HT, Martins J, Sposito GDC. et al. Closed Kinetic Chain Upper Extremity Stability test (CKCUES test): A reliability study in persons with and without shoulder impingement syndrome. BMC Musculoskelet Disord 2014; 15: 1
    CrossrefPubMedGoogle Scholar
  • 45 Kimura A, Yoshioka S, Omura L. et al. Mechanical properties of upper torso rotation from the viewpoint of energetics during baseball pitching. Eur J Sport Sci 2020; 20: 606-613
    CrossrefPubMedGoogle Scholar