Supraspinatus Tendon Changes and Glenohumeral Range of Motion in College Baseball Players

2021 ◽  
Author(s):  
Tomonobu Ishigaki ◽  
Motoki Hirokawa ◽  
Yuya Ezawa ◽  
Masanori Yamanaka
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Pearson Correlation ◽  
Supraspinatus Tendon ◽  
Shoulder Injuries ◽  
Baseball Players ◽  
Collegiate Baseball ◽  
Tendon Thickness ◽  
College Baseball

AbstractBaseball players commonly show altered glenohumeral range of motion during internal rotation, external rotation, total rotation, and horizontal adduction. These altered ranges of motion appear to be associated with throwing shoulder injuries, which frequently involve the supraspinatus tendons; thus, we aimed to examine the relationship between altered glenohumeral range of motion and supraspinatus tendon changes in collegiate baseball players. To investigate this association using the Pearson correlation coefficient, we measured glenohumeral internal rotation, external rotation, total rotation, and horizontal adduction ranges of motion and supraspinatus tendon thickness in 22 college baseball players. Consequently, there was a significant relationship between increase in supraspinatus tendon thickness and greater deficit of internal rotation (r=–0.520, P=0.013). Increased supraspinatus tendon thickness tended to be associated with greater external rotation gain (r=0.394, P=0.073). No other range of motion had any relationship with supraspinatus tendon changes. These results might indicate that restricted glenohumeral internal rotation and excessive gain in external rotation increase the risk of supraspinatus tendon abnormalities in baseball players.

Relationship Between Glenohumeral and Thoracolumbar Rotation Range of Motion in Baseball Players

2020 ◽  
Vol 25 (1) ◽  
pp. 21-26
Author(s):  
Jeffrey G. Williams ◽  
Lauryn Darnall ◽  
Conrad Schumann
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Future Research ◽  
Baseball Players ◽  
Collegiate Baseball ◽  
The Relationship

Baseball players have demonstrated greater thoracolumbar rotation (TLR) range of motion (ROM) toward their nonthrowing arm sides. This imbalance is thought to be compensatory to ROM deficiencies at the throwing arm’s shoulder. The purpose of this study was to examine the relationship between TLR and glenohumeral (GH) ROM measures (internal rotation, external rotation, horizontal adduction) among collegiate baseball players. Findings demonstrated limited and no relationships between TLR and GH ROM. Future research should advance these findings by examining symptomatic participants and hip ROM as additional variables. Doing so may enhance clinicians’ abilities to comprehensively predict, prevent, detect, and treat movement deficiencies, and subsequent injuries, suffered by competitive baseball players.

scholarly journals Dominant-Limb Range-of-Motion and Humeral-Retrotorsion Adaptation in Collegiate Baseball and Softball Position Players

2014 ◽  
Vol 49 (4) ◽  
pp. 507-513 ◽  
Author(s):  
Elizabeth E. Hibberd ◽  
Sakiko Oyama ◽  
Justin Tatman ◽  
Joseph B. Myers
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Athletic Training ◽  
External Rotation ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Baseball Players ◽  
Glenohumeral Internal Rotation Deficit ◽  
Total Range ◽  
Collegiate Baseball

Context: Biomechanically, the motions used by baseball and softball pitchers differ greatly; however, the throwing motions of position players in both sports are strikingly similar. Although the adaptations to the dominant limb from overhead throwing have been well documented in baseball athletes, these adaptations have not been clearly identified in softball players. This information is important in order to develop and implement injury-prevention programs specific to decreasing the risk of upper extremity injury in softball athletes. Objective: To compare range-of-motion and humeral-retrotorsion characteristics of collegiate baseball and softball position players and of baseball and softball players to sex-matched controls. Design: Cross-sectional study. Setting: Research laboratories and athletic training rooms at the University of North Carolina at Chapel Hill. Patients or Other Participants: Fifty-three collegiate baseball players, 35 collegiate softball players, 25 male controls (nonoverhead athletes), and 19 female controls (nonoverhead athletes). Intervention(s): Range of motion and humeral retrotorsion were measured using a digital inclinometer and diagnostic ultrasound. Main Outcome Measure(s): Glenohumeral internal-rotation deficit, external-rotation gain, total glenohumeral range of motion, and humeral retrotorsion. Results: Baseball players had greater glenohumeral internal-rotation deficit, total–range-of-motion, and humeral-retrotorsion difference than softball players and male controls. There were no differences between glenohumeral internal-rotation deficit, total–range-of-motion, and humeral-retrotorsion difference in softball players and female controls. Conclusions: Few differences were evident between softball players and female control participants, although range-of-motion and humeral-retrotorsion adaptations were significantly different than baseball players. The throwing motions are similar between softball and baseball, but the athletes adapt to the demands of the sport differently; thus, stretching/strengthening programs designed for baseball may not be the most effective programs for softball athletes.

Humeral Retroversion and Its Relationship to Glenohumeral Rotation in the Shoulder of College Baseball Players

2002 ◽  
Vol 30 (3) ◽  
pp. 354-360 ◽  
Author(s):  
K.M. Reagan ◽  
Keith Meister ◽  
Mary Beth Horodyski ◽  
Dave W. Werner ◽  
Cathy Carruthers ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Soft Tissues ◽  
External Rotation ◽  
Baseball Players ◽  
Bony Anatomy ◽  
Humeral Retroversion ◽  
College Baseball ◽  
The Difference ◽  
Mean Differences

Background Previous studies have documented changes in musculature, bony anatomy, and glenohumeral rotation in the dominant shoulder of baseball players. Hypothesis In a group of asymptomatic college baseball players the total range of motion in the dominant and nondominant shoulders will be similar. Any measured increase in external rotation and decrease in internal rotation occurring between the two sides will be consistent and directly correlate with an increased angle of humeral retroversion in the dominant extremity. Study Design Descriptive anatomic study. Methods Fifty-four asymptomatic college baseball players were examined. Standard measurements of glenohumeral range of motion were made and humeral retroversion was determined radiologically. Results Total rotational motion, measured at 90° of glenohumeral abduction, was 159.5° for the dominant shoulders and 157.8° for the nondominant shoulders. Mean differences in external and internal rotation in the dominant versus nondominant extremities were 9.7° and 8.2°, respectively. Humeral retroversion measured 36.6° ± 9.8° in the dominant and 26° ± 9.4° in the nondominant extremity. The mean difference in retroversion correlated significantly by Pearson's product moment with the difference in external (P = 0.001) and internal (P = 0.003) rotation measurements. Conclusions There is a pattern of increased external rotation and decreased internal rotation in the dominant extremity that significantly correlates with an increase in humeral retroversion. The loss of internal rotation and gains in external rotation may be more strongly related to adaptive changes in proximal humeral anatomy than to changes in the soft tissues.

scholarly journals Internal Rotation and Scapular Position Differences: A Comparison of Collegiate and High School Baseball Players

2010 ◽  
Vol 45 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Stephen J. Thomas ◽  
Kathleen A. Swanik ◽  
Charles B. Swanik ◽  
John D. Kelly
Keyword(s):  
High School ◽  
Internal Rotation ◽  
Glenohumeral Joint ◽  
External Rotation ◽  
Scapular Dyskinesis ◽  
Position Change ◽  
Baseball Players ◽  
Glenohumeral Internal Rotation Deficit ◽  
Rotator Cuff Injuries ◽  
Collegiate Baseball

Abstract Context: Conditions such as labral and rotator cuff injuries have been linked with decreases in glenohumeral internal-rotation and increases in external-rotation motion. Also, decreased glenohumeral internal rotation is strongly associated with scapular dyskinesis. Objective: To compare healthy collegiate and high school baseball players' glenohumeral joint range of motion and scapular position. Design: Cross-sectional study. Setting: Institutional research laboratory. Patients or Other Participants: Thirty-one male National Collegiate Athletic Association Division I collegiate (age  =  20.23 ± 1.17 years, height  =  186.24 ± 5.73 cm, mass  =  92.01 ± 7.68 kg) and 21 male high school baseball players (age  =  16.57 ± 0.76 years, height  =  180.58 ± 6.01 cm, mass  =  79.09 ± 11.51 kg). Main Outcome Measure(s): Glenohumeral internal and external rotation and scapular upward rotation were measured with a digital inclinometer. Scapular protraction was measured with a vernier caliper. All variables except scapular upward rotation were calculated as the difference between the dominant and nondominant sides. Results: Collegiate baseball players had more glenohumeral internal-rotation deficit (4.80°, P  =  .028) and total motion deficit (5.73°, P  =  .009) and less glenohumeral external-rotation gain (3.00°, P  =  .028) than high school players. Collegiate baseball players had less scapular upward rotation than high school players at the 90° (4.12°, P  =  .015, versus 3.00°, P  =  .025) and 120° (4.00°, P  =  .007, versus 3.40°, P  =  .005) positions. The scapular protraction difference was greater in collegiate baseball players than in high school players in the hands-on-hips and 90° positions (0.77 cm, P  =  .021, and 1.4 cm, P  =  .001). Conclusions: When comparing high school with collegiate baseball players, these data suggest that glenohumeral internal-rotation deficit and scapular position change as the level of competition increases.

Humeral Retrotorsion and Glenohumeral Motion in Youth Baseball Players Compared With Age-Matched Nonthrowing Athletes

2016 ◽  
Vol 45 (2) ◽  
pp. 454-461 ◽  
Author(s):  
Elliot M. Greenberg ◽  
J. Todd R. Lawrence ◽  
Alicia Fernandez-Fernandez ◽  
Philip McClure
Keyword(s):  
Range Of Motion ◽  
External Rotation ◽  
Pearson Correlation ◽  
Sports Participation ◽  
Baseball Players ◽  
Shoulder Range Of Motion ◽  
Youth Baseball ◽  
Shoulder Motion ◽  
Age Range ◽  
Side Asymmetry

Background: Baseball players exhibit a more posteriorly oriented humeral head in their throwing arm. This is termed humeral retrotorsion (HRT) and likely represents a response to the stress of throwing. This adaptation is thought to occur while the athlete is skeletally immature, however currently there is limited research detailing how throwing activity in younger players influences the development of HRT. In addition, it is presently unclear how this changing osseous orientation may influence shoulder motion within young athletes. Purpose: To determine the influence of throwing activity and age on the development of side-to-side asymmetry in HRT and shoulder range of motion (ROM). Study Design: Cross-sectional study; Level of evidence, 3. Methods: Healthy athletes (age range, 8-14 years) were categorized into 2 groups based upon sports participation; throwers (n = 85) and nonthrowers (n = 68). Bilateral measurements of HRT, shoulder external rotation (ER), internal rotation (IR), and total range of motion (TROM) at 90° were performed using diagnostic ultrasound and a digital inclinometer. Side-to-side asymmetry (dominant minus nondominant side) in HRT and in shoulder ER, IR, and TROM were assessed. Statistical analysis was performed with 2-way analysis of variance and Pearson correlation coefficients. Results: Throwers demonstrated a larger degree of HRT on the dominant side, resulting in greater asymmetry compared with nonthrowers (8.7° vs 4.8°). Throwers demonstrated a gain of ER (5.1°), a loss of IR (6.0°), and no change in TROM when compared with the nondominant shoulder. Pairwise comparisons identified altered HRT and shoulder ROM in all age groups, including the youngest throwers (age range, 8-10.5 years). A positive correlation existed between HRT and ER ROM that was stronger in nonthrowers ( r = 0.63) than in throwers ( r = 0.23), while a negative correlation existed with IR that was stronger in throwers ( r = −0.40) than in nonthrowers ( r = −0.27). Conclusion: Throwing activity causes adaptive changes in HRT and shoulder ROM in youth baseball players at an early age. Other factors in addition to HRT influence shoulder motion within this population.

scholarly journals Adaptations of the Shoulder to Overhead Throwing in Youth Athletes

2015 ◽  
Vol 50 (7) ◽  
pp. 726-732 ◽  
Author(s):  
Matthew Michael Astolfi ◽  
Aaron H. Struminger ◽  
Todd D. Royer ◽  
Thomas W. Kaminski ◽  
Charles B. Swanik,
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Mixed Model ◽  
External Rotation ◽  
Posterior Capsule ◽  
Shoulder Injuries ◽  
Cross Sectional ◽  
Youth Baseball ◽  
Capsule Thickness ◽  
Overhead Throwing

Context The high number of repetitions and high forces associated with overhead throwing lead to anatomical adaptations, such as humeral retrotorsion and posterior-capsule thickness, in elite and professional baseball athletes. However, little is known about the origin and progression of these changes that may account for the increasing trend of chronic shoulder injuries in youth baseball and precipitate subsequent pathologic conditions throughout a young athlete's lifetime. Objective To investigate the relationship of age and upper extremity dominance on humeral retrotorsion, posterior-capsule thickness, and glenohumeral range of motion. Design Cross-sectional study. Setting Research laboratory, local baseball fields, and training facilities. Patients or Other Participants Thirty-six boys (mean age = 10.94 ± 1.34 years, height = 151.31 ± 12.17 cm, mass = 42.51 ± 10.32 kg) ranging in age from 8 to 12 years and involved in organized youth baseball. Main Outcome Measure(s) Diagnostic ultrasound was used to determine humeral retrotorsion and posterior-capsule thickness. Glenohumeral internal rotation and external rotation were measured using a handheld inclinometer. We used 2 × 2 mixed-model analyses of variance to compare the influence of limb dominance and age on the dependent variables of humeral retrotorsion, posterior-capsule thickness, internal rotation, and external rotation. Results The dominant shoulders of youth throwers exhibited less glenohumeral internal rotation but greater humeral retrotorsion, posterior-capsule thickness, and glenohumeral external rotation than the nondominant shoulders. Dominant internal rotation was greater in the 8- to 10-year-old group than in the 11- to 12-year-old group, and results trended toward a difference (F1,33 = 4.12, P = .05). Correlations existed between humeral retrotorsion and range of motion (P < .05). Conclusions The structural adaptations in the dominant shoulders of younger baseball players were similar to adaptations observed in older baseball athletes, indicating that more examination is needed in younger athletes. We are the first to demonstrate greater posterior-capsule thickness in the dominant shoulders of youth baseball athletes.

scholarly journals Relationship Between Range of Motion, Strength, Motor Control, Power, and the Tennis Serve in Competitive-Level Tennis Players: A Pilot Study

2018 ◽  
Vol 10 (5) ◽  
pp. 462-467 ◽  
Author(s):  
Kenneth Palmer ◽  
Debi Jones ◽  
Christine Morgan ◽  
Giorgio Zeppieri
Keyword(s):  
Motor Control ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Pearson Correlation ◽  
Tennis Players ◽  
Control Power ◽  
Tennis Serve ◽  
Shot Put

Background: The tennis serve is a complex skill requiring appropriate energy transfer to maximize serve speed. As the only independently powered shot in tennis, it is important to understand what characteristics contribute to a player’s serve. Hypothesis: Upper extremity and lower extremity power variables will be predictive of serve speed. Study Design: Cross-sectional study. Level of Evidence: Level 3. Methods: A total of 42 competitive tennis players underwent range of motion, strength, motor control, power, and serve speed testing. Motion assessment was completed for shoulder external and internal rotation, trunk rotation, hip external and internal rotation, and ankle dorsiflexion. Strength was assessed for the rotator cuff, scapula, and hip musculature. Motor control was evaluated through upper and lower extremity Y-balance testing. Power assessments were made using broad jump, single-leg hop, and seated unilateral shot put testing. Pearson correlation was conducted to assess associations of skill, height, and tested variables to serve speed. Significant variables were used in a stepwise linear regression model, with serve speed as the dependent variable. Variables are listed in relation to the participant’s dominant arm. Results: Skill, height, contralateral hip external rotation range of motion, nondominant arm Y-balance anterolateral reach, bilateral single-leg hops, and seated unilateral shot put throws for both arms demonstrated significant positive correlations to serve speed ( P < 0.05). Serve speed was predicted with 84% variance through skill, height, contralateral hip external rotation range of motion, ipsilateral single-leg hop, and the seated unilateral shot put throws. Conclusion: The ability to generate increased serve speed is multifactorial. The combination of skill, height, hip motion, and upper and lower extremity power may determine serve speed. Clinical Relevance: The findings suggest that motion, motor control, and power testing should be evaluated when working with this population to improve serve speed.

scholarly journals Differences in Passive Shoulder Range of Motion Between Baseball Players With Neurogenic Thoracic Outlet Syndrome and Matched Healthy Controls

2021 ◽  
Vol 9 (4) ◽  
pp. 232596712110007
Author(s):  
J. Craig Garrison ◽  
Joseph P. Hannon ◽  
John E. Conway
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Thoracic Outlet Syndrome ◽  
External Rotation ◽  
Limited Information ◽  
Level Of Evidence ◽  
Baseball Players ◽  
Shoulder Range Of Motion ◽  
Neurogenic Thoracic Outlet Syndrome ◽  
Shoulder Range

Background: Neurogenic thoracic outlet syndrome (nTOS) is becoming more recognized as a diagnosis in the throwing athlete. Currently, there is limited information on the clinical presentation and development of nTOS in baseball players. Purpose: To compare passive shoulder range of motion (ROM) and anatomic humeral retrotorsion (HRT) of baseball players diagnosed with nTOS with a group of healthy, matched controls. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 53 adolescent baseball players diagnosed with nTOS (age, 17.2 ± 2.3 years; height, 180.9 ± 10.1 cm; weight, 80.0 ± 13.3 kg) were compared with 53 healthy baseball players (age, 17.2 ± 2.4 years; height, 183.9 ± 9.0 cm; weight, 83.8 ± 11.5 kg). Participants were measured for shoulder internal rotation (IR) and external rotation (ER) ROM and HRT. All measurements were taken bilaterally, and the differences (throwing to nonthrowing arm) were used to calculate mean values for glenohumeral internal rotation difference, glenohumeral external rotation difference (GERD), total rotational motion difference (TRMdiff), and anatomic humeral retrotorsion difference. Group comparisons were made between the nTOS and control players using multivariate analysis of variance, and descriptive comparisons were made with independent t tests. Results: There were no significant differences between groups in age, height, weight, or years of experience. Players in the nTOS group had significantly less throwing arm ER compared with controls (103.4° ± 10.4° vs 109.6° ± 7.5°, respectively; P = .001) and GERD (3.0° ± 9.2° vs 8.8° ± 9.2°, respectively; P = .002). TRMdiff was significantly greater in nTOS (–11.1° ± 11.1°) than in controls (–3.7° ± 9.4°) ( P < .001). Conclusion: In the current study, adolescent baseball players diagnosed with nTOS were evaluated with shoulder ROM differences when compared with a matched healthy cohort. A loss of throwing arm ER appeared to be the main factor behind shoulder ROM changes in the nTOS group.

scholarly journals 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

2015 ◽  
Vol 7 (4) ◽  
Author(s):  
Xinning Li ◽  
Richard Ma ◽  
Hanbing Zhou ◽  
Matthew Thompson ◽  
Courtney Dawson ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Injury Risk ◽  
External Rotation ◽  
Professional Organization ◽  
Hamstring Injury ◽  
Professional Baseball ◽  
Baseball Players ◽  
N 93 ◽  
Hip Internal Rotation

Normal hip range of motion (ROM) is essential in running and transfer of energy from lower to upper extremities during overhead throwing. Dysfunctional hip ROM may alter lower extremity kinematics and predispose athletes to hip and groin injuries. The purpose of this study is characterize hip internal/external ROM (Arc) and its effect on the risk of hip, hamstring, and groin injuries in professional baseball players. Bilateral hip internal and external ROM was measured on all baseball players (N=201) in one professional organization (major and minor league) during spring training. Players were organized according to their respective positions. All injuries were documented prospectively for an entire MLB season (2010 to 2011). Data was analyzed according to position and injuries during the season. Total number of players (N=201) with an average age of 24±3.6 (range=17-37). Both pitchers (N=93) and catchers (N=22) had significantly decreased mean hip internal rotation and overall hip arc of motion compared to the positional players (N=86). Players with hip, groin, and hamstring injury also had decreased hip rotation arc when compared to the normal group. Overall, there is a correlation between decreased hip internal rotation and total arc of motion with hip, hamstring, and groin injuries.

scholarly journals Changes in Clinical Measures and Tissue Adaptations in Collegiate Swimmers Across a Competitive Season

CommonHealth ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 37-43
Author(s):  
Ryan William Paul ◽  
Angela Tate ◽  
Joseph Sarver ◽  
Laura DiPaola ◽  
Jeffery Yim ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Supraspinatus Tendon ◽  
Training Volume ◽  
Competitive Season ◽  
Posterior Shoulder ◽  
Capsule Thickness ◽  
The Relationship ◽  
Competitive Swimmers

Background: Due to high training volume, competitive swimmers incur shoulder pain and injury1, but certain physical characteristics, such as shoulder ROM and endurance, and tissue adaptations such as posterior capsule thickness (PCT) and supraspinatus tendon structure may also be risk factors. Decreased endurance and ROM have been found in competitive swimmers along with being related to pain2. However, no longitudinal studies have examined pain and disability, range of motion, training volume, shoulder endurance and tendon structure over the course of a competitive season. Purpose: The purpose of this study was to: 1) to assess shoulder pain and disability, internal rotation (IR) and external rotation (ER) and horizontal adduction (HADD) ROM, and posterior shoulder endurance longitudinally over a competitive collegiate season, and 2) determine if there is a relationship between swimming yardage, supraspinatus tendon organization and posterior capsule thickness. Methods: 17 male and 13 female Division III swimmers aged 19.6 ± 1.1 years participated. Pain and disability were assessed using the Penn Shoulder Score and the Disability of Arm Shoulder Hand sports module. Internal rotation (IR), external rotation (ER), and horizontal adduction (HA) were measured using a digital inclinometer. Shoulder endurance was measured using the Posterior Shoulder Endurance Test (PSET). Anterior, center, and posterior supraspinatus tendon images were collected by locating the anterior aspect of the tendon insertion and moving posteriorly. The ultrasound images were analyzed using custom MATlab software to quantify tissue organization. All measures were found in the beginning (T1), middle (T2), and end (T3) of the season. Repeated measure ANOVAs were used to compare longitudinal changes across time.  If p-values were found to be ≤ 0.05, follow-up paired t-tests with Bonferroni corrections were used to compare T1, T2, and T3. This protocol was IRB-approved and participants signed a written consent form. Results: An increase in swimming yardage from T1 to T2 was followed by a significant decrease in yardage to finish the swimming season (Table 1). Disability decreased and endurance increased throughout the season with no observed changes in pain. IR and HA ROM decreased significantly between all timepoint comparisons. Tendon banding frequency did not change over time (Table 2). Discussion: Large amounts of IR during the pull phase and late initiation of ER during the recovery phase have been associated with a high risk of impingement4. The relationship between pain, disability, and range of motion may suggest that a reduction of IR could protect the swimmers’ shoulder by limiting impingement through the pull and recovery phases. However, further investigation is required to confirm. The lack of statistical significance longitudinally in tendon organization is not surprising since there were no changes in pain, a decrease in disability, and an increase in endurance. Conclusion/Clinical Relevance: Further research is required to understand the relationship between training volume, tendon organization, and disability. Collegiate swimmers demonstrate increased endurance and decreased disability over the course of the season. It may suggest that the loss of ROM is a positive adaptation and may be protective.

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