scholarly journals A BILATERAL COMPARISON OF UPPER EXTREMITY UNILATERAL CLOSED CHAIN STANCE STABILITY IN ELITE TENNIS PLAYERS AND PROFESSIONAL BASEBALL PITCHERS623

1996 ◽  
Vol 28 (Supplement) ◽  
pp. 105
Author(s):  
T. S. Ellenbecker ◽  
E. P. Roetert
Keyword(s):  
Upper Extremity ◽  
Professional Baseball ◽  
Bilateral Comparison ◽  
Tennis Players ◽  
Closed Chain

Lumbopelvic Control and the Development of Upper Extremity Injury in Professional Baseball Pitchers

2021 ◽  
pp. 036354652098812
Author(s):  
Kevin Laudner ◽  
Regan Wong ◽  
Daniel Evans ◽  
Keith Meister
Keyword(s):  
Upper Extremity ◽  
Lower Limbs ◽  
Group Differences ◽  
Professional Baseball ◽  
Extremity Injury ◽  
Level Of Evidence ◽  
Balance Task ◽  
Upper Extremity Injury ◽  
Baseball Pitchers ◽  
Extremity Injuries

Background: The baseball-throwing motion requires a sequential order of motions and forces initiating in the lower limbs and transferring through the trunk and ultimately to the upper extremity. Any disruption in this sequence can increase the forces placed on subsequent segments. No research has examined if baseball pitchers with less lumbopelvic control are more likely to develop upper extremity injury than pitchers with more control. Purpose: To determine if baseball pitchers who sustain a chronic upper extremity injury have less lumbopelvic control before their injury compared with a group of pitchers who do not sustain an injury. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 49 asymptomatic, professional baseball pitchers from a single Major League Baseball organization participated. Lumbopelvic control was measured using an iPod-based digital level secured to a Velcro belt around each player’s waist to measure anteroposterior (AP) and mediolateral (ML) deviations (degrees) during single-leg balance with movement and static bridge maneuvers. During a competitive season, 22 of these pitchers developed upper extremity injuries, while the remaining 27 sustained no injuries. Separate 2-tailed t-tests were run to determine if there were significant differences in lumbopelvic control between groups ( P < .05). Results: There were no significant between-group differences for the stride leg (nondominant) during the bridge test in either the AP ( P = .79) or the ML ( P = .42) directions, or either direction during the drive leg bridge test ( P > .68). However, the injured group had significantly less lumbopelvic control than the noninjured group during stride leg balance in both the AP ( P = .03) and the ML ( P = .001) directions and for drive leg balance in both the AP ( P = .01) and the ML ( P = .04) directions. Conclusion: These results demonstrate that baseball pitchers with diminished lumbopelvic control, particularly during stride leg and drive leg single-leg balance with movement, had more upper extremity injuries than those with more control. Clinicians should consider evaluating lumbopelvic control in injury prevention protocols and provide appropriate exercises for restoring lumbopelvic control before returning athletes to competition after injury. Specific attention should be given to testing and exercises that mimic a single-limb balance task.

Descriptive Profile of Hip Rotation Range of Motion in Elite Tennis Players and Professional Baseball Pitchers

2007 ◽  
Vol 35 (8) ◽  
pp. 1371-1376 ◽  
Author(s):  
Todd S. Ellenbecker ◽  
Gail A. Ellenbecker ◽  
E. Paul Roetert ◽  
Rogerio Teixeira Silva ◽  
Greg Keuter ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Hip Joint ◽  
External Rotation ◽  
Professional Baseball ◽  
Tennis Players ◽  
Active Range Of Motion ◽  
Baseball Pitchers ◽  
Hip Rotation ◽  
Bilateral Difference

Background Repetitive loading to the hip joint in athletes has been reported as a factor in the development of degenerative joint disease and intra-articular injury. Little information is available on the bilateral symmetry of hip rotational measures in unilaterally dominant upper extremity athletes. Hypothesis Side-to-side differences in hip joint range of motion may be present because of asymmetrical loading in the lower extremities of elite tennis players and professional baseball pitchers. Study Design Cohort (cross-sectional) study (prevalence); Level of evidence, 1. Methods Descriptive measures of hip internal and external rotation active range of motion were taken in the prone position of 64 male and 83 female elite tennis players and 101 male professional baseball pitchers using digital photos and computerized angle calculation software. Bilateral differences in active range of motion between the dominant and nondominant hip were compared using paired t tests and Bonferroni correction for hip internal, external, and total rotation range of motion. A Pearson correlation test was used to test the relationship between years of competition and hip rotation active range of motion. Results No significant bilateral difference (P > .005) was measured for mean hip internal or external rotation for the elite tennis players or the professional baseball pitchers. An analysis of the number of subjects in each group with a bilateral difference in hip rotation greater than 10° identified 17% of the professional baseball pitchers with internal rotation differences and 42% with external rotation differences. Differences in the elite male tennis players occurred in only 15% of the players for internal rotation and 9% in external rotation. Female subjects had differences in 8% and 12% of the players for internal and external rotation, respectively. Statistical differences were found between the mean total arc of hip range of internal and external rotation in the elite tennis players with the dominant side being greater by a clinically insignificant mean value of 2.5°. Significantly less (P < .005) dominant hip internal rotation and less dominant and nondominant hip total rotation range of motion were found in the professional baseball pitchers compared with the elite male tennis players. Conclusion This study established typical range of motion patterns and identified bilaterally symmetric hip active range of motion rotation values in elite tennis players and professional baseball pitchers. Asymmetric hip joint rotational active range of motion encountered during clinical examination and screening may indicate abnormalities and would indicate the application of flexibility training, rehabilitation, and further evaluation.

Bilateral comparison of scapulothoracic kinematics during scaption in girl tennis players

2014 ◽  
Vol 17 (sup1) ◽  
pp. 154-155 ◽  
Author(s):  
V. Racaud ◽  
B. Gillet ◽  
Q. Mercier ◽  
T. Creveaux ◽  
V. Sevrez ◽  
...  
Keyword(s):  
Bilateral Comparison ◽  
Tennis Players

Upper Extremity Injuries in Adolescent Tennis Players

1988 ◽  
Vol 7 (2) ◽  
pp. 371-385 ◽  
Author(s):  
John R. Gregg ◽  
Elisabeth Torg
Keyword(s):  
Upper Extremity ◽  
Tennis Players ◽  
Extremity Injuries

Intrasubject Variability of Upper Extremity Angular Kinematics in the Tennis Forehand Drive

1990 ◽  
Vol 6 (4) ◽  
pp. 415-421 ◽  
Author(s):  
Duane V. Knudson
Keyword(s):  
Upper Extremity ◽  
Angular Position ◽  
Angular Acceleration ◽  
Intrasubject Variability ◽  
Tennis Players ◽  
Forward Stroke ◽  
Coefficients Of Variation ◽  
Subject Variability ◽  
Position Data ◽  
Angular Velocities

The intra subject variability of the angular kinematics of the wrist and elbow joints in the tennis forehand drive were studied. Two varsity tennis players were filmed as they performed flat forehand drives. The DLT method of 3-D reconstruction was used to measure the angular motion of the upper extremity for eight strokes to assess the intra subject variability of selected kinematic variables. Curves were synchronized to impact and averaged. Wrist and elbow angular position data were quite consistent, with curve coefficients of variation (CV) less than 5.9%. The consistent angular positions during the forward stroke did not result from highly consistent patterns of angular velocities or accelerations. For both the wrist and elbow joints, intra subject variability increased for the angular velocity (CV = 90.6%) and angular acceleration (CV = 129.5%) curves. Biomechanical studies comparing derivatives or kinetic variables across subjects may have to be interpreted with reference to intra subject variability.

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