Department of Physical Therapy Faculty Articles

Physical and Functional Differences in Youth Baseball Players With and Without Throwing-Related Pain

Publication Title

Orthopaedic Journal of Sports Medicine

Publisher

American Orthopaedic Society for Sports Medicine

ISSN

2325-9671

Publication Date

11-1-2017

Keywords

baseball, shoulder range of motion, humeral retrotorsion, youth athlete, pediatric athlete, pitching velocity

Abstract

Background: Identifying risk factors that contribute to shoulder and elbow pain within youth baseball players is important for improving injury prevention and rehabilitation strategies.

Hypothesis: Differences will exist between youth baseball players with and without a history of upper extremity pain on measures related to growth, shoulder performance, and baseball exposure.

Study Design: Case-control study; Level of evidence, 3.

Methods: A total of 84 youth baseball players were divided into 2 groups based on self-reported history of throwing-related arm pain. Group differences for growth-related, shoulder performance, and baseball exposure variables were analyzed by use of parametric and nonparametric tests, as appropriate. Multivariate logistic regression was used to assess variables most predictive of pain.

Results: The group of athletes with pain (n = 16) were taller and heavier, played more baseball per year, and had greater pitching velocity. Athletes with pain also had greater loss of internal rotation range of motion and greater side-to-side asymmetry in humeral retrotorsion (HRT), attributable to lower degrees of HRT within the nondominant humerus. Multivariate analysis revealed that player height was most predictive of pain, with a 1-inch increase in height resulting in a 77% increased risk of pain.

Conclusion: Vertical growth that accompanies adolescence increases the risk of experiencing throwing-related pain in youth baseball players. Players who are taller, particularly those with faster pitching velocities, are at the greatest risk for developing pain and should be more carefully monitored for resultant injury. The degree of nondominant HRT may have a relationship to the development of pain, but further research is required to better understand the implications of this observation.

DOI

10.1177/2325967117737731

Volume

5

Issue

11

Disciplines

Medicine and Health Sciences | Physical Therapy | Rehabilitation and Therapy

Link to Full Text
Peer Reviewed

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