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  • Title: Association of Pitch Timing and Throwing Arm Kinetics in High School and Professional Pitchers.
    Author: Manzi JE, Dowling B, Wang Z, Kunze KN, Estrada J, Fu MC, McElheny KL, Carr JB, Dines JS.
    Journal: Am J Sports Med; 2021 Oct; 49(12):3386-3394. PubMed ID: 34406101.
    Abstract:
    BACKGROUND: Understanding the relationship between the temporal phases of the baseball pitch and subsequent joint loading may improve our understanding of optimal pitching mechanics and contribute to injury prevention in baseball pitchers. PURPOSE: To investigate the temporal phases of the pitching motion and their associations with ball velocity and throwing arm kinetics in high school (HS) and professional (PRO) baseball pitchers. STUDY DESIGN: Descriptive laboratory study. METHODS: PRO (n = 317) and HS (n = 54) baseball pitchers were evaluated throwing 8 to 12 fastball pitches using 3-dimensional motion capture (480 Hz). Four distinct phases of the pitching motion were evaluated based on timing of angular velocities: (1) Foot-Pelvis, (2) Pelvis-Torso, (3) Torso-Elbow, and (4) Elbow-Ball. Peak elbow varus torque, shoulder internal rotation torque, and shoulder distraction force were also calculated and compared between playing levels using 2-sample t tests. Linear mixed-effect models with compound symmetry covariance structures were used to correlate pitch velocity and throwing arm kinetics with the distinct temporal phases of the pitching motion. RESULTS: PRO pitchers had greater weight and height, and faster ball velocities than HS pitchers (P < .001). There was no difference in total pitch time between groups (P = .670). PRO pitchers spent less time in the Foot-Pelvis (P = .010) and more time in the Pelvis-Torso (P < .001) phase comparatively. Shorter time spent in the earlier phases of the pitching motion was significantly associated with greater ball velocity for both PRO and HS pitchers (Foot-Pelvis: B = -6.4 and B = -11.06, respectively; Pelvis-Torso: B = -6.4 and B = -11.4, respectively), while also associated with increased shoulder proximal force (Pelvis-Torso: B = -76.4 and B = -77.5, respectively). Decreased time in the Elbow-Ball phase correlated with greater shoulder proximal force for both cohorts (B = -1150 and B = -645, respectively) with no significant correlation found for ball velocity. CONCLUSION: Significant differences in temporal phases exist between PRO and HS pitchers. For all pitchers, increased time spent in the final phase of the pitching motion has the potential to decrease shoulder distraction force with no significant loss in ball velocity. CLINICAL RELEVANCE: Identifying risk factors for increased shoulder and elbow kinetics, acting as a surrogate for loading at the respective joints, has potential implications in injury prevention.
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