Over the past few months we have been afforded a unique opportunity to evaluate injury rate data prior to, during, and following the historical aberration created by the recent National Football League (NFL) Lockout. During this period (March 11th to July 25th, 2011), professional football players underwent an uncommon offseason, without the normal access to their team's healthcare providers, strength and conditioning professionals, and high-level coaches. With limited access to these professionals and an absence of the structured preseason preparatory conditioning normally progressed over a 14-week period between May and July, we had a unique window of opportunity to evaluate the effects of an alarmingly rapid transition from the start of training camp, which took place 2 days after the end of the Lockout, to the initiation of preseason competition. A glimpse at early data, limited to Achilles tendon injuries, is cause for concern due to an unprecedented number of Achilles tendon ruptures in training camp and the beginning of preseason. J Orthop Sports Phys Ther 2011;41(10):702–705. doi:10.2519/jospt.2011.0107
Purpose of review This review examines recent literature regarding analysis of the throwing motion in baseball players and how modern technology may be used to predict or prevent injury. Recent findings Proper throwing technique is vitally important to prevent injury and it is easier to correct poor mechanics prior to foot strike. Recent findings suggest that the inverted-W position may not lead to an increased risk of injury, but incorrect trunk or pelvis rotation does. Three-dimensional motion analysis in a laboratory setting is most commonly used to evaluate the throwing motion, but it does not allow for assessment in real game scenarios. Wearable monitors allow for this and have proven to reliably assess pitching workload, kinematics, and kinetics. Summary Injuries in youth baseball pitchers have increased along with the trend towards more single sport specialization. To prevent injury, assessment of a pitcher's throwing motion should be performed early to prevent development of poor mechanics. Classically, three-dimensional motion analysis has been used to evaluate throwing mechanics and is considered the gold standard. Newer technology, such as wearable monitors, may provide an alternative and allow for assessment during actual competition. Keywords Pitching motion. Video analysis. Kinematics of pitching. Kinetics of pitching. Pitching flaws. Wearables This article is part of the Topical Collection on Injuries in Overhead Athletes
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