Background:
Pitching-related elbow injuries remain prevalent across all levels of
baseball. Elbow valgus torque has been identified as a modifiable risk
factor of injuries to the ulnar collateral ligament in skeletally mature
pitchers.
Purpose:
To examine how segmental energy flow (power) influences elbow valgus torque
and ball speed in professional versus high school baseball pitchers.
Study Design:
Descriptive laboratory study.
Methods:
A total of 16 professional pitchers (mean age, 21.9 ± 3.6 years) and 15 high
school pitchers (mean age, 15.5 ± 1.1 years) participated in marker-based
motion analysis of baseball pitching. Ball speed, maximum elbow valgus
torque (MEV), temporal parameters, and mechanical power of the trunk, upper
arm, and forearm were collected and compared using parametric statistical
methods.
Results:
Professional pitchers threw with a higher ball speed (36.3 ± 2.9 m/s)
compared with high school pitchers (30.4 ± 3.5 m/s) (
P
=
.001), and MEV was greater in professional pitchers (71.3 ± 20.0 N·m) than
in high school pitchers (50.7 ± 14.6 N·m) (
P
= .003). No
significant difference in normalized MEV was found between groups
(
P
= .497). Trunk rotation time, trunk power, and upper
arm power combined to predict MEV (
r
= 0.823,
P
< .001), while trunk rotation time and trunk power
were the only predictors of ball speed (
r
= 0.731,
P
< .001). There were significant differences
between the professional and high school groups in the timing of maximum
pelvis rotation velocity (42.9 ± 9.7% of the pitching cycle [%PC] vs 27.9 ±
23.4 %PC, respectively;
P
< .025), maximum trunk
rotation (33 ± 16 %PC vs 2 ± 23 %PC, respectively;
P
=
.001), and maximum shoulder internal rotation velocity (102.4 ± 8.9 %PC vs
93.0 ± 11.7 %PC, respectively;
P
= .017).
Conclusion:
The power of trunk motion plays a critical role in the development of elbow
valgus torque and ball speed. Professional and high school pitchers do not
differ in elbow torque relative to their respective size but appear to adopt
different patterns of segmental motion.
Clinical Relevance:
Because trunk rotation supplies the power associated with MEV and ball speed,
training methods aimed at core stabilization and flexibility may benefit
professional and high school pitchers in reducing the injury risk and
improving pitching performance.