Evidence map›Paper›PMID 32523967›Full record

ArticleOrthopaedic journal of sports medicine2020

Preseason Neck Mobility Is Associated With Throwing-Related Shoulder and Elbow Injuries, Pain, and Disability in College Baseball Pitchers.

Laurie Lee Devaney, Craig R Denegar, Charles A Thigpen, Adam S Lepley, Cory Edgar, Lindsay J DiStefano

2 registry-linked trialsOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06854692 nacompletednot on this mapstarted 2025, after this paper: background citation

In-game Cervical Exercises to Reduce Subsequent Post-game Decrease of Shoulder Internal Rotation Range of Motion and External Rotation Strength in Baseball Pitchers

TypeinterventionalSponsorSacred Heart UniversityRan2025 to 2025Enrolled20ConditionsShoulderArmsCervical retraction exercise
NCT06903793 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of Cervical Manipulation on Cervical Rotation Range of Motion and Shoulder Rotational Range of Motion and Strength in Overhead Athletes

TypeinterventionalSponsorSacred Heart UniversityRan2025 to 2025Enrolled20ConditionsCervical Spine, Manipulation, Spinal, Shoulder, Overhead AthleteArmscervical manipulation
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Risk Factors and Injury Prevention in the Throwing Athlete.Arthroscopy, sports medicine, and rehabilitation · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Laurie Lee DevaneyDepartment of Kinesiology, University of Connecticut, Storrs, Connecticut, USA.
Craig R DenegarDepartment of Kinesiology, University of Connecticut, Storrs, Connecticut, USA.
Charles A ThigpenATI Physical Therapy, Greenville, South Carolina, USA.
Adam S LepleySchool of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
Cory EdgarUniversity of Connecticut Health Center, Farmington, Connecticut, USA.
Lindsay J DiStefanoDepartment of Kinesiology, University of Connecticut, Storrs, Connecticut, USA.
University of Connecticut · USATI Physical Therapy · USUConn Health · USUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShoulder and elbow injuries in baseball pitchers, which can lead to significant pain and disability, have been on the rise at all levels of play for 3 decades. Despite anatomic and neurophysiological relationships, neck mobility has not been explored as a contributor to shoulder and elbow injuries in baseball pitchers. HYPOTHESIS: Impaired neck mobility will increase the risk of shoulder and elbow injuries in college baseball pitchers. STUDY

designCohort study; Level of evidence, 2.

methodsPosture, neck mobility, and shoulder passive range of motion were measured in healthy college baseball pitchers during the 2018 preseason. Time loss (days lost because of shoulder or elbow injuries) and patient-reported disability via Functional Arm Scale for Throwers (FAST) scores were used to dichotomize pitchers into injured and uninjured groups. Receiver operating characteristic curves were generated, and accuracy values and risk ratios (RRs) were calculated to assess the diagnostic utility of the physical measures. Time-to-injury analysis was conducted to assess the timing of injuries.

resultsA total of 49 pitchers (mean age, 19.92 ± 1.48 years; mean height, 187.04 ± 6.02 cm; mean weight, 89.14 ± 12.08 kg) completed the study. There were 10 pitchers (20.4%) who sustained a time-loss injury >7 days because of a shoulder or elbow injury. A Cervical Flexion-Rotation Test (CFRT) finding on the dominant side of ≤39° resulted in over 9 times the increased risk of time-loss injuries (RR, 9.38 [95% CI, 1.28-68.49]). Time-to-injury analysis demonstrated differences between the 2 groups (χ

conclusionCollege baseball pitchers with less neck mobility during the preseason had an increased risk of time loss and shoulder and elbow disability during the season. The predictive value of these measures as part of a risk screening profile should be further explored.

Indexed as

cervical spineinjury preventioninjury riskoverhead athlete

Identifiers

PMID32523967
PMCPMC7235677
OpenAlexW3026369079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.