Evidence map›Paper›PMID 38446629›Full record

ArticleJournal of athletic training2024

Limited Total Arc Glenohumeral Rotation and Shoulder Biomechanics During Baseball Pitching.

Tomohiro Ide, Tyler J Hamer, Adam B Rosen, Colleen Vogel, Dimitri Haan, Brian A Knarr, Samuel J Wilkins

Open access · diamondAbstract read
In one paragraph

Article in Journal of athletic training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 18% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Tomohiro IdeSchool of Health and Kinesiology, University of Nebraska at Omaha.
Tyler J HamerThe Performance Technology Department, New York Mets.
Adam B RosenSchool of Health and Kinesiology, University of Nebraska at Omaha.
Colleen VogelDepartment of Kinesiology and Community Health, University of Illinois Urbana-Champaign.
Dimitri HaanDepartment of Biomechanics, University of Nebraska at Omaha.
Brian A KnarrDepartment of Biomechanics, University of Nebraska at Omaha.
Samuel J WilkinsSchool of Health and Kinesiology, University of Nebraska at Omaha.
University of Nebraska at Omaha · USThe Metropolitan Opera (United States) · USUniversity of Illinois Urbana-Champaign · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextUpper extremity injuries in baseball pitchers cause significant time loss from competing and decreased quality of life. Although shoulder range of motion (ROM) is reported as a key factor to prevent potential injury, it remains unclear how limited glenohumeral ROM affects pitching biomechanics which may contribute to upper extremity injuries.

objectiveTo investigate how pitchers with decreased total arc glenohumeral ROM of the throwing arm differed in upper extremity pitching kinematics and kinetics as well as ball velocity compared with pitchers with greater levels of glenohumeral ROM.

designCross-sectional study.

settingLaboratory. PATIENTS OR OTHER

participantsFifty-seven baseball pitchers (ages 18-24) were divided into either control (≥160° total arc) or lower ROM (<160° total arc) groups. MAIN OUTCOME MEASURE(S): The mean glenohumeral ROM deficits, pitching kinematic and kinetic outcomes, and ball velocity were compared between groups.

resultsThe control group demonstrated significantly less deficit in total arc ROM between arms than the lower ROM (control: -1.5° ± 10.0°; lower ROM: -12.4° ± 13.9°; P < .001). While the lower ROM group displayed less maximal shoulder external rotation (ER) while pitching, the control group had significantly less difference in ROM between maximal shoulder ER while pitching and clinically measured ER (lower ROM: 64.4° ± 12.1°; control: 55.8° ± 16.6°; P = .025). The control group had significantly faster ball velocity than the lower ROM group (control: 85.0 ± 4.3 mph; lower ROM: 82.4 ± 4.8 mph; P = .024).

conclusionPitchers with decreased total arc glenohumeral ROM (<160° total arc) may undergo overstretching toward ER in the shoulder during the late cocking phase. Pitchers with higher total arc ROM can pitch the same or faster ball without increasing loading in the upper extremity. Total arc glenohumeral ROM measurement can be a clinical screening tool to monitor shoulder condition over the time, and pitchers with limited total arc ROM might be at higher risk of shoulder injury.

Indexed as

BaseballRange of Motion, ArticularShoulder JointAdolescentBiomechanical PhenomenaCross-Sectional StudiesHumansMaleRotationShoulderShoulder InjuriesYoung Adultclinical screeninginjury preventionmotion captureupper extremity

Identifiers

PMID38446629
PMCPMC11537218
OpenAlexW4392504424

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.