Comparison of In-Game Trunk and Upper Extremity Kinematics Between Fastballs, Breaking Balls, and Changeups in NCAA Division I Collegiate Baseball Pitchers.

Background: Previous biomechanical analyses of baseball pitching report similar kinematics between pitch types. However, prior studies were conducted in a controlled laboratory environment. Purpose/Hypothesis: This study aimed to compare in-game trunk and upper extremity kinematics between fastballs, breaking balls, and changeups to determine whether there are kinematic differences that may affect performance as well as to provide new insights into potential risk factors for injury. It was hypothesized that there would be kinematic differences between pitch types. Study Design: Descriptive laboratory study. Methods: A retrospective analysis was conducted of markerless motion capture data collected during National Collegiate Athletic Association Division I baseball games. Included were 34 pitchers who pitched at least 3 pitches of each type (fastball, breaking ball, changeup) during competition. A 1-way repeated-measures multivariate analysis of variance (MANOVA) was used to test differences between pitch types, and Bonferroni post hoc tests were used to test pairwise comparisons. Results: The MANOVA revealed a significant effect of pitch type ( Conclusion: Collegiate baseball pitchers displayed numerous kinematic differences between pitch types during competitive play, some of which are known influencers of pitching kinetics. Clinical Relevance: This study offers a novel perspective regarding kinematic differences between different pitch types during competition. These results are comparable to the findings of laboratory studies and provide valuable insights into potential injury mechanisms.