Evidence map›Paper›PMID 41179464›Full record

ArticleJSES reviews, reports, and techniques2025

The effect of a forearm-strengthening program on medial elbow gapping in collegiate baseball pitchers.

Ryan D Lopez, Andres R Perez, Nabil Mehta, Nareena Imam, Chris Cherian, Frank G Alberta, Richard J Boergers, Brandon J Erickson

Abstract read
In one paragraph

Article in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Single-Operator Stress Ultrasound Evaluation of Ulnohumeral Joint Instability Related to Medial Ulnar Collateral Ligament Injury: The Mayo Technique.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    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

8 authors.

Ryan D LopezRothman Orthopaedic Institute, Philadelphia, PA, USA.
Andres R PerezRothman Orthopaedic Institute, Philadelphia, PA, USA.
Nabil MehtaRothman Orthopaedic Institute, Philadelphia, PA, USA.
Nareena ImamRothman Orthopaedic Institute, Philadelphia, PA, USA.
Chris CherianHackensack Meridian Health, Edison, NJ, USA.
Frank G AlbertaHackensack Meridian Health, Edison, NJ, USA.
Richard J BoergersSeton Hall University, South Orange, NJ, USA.
Brandon J EricksonRothman Orthopaedic Institute, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Injuries to the ulnar collateral ligament (UCL) are increasing among baseball players at all levels. Elbow forces during pitching routinely exceed levels that cause failure in UCL cadaver studies, highlighting the importance of identifying protective measures against UCL injury. The flexor-pronator mass has been demonstrated as a dynamic stabilizer of the elbow against valgus loads. Increasing dynamic stability of the elbow may help mitigate medial elbow gapping, a known risk factor for UCL injury. The purpose of this study was to determine the effect of an 8-week forearm-strengthening program on medial elbow gapping under ultrasound in collegiate baseball pitchers. We hypothesized that athletes who complete a forearm-strengthening program will have decreased medial elbow gapping under ultrasound in both gravity loaded and stress loaded conditions. Methods: Fourteen healthy collegiate (National Collegiate Athletic Association Division I) baseball pitchers completed an 8-week forearm-strengthening program in their throwing arm. Forearm girth and forearm strength were measured in the throwing and nonthrowing arm before and after the forearm-strengthening intervention. Medial elbow gapping in gravity-loaded and stress-loaded conditions were measured by ultrasound in the throwing and nonthrowing arm before and after the intervention. Results: There was a significant main effect of time on throwing-arm forearm girth (pre: 29.21 ± 1.72; post: 29.52 ± 1.64 cm, Conclusion: Although our forearm-strengthening program led to an increase in forearm girth and grip strength, the average medial elbow gap under a static valgus load was statistically unchanged. Further studies are warranted to explore the utility of strengthening the flexor-pronator mass as a preventive measure against injury in throwers.

Indexed as

Flexor-pronator massForearmPitcherStrengtheningUCL injuryUlnar collateral ligament

Identifiers

PMID41179464
PMCPMC12573452

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.