Evidence map›Paper›PMID 42893317›Full record

ArticleInternational journal of sports physical therapy2026

Strength Testing in the High School-Aged Baseball Athlete: Reliability, Percentage Ratios, and Pain with Throwing.

Ryan Monti, Elliot M Greenberg, Kelby Kaplan, Alicia Fernandez-Fernandez

Abstract read
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Article in International journal of sports physical therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ryan MontiDoctor of Physical Therapy Program- Las Vegas Campus Hawaii Pacific University.ORCID https://orcid.org/0009-0006-0330-9355
Elliot M GreenbergSports Medicine and Performance Center Children's Hospital of Philadelphia.ORCID https://orcid.org/0000-0003-2167-1535
Kelby KaplanDepartment of Physical Therapy and Rehabilitation Science University of Maryland, Baltimore.ORCID https://orcid.org/0000-0003-4627-443X
Alicia Fernandez-FernandezPhysical Therapy Department Nova Southeastern University.ORCID https://orcid.org/0000-0001-6778-3570

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital handheld dynamometry (HHD) is widely used to measure strength. However, among youth baseball athletes, it shows inconsistencies in isometric strength measurements, determination of within-limb strength percentage ratios (SPRs), and tracking changes in strength across a season. Purpose: To establish intra-tester reliability of isometric HHD strength testing of shoulder and elbow, describe throwing arm strength trends and SPRs across chronological ages, and report throwing with pain after seasonal participation for high school-aged baseball athletes. Design: Quasi-experimental observational study. Methods: Isometric strength for throwing arm musculature was assessed in 34 male high school-aged baseball athletes using an externally fixated HHD and normalized to throwing arm ulnar length. Assessed muscles included (1) shoulder external and internal rotators (ER & IR) in neutral, (2) elbow flexors and extensors at 90˚ shoulder flexion, and (3) shoulder ER and IR at 90˚ abduction. SPRs were calculated for antagonistic groups: shoulder ER/IR and elbow extensors/flexors. Intra-tester reliability was also analyzed. Throwing-related pain was assessed with the Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score (KJOC) after one baseball season. Intra-tester reliability intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC Results: Thirty-four high school-aged male baseball athletes (average age 15.7 ±1.2 years) were recruited for this study, and 30 completed all aspects of the study. Intra tester reliability ICC's were .822-.902. The SEM was 3.01-6.47 Newton-Meters (Nm), MDC Conclusions: Isometric strength assessment using digital HHD is a reliable method to quantify upper extremity strength in high school-aged baseball athletes. Descriptive SPR trends could aid future research on normative values and analysis of throwing with and without pain. Level of Evidence: Level 3.

Indexed as

Baseballreliabilitystrength ratioyouth athlete

Identifiers

PMID42893317
PMCPMC13676424

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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.