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Elbow Biomechanics of Pitching: Does Age or Experience Make a Difference?
Shayne Fehr1, Derek Damrow2, Christopher Kilian1
1Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI Children's Hospital of Wisconsin, Milwaukee, WI.
Youth baseball pitchers with experience show altered elbow biomechanics, including increased external rotation and flexion. Age-related differences in supination-pronation suggest early mechanical training is crucial for young athletes.
Area of Science:
- Sports Medicine
- Biomechanics
- Pediatric Sports Injuries
Background:
- Elbow pain and injuries are prevalent in young baseball players.
- The influence of pitching experience and age on elbow biomechanics remains unclear.
- Understanding these factors is crucial for injury prevention in youth athletes.
Purpose of the Study:
- To compare elbow kinematics between youth baseball pitchers and non-athletes.
- To investigate kinematic differences between younger and older youth pitchers.
- To identify potential biomechanical risk factors associated with pitching experience and age.
Main Methods:
- A case-control study design was employed.
- Twenty-seven male youths (ages 10-18) were divided into experienced pitchers (n=18) and non-athletes (n=9).
- An electromagnetic motion tracking system recorded elbow biomechanics, analyzed using Mann-Whitney U tests.
Main Results:
- Experienced pitchers exhibited greater external rotation during late cocking and increased flexion during early cocking compared to non-athletes.
- Younger pitchers showed a greater range of motion in supination-pronation during both early and late cocking phases.
- These findings suggest pitching experience significantly impacts elbow kinematics.
Conclusions:
- Pitching experience is associated with increased external rotation and flexion at the elbow.
- Age-related differences in supination-pronation highlight the importance of early mechanical training.
- Proper pitching mechanics taught at a young age may mitigate injury risks.
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