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Changes in Throwing Arm Mechanics at Increased Throwing Distances During Structured Long-Toss.

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Area of Science:

  • Sports Medicine
  • Biomechanics
  • Orthopedics

Background:

  • Adolescent baseball players show rising elbow injury rates, exceeding college and professional levels.
  • Return-to-throw programs, including long-toss, are used for injury prevention and rehabilitation.
  • Limited research exists on elbow load during interval throwing for high school athletes.

Purpose of the Study:

  • To quantify changes in arm slot, arm speed, shoulder external rotation, and elbow varus torque.
  • To analyze these biomechanical parameters across increasing throwing distances within individual athletes.

Main Methods:

  • A descriptive laboratory study involving 95 high school baseball players.
  • Participants performed a long-toss protocol at distances of 9m, 18m, 27m, 37m, and 46m.
  • Inertial sensors and sleeves were used to measure biomechanical data; statistical models analyzed the relationship between distance and parameters.

Main Results:

  • Arm slot, arm speed, shoulder external rotation, and elbow varus torque were significantly associated with throw distance.
  • Increasing distance led to higher arm speed and shoulder external rotation, and a lower arm slot.
  • Elbow varus torque increased up to 37m and plateaued at 46m.

Conclusions:

  • Longer throwing distances in conditioning may enhance shoulder range of motion and arm speed.
  • Increased throwing distance is associated with greater arm rotation, arm speed, and elbow torque, alongside a reduced arm slot.
  • Careful consideration is needed due to biomechanical changes during long-toss protocols in adolescent athletes.