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Updated: Nov 24, 2025

Measurement of Spatial Stability in Precision Grip
Published on: June 4, 2020
Grip strength is not related to increased medial elbow joint-space gapping induced by repetitive pitching
Hiroshi Hattori1,2, Kiyokazu Akasaka1,3, Takahiro Otsudo1,3
1Graduate School of Medicine, Saitama Medical University, Moroyama, Saitama, Japan.
Background:
Pitching induces elbow valgus stress, which can lead to an increase in medial elbow joint-space gapping when repeated. Previous basic research on the medial elbow joint shows that the contraction associated with gripping reduces medial elbow joint-space gapping. However, no studies have investigated the relationship between grip strength and increased medial elbow joint-space gapping during repetitive pitching. The purpose of this study was to investigate whether grip strength is related to medial elbow joint-space gapping during repetitive pitching. Our hypothesis was that increased grip strength would correlate with a reduction in medial elbow joint-space gapping.
Methods:
A total of 25 high school baseball players participated in this study. Each subject pitched 100 times. The medial elbow joint-space gapping and grip strength were measured before and after pitching. Correlation analysis was used to identify the relationship between medial elbow joint-space gapping and grip strength.
Results:
Medial elbow joint-space gapping (mm) increased by 25.5% ± 8.0% after 100 pitches (gapping before, 5.0 ± 0.9; gapping after, 6.2 ± 1.1; P < .001). Grip strength (kg) after 100 pitches decreased by 2.8% ± 7.4% to that before pitching (before, 40.4 ± 5.5; after 39.2 ± 5.6; P < .05). There was no significant correlation between the change rate of medial elbow joint gapping and grip strength at any time (grip strength: before pitching, P = .74; after pitching, P = .40; change rate from before to after pitching, P = .24).
Conclusions:
Grip strength is not related to increased medial elbow joint-space gapping induced by repetitive pitching. This indicates that physical ability expressed by grip strength is not associated with preventing increases in medial elbow joint-space gapping during repetitive pitching. Further studies are required to investigate the stabilization mechanism of the medial elbow joint during pitching.
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