Related Experiment Video
Updated: Sep 17, 2025

06:09
Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
3.3K
Lead and Back Hip Flexion-Extension Excursion: A Biomechanical Analysis in High School Baseball Pitchers
Joseph E Manzi1, Brittany Dowling2, Kyle Kunze3
1Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York, USA.
Orthopaedic Journal of Sports Medicine
|July 3, 2025
Summary
High school pitchers show less hip flexion than professionals, potentially impacting arm kinetics. Increased back hip flexion may increase shoulder anterior force, suggesting a risk factor for injury.
Area of Science:
- Biomechanics of pitching
- Sports medicine
- Kinetic chain analysis
Background:
- Established links between lumbopelvic control and throwing arm kinetics in athletes.
- Limited data on in-pitch hip flexion norms and its effect on throwing mechanics.
Purpose of the Study:
- Establish normative values for lead and back hip flexion in high school pitchers.
- Investigate the relationship between hip flexion-extension excursion and throwing arm kinetics, kinematics, and ball velocity.
Main Methods:
- 3D motion capture of 56 high school pitchers during fastball pitches.
- Calculation of normative hip flexion-excursion values and comparison with professional pitchers.
- Regression analysis to assess the association of hip excursion with ball velocity and arm kinetics.
Main Results:
- High school pitchers exhibited significantly less lead and back hip flexion excursion compared to professional pitchers.
- Lower hip flexion excursion correlated with reduced shoulder and elbow torques/forces.
- Hip flexion excursion was not a strong predictor of ball velocity, but back hip excursion predicted shoulder anterior force.
Conclusions:
- High school pitchers demonstrate reduced hip flexion-extension excursion compared to professionals.
- Hip flexion excursion has a minor role in ball velocity but increased back hip excursion may elevate shoulder anterior force, indicating a potential injury risk.

