Effects of Different Arm Slots on Shoulder Kinematics And
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EFFECTS OF DIFFERENT ARM SLOTS ON SHOULDER KINEMATICS AND KINETICS DURING BASEBALL PITCHING A Thesis Presented to the faculty of the Department of Kinesiology California State University, Sacramento Submitted in partial satisfaction of the requirements for the degree of MASTER OF SCIENCE in Kinesiology (Exercise Science) by Michael Sousa-Johnson, ATC SPRING 2017 © 2017 Michael Sousa-Johnson ALL RIGHTS RESERVED ii EFFECTS OF DIFFERENT ARM SLOTS ON SHOULDER KINEMATICS AND KINETICS DURING BASEBALL PITCHING A Thesis by Michael Sousa-Johnson Approved by: __________________________________, Committee Chair Dr. Rodney Imamura __________________________________, Second Reader Dr. Rafael Escamilla ____________________________ Date iii Student: Michael Sousa-Johnson I certify that this student has met the requirements for format contained in the University format manual, and that this thesis is suitable for shelving in the Library and credit is to be awarded for the thesis. __________________________, Graduate Coordinator ___________________ Dr. Daryl Parker Date Department of Kinesiology iv Abstract of EFFECTS OF DIFFERENT ARM SLOTS ON SHOULDER KINEMATICS AND KINETICS DURING BASEBALL PITCHING by Michael Sousa-Johnson INTRODUCTION: Baseball pitchers have the highest volume of throws of all baseball players. These large volumes of throwing may lead to injury of the throwing shoulder. Each pitcher has their particular throwing style and arm position they prefer, called arm slot. PUROSE: Primary aim was to compare the differences in shoulder abduction angle, lateral trunk lean, and shoulder proximal force, in each arm slot. Secondary aim was to provide evidence for defining ranges for each arm slot and bring about information of a new variable, arm slot angle. METHODS: Motion capture (240 Hz) of fourteen (14) pitchers throwing off an artificial dirt mound in a lab. Data analyzed were shoulder abduction angle, lateral trunk lean, and shoulder proximal force. RESULTS: No statistical significance found comparing shoulder abduction angle or shoulder proximal force (P > 0.05) between arm slot groups. Lateral trunk lean however was significantly different (P < 0.05) between arm slot groups. DISCUSSION: Present study was one of the first to look at differences in shoulder proximal forces between different arm slots. Limited data to shoulder kinematics and kinetics in literature; however, data has been shown that at ball release there are high amounts of force and torque occurring at the v elbow. Further research needed to look closer into the shoulder forces and torques in each arm slot, and to define ranges for each arm slot as far as arm slot angle. _______________________, Committee Chair Dr. Rodney Imamura _______________________, Date vi ACKNOWLEDGEMENTS To my family whom I love very much and have always been there for me when I needed them the most. To my fiancé, thank you for loving me through all the stress of graduate school and thesis process. To my colleagues and classmates who spent many hours with me in class, in labs, studying until the early hours of the morning, thank you for helping me when I most needed it. To my professors who pushed me further than I could have ever imagined myself, thank you for helping me see my potential. To my undergraduate students who helped me with data collection for this thesis, thank you very much, without you those few days would have been chaotic. To Dr. Alan Hirahara, thank you for pushing me to go above and beyond, to apply for graduate school, and getting interested in the shoulder. To Dr. Daryl Parker, thank you for being a mentor to me academically, professionally and personally. I will always hold you in highest and best regards. To Dr. Rafael Escamilla, thank you for being my toughest critic and showing me there is always more to learn and making be a better scientific writer. To Dr. Rodney Imamura, thank you for always being in my corner and telling me what I needed to hear. You have my utmost respect. And finally to my brother, without your unfortunate injury so early in your pitching career I would have never began to ask questions about injury prevention and shoulder injuries. vii TABLE OF CONTENTS Page Acknowledgements .................................................................................................... vii List of Tables ................................................................................................................ x List of Figures ............................................................................................................. xi Chapter 1. INTRODUCTION ..................................................................................................1 Background ...................................................................................................... 1 Purpose ............................................................................................................. 4 Hypothesis......................................................................................................... 4 Significance....................................................................................................... 4 Definition of terms ............................................................................................ 5 Delimitations ..................................................................................................... 6 Limitations ........................................................................................................ 7 2. REVIEW OF LITERATURE ................................................................................. 8 Introduction ....................................................................................................... 8 Throwing motion .............................................................................................. 9 Arm slot .......................................................................................................... 11 Injuries to the throwing shoulder .................................................................... 16 Rotator Cuff ........................................................................................ 16 Biceps Tendinopathy .......................................................................... 16 viii Labral Tears ........................................................................................ 17 Posterior Labral Tears ......................................................................... 17 SLAP tears .......................................................................................... 18 Linking biceps and labrum.............................................................................. 18 EMG studies and biceps.................................................................................. 20 Conclusion ...................................................................................................... 21 3. METHODS ........................................................................................................... 22 Subject characteristics ..................................................................................... 22 Study design .................................................................................................... 23 Equipment ........................................................................................... 23 Testing Procedures .............................................................................. 23 Group Placement ................................................................................. 23 Data Collection ................................................................................... 24 Data Reduction.................................................................................... 26 Variables ............................................................................................. 27 Data analysis ................................................................................................... 27 4. RESULTS ............................................................................................................. 28 5. DISCUSSION ....................................................................................................... 30 Appendix A. INFORMED CONSENT FORM .......................................................... 34 Appendix B. HEALTH HISTORY FORM ................................................................ 37 References ................................................................................................................... 39 ix LIST OF TABLES Tables Page 1. Subject characteristics ....................................................................................... 22 2. Arm slot group comparison .............................................................................. 24 x LIST OF FIGURES Figures Page 1. Definition of “Arm slot angle” ........................................................................... 6 2. Phases of throwing ............................................................................................. 9 3. Overhead arm slot ............................................................................................. 13 4. Three-quarter arm slot....................................................................................... 14 5. Sidearm arm slot ............................................................................................... 15 6. Anatomy of the shoulder girdle .......................................................................