Effects of Hip Abduction Fatigue on Trunk and Shoulder Kinematics During Throwing and Passive Hip Rotational Range of Motion.

Context: Hip abductor musculature contributes to the stability of the pelvis, which is needed for efficient energy transfer from the lower-extremity to the upper-extremity during overhead throwing. Objective: The purpose of this study was to examine the effects of a bilateral hip abduction fatigue protocol on overhead-throwing kinematics and passive hip range of motion. Design: Prospective cohort study. Setting: Controlled laboratory setting. Participants: A convenience sample of 19 collegiate female softball players (20.6 [1.9] y; 169.3 [9.7] cm; 73.2 [11.2] kg). Main Outcome Measures: Repeated hip abduction to fatigue was performed on an isokinetic dynamometer for 3 consecutive days. Trunk and shoulder kinematics during throwing and hip internal and external rotation range of motion were analyzed prior to fatigue on day 1 (prefatigue) and following fatigue on day 3 (postfatigue). Results: Repeated-measures analysis of variances revealed no statistically significant differences in trunk and shoulder kinematics prefatigue and postfatigue. A statistically significant time × side × direction interaction (F2,36 = 5.462, P = .02, ηp2=.233 ) was observed in hip passive range of motion. A decrease in throwing-side hip internal rotation prefatigue to postfatigue (mean difference = -2.284; 95% confidence interval, -4.302 to -0.266; P = .03) was observed. Conclusions: The hip abductor fatigue protocol used in this study did not significantly alter trunk and upper-extremity throwing kinematics. The lack of changes may indicate that fatigue of the hip abductors does not contribute to trunk and shoulder kinematics during throwing or the protocol may not have been sport-specific enough to alter kinematics.

BIOMECHANICAL INFLUENCES OF A POSTURAL COMPRESSION GARMENT ON SCAPULAR POSITIONING.

BACKGROUND: The scapula is a critical link utilized in the kinetic chain to achieve efficient overhead movement and transfer energy from the lower extremity to the upper extremity. Additionally, daily activities such as sitting at a computer or driving in a car may negatively influence an individual's ability to maintain proper body posture and therefore compromise those movements. To reduce these negative influences, posture garments have been designed to cue the individual in maintaining and improving posture and alignment, specifically targeting scapular positioning. PURPOSE: The purpose of this study was to compare scapular positioning between an IntelliSkin™ posture-cueing compression garment and a generic performance garment on scapular kinematics during static standing.Study Design: Case control. METHODS: Forty active females (1.68 ± 0.07 m; 67.29 ± 11.25 kg) stood in a natural standing position while wearing two different garments: IntelliSkin™ posture-cueing compression garment and a generic performance garment. Kinematic data were collected at 100 Hz using an electromagnetic tracking system (trakSTAR™, Ascension Technologies, Inc., Burlington, VT, USA) synced with The MotionMonitor® (Innovative Sports Training, Chicago, IL., USA). RESULTS: Repeated measures ANOVAs revealed a statistically significant Shirt by Side interaction for scapular protraction/retraction (F(1,39) = 52.91, p ≤ 0.05) and main-effect of Shirt for scapula anterior/posterior tilt (F(1,39) = 96.45, p ≤ 0.05). Individuals showed increased retraction and posterior tilt while wearing the IntelliSkin™ posture-cueing compression garment. CONCLUSION: The results of the current study indicate that the IntelliSkin™ posture-cueing compression garment improved scapular positioning during static standing posture. The IntelliSkin™ posture-cueing compression garment may provide clinicians an adjunct strategy to include with rehabilitative protocols. LEVEL OF EVIDENCE: Diagnosis, Level 3.

Quantitative Analysis of Proximal and Distal Kinetic Chain Musculature During Dynamic Exercises.

Oliver, GD, Washington, JK, Barfield, JW, Gascon, SS, and Gilmer, G. Quantitative analysis of proximal and distal kinetic chain musculature during dynamic exercises. J Strength Cond Res 32(6): 1545-1553, 2018-Proximal to distal sequencing for the dynamic movement of throwing is dependent on the movement and stability of the lumbopelvic-hip complex (LPHC) and scapula. Although the need for proximal stability for distal mobility has been vastly documented, pre-throwing programs tend to focus on the traditional rotator cuff activation exercises before long toss. Thus, it was the purpose of this study to describe muscle activations of LPHC stabilizing musculature (bilateral gluteus medius and maximus) and scapular stabilizing musculature (dominant side latissimus dorsi, lower trapezius, upper trapezius, and serratus anterior) during 5 kinetic chain exercises that could be implemented in a throwing program. It was hypothesized that both the LPHC and the scapular stabilizing musculature would exhibit moderate to high activation during all the selected kinetic chain exercises. Nineteen healthy college students (23.2 ± 7.2 years; 176.7 ± 17.9 cm; 78.0 ± 28.6 kg) participated. Surface electromyography was used to measure muscle activity in the LPHC and scapular stabilizing musculature during 5 kinetic chain exercises. A nonparametric Friedman test revealed significantly different muscle activations as a factor of exercise for each muscle, χ(18) = 417.220, p < 0.001. The 5 kinetic chain exercises successfully elicited moderate to high muscle activation in all musculature, except the upper trapezius. Because greater muscle activation of the LPHC and scapular stabilizers are crucial during a throwing task, these exercises are recommended for pre-throwing program implementation because they efficiently prepare the stabilizing musculature for lengthy or strenuous throwing tasks, resulting in a potential decrease in injury susceptibility.

Differences in Segmental Speeds as a Function of Maturation in Youth Baseball Pitchers.

The purpose of this study was to determine how stride length, segmental sequencing of the pelvis, trunk, humerus, and forearm velocities and accelerations, and the timing of these values change as youth mature. Thirteen youth baseball pitchers participated at three consecutive time points: visit 1 (10.7±1.3 years; 151.8±10.7 cm; 45.0±9.65 kg), visit 2 (11.5±1.6 years; 155.5±11.1 cm; 50.4±10.0 kg), and visit 3 (12.4±1.7 years; 161.5±11.7 cm; 56.4±10.8 kg). Participants executed three pitches for a strike to a catcher. The maximum value of stride length and segmental speeds and accelerations was recorded. The point at which these maximum values occurred during the throw was calculated as a percentage from hand separation to maximum internal rotation of the shoulder. Repeated measures ANOVAs and Friedman Tests revealed no statistically significant differences between stride length, segmental speeds and accelerations, and their percentage of the pitch between the three visits. However, there was a significant increase in ball velocity across visits. No significant changes occurred in pitching mechanics between the ages of 10-12. The authors speculate the lack of differences can be accounted for because these ages are prior to any significant pubescent changes. Future research should consider pre- and post- pubescent age groups.

Classification of lumbopelvic-hip complex instability on kinematics amongst female team handball athletes.

OBJECTIVES: The purpose of this study was to examine how lumbopelvic-hip complex (LPHC) stability, via knee valgus, affects throwing kinematics during a team handball jump shot. DESIGN: LPHC stability was classified using the value of knee valgus at the instant of landing from the jump shot. If a participant displayed knee valgus of 17° or greater, they were classified as LPHC unstable. Stable and unstable athletes' throwing mechanics were compared. METHODS: Twenty female team handball athletes (26.5±4.7years; 1.75±0.04m; 74.4±6.4kg; experience level: 4.8±4.1 years) participated. An electromagnetic tracking system was used to collect kinematic data while participants performed three 9-m jump shots. The variables considered were kinematics of the pelvis, trunk, and shoulder; and segmental speeds of the pelvis, torso, humeral, forearm, and ball velocities. Data were analyzed across four events: foot contact, maximum shoulder external rotation, ball release, and maximum shoulder internal rotation. RESULTS: Statistically significant differences were found between groups in pelvis, trunk, humerus, and forearm velocities at all events (p≤0.05). Specifically, the unstable group displayed significantly slower speeds. CONCLUSIONS: These findings suggest the difference in throwing mechanics are affected by LPHC instability for this select group of female team handball athletes. These differences infer an increased risk of injury in the upper and lower extremities when landing from a jump shot because of the energy losses throughout the kinetic chain and lack of utilization of the entire chain. It is recommended that further investigations also consider muscle activation throughout the throwing motion.

Biomechanical Comparison of Three Perceived Effort Set Shots in Team Handball Players.

Plummer, HA, Gascon, SS, and Oliver, GD. Biomechanical comparison of three perceived effort set shots in team handball players. J Strength Cond Res 31(1): 80-87, 2017-Shoulder injuries are prevalent in the sport of team handball; however, no guidelines currently exist in the implementation of an interval throwing protocol for players returning from an upper extremity injury. These guidelines exist for the sport of baseball, but team handball may present additional challenges due to greater ball mass that must be accounted for. The purpose of this study was to examine kinematic differences in the team handball set shot at 50, 75, and 100% effort which are common throwing intensities in throwing protocols. Eleven male team handball players (23.09 ± 3.05 years; 185.12 ± 8.33 cm; 89.65 ± 12.17 kg) volunteered. An electromagnetic tracking system was used to collect kinematic data at the pelvis, trunk, scapula, and shoulder. Kinematic differences at the shoulder, trunk, and pelvis were observed across effort levels throughout the set shot with most occurring at ball release and maximum internal rotation. Significant differences in ball speed were observed between all 3 effort level shots (p < 0.001). Team handball players are able to gauge the effort at which they shoot; however, it cannot be assumed that these speeds will be at a certain percentage of their maximum. The results of this study provide valuable evidence that can be used to prepare a team handball player to return to throwing activities.

Electromyographic Analysis of Traditional and Kinetic Chain Exercises for Dynamic Shoulder Movements.

Oliver, GD, Plummer, HA, and Gascon, SS. Electromyographic analysis of traditional and kinetic chain exercises for dynamic shoulder movements. J Strength Cond Res 30(11): 3146-3154, 2016-Proper utilization of the kinetic chain allows for efficient kinetic energy transfer from the proximal segments to the distal segments. The aims of this study were to describe muscle activations in 4 kinetic chain prethrowing exercises and compare these muscle activations with 3 traditional resistance-band exercises. Twenty-six healthy college students (22.9 ± 3.4 years; 172.2 ± 8.6 cm; 74.2 ± 16.3 kg), regardless of gender, participated. Surface electromyographic data were recorded for selected pelvic and scapular musculature while subjects performed the exercises. The exercises included airplane (single-leg balance with weight-bearing hip flexed to 90° and non-weight-bearing hip extended) while performing alternating repetitions of external and internal shoulder rotation, lunge, Get Up, single-leg balance, and resistance band I, T, and Y. A repeated-measures analysis of variance, with a factor of exercise (8 different levels), was used. Post hoc analyses were used for each muscle to determine the statistically significant differences between exercises. The results reveal the greatest activation occurred during the 2 airplane exercises than all the other exercises. The results of this study help to establish surface electromyographic data for selected pelvis and scapula musculature during a series of kinetic chain and resistance-band exercises. Understanding the muscle activations during these exercises can assist clinicians and coaches in choosing the appropriate exercises to implement for individuals involved in dynamic shoulder movement.