Rehabilitation of the Overhead Throwing Athlete: There Is More to It Than Just External Rotation/Internal Rotation Strengthening

PM and R - Tập 8 Số 3S - 2016
Kevin E. Wilk1,2,3,4, Christopher A. Arrigo5,3, Todd Hooks6,3, James R. Andrews1,7,3,8
1American Sports Medicine Institute, Birmingham, AL
2Champion Sports Medicine, 805 St Vincent's Dr, Suite G100, Birmingham, AL 35205
3Disclosure: nothing to disclose
4Tampa Bay Rays Baseball Team, Tampa Bay, FL
5Advanced Rehabilitation, Tampa, FL
6Champion Sports Medicine, Birmingham, AL
7Andrews Research and Education Foundation, Gulf Breeze, FL
8The Andrews Institute, Gulf Breeze, FL

Tóm tắt

AbstractThe repetitive nature of throwing manifests characteristic adaptive changes to the shoulder, scapulothoracic, and hip/pelvis complexes that result in a set of unique physical traits in the overhead throwing athlete. An effective rehabilitation program is dependent upon an accurate evaluation and differential diagnosis to determine the causative factors for the athlete's pathologic features. The treatment program should be individualized with specific strengthening and flexibility exercises to achieve the dynamic stability that is required for overhead function. In this article we describe the characteristics of the throwing shoulder, along with a multiphased rehabilitation program that allows for the restoration of strength, mobility, endurance, and power and is aimed toward a return to unrestricted sporting activity. We also describe exercises that link the upper and lower extremities because of the importance of core control and leg strength in the development of power during the act of throwing. Additionally, proper throwing mechanics, utilization of pitch counts, appropriate rest, and proper off‐season conditioning will help decrease overall injury risk in the overhead throwing athlete.

Từ khóa


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