Cascade-Sports_Baseball_Injury

 Pitch Counts  Shoulder/Elbow Anatomy  Risks for Injury  Medical Care  Injury Prevention  Rehabilitation

 Return to Sport  Training

 9 Months  3 months of NO throwing

REST, Conditioning, Rehab, Preparation

 Two Major Studies  1996 USA Baseball Medical & Advisory Committee  Expert Survey

 2002 American Journal of Sports Medicine Study  Epidemiological Study

 2002 Study; American Journal of Sports Medicine  476 baseball pitchers ages 914 followed x1 season  Pre-season and Post-season Questionaires  Types of pitches  Stiffness and pain in elbow and shoulder

 Injury and Performance interviews following each game  Pitch count logs  Video analysis of pitching mechanics

 50% reports elbow or shoulder pain at least once during the season  Pitchers who threw sliders were 86% more likely to experience elbow pain during the season

 Pitchers who threw curve balls were 56% more likely to experience shoulder pain during season  Pitchers who threw change-ups were 12% less likely to experience elbow pain and 29% less likely to experience shoulder pain during season

 As pitch counts increased, the number of shoulder and elbow pain cases increased  The incidence of elbow and shoulder pain increased with the number of pitches thrown in a season

 LISTEN and REACT to complaints of arm pain  A pitcher who complains or shows arm pain during a game should be removed immediately  Medical Attention:  Pain not relieved in 4 days  Recurs immediately upon return to throwing

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GAME: 50 WEEK: 75 SEASON: 1000 YEAR: 2000

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GAME: 75 WEEK: 100 SEASON: 1000 YEAR: 3000

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GAME: 75 WEEK: 125 SEASON: 1000 YEAR: 3000

 GAME Pitch Count  Warm up pitches

 No breaking pitches until bones mature  13 years old

 FOCUS: Good Mechanics and Control  NO MORE than 9 Months of Competition

 Pitch Count, Pitch Count, PITCH COUNT    

OVERUSE Showcases Playing year round Improper Activity to Rest Ratio

 Poor Shoulder ROM/Flexibility

 Poor Elbow ROM/Flexibility

Kids who required surgery TWICE as many pitches as those who did not….

After ONE game pitchers loose some shoulder and elbow range of motion

 Number of pitches  History of previous injury to area

 Games  In-season  Painful  Off Season

 Warm Up: Full Body and Shoulder  NOT all throwing

 Pitch Counts  COUNT full speed, warm up pitches/throws  Limit between inning warm up throws

 Post Game Stretching: Elbow and Shoulder

 Flexibility post throwing (ALL Positions)  Light shoulder exercises  Mix Up Demands, Practice, and Training

Consequences: Devastating  “Elbow Pain”  Torn UCL = Tommy John Surgery

 Shoulder Pain, “Little Leaguers Shoulder”  Fracture of Humerus

 Pain greater 3-4 days  Pain immediately returns  Unable to walk (weight bear) >3-4 steps  Pain is getting significantly worse  Not improved with rest

REFER THEM OUT

 Less often, less weight in season  Make a part of practice at least in pre-season  NOT TO FATIGUE  3 sets of 8-12  Slow, good control, EXCELLENT form

http://www.mikereinold.com/2010/05/little-league-injury-prevention-program.html

 Lower Body Strength, Power, Control & Balance  Single Leg Balance  Lunge  Squats

 Core Strength & Control  Lower Body Flexibility  Higher Level Shoulder Exercises

 RELATIVE REST > NO THROWING  Strengthen small stabilizers of shoulder and shoulder blade

 Total Body conditioning including strength and resistance

Baseball Players CAN and SHOULD lift weights

http://www.mikereinold.com/2009/04/littleleague-pitching-injuries.html

Curveballs: http://www.mikereinold.com/2009/08/isthrowing-curveball-dangerous-to-our.html Youth Injuries:http://www.mikereinold.com/2012/02/ the-real-reason-why-there-are-so-manyyouth-pitching-injuries.html

 http://www.ericcressey.com/baseball-content

 http://www.asmi.org/asmiweb/usabaseball.ht m  Effect of pitch type, pitch count, and pitching mechanics on risk of elbow and shoulder pain in youth baseball pitchers. Am J Sports Med. 2002 Jul-Aug;30(4):463-8. Lyman S, Fleisig GS, Andrews JR, Osinski ED.