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Throwing in cricket.

This paper considers the kinematic characteristics of overarm throwing with particular emphasis on the techniques of throwing and pitching in baseball. The technique is subdivided into: (1) sequential pattern of throwing, (2) lead foot contact, (3) preparatory phase, (4) arm acceleration and (5) instant of ball release. Specific biomechanical principles that underpin throwing and their application within baseball are identified. The paper also presents a case study of the three-dimensional characteristics of throwing technique in cricket. The aim was to compare the skill in cricket to that previously researched in baseball. The findings for throwing in cricket are similar to those reported for baseball, indicating that there is a definite crossover in the rationale of how an individual should throw specific to the demands of cricket and baseball. The differences noted--greater elbow flexion at lead foot contact and less external rotation during the preparation phase--can be attributed to the demands placed on the fielder and pitcher specific to their respective sports.

Acceleration↗

Throwing accuracy in the vertical direction during prism adaptation: not simply timing of ball release.

In a previous study, others have hypothesized that the variance in vertical errors that occurs while throwing at visual targets is caused by changes in any of three throw parameters: hand location in space, hand translational velocity, and hand orientation. From an analysis of skilled throwers, those authors concluded that vertical error is best correlated with variance in hand orientation, which in turn is related to the timing of ball release. We used a vertical prism adaptation paradigm to investigate which of these throwing parameters subjects use when adapting to external perturbation. Our subjects showed no correlation between hand position or hand translational velocity and ball impact height in normal, over-practiced throwing. However, video-based motion analysis showed that modifications both of position and speed of the hand play an important role when subjects are forced to compensate for a vertically shifting prism perturbation during a dart-like throw (these factors contribute approximately 30% of the adaptation). We concluded that, during adaptation, more degrees of freedom and more sources of potential error are modified to achieve the gaze-throw recalibration required to hit the target than are employed in this type of throw during normal conditions.

Adaptation, Physiological↗

Electromyographic analysis and phase definition of the overhead football throw.

BACKGROUND: The phases of the football throw need definition so that muscle activation patterns during the overhead football throw can be fully described. HYPOTHESIS: Electromyographic analysis of shoulder musculature can better define muscle activation patterns during the football throw. STUDY DESIGN: Descriptive anatomic study. METHODS: Videos of 20 elite-level quarterbacks were reviewed to define phases of the overhead football throw; 14 recreational male athletes underwent electromyography and motion analysis testing. RESULTS: Four sequential phases of the football throw were consistently observed. Early cocking (49% +/- 11% of throw) was initiated at rear foot plant and continued to maximal shoulder abduction and internal rotation. Late cocking (20% +/- 6%) started at maximal shoulder abduction and internal rotation and ended with maximal shoulder external rotation. The acceleration phase (15% +/- 4%) began with maximal shoulder external rotation and ended with ball release. Follow-through (16% +/- 5%) was defined as the phase from ball release to maximal horizontal adduction (across the body). CONCLUSION: The four phases demonstrated little variation in motion analysis and electromyographic activation between subjects and were associated with muscle activation patterns consistent with upper extremity movements. CLINICAL RELEVANCE: A clearer understanding of muscle activation patterns may help to explain patterns of muscle injury and improve rehabilitation protocols in football-throwing athletes.

Adult↗

The throw: biomechanics and acute injury.

The throw and its modifications are integral components of many sports. This study correlates case histories of acute injuries in throwing with a biomechanical analysis of the throwing mechanism. Comparisons are made with a similar analysis of the kick analyzed by the same film technique and computer program. Just prior to ball release, the pitching arm extends through an arc of about 73 degress in 40 msec, beginning with the elbow flexed at 80 degrees. This produces an axial load on the humerus and coincides with a pulse of external torque at the shoulder. This acts as stress protection to the humerus which is developing an internal torque of 14,000 inch-lb prior to ball release. The change in angular velocity, or the angular acceleration, during the throw is acquired in a much shorter time than in the kick. Torque is directly proportional to angular acceleration. This necessitates the development of substantially higher torques in the humerus during the throw than about the knee during a kick. The kinetic energy in the arm is 27,000 inch-lb during the throw. This is much higher than the kinetic energy in the kicking leg because the kinetic energy varies proportionally with the square of the angular velocity of the extremity. The angular velocity of the arm is about twice that of the leg. Thus, the pitching arm contains about four times as much kinetic energy as the kicking leg. These severe overloading conditions predispose the upper extremity to injury in the throwing mechanism.

Adolescent↗

Development of a distance-based interval throwing program for Little League-aged athletes.

We developed a distance-based interval throwing program for Little League-aged athletes (9 to 12 years) to be used in training and rehabilitation. The timing and repetition parameters were developed from data collected during 400 innings of organized baseball during a single season, and short toss distance from Little League rules for field dimensions. There were 1022 boys from organized baseball teams in the four studies. Maximal distance and speed measurements were recorded for 853 boys. We developed a mathematical model from these data to predict maximal throwing distance from maximal throwing speed. This model was then tested on a second sample of 114 players. We compared the predicted distance with the actual maximal throwing distance; the correlation coefficient was 0.92. Forty players aged 9 to 12 participated in a study to assess degradation of speed and distance. The average variability of the speed was small (< 5 mph), but the variability in distance was large (22.4 feet). Fifteen boys then threw the entire throwing program as designed. These results show that healthy young athletes can be expected to be able to throw the predicted value of this practical progressive interval throwing program for Little League-aged athletes. The appropriate program can be assigned from age and known preinjury pitch speed.

Adolescent↗

Timing of finger opening and ball release in fast and accurate overarm throws.

How precisely does the CNS control the timing of finger muscle contractions in skilled movements? For overarm throwing, it has been calculated that a ball release window of less than 1 ms is needed for accuracy in long throws. The objective was to investigate the timing precision of ball release and finge opening for 100 overarm throws made using only the arm. Subjects sat with a fixed trunk and threw balls fast and accurately at a 6-cm-square target when it was 1.5, 3.0 and 4.5 m away. Three-dimensional angular positions in space of the clavicle, upper arm, forearm, hand and distal phalanx of the middle finger were simultaneously recorded at 1000 Hz using the magnetic-field search-coil technique. Ball release was determined by pressure-sensitive microswitches on the proximal and distal phalanges of the middle finger (proximal and distal triggers). Variability of ball release, defined in terms of the standard deviation (SD) of the means of release times, was different when synchronized to different hand kinematic parameters. It was highest to the start of movement (when the hand started rotating vertically forward and up around a space-fixed horizontal axis) and was lowest when synchronized to the moment near ball release when the hand was vertical. These values did not depend on target distance. When throws were synchronized to vertical hand position, and SDs were averaged across the 10 subjects, the average interval for 95% of the throws (4xSD) was 9.6 ms for ball release and 10.0 ms for onset of finger opening. Thus, two independent measures of timing precision gave similar results. It is concluded that for 100 fast and accurate throws made by male recreational ball players, timing of finger opening and ball release was controlled precisely but not to fractions of a millisecond.

Adult↗

[Training and dominance in human voluntary movements. Right-left-comparisons of putting and throwing programs (author's transl)].

1. Muscle action potentials and efficiency were measured during shot putting and ball throwing in right and left handed normals. The dominant and the nondominant side were compared in trained and untrained persons in order to investigate motor learning effects. 2. Trained shot putters show a coordinated sequence of activation of trunk, leg and arm muscles of both sides which precedes the final arm extension. After turning the body from an initially inclined and twisted position the final arm extension transfers the force of the accelerated body mass to the shot. 3. When shot putting or throwing is performed by the nondominant arm in subjects trained for the dominant arm the coordination of the contralateral dominant arm is lacking, in contrast to the performance by the trained arm. 4. In untrained persons the shot putting is effected mainly by arm extension on either side. The preceding trunk and leg action is very incomplete and without coordination of the contralateral arm, whereas the shot putting arm shows stronger triceps brachii innervation. The distances achieved by untrained shot putters reach only one-fifth or one-third of those of highly trained persons. 5. In ball throwing the throwing arm shows final coactivation of the biceps and triceps muscles coordinated with trunk and contralateral arm movements. The distances reached by throwing with the untrained arm are about half of those of the trained dominant arm. 6. Trained sportsmen put the shot with the untrained nondominant arm to 73% of the distance achieved by the trained arm. Untrained persons, however, show an approximately equal, smaller range of shot with the dominant and nondominant arm (8% side difference). 7. A biomechanical factor causing different performances of trained and untrained persons in shot putting is the different force of the energy transferring mass: the untrained person thrusts mainly with the arm which has barely 1/20 of the mass of the whole body, used by the trained shot putter. 8. That bilateral training and not hemispheric dominance is the decisive factor producing the improved efficiency is demonstrated by three observations: a) the maximal efficiency and bilateral coordination of shot putting in trained persons, b) the lack of contralateral activation of the dominant arm in shot putting and throwing by the nondominant arm, and c) the minimal left and right side differences in performance of untrained persons.

Action Potentials↗

A stone's throw and its launch window: timing precision and its implications for language and hominid brains.

Did bigger brains for more precise throwing lead to language, much as feathers for insulation may have set the stage for bird flight? Throwing rocks even at stationary prey requires great precision in the timing of rock release from an overarm throw, with the "launch window" narrowing eight-fold when the throwing distance is doubled from a beginner's throw. Paralleled timing neurons can overcome the usual neural noise limitations via the law of large numbers, suggesting that enhanced throwing skill could have produced a strong selection pressure for any evolutionary trends that provided additional timing neurons. This enhanced timing circuitry may have developed secondary uses for language reception and production.

Animals↗

Shoulder joint movement of the non-throwing arm during baseball pitch--comparison between skilled and unskilled pitchers.

The shoulder of a non-throwing arm during a baseball pitch must be in a constant position while the shoulder of the throwing arm moves in a nearly circular path around it. However, it has not been investigated whether a skilled pitch requires less shoulder-joint movement. It was hypothesized that pitchers with less shoulder movement of the non-throwing arm can be considered to have higher skill and to attain higher initial ball velocity. Nine baseball pitchers were used as subjects. The coach classified them into a skilled and an unskilled group. The pitching motions were recorded using two high-speed cameras. The time series of three-dimensional landmark coordinates of the shoulder joint of the non-throwing arm during the baseball pitch were calculated using the direct linear transformation method. The shoulder-joint movement (SJM) index, which expresses the movement (displacement) of the shoulder joint of the non-throwing arm quantitatively, was proposed to compare the SJM at different skill levels and investigate the relationship between SJM and initial ball velocity. The SJM of the skilled pitchers was smaller than that of the unskilled pitchers, and the smaller value of the SJM led to faster initial ball velocity. The data suggest that the less SJM of the non-throwing arm is required to attain a skilled pitch and higher initial ball velocity.

Adult↗

Internal impingement of the shoulder: comparison of findings between the throwing and nonthrowing shoulders of college baseball players.

The authors evaluated and compared the findings of gadolinium-enhanced magnetic resonance imaging (MRI) studies of throwing and nonthrowing shoulders in college baseball athletes and contrasted these findings with the clinical examination results. Ten throwing college baseball athletes were prospectively clinically examined for instability, range of motion, impingement signs, and relocation testing, then evaluated with bilateral gadolinium enhanced MRI using the nonthrowing shoulder as a control. All MRIs were performed on a 1.5-Tesla magnet and included routine adduction images and images obtained in abduction and external rotation (ABER). Studies were interpreted by a musculoskeletal radiologist and an orthopaedic surgeon specializing in shoulder surgery. In all shoulders, ABER imaging showed physical contact between the undersurface of the rotator cuff and the posterior superior glenoid. No imaging or physical examination abnormalities were identified in the nonthrowing shoulders. Three of 10 throwing shoulders had superior labral tears and adjacent paralabral cysts extending toward or into the spinoglenoid notch. Four of 10 throwing shoulders had abnormal signal change in the rotator cuff tendons. No correlation was identified between positive MRI findings and instability on physical examination. Physical contact between the rotator cuff undersurface and the subjacent labrum can be seen normally in the ABER position. Abnormalities of the rotator cuff and superior labrum are seen in asymptomatic throwing shoulders but not nonthrowing shoulders. MRI abnormalities consistent with internal impingement can be seen in asymptomatic patients. Treatment of these abnormalities in young throwing athletes should be approached with caution.

Adult↗

Long term changes of the throwing arm of former elite javelin throwers.

The aim of this study was to determine long term changes in shoulder and elbow joints of former elite javelin throwers. Twenty-one elite javelin throwers were examined at an average of 19 years after the end of their high performance phase. Mean age at examination was 50 years. Functional assessment of both shoulders was determined by the Constant-score. The shoulder of the throwing arm was examined by magnetic resonance imaging. Both elbow joints were examined clinically and radiographically. Five athletes complained about transient shoulder pain in their throwing arm affecting activities of daily living, fourteen athletes had a deficit of internal rotation of at least ten degrees. Constant-scores of throwing arms were six points lower than those of non-throwing arms (P < 0.05). Complete ruptures and partial tears of the rotator cuff were frequent. Three athletes complained about transient elbow pain in their throwing arm affecting activities of daily living; ten athletes had a deficit of extension of more than five degrees. All dominant elbows had advanced arthrotic alterations (osteophytes, sclerosis) compared to the non-dominant side. Athletes who trained with weights of more than 3 kg had a significantly higher risk of degenerative changes than athletes who did not (P < 0.01). We therefore recommend to avoid throwing training with weights of more than 3 kg.

Activities of Daily Living↗

Imaging of the overhead throwing athlete.

Knowledge of overhead throwing biomechanics is crucial to understand specific injuries encountered in throwing athletes on diagnostic imaging. Most specific injuries of overhead throwing athletes occur at the shoulder and elbow. Throwing athletes are susceptible to rotator cuff tears from tensile overload and external and internal impingement. The labrum is also commonly degenerated or torn secondary to overuse syndrome, internal impingement, and microtrauma. The elbow is typically injured secondary to excessive valgus forces during throwing. The ulnar collateral ligament, ulnar nerve, and common flexor tendon origin are all at increased risk of injury. Capitellar osteochondral injuries and loose intra-articular bodies are also frequent. Knowledge of injury pathophysiology is crucial to understanding the treatment rationale in throwing athletes.

Athletic Injuries↗

Vertical jumping height and horizontal overhead throwing velocity in young male athletes.

The purpose of this study was to examine the effects of calendar and skeletal age, anthropometric dimensions, training history and their interactions on vertical jumping height and horizontal overhead throwing velocity in a cross-section of 318 young male athletes (age range 9-16 years) participating in cross-country skiing (n = 70), basketball (n = 40), apparatus gymnastics (n = 19), ice hockey (n = 50), track and field (n = 89) and wrestling (n = 50). Vertical jumping height was measured with four different loads held on the shoulders and then interpolated for loads representing 0 and 40% body mass. Horizontal overhead throwing velocity using both hands was determined for seven balls of different weights and then interpolated for weights representing 1 and 5% body mass. Both vertical jumping height and overhead throwing velocity were found to increase (P < 0.01) from the skeletally youngest to the oldest cohort when the effects of body height and mass were controlled. The inter-event comparisons did not reveal statistically significant differences in respect of vertical jumping height. Also in the overhead throwing tests, the inter-event differences were small, although the analysis of variance revealed statistically significant (P < 0.001) differences for the skeletal age cohorts of 13 and 14 years. While the quantity of training had no effect on vertical jumping height, it explained the results in the overhead throwing test. The effects of training on vertical jumping and horizontal overhead throwing among adolescent athletes were considered to be small, while maturational processes and anthropometric development followed by increase in calendar age were deemed to be of greater importance.

Adolescent↗

The biomechanics of the discus throw: a review.

This review provides an evaluation of published scientific literature (mostly that in English or German) which has reported quantitative data relating to the biomechanics of the discus throw. This is done by considering the two stages of the throw--the launch (the movements in the circle) and the discus flight. To ascertain the optimal release characteristics of the discus to maximize the distance thrown, the results of those studies which have addressed this problem by simulating the flight of the discus are evaluated. To assess the merit of this literature, a detailed evaluation of studies of the aerodynamics of discus flight is also undertaken in this review. These results are compared with measured release conditions from filmed discus throws. The greater part of the review seeks to establish the technique of the thrower within the circle necessary to achieve an optimum release. Thus, the discus throwing technique is discussed in relation to the results of cinematographic data, and the extremely limited number of force platform and electromyographic studies. An evaluation of experimental procedures and the reporting of experimental errors, particularly for the cinematographic studies, is included. Consideration is also given to some of the more descriptive, coaching literature where points are raised which serve to highlight important biomechanical aspects of throwing technique. It is concluded that not enough relevant and reliable biomechanical data currently exist to answer many of the important questions about the technique of the discus throw, and some future research directions to help overcome this are recommended.

Biomechanical Phenomena↗

MRI findings in throwing shoulders: abnormalities in professional handball players.

Shoulders of throwing athletes are highly stressed joints and likely to have more structural abnormalities seen on magnetic resonance imaging scans. Prevalence and type of structural abnormalities, especially abnormalities of the rotator cuff tendons and the superolateral humeral head, and correlation of magnetic resonance imaging findings with symptoms and clinical tests, are not well known. Throwing and nonthrowing (symptomatic and asymptomatic) shoulders of 30 fully competitive professional handball players and 20 dominant shoulders of randomly selected volunteers were evaluated for comparison clinically and with magnetic resonance imaging. An average of seven abnormal magnetic resonance imaging findings was observed in the throwing shoulders; more than in the nonthrowing and the control shoulders. Although 93% of the throwing shoulders had abnormal magnetic resonance imaging findings, only 37% were symptomatic. Partial rotator cuff tears and mainly superolateral osteochondral defects of the humeral head were identified as typical throwing lesions. Symptoms correlated poorly with abnormalities seen on magnetic resonance imaging scans and findings from clinical tests. This suggests that the evaluation of an athlete's throwing shoulder should be done very thoroughly and should not be based mainly on abnormalities seen on magnetic resonance imaging scans.

Adult↗

Failure of cerebellar patients to time finger opening precisely causes ball high-low inaccuracy in overarm throws.

We investigated the idea that the cerebellum is required for precise timing of fast skilled arm movements by studying one situation where timing precision is required, namely finger opening in overarm throwing. Specifically, we tested the hypothesis that in overarm throws made by cerebellar patients, ball high-low inaccuracy is due to disordered timing of finger opening. Six cerebellar patients and six matched control subjects were instructed to throw tennis balls at three different speeds from a seated position while angular positions in three dimensions of five arm segments were recorded at 1,000 Hz with the search-coil technique. Cerebellar patients threw more slowly than controls, were markedly less accurate, had more variable hand trajectories, and showed increased variability in the timing, amplitude, and velocity of finger opening. Ball high-low inaccuracy was not related to variability in the height or direction of the hand trajectory or to variability in finger amplitude or velocity. Instead, the cause was variable timing of finger opening and thereby ball release occurring on a flattened arc hand trajectory. The ranges of finger opening times and ball release times (timing windows) for 95% of the throws were on average four to five times longer for cerebellar patients; e.g., across subjects mean ball release timing windows for throws made under the medium-speed instruction were 11 ms for controls and 55 ms for cerebellar patients. This increased timing variability could not be explained by disorder in control of force at the fingers. Because finger opening in throwing is likely controlled by a central command, the results implicate the cerebellum in timing the central command that initiates finger opening in this fast skilled multijoint arm movement.

Adolescent↗

Medial ulnar collateral ligament reconstruction of the elbow in throwing athletes.

BACKGROUND: Medial ulnar collateral ligament insufficiency of the elbow can be a devastating injury in the throwing athlete. Reconstruction of the medial ulnar collateral ligament was initially described by Jobe and associates; good clinical results have been described after this procedure. The authors' experience with this technique raised several concerns, and thus the "docking" procedure was developed as an alternative method for medial ulnar collateral ligament reconstruction of the elbow. The early results of the docking technique were good. The authors wish to investigate the intermediate-term clinical results of this method in a large group of athletes. HYPOTHESIS: The docking technique can return overhead-throwing athletes to sport with minimal perioperative morbidity. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: During a 3-year period, 100 consecutive overhead-throwing athletes were treated with surgical reconstruction using the docking technique. The inclusion criteria were as follows: (1) a history of medial elbow pain that prevented throwing, (2) a preoperative standard noncontrast magnetic resonance image demonstrating medial ulnar collateral ligament injury, (3) clinically apparent medial ulnar collateral ligament insufficiency, and (4) an overhead-throwing athlete. At the time of surgery, all patients underwent routine arthroscopic assessment. The ulnar nerve was transposed in 22 cases. The mean follow-up was 36 months (range, 24-60 months). RESULTS: Ninety of 100 (90%) patients were able to compete at the same or a higher level than before medial ulnar collateral ligament injury for more than 12 months as noted at the follow-up interval; 7 patients were able to compete at a lower level. Only 3 patients suffered postoperative complications. CONCLUSION: The docking technique reliably returns athletes to competitive throwing with a low perioperative morbidity.

Adolescent↗

Effects of general, special, and specific resistance training on throwing velocity in baseball: a brief review.

Throwing velocity is a necessary requirement for success in baseball. All position players, including pitchers, may increase their defensive performance if their throwing velocity is improved. A review of the literature suggests that throwing velocity can be increased by resistance training and/or biomechanical improvement of the throwing motion. This paper reviews the 3 broad categories of resistance-training methods by which throwing velocity is increased. The results of research using general, special, and specific throwing resistance-training exercises are presented. The role and applications of these different exercises for baseball players of different ages are discussed.

Adaptation, Physiological↗