Pitching: How Much is Too Much?
Participation in the sport of youth baseball is
rapidly escalating. An estimated 9 million athletes (ages 6-17) join
youth baseball teams in the United States each year. Accompanied
by an increase in the number of travel teams, tournaments and year
round training facilities the intensity and duration of sport participation
has also risen in the recent past. The combination of an increased
number of athletes with an increase in sport intensity and duration
has produced an unfortunate climb in the incidence of shoulder and
elbow injury.
A review of surgeries performed by Dr. James Andrews in Birmingham, AL
revealed an increase in number of UCL Reconstruction Surgeries (a.k.a.
Tommy John Surgery) performed from 4 performed in 1997 to 43 performed
from January to September 2003. Study of this alarming increase by The
American Sports Medicine Institute produced useful recommendations regarding
risk factors and activity modification suggestions. Appropriate age to
begin throwing certain pitches and pitch counts are included in those
suggestions.
A comprehensive strength and conditioning program will also aid in making
an athlete more resistant to these serious injuries. The complexity of
the throwing motion presents many challenges in design of a program that
will not only reduce the risk of injury but also enhance performance.
A specially designed program for the throwing athlete should include
elements addressing lower body stability and explosive strength, total
body flexibility, core strength and control, activity specific conditioning
activities and arm strength with special focus on rotator cuff and scapular
strength and control.
Combining comprehensive strength and conditioning programming with sound
activity modification/limitation guidelines will help keep where they
need to be, on the field competing. For a copy of Dr. Andrews guidelines
or for more information on strength and conditioning programs for the
throwing athlete contact Champion Sports Training at 865-454-2876.
By Adam Kerley PT, ATC, CSCS
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