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Background: The medial ulnar collateral ligament (UCL) of the elbow joint is the primary restraint to valgus stress during the throwing motion. The flexor pronator muscles (FPMs) also stabilize the elbow joint against valgus forces; however, assessment of FPM stiffness in baseball players has been limited. Purpose: To use ultrasound shear wave elastography (USWE) to evaluate the change in tissue elasticity of the FPMs due to pitching. Study Designs: Descriptive laboratory study. Methods: Included were 14 healthy male amateur baseball players (mean age, 28.0 ± 2.6 years) who had played intermediate-level high school or college baseball. The tissue elasticity of the flexor digitorum superficialis (FDS) in the superficial layer of the FPMs and the flexor digitorum profundus (FDP) in the deep layer of the FPMs were measured using USWE before, immediately after, and 24 hours after a throwing session of 100 pitches. The intra- and interrater reliability of the measurements were evaluated using the Pearson correlation coefficient and intraclass correlation coefficient (ICC). The elasticity of each muscle was analyzed using repeated-measures analysis of variance followed by post hoc analysis. Results: Reliability of the USWE measurements was good to excellent (intrarater ICCs, 0.78-0.94; interrater ICCs, 0.85-0.96). The mean tissue elasticity values before, immediately after, and 24 hours after pitching were 22.3 ± 4.4, 41.0 ± 13.8, and 38.3 ± 11.2 kPa, respectively, for the FDS and 27.1 ± 5.8, 48.0 ± 22.3, and 29.6 ± 11.5 kPa, respectively, for the FDP. For both the FDS and FDP, elasticity was significantly higher immediately after pitching than before pitching (P <.001 and P =.0027, respectively). While the elasticity of the FDS at 24 hours after pitching remained significantly higher compared with before pitching (P =.0011), the elasticity of the FDP at 24 hours decreased to the same level as before pitching (P =.91). Conclusion: Results using USWE indicated that the elasticity of the FDS did not decrease 24 hours after pitching and remained significantly higher than before pitching, suggesting that it may not be fully functioning as a dynamic stabilizer during this period. Clinical Relevance: Pitching in such a condition may result in greater stress on the UCL and increase the risk of UCL injury. [ABSTRACT FROM AUTHOR]

American meritocratic ideology positions sports as level playing fields in which individuals, regardless of their background, can ascend with the right combination of ability and effort. Yet few studies challenge the sport-meritocracy ideology by empirically examining the socioeconomic backgrounds of college athletes (Allison et al., 2018). Studies of youth sport participation show that community-level income shapes athletic opportunities suggesting class is a strong barrier to physical activity (NWLC, 2015; Sabo & Veliz, 2008; Tompsett & Knoester, 2022). Class inequalities are exacerbated in sports with robust privatized youth systems like baseball (Klein et al., 2020; Post et al., 2022). Utilizing a unique quantitative dataset of NCAA Division I college baseball players (n = 19,987), we consider the extent to which a community's socioeconomic levels and racial demographics shape the chances of someone becoming a college baseball player. We compare college baseball players' hometown income levels and racial demographics to their home state and to U.S. averages. We also consider differences across competitive divisions (i.e., Non-Power 5 vs. Power 5). Findings show that college baseball players--regardless of conference affiliation--commonly come from affluent, nonminority cities, with high education and income levels, indicating that socioeconomic status is a significant predictor of college athletic participation. [ABSTRACT FROM AUTHOR]

Rottenberg argued that the reassignment of negotiating rights from owners to players, that would accompany free agency in professional sports, would have little impact on locational or market outcomes. Empirical investigations into such reassignment have produced mixed results. The present paper examines the impact such reassignment had on professional sports athletes' career length. By examining the univariate time series and panel data behavior of Major League Baseball players' average tenure and retention rates, we find that the increased negotiating power associated with the advent of free agency had the impact of shortening average player career length. [ABSTRACT FROM AUTHOR]

The article discusses the need for the U.S. Congress to implement new legislation addressing the antitrust exemption of baseball following the unionization of minor league baseball players.

Lumbar spondylolysis (LS) is a lumbar vertebral arch stress fracture that often occurs in adolescent athletes, especially baseball players. An increase in lumbar lordosis angle (LLA) increases the compressive stress on the vertebral arch, influencing the development of LS. However, the effect of LLA on LS development in adolescent baseball players is unknown. Therefore, it is necessary to elucidate the risk factors that influence the development of LS. This cross-sectional study aimed investigate the effect of LLA on LS development in adolescent baseball players. Patients were male baseball players aged 11–18 years who visited an orthopedic clinic with a chief complaint of lumbar pain and underwent a magnetic resonance imaging (MRI) examination between January 1, 2018, and October 31, 2021. LLA was defined as the angle formed by the line parallel to the superior endplate of the L1 and S1. A person other than the data analyst measured LLA three times from the MRI, and the average value was used for data analysis. Logistic regression analysis was performed, with the presence or absence of LS as the objective variable and LLA, age, and previous pitching experience as explanatory variables. Of the 112 subjects included, 79 were in the LS group and 33 in the non-LS group. The LLA was 45.42 ± 8.19° in the LS group and 36.68 ± 8.26° in the non-LS group, with significant differences between the groups. Logistic regression analysis showed that LLA significantly differed with an odds ratio of 1.140 (95% confidence interval: 1.070–1.21), even after adjusting for age and previous pitching experience. LLA in adolescent baseball players was significantly greater in the LS group than in the non-LS group, which may influence the development of LS. [ABSTRACT FROM AUTHOR]

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This study examines baseball players' recognition framework of out, ball, and strike counts in baseball games and clarifies the differences in psychological perspectives between batters and pitchers. The participants were 396 players (294 batters and 102 pitchers) belonging to baseball clubs at eight universities. Participants answered 288 questions for all game situations by combining out, ball, and strike counts and runner position. The advantages for batters or pitchers were evaluated using a 7-point Likert scale (from very advantageous for batters to very advantageous for pitchers). Factor analysis indicated four significant factors (36 items): "Batter's advantage count," "Pitcher's advantage count," "2 out young count," and "0 out young count." In a direct comparison of these factors between batters and pitchers, batters were more aware of their advantage over pitchers in the factors "Batter's advantage count" and "0 out young count" and disadvantage in the "Pitcher's advantage count." Significant differences in recognition of these factors were observed between batters and pitchers. Batters were more susceptible to game situations than were pitchers. Our findings suggest that baseball players recognize several types of game situations, although not an infinite number. [ABSTRACT FROM AUTHOR]

OBJECTIVES The purpose of this study was to investigate the effects of 6 weeks of kettlebell training and kinesio taping applied to amateur baseball players on throwing velocity and isokinetic strength. METHODS The subjects of this study were 17 young men with more than 2 years of experience as amateur baseball players. To determine the effect of kettlebell training and kinesio training on throwing velocity and isokinetic strength, subject were divided into three group: kettlebell and kinesio taping, baseball training group (KTBG), kinesio taping group and baseball training (TBG), baseball training group (BG). Three groups trained three times a week for six weeks, and differences in shoulder isokinetic strength and throwing velocity were analyzes from pre to post training. RESULTS In the KTBG group, significant changes in the isokinetic muscle function of the shoulder joint were observed over time in both extensor strength (p=0.042) and flexor strength (p=0.017) at 60°/sec, as well as in extensor strength (p=0.028) and flexor strength (p=0.002) at 180°/sec. In the TBG group, only flexor strength at 180°/sec (p=0.020) showed significant changes. In the BG group, no significant changes were observed over time. The group interaction effect on isokinetic muscle function was not statistically significant. There were no significant changes in pitching velocity over time, and no group interaction was observed. CONCLUSIONS Therefore, a combination of 6 weeks of kettlebell training and Kinesio taping can improve the isokinetic extensor and flexor strength of the shoulder joint. Applying Kinesio taping during training can enhance the isokinetic extensor strength (180°/sec) of the shoulder joint. However, this exercise did not result in an increase in pitching velocity, and no interaction effect was observed, indicating the need for further research.

Background and Objectives: Vision significantly contributes to postural control, balance, coordination, and body kinematics, thus deeply influencing everyday functionality. Sight-impaired subjects often show upper body anatomofunctional and kinetic chain alterations negatively impacting daily living efficiency and autonomy. The present study aimed to investigate and train, for the first time, upper body sensorimotor control in an Italian blind baseball team to boost global and segmental functionality while contemporarily prevent injuries. Materials and Methods: The whole team underwent a validated test battery using both quantitative traditional tools, such as goniometric active range of motion and muscular/functional tests, and an innovative biofeedback-based device, a Libra proprioceptive board. Consequently, a 6-week adapted training protocol was designed and leaded to improve sensorimotor control and, hence, counteract disability-related deficits and sport-specific overuse syndromes. Results: Statistically significant improvements were observed in all the investigated parameters. Noteworthy, an overall boost of global and segmental stability was detected through an orthostatic dynamic balance enhancement during the Y Balance test (p = 0.01) and trunk multiplanar control improvement on the Libra board (p = 0.01). Concurrently, the comparison of baseline vs. post-intervention outcomes revealed a consistent increase in upper body mobility (p < 0.05 for all the assessed districts), core recruitment (p = 0.01 for all the administered functional tests), and proprioceptive postural control (p = 0.01 for the Libra board validated test). Conclusions: Our findings suggest that a tailored sensorimotor training, conceived and led by an adapted physical activity kinesiologist, may effectively improve upper body functional prerequisites and global proprioceptive control, thus potentially promoting autonomy, quality of life, and physical activity/sport practice adherence in visually impaired individuals. [ABSTRACT FROM AUTHOR]

The strength of the shoulder musculature involved with internal rotation and arm extension plays an important role in the overhead throwing motion for baseball athletes, both for throwing-related performance and injury risk. The maintenance of shoulder strength is a high priority for baseball athletes throughout a season; however, little is known in regards to the expected changes in strength throughout a season. To examine pre-post changes in shoulder strength, lower body power, and body composition among collegiate baseball players after the completion of a summer baseball league season. Amateur baseball players (n = 12; age: 20.9 ± 1.0 years.; height: 181.6 ± 5.6 cm; body mass: 86.4 ± 11.1 kg; BMI: 26.0 ± 2.6 kg/m2) participated in the current study. Pre- and post-competitive season, the participants completed shoulder strength assessments and body composition and countermovement vertical jump (CMJ) tests. An upper-body isometric test (athletic shoulder [ASH] test) was used to evaluate shoulder strength for each arm. Each subject completed maximal isometric contractions for both the throwing and non-throwing arms at four separate angles of abduction (180°, 'I'; 135°, 'Y'; 90°, 'T'; and −180°, 'A') while lying in a prone position. For shoulder strength, the primary dependent variable of interest was a composite measure that represented the average of the forces produced across all four positions of the ASH test (I, Y, T, A). For the ASH test composite measure, there was a trend toward a significant arm-by-time interaction effect (p = 0.08), as shoulder strength decreased by 9.03% for the throwing arm (ES = 0.72; 95% CI = [−0.27, −0.01]), compared to only 2.03% for the non-throwing arm (ES = 0.15; 95% CI = [−0.16, 0.09]), over the course of the season. The main effects of time (p = 0.16) and arm (p = 0.58) were not significant for the ASH test composite measure. There was no relationship between lower body power and throwing arm strength at baseline (r = 0.20, p = 0.56), and only a non-significant weak relationship at post-test (r = 0.28, p = 0.41). Throughout a season, baseball players may experience reductions in shoulder strength of the throwing arm with minimal changes in shoulder strength in the non-throwing arm. [ABSTRACT FROM AUTHOR]

Elbow injuries related to the throwing motion in baseball during the growth period present difficulties for early detection and may cause serious future disabilities. This study aimed to comprehensively determine the characteristics and clinical assessment of elbow pain in youth baseball players. Two hundred and sixteen young baseball players underwent elbow medical examination. Basic information and physical examination, clinical assessment, and ultrasonography results were examined. Univariate analyses were statistically performed between the pain-free (98 participants) and elbow pain (118 participants) groups. The mean age was 11.6 years, and ultrasonographic abnormalities were found on the medial side of the elbow in 37.5%. In total, 118 (54.6%) participants experienced elbow pain, with 64.4% of them complaining of elbow pain on the medial side. Players with multiple positions (≥2 positions) had a significantly higher prevalence of elbow pain. Height, weight, length of baseball experience, and positive rates of horizontal flexion and moving valgus stress tests were higher in the elbow pain group than in the pain-free group. The risk factors and clinical assessment for elbow pain are useful for the prevention and early detection of throwing elbow injuries in youth baseball players. [ABSTRACT FROM AUTHOR]

Background: This study validates real-time biofeedback for lumbopelvic control training in baseball. The lumbopelvic region is crucial for generating kinetic energy in pitching. Real-time biofeedback enhances training effectiveness and reduces injury risk. The validity and reliability of this system were examined. Purpose: This study was to investigate the validity and reliability of the real-time biofeedback system for lumbopelvic control training. Methods: Twelve baseball players participated in this study, with data collected in two sessions separated by a week. All participants needed to do the lateral slide exercise and single-leg squat exercise in each session. Pelvic angles detected by the real-time biofeedback system were compared to the three-dimensional motion capture system (VICON) during training sessions. Additionally, pelvic angles measured by the biofeedback system were compared between the two training sessions. Results: The real-time biofeedback system exhibited moderate to strong correlations with VICON in both exercises: lateral slide exercise (r = 0.66–0.88, p < 0.05) and single-leg squat exercise (r = 0.70–0.85, p < 0.05). Good to excellent reliability was observed between the first and second sessions for both exercises: lateral slide exercise (ICC = 0.76–0.97) and single-leg squat exercise (ICC = 0.79–0.90). Conclusions: The real-time biofeedback system for lumbopelvic control training, accurately providing the correct pelvic angle during training, could enhance training effectiveness. [ABSTRACT FROM AUTHOR]

Low back pain can affect musculoskeletal problems of the upper limb in adolescent overhead athletes. However, few epidemiological studies have examined this causal relationship. This prospective cohort study aimed to investigate the relationship between baseline low back pain experience and the occurrence of future shoulder and elbow pain among high school baseball players. Participants comprised 383 high school baseball players from 43 high school baseball teams who had undergone baseline medical evaluations (a self-completed questionnaire and physical examination). The occurrence of shoulder and elbow pain during a 1-year follow-up and associations with baseline low back pain (positive subjective symptom during the last year at baseline) adjusted for flexibility of the scapulo-thoracic region, shoulder, and lower extremities, such as straight-leg raise angle (hamstring tightness), Thomas test (iliopsoas tightness), heel-buttock-distance (quadriceps tightness) and passive range of motion of the hip were investigated using multivariable analysis. A total of 307 players (80.2%) participated in the 1-year follow-up survey, with shoulder and elbow pain reported in 75 players (24.4%) and 119 players (38.8%), respectively, during follow-up. After adjusting for factors associated with shoulder pain using logistic regression modeling, significant associations between LBP experienced during the last year at baseline (odds ratio, 2.18; 95% confidence interval, 1.23–3.87; P = 0.0078) and new-onset of shoulder pain were noted. Baseline low back pain impacted future shoulder pain in high school baseball players during the 1-year follow-up. Management of shoulder pain warrants careful attention to low back pain. [ABSTRACT FROM AUTHOR]

This study explores free agent transactions of the Korea Baseball Organization from 2000 to 2018. It examines whether player mobility patterns differ across free agent pitchers and hitters. The probability of free agent pitchers transferring increases with the pitching position of the starting or closer pitcher. The probability of transfer for a hitter is negatively associated with age and left-handedness. The inertia of staying with the current team increases when substantial signing bonuses are paid to the free agent pitcher. A strong contract year affects the hitter mobility model, with a higher probability of transfer and a greater contribution to team wins in the final year before free agency. The longer a free agent's contract, the higher the probability of them moving. A huge increase in the annual salary one year before free agent eligibility hinders the movement of hitters, whereas financial compensation does not constrain pitchers' move. [ABSTRACT FROM AUTHOR]

Study Design: A retrospective, cross-sectional study was conducted to analyze the implications of asymmetric baseball movements on the incidence of spondylolysis. Purpose: This study aimed to evaluate the relationship between asymmetric movements and the laterality of spondylolysis. Overview of Literature: Baseball, characterized by its asymmetric throwing and batting, may disproportionately stress one side. Lumbar spondylolysis is a frequent cause of lower back pain in young athletes, particularly those involved in activities with consistent unilateral rotations such as baseball. However, whether a link exists between the laterality in spondylolysis and the dominant throwing/batting side or whether disparities exist between pitchers and fielders remains unclear. Methods: The study included 85 players. Participants were divided into two groups: pitchers and fielders. The association between the laterality of spondylolysis and the throwing/batting side in the overall cohort and between the two groups was evaluated. Results: Among pitchers, 16 lesions appeared on the throwing side and 32 on the nonthrowing side (p=0.029). For fielders, no notable difference was observed between the two sides (p=0.363). Furthermore, batting preference did not influence the laterality of spondylolysis in either group. Conclusions: Adolescent baseball players, particularly pitchers, exhibited a higher incidence of lumbar spondylolysis on the side opposite their throwing arm. The findings of this study highlight the significant effect of asymmetrical sporting activities on the development of spondylolysis, to which pitchers are particularly susceptible. [ABSTRACT FROM AUTHOR]

Due to a confounding decision by the Supreme Court in the 1920s, the sport of professional baseball was permitted to grow for over a century unconstrained by federal antitrust laws. As a result of this antitrust exemption, professional baseball players were forced to endure unique hardships in the area of labor relations, as compared to athletes in other professional sports. After decades of confusing litigation results and calls for legislation, Congress finally responded in 1998 through passage of the Curt Flood Act. However, despite broadly claiming to apply federal antitrust laws to the sport of professional baseball, the effect of the Act was far more limited. Therefore, Major League Baseball players have been forced to look elsewhere when seeking external influences to force concessions at the bargaining table. Unlike Major League Baseball players, Minor League Baseball players were unable to even approach the bargaining table until very recently. Thus, while Major League Baseball players spent decades achieving small victories to cumulatively improve their labor conditions, such opportunities were unavailable to Minor League Baseball players. However, recent years have seen this trend come to an end. Today, Minor League Baseball players possess union representation and a seat at the bargaining table. In light of these advances, legitimate questions have been raised as to the modern need for an antitrust exemption that places labor relations in baseball on an uneven playing field compared to other professional sports. Although the future of the exemption is unclear, recent history suggests that both the Supreme Court and Congress have taken note of these developments and are beginning to reexamine the modern justifications of an antitrust exemption for professional baseball. [ABSTRACT FROM AUTHOR]

This study investigates the influence of the quality of the "deep squat" movement, adapted from the Functional Movement Screen (FMS) system, on the lower extremity movement pattern during baseball throwing, and its potential impact on throwing performance and propulsion efficiency. Twenty-two baseball players were recruited and categorized into two groups: 13 in the high-score squat group (HSS) and 9 in the low-score squat group (LSS), based on their deep squat screening results. This research explored disparities in ball velocity, propulsion efficiency, propulsion ground reaction force (GRF) characteristics, and throwing kinematics between these two groups. The findings revealed no significant difference in ball velocity between the groups. However, the LSS group demonstrated a lower propulsion GRF efficiency (p < 0.030, ES = 0.46), along with a higher vertical peak GRF (p < 0.002, ES = 0.66). In the pivot leg, the HSS group exhibited significantly lower impulse forces in the Impulse Fresultant (p < 0.035, ES = 0.45), throwing direction (p < 0.049, ES = 0.42), and vertical direction (p < 0.048, ES = 0.42). Additionally, the contribution to the ball velocity of the pivot leg was significantly greater in the HSS group, along with significantly better efficiency in Impulse Fresultant (p < 0.035, ES = 0.45), throwing direction (p < 0.053, ES = 0.41), and vertical direction (p < 0.032, ES = 0.46). In the leading leg, the HSS group demonstrated significantly lower impulse forces in the Impulse Fresultant (p < 0.001, ES = 0.69), throwing direction (p < 0.007, ES = 0.58), and vertical direction (p < 0.001, ES = 0.70). Moreover, the contribution to the ball velocity of the leading leg was significantly greater in the HSS group, accompanied by significantly better efficiency in Impulse Fresultant (p < 0.003, ES = 0.63), throwing direction (p < 0.005, ES = 0.60), and vertical direction (p < 0.021, ES = 0.49). In conclusion, this study suggests that squat screening is a valuable tool for assessing propulsion efficiency. Coaches and trainers should be mindful of players with low squat quality but high throwing performance, as they may face increased impact and injury risks in the future. [ABSTRACT FROM AUTHOR]

Background: The optimal limb position during stress ultrasound (SUS) evaluation of elbow valgus laxity has not been standardized. Purpose: To compare 2 elbow positions (at 90° and 30° of flexion) and report which position method better represents the increased valgus laxity characteristics of baseball players. Study Design: Controlled laboratory study. Methods: Eighteen college baseball players with no history of elbow pain or elbow disorders who belonged to a college baseball club between April and November 2021 participated in this study. The medial elbow joint space (MEJS) was recorded by ultrasonography at rest and under valgus stress, and the difference in MEJS between the conditions was considered the valgus laxity. For all participants, the MEJS was recorded at 90° and 30° of elbow flexion. In the 90° of flexion position, the participant was positioned in the supine position with abduction and external rotation of the shoulder, and 2.5 kgf of valgus stress was applied proximally to the wrist. In the 30° of flexion position, the participant was positioned in the sitting position with abduction and external rotation of the shoulder, and 3.0 kgf of valgus stress was applied to the ulnar head. Valgus laxity on the throwing and nonthrowing sides was compared between the 2 elbow positions using paired t tests or Wilcoxon signed-rank tests after checking the normality. Results: There was a significant difference in valgus laxity on the throwing side between the 90° and 30° of flexion positions (1.9 vs 1.1 mm, respectively; P =.002), whereas no significant difference between positions was seen on the nonthrowing side (P =.06). Conclusion: SUS with the elbow flexed at 90° more clearly detected valgus laxity in the study participants than the 30° of flexion position. Clinical Relevance: The quantitative evaluation of valgus laxity is important for baseball players to assess the risk of ulnar collateral ligament injury. [ABSTRACT FROM AUTHOR]

Background: Many adolescent athletes experience low back pain; the most common cause is lumbar spondylolysis. Although early identification of lumbar spondylolysis in adolescent athletes is critical, few studies have focused on identifying the early stages of spondylolysis in baseball players. This study aimed to investigate the clinical characteristics of early-stage spondylolysis in male adolescent baseball players.Methods: The participants comprised male junior and high school baseball players. Before magnetic resonance imaging, we recorded their demographic data, low back pain characteristics, and physical findings (lumbar flexion, extension, Kemp's test and the provocative tenderness of a spinous process). After the imaging evaluation, the association among low back pain characteristics, physical findings and the final diagnosis (early-stage spondylolysis or not) were investigated using univariate and multivariable analyses.Results: A total of 171 players were included in this study. Univariate analyses indicated that the characteristics associated with early-stage spondylolysis were longer duration of low back pain (P = 0.0085), low back pain-related interference while running (P = 0.0022), low back pain starting with laterality (P = 0.0001), lumbar extension (P = 0.022), positive Kemp's test (P = 0.020), and the tenderness of a spinous process (P = 0.0003). After adjusting for confounding factors (age and position), we found that early-stage spondylolysis was significantly associated with low back pain duration ≥4 weeks (odds ratio 3.13, 95% confidence interval 1.42-6.92; P = 0.0048), low back pain-related interference while running (odds ratio 2.89, 95% confidence interval 1.30-6.46; P = 0.0094), low back pain starting with laterality (odds ratio 2.78, 95% confidence interval 1.24-6.27; P = 0.0133), and the tenderness of a spinous process (odds ratio 3.00, 95% confidence interval 1.36-6.57; P = 0.0062).Conclusions: Male adolescent baseball players with early-stage spondylolysis might have low back pain duration of more than four weeks, low back pain-related interference while running, and a history of low back pain starting with laterality. The tenderness of a spinous process might be helpful in the diagnosis of early-stage spondylolysis in male adolescent baseball players. [ABSTRACT FROM AUTHOR]

Proper orthosis design may help youth baseball players develop safer pitching mechanics to prevent elbow injuries. This study evaluated the impact of a custom elbow orthosis on pitching biomechanics and adverse events. Ten 11–12-year-old players (mean age 11.5 years) from a regional league team were recruited. The inclusion criteria were at least two years of baseball experience. Six players were randomly assigned to the orthosis group, with four in the control group. Anthropometric data and baseline characteristics were recorded. A video analysis assessed elbow flexion angle during pitching at baseline and at 2 months. The frequency of orthosis wear was also tracked. Adverse events during twice-weekly practices were documented. Post-study surveys evaluated orthosis comfort, stability, and safety perceptions. In the orthosis group (n = 6), four participants showed improved elbow flexion angle, and two of the six participants showed almost no change. The overall median difference was 23.5°. In the control group (n = 4), three participants showed improvement, with a median improvement of 5.5°. Twelve adverse events, including pain, were reported by players not wearing orthoses, whereas no events occurred with orthosis use. Individual players in the control group or who did not wear the orthosis correctly experienced multiple episodes of pain from pitching over the study period. This preliminary study indicates a custom elbow orthosis can optimize pitching biomechanics and prevent adverse events in youth baseball players over the course of two months. [ABSTRACT FROM AUTHOR]

Tears of the latissimus dorsi and/or teres major tendons are uncommon, with no definitive management. Surgical repair has been reported in high-level athletes, mostly in baseball players. Simultaneous tears of both latissimus dorsi and teres major tendons are rare, with little known of surgical intervention outcomes. We report on the first published case of surgical repair of both latissimus dorsi and teres major tendon tears from a water-skiing injury in a 45-year-old male with favorable outcomes. [ABSTRACT FROM AUTHOR]

On-field screening for 'elbow injury in baseball', a condition commonly seen in youth baseball players, was conducted over two years on 160 elementary school students in Ibaraki Prefecture, Japan. This on-field screening was conducted in collaboration with the Ibaraki Prefecture High School Baseball Federation. Pitchers, catchers, symptomatic players, and players who had previously experienced elbow pain were given a comprehensive evaluation that included a physical exam and ultrasound. Out of the 135 students who were successfully screened, 10 were diagnosed with osteochondritis dissecans of the humeral capitellum (OCD). Notably, seven among these were asymptomatic. This assessment identified limited range of motion and pain when extending their elbow as significant risk factors for OCD. An attempt at on-field screening for baseball elbow injuries in collaboration with the local baseball federation was introduced. The risk factors for OCD were identified. Considering these factors, more efficient screening will be possible in the next attempt. [ABSTRACT FROM AUTHOR]

The motor imagery ability is closely related to an individual's motor performance in sports. However, whether motor imagery ability is diminished in athletes with yips, in whom motor performance is impaired, is unclear. Therefore, this cross-sectional study aimed to determine whether general motor imagery ability or vividness of motor imagery specific to throwing motion is impaired in baseball players with throwing yips. The study enrolled 114 college baseball players. They were classified into three groups: 33 players in the yips group, 26 in the recovered group (previously had yips symptoms but had resolved them), and 55 in the control group. They answered the revised version of the vividness of movement imagery questionnaire (VMIQ-2), which assesses general motor imagery ability. Furthermore, they completed a questionnaire that assesses both positive and negative motor imagery vividness specific to baseball throwing. In the former, they responded to their ability to vividly imagine accurately throwing a controlled ball, whereas in the latter, they responded to the vividness of their experience of negative motor imagery associated with baseball throwing, specifically the image of a wild throw. No significant difference in the VMIQ-2 was found among the three groups. While no significant difference in the vividness of positive motor imagery for ball throwing was found in either first-person visual or kinesthetic perspectives among the three groups, the yips group exhibited significantly higher vividness of negative motor imagery than the control group in both perspectives. These results indicate that negative motor imagery specific to baseball throwing may be associated with symptoms of yips. Therefore, interventions addressing psychological aspects, such as anxiety, which are potential causes of the generation of negative motor imagery, may be necessary to alleviate the symptoms of yips. [ABSTRACT FROM AUTHOR]

Background: Identifying the characteristics of batting mechanics, such as the proper angle and position of each body segment in youth baseball players, is important for proper instructions. This study aimed to identify the age-related changes in batting kinematics including rotational and separational movements of the head, upper trunk, pelvis, and arms, in youth baseball players. Methods: Over the three seasons, we measured the batting motion of baseball players aged 6- to 12 years using three high-speed cameras. Participants were divided into six age categories according to the little league eligibility rules (players were classified according to their age as of July 31 of a given year). Toss batting was performed using an automatic tossing machine set obliquely in front of the batter. Additionally, we analyzed the rotation angles of the head, upper trunk, pelvis, and arm direction, and the separation angles—calculated using the difference of each rotational angle and the head movement distance and step width—at five points in batting phase: stance, load, foot contact, pre-swing, and ball contact. Finally, 17 players from under 8 (U8, i.e., approximately 7–8 years) to U10 and 13 from U11 to U13 were analyzed. A one-way repeated measures analysis of variance was performed to analyze age-related changes in batting kinematics. Results: Several age-related changes in batting kinematics at various batting point were observed. The head-to-upper trunk separation angle increased with age from U8 to U10 during the foot contact (effect sizes [ES] = 0.658) and from U11 to U13 during the pre-swing (ES = 0.630). Additionally, the U13 showed a significantly increase in the upper and pelvis separation angles during load, foot contact, and pre–swing compared with U11 and U12 (ES = 0.131, 0.793, and 0.480). Conclusion: Various changes in batting kinematics occurred among each age group. Notably, U12 and U13 had the greater upper trunk-to-pelvis separation angle at foot contact and pre-swing compared to U11. Therefore, it would be important for the instruction of younger baseball players to understand the underdevelopment of trunk separation when batting and encourage the acquisition of such separation movements. [ABSTRACT FROM AUTHOR]

To the casual observer, Drew Robinson seemed to be living a charmed life. He was playing professional baseball--a lifelong dream, boasted an impressive repertoire, had supportive family members and friends, [...]