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Physical therapy AND baseball

Rachel Patrick, Josh McGinty, Ann Lucado, Beth Collier
BACKGROUND: Ulnar collateral ligament (UCL) tears and associated Tommy Johns surgical intervention from excessive and poor quality pitching has increased immensely-with more college and professional pitchers undergoing the surgery in 2014 alone than in the 1990s as a whole.(1) Faulty mechanics developed at young ages are often well-engrained by the late adolescent years and the minimal healing ability of the largely avascular UCL often leads to delayed safe return to sport.(2). PURPOSE: The purpose of this case study was to describe an innovative, multimodal approach to conservative management of a chronic UCL injury in a college-aged baseball pitcher...
August 2016: International Journal of Sports Physical Therapy
Benton E Heyworth, Dennis E Kramer, Daniel J Martin, Lyle J Micheli, Mininder S Kocher, Donald S Bae
BACKGROUND: With rising participation in youth sports such as baseball, proximal humeral epiphysiolysis, or Little League shoulder (LLS), is being seen with increasing frequency. However, there remains a paucity of literature regarding the causes, natural history, or treatment outcomes of LLS. PURPOSE: To analyze the demographic, clinical, and diagnostic features of a population of LLS patients, with an emphasis on identifying underlying risk factors for the development and recurrence of LLS after nonoperative treatment...
June 2016: American Journal of Sports Medicine
David Wasylynko
OBJECTIVE: To describe a case of chronic Little Leaguer's Shoulder in reference to pain presentation, physical capabilities, and recovery time. CLINICAL FEATURES: A 17-year-old, junior baseball pitcher presented with shoulder pain when performing high velocity pitching. Conservative treatment for an assumed soft tissue injury failed to resolve the pain, which was regularly aggravated by pitching, and which subsequently prompted further evaluation, and eventual confirmation of Little Leaguer's Shoulder on subsequent computerized tomography (CT) imaging...
December 2015: Journal of the Canadian Chiropractic Association
Kevin E Wilk, Todd R Hooks
The overhead athlete has unique physical traits and adaptive changes as a result of the repetitive nature of throwing. An effective rehabilitation program depends on an accurate evaluation to determine the causative factors for an athlete's pathology. A treatment program is individualized with specific strengthening and flexibility exercises to achieve dynamic stability that is required for overhead function. In this article the characteristics of the throwing shoulder and specific injuries are described. The rehabilitation program is described in a multiphased approach that allows for the restoration of strength, mobility, endurance, and power to return to sporting activity...
April 2015: Clinics in Sports Medicine
Scott T Watson, Douglas J Wyland
BACKGROUND: Treatment of type III acromioclavicular (AC) separations is controversial, especially in the dominant shoulder of a high-level throwing athlete. This case report describes the return to play after nonoperative management of a collegiate baseball pitcher with a severe type III AC separation in his throwing shoulder. HYPOTHESIS/PURPOSE: Case report of return to play with nonoperative management of a type III AC separation in the throwing shoulder of a collegiate pitcher...
February 2015: Physician and Sportsmedicine
Kazuhisa Matsui, Takashi Tachibana, Mary Magarey
STUDY DESIGN: Case report. BACKGROUND: A case of an athlete with accessory nerve injury has not been previously reported although there have been a number of case reports and case series of non-athletes with accessory nerve injury. This case study reports motor control intervention for an amateur baseball pitcher with isolated paralysis of the right trapezius who lost pitching control after changing his pitching technique. The subject was able to restore ball control during overhead throwing after physiotherapy...
December 2014: International Journal of Sports Physical Therapy
Jeffrey Dugas, Justin Chronister, E Lyle Cain, James R Andrews
Ulnar collateral ligament (UCL) injuries are most commonly reported in baseball players (particularly in pitchers) but have also been observed in other overhead athletes including javelin, softball, tennis, volleyball, water polo, and gymnastics. Partial injuries have been successfully treated with appropriate nonoperative measures but complete tears and chronic injuries have shown less benefit from conservative measures. In these cases, surgical reconstruction has become the treatment modality for overhead athlete who wishes to continue to play...
September 2014: Sports Medicine and Arthroscopy Review
Venita Chandra, Christine Little, Jason T Lee
OBJECTIVE: Repetitive upper extremity use in high-performance athletes is associated with the development of neurogenic and vascular thoracic outlet syndrome (TOS). Surgical therapy in appropriately selected patients can provide relief of symptoms and protection from future disability. We sought to determine the incidence and timing of competitive athletes to return to their prior high-performance level after TOS treatment and surgery. METHODS: We reviewed all competitive high school, collegiate, and professional athletes treated for venous or neurogenic TOS (nTOS) from 2000 to 2012...
October 2014: Journal of Vascular Surgery
Jun-Youl Cha, Jae-Hak Kim, Ju Hong, Young-Tae Choi, Min-Ho Kim, Ji-Hyun Cho, Il-Gyu Ko, Yong-Seok Jee
The aim of this study was to investigate the effects of a 12-week rehabilitation program on body composition, shoulder pain, and isokinetic internal/external torques of pitchers with impingement syndrome. A total of 30 pitchers were divided into 2 groups: experimental group (EG, n = 16) and control group (CG, n= 14). The rehabilitation program consisted of physical therapy, warm-up, work-out, and cool-down. As results, body weight and fat mass of EG were decreased whereas muscle mass of EG was significantly increased after the experiment...
February 2014: Journal of Exercise Rehabilitation
Wasyl W Fedoriw, Prem Ramkumar, Patrick C McCulloch, David M Lintner
BACKGROUND: The published return-to-play (RTP) rates for athletes who have undergone surgical repair of superior labrum anterior-posterior (SLAP) tears vary widely and are generally accepted to be lower in the subset of competitive throwers. The efficacy of nonsurgical treatment for this group is unknown. HYPOTHESIS: Nonsurgical treatment of SLAP tears in professional baseball players leads to RTP before consideration of surgical treatment. Incorporating performance statistics and level of competition will result in lower calculated RTP rates than have been previously reported...
May 2014: American Journal of Sports Medicine
Luke Stephens, James J Kinderknecht, Dennis Y Wen
: Nontraumatic musculocutaneous nerve palsy is a rare injury that can occur in throwers. We present a case of musculocutaneous nerve injury in a high school pitcher, which has rarely been previously reported. The unique electromyography findings add to the overall spectrum seen with musculocutaneous nerve injuries in throwers. Sensory abnormalities may not be present at initial evaluation, but rather weakness or pain of the biceps is the most common presenting concern. Electrodiagnostic evaluation is paramount for confirmation of diagnosis, yet the timing of this study is critical for its accuracy...
November 2014: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Sommer Hammoud, Nicole Sgromolo, Alfred Atanda
Elbow pain in pediatric throwing athletes can be very concerning and challenging to diagnose. Diagnosis involves determining whether the injury is chronic or acute in nature and the anatomical location of the pain. Physicians should be aware of the sport-specific forces that predispose athletes with immature skeletons to injury and should be familiar with the common presentations of these injuries. In order to narrow the diagnosis, physicians should gather a detailed history of how and when the pain occurred in addition to performing a thorough physical exam that includes tests, such as the modified milking maneuver and the moving valgus stress test...
February 2014: Physician and Sportsmedicine
J F W Garvey, H Hazard
INTRODUCTION AND OBJECTIVES: Chronic groin pain (athletic pubalgia) is a common problem in sports such as football, hockey, cricket, baseball and athletics. Multiple co-existing pathologies are often present which commonly include posterior inguinal canal wall deficiency, conjoint tendinopathy, adductor tendinopathy, osteitis pubis and peripheral nerve entrapment. The mechanism of injury remains unclear but sports that involve either pivoting on a single leg (e.g. kicking) or a sudden change in direction at speed are most often associated with athletic pubalgia...
2014: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Richard W Kang, Gregory T Mahony, Thomas C Harris, Joshua S Dines
In summary, batter’s shoulder is a rare and only recently recognized entity. This condition is posterior shoulder instability caused by a missed attempt at hitting a pitch, especially with an outside pitch. The lack of counterforce from hitting a ball produces increased forces imparted on the posterior capsulolabral complex of the lead shoulder during batting. If the player fails conservative management, she or he can undergo an arthroscopic posterior labral repair instead of debridement. After treatment, the player can expect to return to play after approximately 6 to 7 months...
October 2013: Clinics in Sports Medicine
Luga Podesta, Scott A Crow, Dustin Volkmer, Timothy Bert, Lewis A Yocum
BACKGROUND: Studies have demonstrated the potential of platelet-rich plasma (PRP) to heal damaged tissue. To date, there are no published reports of clinical outcomes of partial ulnar collateral ligament (UCL) tears of the elbow treated with PRP. HYPOTHESIS: Platelet-rich plasma will promote the healing of partial UCL tears and allow a return to play. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Thirty-four athletes with a partial-thickness UCL tear confirmed on magnetic resonance imaging were prospectively followed...
July 2013: American Journal of Sports Medicine
J Todd R Lawrence, Neeraj M Patel, Jonathan Macknin, John M Flynn, Danielle Cameron, Hayley C Wolfgruber, Theodore J Ganley
BACKGROUND: The optimal treatment of medial epicondyle fractures in pediatric athletes remains unclear. PURPOSE: To evaluate the outcomes of operative and nonoperative management of medial epicondyle fractures in young athletes. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The records of all children with fractures of the medial epicondyle over a 5-year period, with a minimum 2 years of follow-up at a pediatric tertiary referral center, were reviewed...
May 2013: American Journal of Sports Medicine
Kent T Yamaguchi, Karen S Myung, Manuel Aparicio Alonso, David L Skaggs
STUDY DESIGN: Case report and literature review. OBJECTIVE: This article reports 2 cases of clay-shoveler's fracture equivalent in children presenting acutely after participation in sports. SUMMARY OF BACKGROUND DATA: The clay-shoveler's fracture in adults is an avulsion fracture of the lower cervical or upper thoracic spinous process. To our knowledge, this is the first report in English literature on soft-tissue avulsion injury of the spinous process in children presenting with history and symptoms similar to clay-shoveler's fractures...
December 15, 2012: Spine
C Gordon, S Roopchand-Martin, A Gregg
OBJECTIVES: To explore the possibility of using the Nintendo Wii™ as a rehabilitation tool for children with cerebral palsy (CP) in a developing country, and determine whether there is potential for an impact on their gross motor function. DESIGN: Pilot study with a pre-post-test design. SETTING: Sir John Golding Rehabilitation Center, Jamaica, West Indies. PARTICIPANTS: Seven children, aged 6 to 12 years, with dyskinetic CP were recruited for the study...
September 2012: Physiotherapy
Steven S Shin
No abstract text is available yet for this article.
August 2012: Hand Clinics
Kimberlly S Chhor, Randall W Culp
No abstract text is available yet for this article.
August 2012: Hand Clinics
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