Arm abduction angle at ball release influences shoulder forces and torques during the windmill softball pitch

摘要

Objectives: Shoulder pain and ligamentous injury is a common complaint among fast pitch softball pitchers. In addition to extreme shoulder joint motion during pitch delivery, sudden deceleration immediately after ball release places increased stress across the shoulder joint. Some pitchers release the ball with the throwing arm tucked close to the trunk, while others let the arm float outwards in a more abducted position. The position of the arm at ball release (BR) may be key to the mechanism of shoulder pain. Previous work demonstrated that during the change up pitch, softball pitchers with upper extremity pain demonstrated greater shoulder abduction at stride and less trunk lateral flexion at BR compared to athletes without pain (Oliver et al 2018). The purpose of this study was to test the hypothesis that placement of the arm closer to the trunk (shoulder adduction) at ball release will produce less shoulder stress during fastball windmill pitches. Methods: Twenty-six female fast pitch softball pitchers with a mean age of 18 +/- 6 y, including 16 high school, 7 collegiate, and 3 professional athletes, underwent 3D biomechanical pitch analyses using 20 Vicon high-speed motion capture cameras (240 hz). All pitchers threw the standard 13.11 m mound-to-plate distance at a strike zone target while a radar gun collected pitch speeds. The fastest, most accurate fastball pitches for each subject were selected for analyses (average of 5 pitches per subject). A total of 103 pitches were used to calculate: shoulder abduction angle and shoulder compression force during the BR phase (10 frames surrounding BR) and peak shoulder torques. Pearson correlations were performed to determine the relationship of shoulder frontal plane (adduction/abduction) angle during the ball release phase to these biomechanical measures. Results: The smallest abduction shoulder angle reached during the BR phase (avg: 14.06 +/- 6.71 degrees) demonstrated a significant positive correlation with shoulder compression force, p=0.008 and with peak flexion torque, p& 0.001 (Table 1). This shoulder abduction angle during the BR phase demonstrated negative correlations with peak shoulder adduction torque, p&0.001 and shoulder internal rotation torque, p& 0.001. Conclusion: These initial findings support the hypothesis that pitchers who release the ball with their arm close to their trunk demonstrate lower shoulder compression forces and shoulder flexion torques than those with a more abducted arm position. Future studies are needed to explore the interplay of pitching technique mechanics, shoulder joint stresses, and injury history to inform pitching instruction and injury prevention efforts. Table 1. The relationship between shoulder frontal plane angle during ball release with shoulder compression force and torques Measure Average SD R P Ball release phase peak shoulder compression force 7.791.53 BW 0.258* 0.008 Peak shoulder internal rotation torque -27.4528.65 Nm -0.377* P & 0.001 Peak shoulder adduction torque -47.8649.59 Nm -0.479* P & 0.001 Peak shoulder flexion torque 60.7946.01 Nm 0.530* P & 0.001 *Established level of significance p&0.05