Champion Sports Medicine, Birmingham, AL, USA.
Phys Sportsmed. 2011 Nov;39(4):90-7. doi: 10.3810/psm.2011.11.1943.
The overhead throwing motion is a high-velocity, extremely stressful athletic movement. Its repetitive nature places tremendous demands on the entire body, frequently resulting in injury to the throwing shoulder. Such injuries, whether managed nonoperatively or surgically, require a multiphased approach beginning with exercises to restore muscular strength and proprioception, and advancing to more demanding exercises to improve power, endurance, and dynamic control. This article presents a new and innovative approach to the rehabilitation of the overhead throwing athlete, The Advanced Throwers Ten Exercise Program. This expanded program incorporates throwing motion-specific exercises and movement patterns performed in a discrete series, utilizing principles of coactivation, high-level neuromuscular control, dynamic stabilization, muscular facilitation, strength, endurance, and coordination, which all serve to restore muscle balance and symmetry in the overhead throwing athlete. This program is a continuation of the Throwers Ten Exercise Program, which has been utilized with excellent results in clinical practice and in athletic performance training. This unique combination of advanced exercise techniques bridges the gap between rehabilitation and training, facilitating a kinetic linking of the upper and lower extremities and providing a higher level of humeral head control necessary for the overhead throwing athlete's symptom-free return to sports.
overhead 投掷动作是一种高速、极具压力的运动。它的重复性对整个身体造成了巨大的需求，经常导致投掷肩部受伤。无论是非手术治疗还是手术治疗，这些损伤都需要一种多阶段的方法，从恢复肌肉力量和本体感觉的练习开始，然后进展到更具挑战性的练习，以提高力量、耐力和动态控制。本文介绍了一种针对上肢投掷运动员康复的全新创新方法，即高级投掷者十项运动方案。这个扩展的方案包含了投掷运动特有的练习和以离散序列进行的运动模式，利用协同激活、高级神经肌肉控制、动态稳定、肌肉促进、力量、耐力和协调等原则，所有这些都有助于恢复上肢投掷运动员的肌肉平衡和对称。该方案是投掷者十项运动方案的延续，该方案已在临床实践和运动表现训练中取得了优异的效果。这种高级运动技术的独特组合弥补了康复和训练之间的差距，促进了上下肢的动力连接，并为上肢投掷运动员无症状回归运动提供了更高水平的肱骨头控制。
