Manzi Joseph E, Dowling Brittany, Wang Zhaorui, Lamb Jim R, Fry Emily G, McElheny Kathryn D, Fu Michael C, Dines Joshua S
Weill Cornell Medical College, New York, NY, USA.
Sports Performance Center, Midwest Orthopaedics at Rush, Oak Brook, IL, USA.
J Shoulder Elbow Surg. 2022 May;31(5):1026-1034. doi: 10.1016/j.jse.2021.10.045. Epub 2021 Dec 8.
Temporal variations during the pitch have demonstrated significant impacts on the kinetic chain, and as such, have implications in injury risk.
To determine the effect of varying chronological orders of maximum joint and segment velocities on ball velocity and upper extremity kinetics.
Professional baseball pitchers (n = 287) were assessed with 3D-motion capture (480 Hz) while pitching. Pitches were categorized into one of the following groups dependent on the first maximum joint or segment velocity achieved out of chronological order in an inferior to superior direction: knee extension (DscK), pelvis rotation (DscP), trunk rotation (DscT), shoulder rotation (DscS), forearm pronation (DscF), and Proper (for pitchers with the correct temporal sequence), and Total Population, for all pitchers. Ten normalized throwing arm kinetic variables were compared among groups. Regression analysis was conducted on the timing of maximum velocities with ball velocity.
The majority of pitches were in the DscK group (64.5%). The DscK group had a significantly slower maximum lead knee extension velocity compared with the Proper group (253°/s vs. 316°/s, P = .017). The Proper group had a significantly faster ball velocity compared with the Total Population (39.0 ± 1.9 m/s vs. 38.3 ± 2.1 m/s, P = .013). The DscP group had a significantly slower maximum pelvis rotation velocity compared with the Proper group (596°/s vs. 698°/s, P < .001). The Proper group had no significant difference in kinetics relative to the population. For every 1 standard deviation delay in attaining maximum lead knee extension velocity, ball velocity increased by 0.38 m/s (B = 3.5, β = 0.18, P < .001). For every 1 standard deviation delay in timing to achieve maximum pelvis rotation velocity, maximum pelvis rotation velocity and ball velocity increased by 22.5°/s (B = 1107.0, β = 0.23, P < .001) and 0.48 m/s (B = 23.4, β = 0.23, P < .001), respectively.
Pitchers with a discordant sequence of knee extension and pelvis rotation velocity timing had significantly slower corresponding segment/joint velocities. Conversely, pitchers with a proper sequence had the fastest ball velocity with minimal differences in throwing arm kinetics. To maximize ball velocity, professional pitchers should consider achieving maximal velocities in an inferior to superior chronological sequence, with a particular focus on the knee and pelvis.
投球过程中的时间变化已证明对动力链有重大影响,因此对受伤风险也有影响。
确定最大关节和节段速度的不同时间顺序对球速和上肢动力学的影响。
对287名职业棒球投手在投球时进行三维动作捕捉(480赫兹)评估。根据在从下到上的顺序中不符合时间顺序首先达到的最大关节或节段速度,将投球分为以下组之一:膝伸展(DscK)、骨盆旋转(DscP)、躯干旋转(DscT)、肩部旋转(DscS)、前臂旋前(DscF),以及正确顺序组(针对时间顺序正确的投手),还有所有投手的总体组。比较各组之间的10个标准化投掷手臂动力学变量。对最大速度的时间与球速进行回归分析。
大多数投球属于DscK组(64.5%)。与正确顺序组相比,DscK组最大前导膝伸展速度明显较慢(253°/秒对316°/秒,P = 0.017)。与总体组相比,正确顺序组的球速明显更快(39.0±1.9米/秒对38.3±2.1米/秒,P = 0.013)。与正确顺序组相比,DscP组最大骨盆旋转速度明显较慢(596°/秒对698°/秒,P < 0.001)。正确顺序组在动力学方面与总体组无显著差异。每延迟1个标准差达到最大前导膝伸展速度,球速增加0.38米/秒(B = 3.5,β = 0.18,P < 0.001)。每延迟1个标准差达到最大骨盆旋转速度的时间,最大骨盆旋转速度和球速分别增加22.5°/秒(B = 1107.0,β = 0.23,P < 0.001)和0.48米/秒(B = 23.4,β = 0.23,P < 0.001)。
膝伸展和骨盆旋转速度时间顺序不一致的投手,其相应节段/关节速度明显较慢。相反,时间顺序正确的投手球速最快,投掷手臂动力学差异最小。为了使球速最大化,职业投手应考虑按照从下到上的时间顺序达到最大速度,尤其要关注膝盖和骨盆。