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- Title
Association of Head-Neck Rotation With History of Pitching-Related Elbow Pain in Youth Baseball Players.
- Authors
Yoshimoto, Masumi; Kawabata, Masashi; Miyata, Toru; Sato, Yosuke; Naoi, Daichi; Ashihara, Mitsuaki; Suzuki, Nobuyuki; Ikoma, Chihiro; Tatsuki, Hiroaki; Kuratsubo, Ryota; Watanabe, Hiroyuki; Kusaba, Yohei; Watanabe, Daiki
- Abstract
Background: Prevention of pitching-related elbow pain in youth baseball players is important. Overhead pitching involves a whole-body motion, including head-neck rotation. A limited range of motion of head-neck rotation may cause inefficient pitching motion; however, this association is unclear. Purpose: To determine whether the range of motion of head-neck rotation is associated with the history of pitching-related elbow pain in youth baseball players. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 311 youth baseball players were selected and asked to complete a questionnaire survey about their age, weight, height, sex, baseball experience, main position, pitching side, and previous/current elbow pain during pitching. The range of motion of the upper and lower limb joints, head-neck rotation, and thoracic kyphosis angle were measured. Binomial logistic regression analysis was used to identify factors associated with the history of elbow pain related to pitching. Results: There were 101 players with a history of pitching-related elbow pain (history group) and 142 players with no pitching-related elbow pain (no-history group). The history group had significantly lower values than the no-history group regarding the range of motion of head-neck rotation on the nondominant side (74.9°± 9° vs 77.7°± 9.6°; P =.02) and overall head-neck rotation (150.6°± 14.7° vs 154.9°± 18.4°; P =.04). Binomial logistic regression analysis identified head-neck rotation on the nondominant side (odds ratio [OR], 0.97 [95% CI, 0.94-1.00]), shoulder horizontal adduction on the dominant side (OR, 0.98 [95% CI, 0.96-1.00]), height (OR, 1.04 [95% CI, 1.00-1.08]), and playing position (pitcher) (OR, 0.40 [95% CI, 0.21-0.76]) as factors associated with a history of pitching-related elbow pain. Conclusion: Our cross-sectional analysis demonstrated that youth baseball players with a history of pitching-related elbow pain had limited head-neck rotation range of motion on the nondominant side, and this was a significant factor associated with the history of pitching-related elbow pain.
- Subjects
HEAD physiology; NECK physiology; HIP joint physiology; STATISTICS; RANGE of motion of joints; CONFIDENCE intervals; CROSS-sectional method; ELBOW pain; SURVEYS; ARM; LEG; KYPHOSIS; INTER-observer reliability; BASEBALL injuries; ROTATIONAL motion; QUESTIONNAIRES; RESEARCH funding; DESCRIPTIVE statistics; INTRACLASS correlation; ODDS ratio; LOGISTIC regression analysis; DATA analysis software; THORACIC vertebrae
- Publication
Orthopaedic Journal of Sports Medicine, 2024, Vol 12, Issue 2, p1
- ISSN
2325-9671
- Publication type
Article
- DOI
10.1177/23259671241229079