The Windmill Softball Pitch: Optimal Mechanics and
Transcription
The Windmill Softball Pitch: Optimal Mechanics and
INJURY PREVENTION & PERFORMANCE ENHANCEMENT Jennifer Medina McKeon, PhD, ATC, Report Editor The Windmill Softball Pitch: Optimal Mechanics and Pathomechanics of Injury Gretchen D. Oliver PhD, ATC, LAT • University of Arkansas F ast-pitch softball has become increasingly popular. Over the past two decades, participation in Little League softball in the U.S. has dramatically increased from 259,080 players in 1990 to 349,065 players in 2009.1 The Amateur Softball Association reports over 83,000 youth girls fast-pitch softball teams, comprising over 1.2 million girls.2 Softball is similar to baseball, but a higher injury rate has been reported for girls participating in softball than for boys participating in Key Points baseball.3 When compared to baseball, fastThe muscles of the lower extremity are pitch softball exhibhighly active during the dynamic moveits some important ment of the windmill softball pitch. differences: (a) pitchAdequate pelvis stabilization from the ing surface, (b) pitchgluteal muscle group is paramount for dising distance to home sipation of forces. plate, and (c) number of pitches delivered by one pitcher within a short period of time. In baseball, pitches are delivered from an elevated mound (approximately 10 inches), whereas softball pitches are delivered from a flat surface. The distance from the pitching rubber to home plate in baseball is 18.4 meters, whereas the corresponding distance in softball is 12.2 meters. Softball pitchers may pitch in as many as 10 games during a weekend, which equates to approximately 1,500 to 2,000 pitches within a three-day period.4,5,6 Because there is no pitch count restriction in softball, teams typically have a smaller number of pitchers on their rosters than baseball teams, which ultimately results in more innings being pitched per athlete.7 Because the softball pitcher throws from flat ground, rather than an elevated mound, the effect of gravity assistance to the pitch follow-though is absent. Instead of a controlled fall off a mound during the follow-through, the softball pitcher displays an abrupt stop, or posting mechanism, by the stride leg upon ball release. Ground reaction force experienced during the windmill softball pitch has been reported to be similar or greater than that experienced by baseball pitchers.7 Softball pitchers have been reported to have a high incidence of lower extremity injuries, which may be related to the high ground reaction force that results from posting of the stride leg at ball release.8,9 There are many similarities between softball and baseball. Although the windmill pitching motion is widely perceived to be more natural and less stressful to the shoulder than the overhand baseball pitch, the distraction force at the shoulder while performing the windmill softball pitch has been reported to be similar to that of a baseball pitch.4,6 The torques acting on the shoulder and the elbow have been reported to be comparable for both types of pitching, or even greater for the softball pitch.6 Powell and Barber-Foss3 reported that softball play© 2010 Human Kinetics - ATT 15(6), pp. 28-31 28 novEMBER 2010 Athletic Therapy Today ers had a 27% higher injury incidence than baseball players. Although severe injuries rarely occur,10 less serious overuse injuries are common.11 Loss of playing time has been reported for 45% of softball injuries, and 45% of the time-loss injuries involved the shoulder or the elbow.11 A study of 180 college pitchers found that 72.8% had sustained an injury during the previous year.8 Among 131 injuries that were reported, 36 were acute, 92 resulted from chronic overuse, and 3 were had an unspecified onset.8 Greater attention needs to be given to prevention of injury to softball pitchers. Movement efficiency has been associated with a proximal to distal muscle activation sequence.12 Kibler13 has estimated that the lower extremity contributes 50–55% of the total energy generated by the body during performance of an upper extremity task. To transfer energy through the kinetic chain from the lower extremity to the upper extremity, a softball pitcher must have good neuromuscular control of the lower extremity.13,14 Traditionally, analysis of pitching performance and injury susceptibility has been focused on the function of the upper extremity; however, movement of the hips directs movement of the pelvis, which directs movement of the torso, the scapula, and the shoulder.15 The pelvis has been described as the platform for the scapula, and the scapula has been described as a platform for the shoulder.14,16,17 To serve as a platform, the pelvis must exhibit stability during functional movement, just as the scapula must maintain stability for the humerus to be effectively elevated. Although some studies have analyzed the softball pitching motion,4,6,7,18,19 the available information is far less than that for baseball pitching. Understanding of the pathomechanics of common overuse syndromes is limited by a relative lack of quantitative information about the joint displacements and the corresponding muscle activation patterns that occur during the softball pitching motion. On the basis of available evidence,4,6-11,19 a description of the softball pitching motion is provided, with a recommended approach to injury prevention. Phases of the Pitch Maffet et al20 described the windmill pitching motion in terms of six phases that correspond to intervals on a clock. For a lateral view of a right-handed pitcher (Figure 1), Phase 1 (wind-up) consists of counterclockwise downward movement to a 6 o’clock position. Phase 2 corresponds to upward movement from 6 o’clock to 3 o’clock, phase 3 corresponds to upward movement from 3 o’clock to 12 o’clock, phase 4 corresponds to downward movement from 12 o’clock to 9 o’clock, phase 5 corresponds to movement from 9 o’clock to ball release, and phase 6 corresponds to movement from ball release to completion of the follow-through motion. During phase 1, the pitcher is generating momentum. Pitchers will often internally rotate the throwing arm and shift weight to the ipsilateral leg. Many pitchers display very unique wind-up motions, some of which involve extraneous movements. The wind-up should be a continuous motion that provides an efficient energy transfer from phase 1 to phase 2. When the pitcher displays an interruption in the movement from phase 1 to phase 2, potentially injurious stress may be created. During phase 2, the contralateral stride leg undergoes hip flexion and knee extension and the ipsilateral gluteal muscle contracts to stabilize the pelvis.19 Also Figure 1 Phases of the windmill softball pitch. Athletic Therapy Today novEMBER 2010 29 during this phase, the triceps are activated to control elbow extension and the scapular stabilizers are activated to prepare for increasing humeral elevation.19 At the 12 o’clock position, the pitcher’s arm reaches the limit of its movement in a direction opposite to the direction the ball will be pitched, which is referred to as top of backswing (TOB). During phase 3, the pitcher may make ground contact with the stride foot prior to TOB. Alternatively, stride foot ground contact may occur after TOB, which separates phase 3 from phase 4. At TOB, the humerus is externally rotated and in the position that corresponds to full cocking for the baseball pitch. Maffet et al20 reported that posterior deltoid, infraspinatus, and teres minor are activated at TOB. The pitcher should stride directly toward home plate. Often the pitcher will appear to leap during the stride phase, but the support foot must remain on the ground for the pitch to be legal. If the pitcher fails to drag the support foot, the pitch will be ruled illegal. Leaping allows the pitcher to get closer to the batter before ball release, which decreases the amount of time the batter has to react to the pitch. Pitchers who have a long stride length tend to have higher pitch velocities.4,18,19 Stride length has been reported to average 60 to 70% of the pitcher’s height.9 As the arm accelerates downwardly from TOB to the 9 o’clock position (phase 4), the gluteal muscle group, the scapular stabilizers, and the biceps are active.19 During this phase, the pitcher is “posting” on the stride leg for ball delivery. As the stride leg begins to support the body weight, the gluteus medius must maintain elevation of pelvis on the opposite side to transfer energy from one foot to the other. The greatest activation of the biceps occurs during the acceleration phase, whereas biceps activation is greatest during the deceleration phase of a baseball pitch. From the 9 o’clock position to ball release (phase 5), the pectoralis major, subscapularis, and serratus anterior muscles internally rotate and adduct the humerus and stabilize the scapula.20 At ball release, the muscles with the greatest level of activation are the gluteal group and the triceps.19 The hips move from a relatively parallel orientation to home plate to a more perpendicular orientation. Hip rotation coincides with ball release. Rojas21 has reported that anterior shoulder pain in the area of the bicipital grove is a common complaint among windmill softball pitchers. Biceps activation is greatest from the 9 o’clock position to ball release.9,21 At the 9 o’clock position, 30 novEMBER 2010 the elbow approaching full extension as the arm is moving forward. The follow-through motion in softball pitching is not as pronounced as that for the baseball pitch. Typically, a baseball pitcher’s body continues to move forward in the direction of the throw. Due to the “posting” that occurs at ball release, a softball pitcher’s follow-through motion is shorter and the pitcher tends to move away from the direction of the throw. Muscles Controlling the Kinetic Chain On the basis of the relatively limited evidence that is available, identification of injury risk factors for windmill softball pitching is difficult. The gluteal muscle group and the triceps have been found to maintain high activation levels throughout the entire pitching motion.19 Although most injuries affect upper extremity structures, the efficiency of energy transfer from the lower extremity to the upper extremity is probably an important factor influencing injury susceptibility. Stabilization of the pelvis by the gluteal muscle group appears to be extremely important in this regard.12,22-24 Conclusion Kibler22-24 has suggested that the bulk of the energy generated by the upper extremity is derived from the lower extremity. Surface electromyography has demonstrated that the gluteal muscle group is active throughout the windmill softball pitching motion.17,19,25 Optimal function of the gluteal muscle group stabilizes the pelvis to efficiently transfer energy from the lower extremity to the upper extremity, which may decrease injury risk.17 Therefore, injury prevention efforts should be focused on development of a high degree of neuromuscular control the hips and pelvis. References 1.Little League Online Baseball & Softball. Little League around the world. Available at: http://www.littleleague.org/learn/about/historyandmission/aroundtheworld.htm. Accessed August 2, 2010. 2.Amateur Softball Association of America. About ASA. Available at: http://www.asasoftball.com/about/quick_facts.asp. Accessed August 2, 2010. 3.Powell JW, Barber-Foss KD. Sex-related injury patterns among selected high school sports. Am J Sports Med. 2000;28:385-391. 4.Werner SL, Jones DG, Guido JA, Brunet ME. Kinematics and kinetics of elite windmill softball pitching. Am J Sport Med. 2006;34(4):597-603. 5.Hurd W. Special population: rehabilitation considerations for the female softball player. Sports Med Update. 1999;14:10-13. Athletic Therapy Today 6.Barrentine S, Fleisig G, Whiteside J, Escamilla RF, Andrews JR. Biomechanics of windmill softball pitching with implications about injury mechanisms at the shoulder and elbow. J Ortho Sports Phys Ther. 1998;28:405-415. 7.Werner SL, Guido JA, McNeice RP, Richardson JL, Delude NA, Stewart GW. Biomechanics of youth windmill softball pitching. Am J Sports Med. 2005;33 (4):552-560. 8.Hill JL, Humphries B, Weidner T, and Newton RU. Female collegiate windmill pitchers: influences to injury incidence. J Strength Cond Res. 2004;18:426-431. 9.Guido JA, Werner SL, Meister K. Lower-extremity ground reaction forces in youth windmill softball pitchers. J Strength Cond Res. 2009;23(6):1873-1876. 10.Axe MJ, Windley TC, Snyder-Mackler L. Data-based interval throwing programs for collegiate softball players. J Athl Train. 2002;27:194-203. 11.Loosli AR, Requa RK, Garrick JG, Hanley E. Injuries to pitchers in women’s collegiate fast-pitch softball. Am J Sports Med. 1992;20:35-37. 12.Putnam CA. Sequential motions of body segments in striking and throwing skills: descriptions and explanations. J Biomech. 1993;26 Supplement 1: S125-S135. 13.Kibler WB. Biomechanical analysis of the shoulder during tennis activities. Clin Sports Med. 1995;14:79–85. 14.Kibler WB. The role of the scapula in athletic function. Am J Sports Med. 1998; 26(2):325-337. 15.McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Am J Sports Med. 2000; 35(3):329-337. 16.Houglum PA. Therapeutic Exercises for Musculoskeletal Injuries. 2nd ed. Champaign, IL: Human Kinetics; 2005. Athletic Therapy Today 17. Oliver GD, Keeley DW. Gluteal muscle group activation and its relationship with pelvis and torso kinematics in high-school baseball pitcher. J Strength Cond Res. 2010; 24(x): 000-000. (FINISH REF INFO) 18.Guido JA, Werner SL, Meister K. Lower extremity ground reaction forces in youth windmill softball pitchers. J Strength Cond Res. 2009;23(6):1873-1876. 19.Oliver GD, Plummer H, Keeley DW. Muscle activation patterns of the upper and lower extremity during the windmill softball pitch. J Strength Cond Res. 2010; In Press??. 20.Maffet MS, Jobe FW, Pink MM, et al. Shoulder muscle firing patterns during the windmill softball pitch. Am J Sports Med. 1994;25:369-374. 21.Rojas IL, Provencher MT, Bhatia S, Foucher KC, Bach BR, Romeo AA, Wimmer MA, Verma NN. Biceps activity during windmill softball pitching: injury implications and comparison with overhand throwing. Am J Sports Med. 2009;37(3):558-566. 22.Kibler WB. Closed-chain rehabilitation for upper and lower extremities. J Am Acad Orthop Surg. 2001;9:412-421. 23.Kibler WB, Van Der Meer D. Mastering the kinetic chain. In Roetert P, Groppel J, Eds. World Class Tennis Technique. Champaign, IL: Human Kinetics; 2001, pp 99-114. 24.Kibler WB, Press J, Sciascia AD. The role of core stability in athletic function. Sports Med. 2006;36(3):189-198. 25.Campbell BM, Stodden DF, Nixon MK. Lower extremity muscle activation during baseball pitching. J Strength Condit Res. 2010. Gretchen Oliver is an assistant professor and Clinical Coordinator of the entry-level Graduate Athletic Training Education Program at the University of Arkansas in Fayetteville. novEMBER 2010 31