Embed Size (px)
Citation preview
12/11/17%
1%
IAR INSTITUTE FOR ATHLETE REGENERATION
“Why Throwers Should Never Skip Leg Day”
Toko Nguyen PT, DPT, OCS, SCS, FAAOMPT, CSCS
Ben Renfrow PT, DPT, OCS, SCS, FAAOMPT
Adeeb Khalfe PT, DPT, OCS, FAAOMPT, CSCS ~
APTA CSM – New Orleans
February 21-24, 2018
IAR INSTITUTE FOR ATHLETE REGENERATION
DISCLOSURE
SPEAKERS HAVE NO CONFLICTS OF INTEREST REGARDING THE INFORMATION IN THIS
PRESENTATION
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
OBJECTIVES Discuss the various components of the kinetic chain and it's proper sequencing in the thrower.
Discuss how deficiencies in the lower kinetic chain contribute to common upper extremity pathologies in the thrower.
Apply a sport specific movement screen to analyze for these deficiencies in lower kinetic chain of the thrower.
Effectively prescribe, dose, and implement intervention techniques specific to the movement demands of the thrower.
IARFELLOWSHIP.com
12/11/17%
2%
IAR INSTITUTE FOR ATHLETE REGENERATION
THE THROWER
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
PATHOMECHANICS
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
KINETIC CHAIN
IARFELLOWSHIP.com
12/11/17%
3%
IAR INSTITUTE FOR ATHLETE REGENERATION
TOP BOTTOM SEPARATION
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
IARFELLOWSHIP.com
PHASE MOBILITY
WIND UP Back Hip Ext Front Hip Flexion
STRIDE
Back Hip ABD, EXT Back Hip IR Front Hip ER
COCKING Back Hip EXT
ACCELERATION
Back Hip & Knee EXT Back Ankle PF Front Hip FLEX
DECELERATION Front Hip FLEX Back Ankle PF
FOLLOW THROUGH Front Hip FLEX/IR
IAR INSTITUTE FOR ATHLETE REGENERATION
EARLY OPENING
IARFELLOWSHIP.com
12/11/17%
4%
IAR INSTITUTE FOR ATHLETE REGENERATION
CLOSING OFF
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
VERTICAL TRUNK
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
TRIPLE EXTENSION
IARFELLOWSHIP.com
12/11/17%
5%
IAR INSTITUTE FOR ATHLETE REGENERATION
SYMPTOMATIC PHASE
• Stride – Cocking – Acceleration
• Ball Release - Decel – Follow Through
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
LOWER KC ASSESSMENT
! Thrower’s Lunge
! Single Leg RDL Crossover
! Segmental Mobility
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
THROWER’S LUNGE
IARFELLOWSHIP.com
12/11/17%
6%
IAR INSTITUTE FOR ATHLETE REGENERATION
SINGLE LEG RDL CROSSOVER
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
LKC INTERVENTION ! Soft Tissue Release
! Joint Mobilizations
! Mobility Drills
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
INDIVIDUALIZING NEEDS
IARFELLOWSHIP.com
12/11/17%
7%
IAR INSTITUTE FOR ATHLETE REGENERATION
SYSTEM DEMANDS
! Qualities of Sports Performance
! Position on Performance Continuum
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
QUALITIES OF PERFORMANCE
IARFELLOWSHIP.com
3 QUALITIES THAT ALL ATHLETES POSSESS
WHAT ARE THEY?
IAR INSTITUTE FOR ATHLETE REGENERATION
POSITION ON THE CONTINUUM
IARFELLOWSHIP.com
STRENGTH POWER PLYOMETRICS SPEED
12/11/17%
8%
IAR INSTITUTE FOR ATHLETE REGENERATION
INDIVIDUALIZING NEEDS
! GET OUT OF SAGITTAL
! ASYMMETRICAL POWER DEVELOPMENT
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
GETTING OUT OF SAGITTAL
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
NON SAGITTAL EXERCISES
(Video) ! TRX High Rotation
! Split Stance Drills
! RFEs
! Lateral Lunge SL Press
! SL Lateral Ball Squats
IARFELLOWSHIP.com
12/11/17%
9%
IAR INSTITUTE FOR ATHLETE REGENERATION
ASYMMETRICAL POWER DEVELOPMENT
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
ASYMMETRICAL POWER
(Video) ! Landmine Speed Switches
! Sled Drags
! Med Ball Progressions
! TRX
! Lateral & Rotational Plyometrics
IARFELLOWSHIP.com
IAR INSTITUTE FOR ATHLETE REGENERATION
IARFELLOWSHIP.com
12/11/17%
10%
IAR INSTITUTE FOR ATHLETE REGENERATION
REFERENCES
Fortenbaugh D, Fleisig GS, Andrews JR. Baseball pitching biomechanics in relation to injury risk and performance. Sports Health: A Multidisciplinary Approach. 2009;1(4):314-320.
Freehill MT, Ebel BG, Archer KR, et al. Glenohumeral Range of Motion in Major League Pitchers Changes Over the Playing Season. Sports Health: A Multidisciplinary Approach. 2011;3(1):97-104.
Garrison JC, Arnold A, Macko MJ, Conway JE. Baseball Players Diagnosed With Ulnar Collateral Ligament Tears Demonstrate Decreased Balance Compared to Healthy Controls. J Orthop Sports Phys Ther. 2013;43(10):752-758.
Garrison JC, Johnston C, Conway JE. Baseball Players with Ulnar Collateral Ligament Tears Demonstrate Decreased Rotator Cuff Strength Compared to Healthy Controls. Int J Sports Phys Ther. 2015;10(4):476-481.
Hannon J, Garrison JC, Conway JE. Lower extremity balance is improved at time of return to throwing in baseball players after an ulnar collateral ligament reconstruction when compared to pre-operative measurements. Int J Sports Phys Ther. 2014;9(3):356-364.
Hurd WJ, Kaufman KR. Glenohumeral rotational motion and strength and baseball pitching biomechanics. J Athl Train. 2012;47(3):247-256.
Kibler WB, Sciascia A. Kinetic chain contributions to elbow function and dysfunction in sports. Clin Sports Med. 2004;23(4):545-552.
IAR INSTITUTE FOR ATHLETE REGENERATION
REFERENCES
MacWilliams BA, Choi T, Perezous MK, Chao EYS, McFarland EG. Characteristic ground-reaction forces in baseball pitching. Am J Sports Med. 1998;26(1):66-71.
Robb AJ, Fleisig GS, Wilk KE, Macrina LC, Bolt B, Pajaczkowski J. Passive ranges of motion of the hips and their relationship with pitching biomechanics and ball velocity in professional baseball pitchers. Am J Sports Med. 2010;38(12):2487-2493.
Seroyer ST, Nho SJ, Bach BR, Bush-Joseph CA, Nicholson GP, Romeo AA. The kinetic chain in overhand pitching: its potential role for performance enhancement and injury prevention. Sports Health: A Multidisciplinary Approach. 2010;2(2):135-146.
Sauers EL, Huxel Bliven KC, Johnson MP, Falsone S, Walters S. Hip and glenohumeral rotational range of motion in healthy professional baseball pitchers and position players. Am J Sports Med. 2014 Feb;42(2):430-6.
Shanley E, Rauh MJ, Michener LA, Ellenbecker TS, Garrison JC, Thigpen C. Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players. Am J Sports Med. 2011;39(9):1997-2006.
Sher S, Anderson K, Weber N, Bajorek J, Rand K, Bey MJ. Associations among hip and shoulder range of motion and shoulder injury in professional baseball players. J Athl Train. 2010 Mar-Apr;45(2):191-7.
