Document Detail


Midhumerus adaptation in fast-pitch softballers and the effect of throwing mechanics.
MedLine Citation:
PMID:  21311354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Throwing is a vigorous activity that generates large internal loads. There is limited evidence of the effect of these loads on bone adaptation. The aim of this study was to investigate the 1) magnitude of bone adaptation within the midshaft humerus of female fast-pitch softball players and 2) influence of throwing mechanics (windmill vs overhand throwing) on the magnitude of adaptation.
METHODS: Midshaft humeral bone mass, structure, and estimated strength were assessed via peripheral quantitative computed tomography in fast-pitch softball players (throwers; n = 15) and matched controls (controls; n = 15). The effect of throwing was examined by comparing dominant-to-nondominant differences in throwers to controls, whereas the influence of mechanics was determined by comparing dominant-to-nondominant differences in throwers who primarily play as pitcher (windmill thrower), catcher (overhand thrower), or fielder (overhand thrower).
RESULTS: Throwers had greater dominant-to-nondominant difference in midshaft humeral bone mass, structure, and estimated strength relative to controls (all P < 0.05). The largest effect was for estimated torsional strength with throwers having a mean dominant-to-nondominant difference of 22.5% (range = 6.7%-43.9%) compared with 4.4% (range = -8.3% to 17.5%) in controls (P < 0.001). Throwing mechanics seemed to influence the magnitude of skeletal adaptation, with overhand throwers having more than double dominant-to-nondominant difference in midshaft humeral bone mass, structure, and estimated strength than windmill throwers (all P < 0.05).
CONCLUSIONS: Throwing induces substantial skeletal adaptation at the midshaft humerus of the dominant upper extremity. Throwing mechanics seems to influence the magnitude of adaptation, as catchers and fielders (overhand throwers) had twice as much adaptation as pitchers (windmill throwers). The latter finding may have implications for skeletal injury risk at the midshaft humerus in throwing athletes.
Authors:
Elizabeth D Bogenschutz; Heather D Smith; Stuart J Warden
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  43     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-11-23     Completed Date:  2012-03-28     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1698-706     Citation Subset:  IM; S    
Affiliation:
Department of Physical Therapy, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis, IN 46202, USA.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Physiological*
Adolescent
Adult
Athletes
Athletic Performance / physiology
Baseball / physiology*
Bone Density / physiology
Female
Humans
Humerus / anatomy & histology,  physiology*
Range of Motion, Articular
Shoulder / physiology
Young Adult
Grant Support
ID/Acronym/Agency:
R01 AR057740/AR/NIAMS NIH HHS; R01 AR057740-02/AR/NIAMS NIH HHS; R01 AR057740-03/AR/NIAMS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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