Randomized Controlled Trial https://pubmed.ncbi.nlm.nih.gov/28402756/

CORE Physical Therapy in Omaha Explains…

By Dr. Mark Rathjen PT DPT CSCS

CORE Physical Therapy and Sports Performance PC,

Omaha NE,

The conclusion states “ Instrumented manual therapy with self-stretching significantly reduces ROM risk factors in baseball players with motion deficits when compared with stretching alone.”

What does this mean for you?

This study examined 30 athletes, stretching group, and stretching group +manual therapy.

With the addition of manual physical therapy, joint mobilizations and sports specific stretching, baseball players can enjoy a functional range of motion greater than with self stretching alone. As a trained physical therapist, joint mobilizations of the capsular restrictions will allow the athlete with more motion and more potential motion to develop power and speed with the pitch/throw. Even more importantly, having a normal and functional range for a throwing athlete will allow for injury prevention over the career of the athlete.

In a time of constantly improving athletes and mechanics training, the throwing athletes are more prone to injury than ever. With the extra motion a physical therapist from CORE can provide, the athlete with throw harder, faster, and with lower injury rates compared to throwers that do not utilize manual physical therapy.

Important NOTE. Most physical therapists are not trained in proper joint mobilization techniques, capsular retraction pattens, and mechanical stretching for throwing. If performed improperly and with little knowledge of throwing, damage and mechanical strain can occur. Seek a specialist that treats only athletes. Seek an experienced clinician who has practiced for at least a decade. It takes many years and experience to develop the knowledge and technical experience to properly mobilize a shoulder joint.

C.O.R.E. Physical Therapy and Sports Performance PC,

At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years.

This is who are, This is what we do.

Owned and Operated

Dr. Mark Rathjen and Dr. Claire Rathjen.

CORE is a family owned business that has been

established in 2015

We are proud to serve the greater Omaha metro area.

For More information, Please feel free to contact us https://coreomaha.com/contact/

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To get started https://coreomaha.com/getting-started/

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CORE Physical Therapy and Sports Performance PC.

17660 Wright St, suites 9/10

Omaha, NE 68130

402-933-4027

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doi: 10.1177/1941738117702835. Epub 2017 Apr 12.

Effectiveness of Manual Therapy and Stretching for Baseball Players With Shoulder Range of Motion Deficits

Lane B Bailey¹, Charles A Thigpen², Richard J Hawkins³, Paul F Beattie⁴, Ellen Shanley²

Affiliations

PMID: 28402756
PMCID: PMC5435155
DOI: 10.1177/1941738117702835

Free PMC article

Abstract

Background: Baseball players displaying deficits in shoulder range of motion (ROM) are at increased risk of arm injury. Currently, there is a lack of consensus regarding the best available treatment options to restore shoulder ROM.

Hypothesis: Instrumented manual therapy with self-stretching will result in clinically significant deficit reductions when compared with self-stretching alone.

Study design: Controlled laboratory study.

Methods: Shoulder ROM and humeral torsion were assessed in 60 active baseball players (mean age, 19 ± 2 years) with ROM deficits (nondominant – dominant, ≥15°). Athletes were randomly assigned to receive a single treatment of instrumented manual therapy plus self-stretching (n = 30) or self-stretching only (n = 30). Deficits in internal rotation, horizontal adduction, and total arc of motion were compared between groups immediately before and after a single treatment session. Treatment effectiveness was determined by mean comparison data, and a number-needed-to-treat (NNT) analysis was used for assessing the presence of ROM risk factors.

Results: Prior to intervention, players displayed significant ( P < 0.001) dominant-sided deficits in internal rotation (-26°), total arc of motion (-18°), and horizontal adduction (-17°). After the intervention, both groups displayed significant improvements in ROM, with the instrumented manual therapy plus self-stretching group displaying greater increases in internal rotation (+5°, P = 0.010), total arc of motion (+6°, P = 0.010), and horizontal adduction (+7°, P = 0.004) compared with self-stretching alone. For horizontal adduction deficits, the added use of instrumented manual therapy with self-stretching decreased the NNT to 2.2 (95% CI, 2.1-2.4; P = 0.010).

Conclusion: Instrumented manual therapy with self-stretching significantly reduces ROM risk factors in baseball players with motion deficits when compared with stretching alone.

Clinical relevance: The added benefits of manual therapy may help to reduce ROM deficits in clinical scenarios where stretching alone is ineffective.

Keywords: baseball; glenohumeral internal rotation deficit (GIRD); instrumented manual therapy; posterior shoulder tightness (PST).

Conflict of interest statement

The authors report no potential conflicts of interest in the development and publication of this article.

Is Manual Therapy for shoulder indicated in Baseball players? CORE Omaha Explains…

Effectiveness of Manual Therapy and Stretching for Baseball Players With Shoulder Range of Motion Deficits

Abstract

Conflict of interest statement

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