DOI: 10.1177/23259671261486658 ISSN: 2325-9671

Professional Baseball Pitcher Injury History on the Basis of Lead Knee Flexion Parameters

Joseph Manzi, Brittany Dowling, Daniel J. Betensky, Grant E. Garrigues, Nikhil Verma, Kyle Kunze, Timothy Kremchek, Lawrence V. Gulotta, James B. Carr, Joshua S. Dines

Background:

Baseball pitchers are taught to use their lead knee, known as lead leg block, to power their pitch. Research has shown that professional pitchers with increased lead knee extension at ball release have a faster ball velocity with no difference in throwing arm kinetics.

Purpose:

To discern if lead knee flexion is related to injury history in professional baseball pitchers.

Study Design:

Cross-sectional study; Level of evidence, 3.

Methods:

Three-dimensional motion capture (480 Hz) was used to assess 326 professional pitchers. Pitchers were divided into low (n = 163) and high (n = 163) flexion groups based on lead knee flexion at ball release. A t test with Bonferroni correction was used to compare participant-specific, kinematic, and kinetic variables between groups. The chi-square and Fisher exact tests and logistic regression analysis were performed to discern potential relationships between injury history and lead knee flexion, lead knee excursion, and maximum lead knee extension velocity.

Results:

Professional pitchers in the low group demonstrated increased pitch velocity (38.7 ± 1.7 vs 37.7 ± 2.2 m/s, respectively; P < .001), lead knee extension velocity (255 ± 117 vs 82 ± 101 deg/s, respectively; P < .001), and lead knee excursion (22°± 10° vs 1°± 11°, respectively; P < .001) compared to those in the high group. Injury history did not differ between the high and low groups, including any injury (odds ratio, 0.80 [95% CI, 0.52-1.24]; P = .319) or upper extremity injuries (odds ratio, 0.85 [95% CI, 0.54-1.34]; P = .488).

Conclusion:

Professional baseball pitchers with decreased lead knee flexion at ball release demonstrated a faster ball velocity with no difference in overall or throwing arm injury history, a modifiable factor that may be useful for some pitchers in the recruitment of the lower extremities as a component of the kinetic chain.

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