Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players
Abstract The relationship between ankle joint function and throwing-related injuries has not been demonstrated. We hypothesized that limited ankle joint range of motion (ROM) was related to risk factors for shoulder and elbow injuries in young baseball players. This 12-month prospective cohort study...
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Nature Portfolio
2021
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oai:doaj.org-article:2581a246a2dd426dbc0545f220c57e9d2021-12-02T13:34:51ZAnkle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players10.1038/s41598-021-85079-82045-2322https://doaj.org/article/2581a246a2dd426dbc0545f220c57e9d2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85079-8https://doaj.org/toc/2045-2322Abstract The relationship between ankle joint function and throwing-related injuries has not been demonstrated. We hypothesized that limited ankle joint range of motion (ROM) was related to risk factors for shoulder and elbow injuries in young baseball players. This 12-month prospective cohort study evaluated the age, height, weight, playing position, shoulder, elbow, and ankle function of 228 enrolled baseball players. Shoulder and elbow injuries were tracked during the season. Univariate and multivariate analyses were performed to identify risk factors for shoulder and elbow injuries among participants divided into non-injured and injured groups. Univariate analysis showed that age, height, weight, ROM of elbow flexion in the dominant arm, muscle strength ratio of shoulder abduction, and the likelihood of being a pitcher or a catcher were significantly greater in the injured group than in the non-injured group. ROM of shoulder abduction-external/internal rotation, shoulder total arc on the dominant arm, ankle joint dorsiflexion, and plantar flexion on the back (non-lead) and front (lead) legs were significantly less in the injured group than in the non-injured group. In conclusion, ROM dorsiflexion deficits in the back leg, shoulder abduction-external rotation in the dominant arm, ROM increase in elbow flexion on the dominant side, older age, and being a pitcher were significant independent risk factors for injury.Hitoshi ShitaraTsuyoshi TajikaTakuro KuboiTsuyoshi IchinoseTsuyoshi SasakiNoritaka HamanoTakafumi EndoMasataka KamiyamaAkira HondaRyosuke MiyamotoKurumi NakaseAtsushi YamamotoTsutomu KobayashiKenji TakagishiHirotaka ChikudaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021) |
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Medicine R Science Q Hitoshi Shitara Tsuyoshi Tajika Takuro Kuboi Tsuyoshi Ichinose Tsuyoshi Sasaki Noritaka Hamano Takafumi Endo Masataka Kamiyama Akira Honda Ryosuke Miyamoto Kurumi Nakase Atsushi Yamamoto Tsutomu Kobayashi Kenji Takagishi Hirotaka Chikuda Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players |
| description |
Abstract The relationship between ankle joint function and throwing-related injuries has not been demonstrated. We hypothesized that limited ankle joint range of motion (ROM) was related to risk factors for shoulder and elbow injuries in young baseball players. This 12-month prospective cohort study evaluated the age, height, weight, playing position, shoulder, elbow, and ankle function of 228 enrolled baseball players. Shoulder and elbow injuries were tracked during the season. Univariate and multivariate analyses were performed to identify risk factors for shoulder and elbow injuries among participants divided into non-injured and injured groups. Univariate analysis showed that age, height, weight, ROM of elbow flexion in the dominant arm, muscle strength ratio of shoulder abduction, and the likelihood of being a pitcher or a catcher were significantly greater in the injured group than in the non-injured group. ROM of shoulder abduction-external/internal rotation, shoulder total arc on the dominant arm, ankle joint dorsiflexion, and plantar flexion on the back (non-lead) and front (lead) legs were significantly less in the injured group than in the non-injured group. In conclusion, ROM dorsiflexion deficits in the back leg, shoulder abduction-external rotation in the dominant arm, ROM increase in elbow flexion on the dominant side, older age, and being a pitcher were significant independent risk factors for injury. |
| format |
article |
| author |
Hitoshi Shitara Tsuyoshi Tajika Takuro Kuboi Tsuyoshi Ichinose Tsuyoshi Sasaki Noritaka Hamano Takafumi Endo Masataka Kamiyama Akira Honda Ryosuke Miyamoto Kurumi Nakase Atsushi Yamamoto Tsutomu Kobayashi Kenji Takagishi Hirotaka Chikuda |
| author_facet |
Hitoshi Shitara Tsuyoshi Tajika Takuro Kuboi Tsuyoshi Ichinose Tsuyoshi Sasaki Noritaka Hamano Takafumi Endo Masataka Kamiyama Akira Honda Ryosuke Miyamoto Kurumi Nakase Atsushi Yamamoto Tsutomu Kobayashi Kenji Takagishi Hirotaka Chikuda |
| author_sort |
Hitoshi Shitara |
| title |
Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players |
| title_short |
Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players |
| title_full |
Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players |
| title_fullStr |
Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players |
| title_full_unstemmed |
Ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players |
| title_sort |
ankle dorsiflexion deficit in the back leg is a risk factor for shoulder and elbow injuries in young baseball players |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/2581a246a2dd426dbc0545f220c57e9d |
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