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Overhead Throwing:
A Strength & Conditioning Approach to Preventative Injury
Throwing a baseball is one of the single most stressful activities in all of sports in
terms of the stress placed on the shoulder joint. However, baseball players and coaches
neglect this physical tool every day at practice. Coaches spend countless hours with
pitchers working to improve technique, yet very little emphasis is placed on strength
overhead throwing. Often a coaches’ idea of strengthening the throwing arm consists of
his players throwing together in the outfield before practice or a game so that their arm
weekly regimen, players and coaches can expect reduction in the mechanical stress’
associated with overhead throwing while preventing injuries and the on-set of muscle
imbalances. These imbalances are what lead to injuries and these injuries hinder a
important that we review the anatomical structure of the shoulder and the muscle
groups that are heavily responsible in accelerating and decelerating the throwing arm.
By becoming familiar with these structures I believe the overhead throw can be better
and stabilize the shoulder joint (Figure 1). The muscles join the scapula to the humerus.
The tendons are arranged as to form a nearly complete circle around the joint. This
arrangement is referred to as the rotator cuff and is a common site of injury in baseball
pitchers, especially tearing of the supraspinatus muscle tendon (5). This tendon is
especially predisposed to wear and tear changes because of its location between the
head of the humerus and acromion of the scapula, which compresses the tendon during
shoulder movement (2). If, for some reason these muscles cannot do their job, major
Throwing motions involve the rotator cuff in two ways. First, throwing a ball is
basically an attempt to throw your arm away from your body. The rotator cuff muscles,
along with several others, prevent you from succeeding. As a player throws the
baseball, the front of the shoulder accelerates the arm forward while the back of the
shoulder is relaxed. The back of the arm must then decelerate there after the ball is
released. Second, although throwing involves several actions at the shoulder, it really
amounts to a case of high-powered internal rotation. It is the external rotators—the
infraspinatus and teres minor—which are responsible for deceleration of the arm (2).
These muscles are the ones responsible for deceleration of the throwing arm that are the
major focal point in our strengthening program. The reason for this is the front shoulder
(accelerator muscles) is repeatedly trained from daily throwing more than the rear
shoulder (decelerator muscles). As a result of this, nearly 72% of all throwing injuries
entire shoulder joint while targeting the muscle groups heavily responsible in
decelerating the throwing arm. The following thrower’s exercises are designed to
strengthen the major and minor muscle groups involved in throwing. The strength
program requires 2 training days per week. Players’ alternate between 2 workouts
(Table 1) and allow at least 48 hours of recovery between each workout. Each workout
has a different emphasis so that each muscle is challenged. The reps and sets for each
exercise can be found in Table 2. Players perform the greatest number of exercises and
sets in the off-season when they are attempting to build shoulder strength and stability.
As the in-season training approaches the number of exercises and sets decreases to
Supraspinatus Exercise
Stand with elbow straight and thumb down. Raise arm to shoulder level at a 30 degrees angle in
front of the body. Do not go above shoulder height. Hold 2 seconds and slowly return. Refer to
Figure 2 for rep and sets that correspond to your exercise level.
Prone Shoulder Extension for Latissimus Dorsi:
Lie on table, face down, with involved arm hanging straight to the floor and palm facing down.
Raise the arm straight back as far as possible. Hold 2 seconds and slowly return. Refer to Figure
2 for rep and sets that correspond to your exercise level.
2) Belvin, F.T. Rotator cuff pathology in athletes. Sports Medicine, 1997, Vol. 24, No.3
3) Fleisig, G.S.; et. al. Biomechanics of the overhand throwing with implications for injuries.
Sports Medicine., Jun:21(6):421-437, 1996
4) Kvitine, R.S. Shoulder instability in the overhand or throwing athlete. Clin. In Sport Med,
1995, Vol. 14, No.4
5) Tortora, G.J. Principles of Human Anatomy, 7th Edition. Biological Sciences Textbooks, Inc.,
1995