Baseball Blog May 2018
Does decreased hip Internal Rotation predispose you to Back & Abdominal muscle injury?
In Professional Baseball players it does!!
In a recently published article in the Journal of the American Academy of Orthopedic Surgeons (JAAOS), Dr. Christopher Camp found that decreased hip rotation increased the incidence of back and abdominal muscle injuries in professional baseball players.
The link between decreased hip motion and low back pain has been found in golfers as well as female tennis players. In addition, tight iliopsoas muscles have been considered a potential source of low back pain (LBP) in runners. Learn More
In a study published May 1st, 2018 Dr. Camp found that decreased hip range of motion (ROM) and increased Internal Rotation (IR) deficit (difference in IR between both hips) was predictive of increased risk in abdominal and back injuries in professional baseball players.
This risk was as high as 35-60% for every 5 degrees of IR deficit in a season!
What does this mean?
Rotation of the hips is very important in transferring stress/ loads along the body in throwing and swinging motions. In running, the hips and pelvis help transfer loads into the spine. The less ROM present in the hips, the more the SI joints and spine compensate potentially increasing the risk of CORE muscle injury or low back pain.
How do I prevent injury?
The importance of maintaining hip ROM (Internal & External Rotation, Flexion & Extension) AND Iliopsoas flexibility cannot be overemphasized in sports. Stretching and warming up before exercise will help maintain flexibility and minimize the risk of overstressing the spine and CORE muscles. In addition, performing a CORE program 3-4 times a week is important to protect the spine and minimize the risk of LBP. Learn More
I often counsel my spine patients that the single best thing that can be done to slow down the effects of age on the spine is to maintain CORE strength and pelvic/ leg flexibility!!!!! This applies to professional baseball players AND normal people like me and you.
Paul Saiz, MD