February 23^rd, 2019

SSRP – Education Program - Baseball
Saturday, February 23, 2019
Agenda

Time	Component
8 am – 8:30 am	Introduction: Dr. Andrew Robb/Dr. Brad Muir Outline of days activities
8:30 am – 10 am	Biomechanics Pitching, Hitting
10 am – Noon	Functional Assessment/Video Analysis
Noon – 12:30 pm	Lunch
12:30 – 2 pm	Peripheral Nerve – Upper Extremity (Proximal) Assessment, Diagnosis and Treatment Dr. Brad Muir Axillary, NV Bundle, Suprascapular, Dorsal scapular, Long thoracic, Radial Extremity Manipulative Therapy Wrist, Radial head, GH, AC, SC, Scapula
2 pm – 3 pm	Treatment and Rehab Functional assessment based plan of management Weight ball programming, long toss programming, and performance training. Elastic banding vs isotonic exercise
3 pm – 4 pm	Sport Specific Warm Up/Recovery Icing, warm up, throwing preparation, slow tempo running on throwing,
4 pm – 5 pm	Live Case Review Group Discussion

Location
Blue Chip Sports Training.
61 Kent Ave
Kitchener ON N2G 3S7

To Bring:
Portable Table, Stool Baseball Glove (if you already have one!!)
Thuli Table (Toggle Boards)
IASTT Tools, Vibration units
Comfortable clothes – for treating/assessment/rehab

Resident Requirements Checklist:
Core Academic Curriculum Requirements
Residents may count hours toward option A or Option B (not both) depending on need.

Option A:
Sports Rounds and Observation with a Specialist
8 hours (Dr. Robb and Dr. Muir/ Instructors)

Option B:
High Performance Evaluation and Testing
5 hours (Dr. Robb)
Sports Injury Management
3 hours (Dr. Robb and Dr. Muir)

Fellows/Resident Requirements:
Ontario: CCO requirements 8 hours of structured CE
2 hours of diagnosis of peripheral neuropathies (Controlled Acts)

Recommended Reading: (Zip files available below)
Robb AJ, Fleisig G, Wilk K, Macrina L, Bolt B, Pajaczkowski J. Passive ranges of motion of the hips and their relationship with pitching biomechanics and ball velocity in professional baseball pitchers. The American journal of sports medicine. 2010 Dec;38(12):2487-93.

Muir B. Dorsal scapular nerve neuropathy: a narrative review of the literature. The Journal of the Canadian Chiropractic Association. 2017 Aug;61(2):128.

Sakata J, Nakamura E, Suzukawa M, Akaike A, Shimizu K. Physical risk factors for a medial elbow injury in junior baseball players: A prospective cohort study of 353 players. The American journal of sports medicine. 2017 Jan;45(1):135-43.

Scher S, Anderson K, Weber N, Bajorek J, Rand K, Bey MJ. Associations among hip and shoulder range of motion and shoulder injury in professional baseball players. Journal of athletic training. 2010 Mar;45(2):191-7.

Urbin MA, Fleisig GS, Abebe A, Andrews JR. Associations between timing in the baseball pitch and shoulder kinetics, elbow kinetics, and ball speed. The American journal of sports medicine. 2013 Feb;41(2):336-42.

Kageyama M, Sugiyama T, Kanehisa H, Maeda A. Difference between adolescent and collegiate baseball pitchers in the kinematics and kinetics of the lower limbs and trunk during pitching motion. Journal of sports science & medicine. 2015 Jun;14(2):246.

Oyama S, Yu B, Blackburn JT, Padua DA, Li L, Myers JB. Effect of excessive contralateral trunk tilt on pitching biomechanics and performance in high school baseball pitchers. The American journal of sports medicine. 2013 Oct;41(10):2430-8.

Oyama S, Yu B, Blackburn JT, Padua DA, Li L, Myers JB. Improper trunk rotation sequence is associated with increased maximal shoulder external rotation angle and shoulder joint force in high school baseball pitchers. The American journal of sports medicine. 2014 Sep;42(9):2089-94.

Posner M, Cameron KL, Wolf JM, Belmont Jr PJ, Owens BD. Epidemiology of major league baseball injuries. The American journal of sports medicine. 2011 Aug;39(8):1675-91.

Hibberd EE, Oyama S, Myers JB. Increase in humeral retrotorsion accounts for age-related increase in glenohumeral internal rotation deficit in youth and adolescent baseball players. The American journal of sports medicine. 2014 Apr;42(4):851-8.

Oliver GD, Keeley DW. Pelvis and torso kinematics and their relationship to shoulder kinematics in high-school baseball pitchers. The Journal of Strength & Conditioning Research. 2010 Dec 1;24(12):3241-6.

Garrison JC, Cole MA, Conway JE, Macko MJ, Thigpen C, Shanley E. Shoulder range of motion deficits in baseball players with an ulnar collateral ligament tear. The American journal of sports medicine. 2012 Nov;40(11):2597-603.

Fleisig GS, Hsu WK, Fortenbaugh D, Cordover A, Press JM. Trunk axial rotation in baseball pitching and batting. Sports biomechanics. 2013 Nov 1;12(4):324-33.

Karakolis T, Bhan S, Crotin RL. Injuries to young professional baseball pitchers cannot be prevented solely by restricting number of innings pitched. J Sports Med Phys Fitness. 2015: Mar 18

Robb A, Sajko S. Conservative management of posterior interosseous neuropathy in an elite baseball pitcher’s return to play: a case report and review of the literature. The Journal of the Canadian Chiropractic Association. 2009 Dec;53(4):300.

Baseball Chapters or Part Chapters from SSRP Recommended Reading List
Fu and Stone: Chapter 14 Baseball Injuries
Zachazewski: Chapter 17 Biomechanics of Throwing
Brukner: Upper limb biomechanics pg. 61 to 67

Peripheral Nerve Presentations
Peripheral Neural Dynamics (Dr. Brad Muir)
Axillary, Dorsal Scapular, Suprascapular, Radial, Long Thoracic Nerves
(Available to participants only)

Recommended reading zip files - Right click and 'Save As'
Articles
Chapters