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Effects of chromatic targets on a throwing task for subjects referred for learning disability.

The purpose of the study was to determine the effects of chromatic and achromatic targets on performing a throwing task for subjects referred for learning disability. 20 boys referred to the Perceptual Motor Development Center practiced under achromatic or chromatic target conditions. After 5 practice bouts, each subject immediately performed on the opposite condition. When subjects were aware of chromatic and achromatic target alternatives, chromatic targets facilitated performance.

Child↗

Effects of eye color on the accuracy of ball throwing of elementary school children.

Light-eyed individuals generally perform better at self-paced activities while dark-eyed individuals perform better at reactive activities. In throwing a ball at a target there were no differences between light- and dark-eyed elementary school-age children. Boys hit the target more times than did girls, and older children in upper grades hit the target more often than did younger children in lower grades.

Attention↗

Throwing action from full-cue and motion-only video-models of an arm movement sequence.

The purpose of this study was to determine whether videotaped demonstrations of an action which displayed only the motion pattern of a model's limb as compared with one which showed both form and motion provide sufficient information for modelling a given pattern of movement. Video-demonstrations of an arm-movement sequence which ended with a throwing action were shown to adult subjects whose task was to model precisely what they saw. Each demonstration lasted 6 sec. and was shown 6 times. It portrayed the arm of a model, who held a small ball, performing a sequence of movements (flexion and extension of the elbow) which ended in the ball being thrown about 2.5 m with a 'darts-style' action. Three types of demonstration were presented: one showed the whole arm in dark clothing against a light-coloured background, another showed the arm as the relative motion of patches of light situated at the shoulder, elbow, and wrist joints, and the third showed the arm as the relative motion of the upper and lower segments of the arm represented by strips of light-reflectant material. These were the stimuli for the between-groups experimental conditions. Goniometry techniques were used to compare the performance of subjects relative to the model. Analysis showed that the order of the preparatory sequence was correctly produced after 4 trials under all conditions. Range of arm movement in projecting the ball closely approximated that of the model after 4 trials in all conditions. The time taken for the arm to project the ball remained constant across trials under all conditions and was always slower than the demonstrated cadence.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

The contextual interference effect in acquisition of dart-throwing skill tested on a transfer test with extended trials.

Previous studies of contextual interference have shown that practicing several motor skills randomly (high contextual interference) facilitates retention and transfer in comparison to practicing the same tasks in a blocked order (low contextual interference). However, many studies have not supported this phenomenon in motor learning, and some researchers have questioned whether the effect can be tested by using only a few trials on the transfer test. The present study used a different methodological approach in which the number of test trials was increased to assess whether the contextual interference effect is sustained over an extended number of trials in the transfer phase. Undergraduate students (N=32) were randomly allocated to either a blocked or random group. The participants practiced 80 acquisition trials in the dart-throwing task from distances of 300 cm and 420 cm, using two different grips. The transfer test after a 10-min. interval consisted of 40 trials with a new grip at a distance of 360 cm. The results did not support the contextual interference effect since there were no significant differences between groups on transfer. These findings suggest that the contextual interference effect may not be a global learning phenomenon which can be generalized to all learning situations.

Adult↗

A modified internal rotation stretching technique for overhand and throwing athletes.

Strength, stretching, and rehabilitation methods for the shoulder have been previously described and have been universally applied; nevertheless, many throwing athletes continue to develop overuse injuries. The pitching process tends to increase external rotation and limit internal rotation of the shoulder joint. Our technique involves a modified stretching method of the posterior shoulder musculature. The athlete lies prone with the elbow flexed 90 degrees. With the shoulder abducted 90 degrees, in neutral flexion/extension, and 90 degrees or more of internal rotation, the scapula protrudes posteriorly. By depressing the inferior angle of the scapula toward the thoracic wall, the infraspinatus muscle and posterior joint capsule are effectively isolated and stretched. Manual stabilization of the scapula onto the chest wall transfers the internal rotation movements to the glenohumeral joint, as opposed to sharing the movement with the scapulothoracic articulation. This method improves the efficacy of the internal rotation stretching exercise for the glenohumeral joint. Such an addition to traditional stretching methods may increase the efficiency of the least effective component. We conclude that this modification to traditional programs should be an integral part of the training and rehabilitation program of any athlete requiring near maximal performance of the shoulder.

Athletic Injuries↗

Valgus Extension Injuries of the Elbow in the Throwing Athlete.

Valgus extension injuries of the elbow are common among throwing athletes. There is a wide spectrum of these injuries, ranging from early soft-tissue inflammatory changes to attenuation and incompetence of the ulnar collateral ligament, as well as bone changes, including chondromalacia, osteochondritis, and osteophyte formation. Early treatment should be directed toward decreasing pain and inflammation, followed by global strengthening and conditioning of the elbow with special emphasis on plyometric strengthening of the flexor-pronator musculature. In patients who remain symptomatic after an initial course of nonoperative treatment, arthroscopy of the elbow can address many of the later changes, including chondromalacia, osteochondritis, and osteophyte formation. Reconstruction of the ulnar collateral ligament should be reserved for those patients who wish to remain active at a highly competitive level and for whom rehabilitation and less invasive procedures have failed. Appropriate rehabilitation remains the cornerstone of successful treatment of these patients, facilitating their return to competitive play.

Journal Article↗

[Shoulder diseases in throwing athletes: radiologic assessment and surgical correlation].

Lesions of the shoulder, especially rotator cuff tears and glenoid labrum (SLAP) lesions, are commonly caused by traumatic episodes in athletes such as repeated trauma from throwing. The available radiological methods are MRI, CT and MR arthrography. Twelve athletes suffering from shoulder pain or instability have been studied and then underwent successful treatment in arthroscopy. On the basis of our results and experience, we think that MR, especially with intra-articular injection of contrast medium, is the best examination because it offers an accurate evaluation of both rotator cuff and glenoid labrum. Nevertheless difficulties are often encountered and definitive diagnosis sometime rests on arthroscopic exploration.

Adolescent↗

The load that maximizes the average mechanical power output during explosive bench press throws in highly trained athletes.

The power output generated with different barbell loads and which resistance generated the maximum mechanical power output (Pmax) during explosive bench press-type throws (BT) in a smith machine device were investigated in power-trained athletes. Thirty-one rugby league players were tested for 1 repetition maximum (1RM) free-weight bench press strength (1RM BP). Maximal power output was assessed by the Plyometric Power System during BT using resistances of 40, 50, 60, 70, and 80 kg (BT P40, BT P50, BT P60, BT P70, and BT P80). It was found that BT Pmax occurred with resistance of 70.1 +/- 7.9 kg, representing 55 +/- 5.3% of 1RM BP of 129.7 +/- 14.3 kg. The power output with all loads except the BT P70 were different from the BT Pmax. The BT P70 and BT P80 were not different from each other. Furthermore, the BT P60 and BT P80 were not different from each other. This suggests that although resistances of 55% 1RM BP may maximize power output during explosive BT, loads in the range of 46-62% also allow for high power outputs. Resistances of 31-45% of 1RM BP resulted in significantly lower power outputs. Compared with previous research of BT in strength-trained athletes, the results of this investigation suggest that power-trained athletes may generate their Pmax at higher percentages of 1RM.

Adult↗

Functional multijoint position reproduction acuity in overhead-throwing athletes.

CONTEXT: Baseball players rely on the sensorimotor system to uphold the balance between upper extremity stability and mobility while maintaining athletic performance. However, few researchers have studied functional multijoint measures of sensorimotor acuity in overhead-throwing athletes. OBJECTIVE: To compare sensorimotor acuity between 2 high-demand functional positions and among planes of motion within individual joints and to describe a novel method of measuring sensorimotor function. DESIGN: Single-session, repeated-measures design. SETTING: University musculoskeletal research laboratory. PATIENTS OR OTHER PARTICIPANTS: Twenty-one National Collegiate Athletic Association Division I baseball players (age = 20.8 +/- 1.5 years, height = 181.3 +/- 5.1 cm, mass = 87.8 +/- 9.1 kg) with no history of upper extremity injury or central nervous system disorder. MAIN OUTCOME MEASURE(S): We measured active multijoint position reproduction acuity in multiple planes using an electromagnetic tracking device. Subjects reproduced 2 positions: arm cock and ball release. We calculated absolute and variable error for individual motions at the scapulothoracic, glenohumeral, elbow, and wrist joints and calculated overall joint acuity with 3-dimensional variable error. RESULTS: Acuity was significantly better in the arm-cock position compared with ball release at the scapulothoracic and glenohumeral joints. We observed significant differences among planes of motion within the scapulothoracic and glenohumeral joints at ball release. Scapulothoracic internal rotation and glenohumeral horizontal abduction and rotation displayed less acuity than other motions. CONCLUSIONS: We established the reliability of a functional measure of upper extremity sensorimotor system acuity in baseball players. Using this technique, we observed differences in acuity between 2 test positions and among planes of motion within the glenohumeral and scapulothoracic joints. Clinicians may consider these differences when designing and implementing sensorimotor system training. Our error scores are similar in magnitude to those reported using single-joint and single-plane measures. However, 3-dimensional, multijoint measures allow practical, unconstrained test positions and offer additional insight into the upper extremity as a functional unit.

Journal Article↗

[Evaluation of the protective properties of nonwoven materials for throw-away medical overalls].

The permeability of varying density felts (Spandbond, SMS, Tyvek, Sontara) for throw-away medical overalls was experimentally assessed under statistic and dynamic conditions, by using model test aerosols, including bacterial one. Their permeability was shown to decrease with the higher density of the materials under study. Laminated Span-bond contributes to an abrupt reduce in the bacterial penetration of this kind of tissues and enhances their protective properties. The felts CMC, Tyvek, Sontara, and laminated Spanbond were found to have the highest protective properties. In terms of their barrier and protective properties, the felts surpass the tissues used to make re-usable protective medical overalls.

Disposable Equipment↗

Special shoulder problems in the throwing athlete: pathology, diagnosis, and nonoperative management.

Shoulder problems in the overhead and throwing athlete can result in rotator cuff tendinitis. Biomechanically, there is a delicate balance between mobility and stability of the shoulder complex. Repetitive overhead stressful motion can lead to overuse tendinitis, subtle instability, labral changes, and eventual fiber failure of the rotator cuff. Secondary impingement symptoms are commonly present. An accurate diagnosis along with an early and aggressive rehabilitation program is essential in the treatment of these athletes.

Athletic Injuries↗

Labral tears in throwing and racquet sports.

Throwing and overhead racquet motion is stressful activity that places great physical demands on the athlete's shoulder. This article focuses on glenoid labral tears as a consequence of this dynamic activity. These labral lesions may be present as an isolated entity or may be in association with glenohumeral instability.

Arthroscopy↗

Arthroscopic management of the throwing athlete's shoulder: indications, techniques, and results.

This article briefly describes the various pathologic lesions seen in the throwing athlete's shoulder. The pathologic conditions discussed include primary and secondary impingement, tensile lesions of the rotator cuff and biceps-labral complex, glenohumeral laxity, labral tears, and AC joint injuries. Mechanism of injury, indications, and arthroscopic management of these lesions are discussed.

Acromioclavicular Joint↗

A three-dimensional analysis of angular momentum in the hammer throw.

Eight hammer throwers were studied using three-dimensional cinematography. The local term of angular momentum of each thrower (HTL) followed a wide conical path, while the remote term (HTR) and the hammer angular momentum (HH) followed much narrower conical paths. HT, the sum of HTL and HTR, followed a conical path similar to that of HTL, although with smaller amplitude. HH was half of a cycle out of phase with HT. It was also larger but followed a narrower conical path. As a result, the conical paths of HH and HT counteracted each other, and HS, the total angular momentum vector of the thrower-hammer system, had little conical motion. The paths of the angular momentum vectors, the trunk tilt, and the height of the hammer plane relative to the system center of mass were interrelated. Some throwers kept the hammer plane high and the trunk tilting back in all the turns; other throwers kept the hammer plane low and the trunk tilting forward in the early turns, but the hammer plane rose in their late turns and the trunk tilted back. Two theories were proposed to explain why the athletes who had forward trunk tilt in the early turns tilted backward in the final part of the throw.

Biomechanical Phenomena↗

Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement.

Shoulder pain in the overhand or throwing athlete can often be traced to the stabilizing mechanisms of the glenohumeral joint. During the physical examination, signs of impingement will often be obvious, whereas subluxation signs are subtle. Use of the Apprehension Test followed by the Relocation Test has proved to be the most sensitive means of detecting occult anterior glenohumeral subluxation. When subluxation is suspected, an examination under anesthesia and orthroscopy are the most helpful next step. Patients can be classified into one of four groups on the basis of the results of the examinations. If conservative rehabilitation fails, then surgery may be considered.

Adolescent↗

Rotator cuff injuries in the throwing athlete.

Injuries to the rotator cuff have often been attributed to a progressive, degenerative process seen in the older patient. Traditionally, impingement has been implicated as the major etiologic factor. This paper will review the recent literature regarding rotator cuff injuries in the throwing athlete and examine the current thoughts on etiology and treatment.

Athletic Injuries↗

Throwing injuries of the elbow.

With the burgeoning popularity of racquet and throwing sports in our society, an increasing awareness of the elbow injuries sustained with repetitive upper extremity activity is important. Particular attention should be paid to proper technique, equipment, and duration of activity, and preventive measures should be taken. In the adolescent or adult individual who sustains elbow injury, it is imperative that the treating physician recognize the pathologic stage early in order to minimize the consequences of these activities. Only with a thorough history and physical examination of this complex joint and a firm understanding of the forces generated during activity will the sports medicine physician entertain the proper diagnosis and initiate a treatment protocol that is likely to be successful.

Athletic Injuries↗

Instability versus impingement syndrome in the throwing athlete.

Shoulder pain in the throwing athlete has become a well recognized phenomenon. Shoulder pain in the athlete is often due to overuse and typically responds with a well managed conservative program that includes rest and rotator cuff rehabilitation exercises. The author's experience has demonstrated that persistent pain and symptoms of an impingement syndrome are often due to an unrecognized instability syndrome in the athlete.

Arthroscopy↗