Andrew McNally: The 39-year old who won’t give up on his dream (THT Article)

I wrote a new THT article that just went up today about current Driveline Baseball client Andrew McNally. Check it out over at The Hardball Times: The 39-year old who won’t give up on his dream.

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How High-Speed Pitching Video Can Alter an Athlete’s Training Program: External/Internal Rotation

It’s no secret that Driveline Baseball is a pioneering force when it comes to high-speed video and its application to training pitchers and analyzing pitching mechanics here in the Pacific Northwest, but an underappreciated consequence of analyzing our pitchers using video that shoots at seven times the rate of the competitors’ video analysis systems are the training-related modifications to their workout programs.

External Rotation – Two Factors That Matter

Pitchers who have more Maximum External Rotation (MER) during the end of the arm cocking phase and the beginning of the ball acceleration phase of the pitching delivery will tend to have more laxity in static external rotation and a tighter posterior capsule when stretching the shoulder into internal rotation (IR). This isn’t anything new, of course – for years, trainers have been telling their baseball athletes to stretch their shoulder into IR using the sleeper stretch or a variant of that stretch.

Sleeper Stretch

Sleeper Stretch

However, the absolute value of MER is only one factor that we pick out using high-speed video (tough to tell on standard video due to motion blur). The other factor is the rate of external rotation during the pitching delivery. If a pitcher has a more internally rotated humerus at stride foot contact (SFC) compared to a pitcher with a less internally rotated humerus, all things being equal (primarily shoulder and hip rotation angular velocities), the pitcher with the more internally rotated humerus at SFC will experience a higher rate of the forearm entering maximum external rotation (rMER). Pitchers with this mechanical marker are often described in research papers as having more stress on the bones (Werner et al) and ligaments (Fleisig et al) of the pitching arm. This mechanical “flaw” is generally described as the Inverted Wor Inverted L by various gurus out there. While the discussion of the Inverted W / Inverted L is a series of blog posts I have planned in the future, let’s stay focused on how this would affect a client of ours. While we might suggest mechanical changes that lower the amount of rMER without compromising the amount of MER the pitcher gets to (since higher rates of MER are positively correlated with ball velocity – Fleisig et al), we can address the muscular issues this flaw may cause in the trainer’s room.

Corrective Exercise for the Pitcher with High rMER

The sleeper stretch above is a great posterior capsule stretch that we might use for pitchers with higher-than-normal rMER, but isometrically working the external rotators at the specific degree of IR can be very helpful. Isometric strength training is fairly controversial in the exercise science community, but most will agree that isometric training works within a small range of motion where the training is being used (some say as high as 15-30 degrees). Consider this: When the pitcher releases the baseball, the humerus is very close to its maximum internal rotation angular velocity – after which it rapidly decelerates, putting a lot of stress on the decelerators of the shoulder. By putting an athlete in a position where he releases the baseball (another marker you can generally only see with high-speed video) and having him isometrically work his external rotators (not internal – he’s already getting a lot of work by throwing baseballs), he can strengthen the muscles responsible for safe deceleration where it’s most important!

How to do this: Imagine the sleeper stretch above. Have an assistant place their hand on the distal wrist of the pitcher and position the forearm and hand where the pitcher approximately releases the baseball in relation to his shoulder. Instead of pushing down to stretch out the posterior capsule into IR, have the athlete press against you into ER for 5-15 seconds for multiple reps. Give him a rest and repeat this every so often. Try it on his glove arm – I bet you see a major difference in perceived strength!

Appropriate Exercises to Pair

Pair passive ER strengthening techniques like backwards medicine ball throws with this for maximum benefit:

As well as shoulder perturbations and/or manual therapy as necessary. High-speed video can help in multiple ways – while it’s incredibly useful for mechanical analysis and review, don’t forget it has a huge place in the weight room and trainer’s office for strength and durability.

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Guest Blog: Preventing Chronic Lower Back Pain in Baseball Players

This guest blog comes from Kevin Rindal, DC, CSCS, and owner of InHealth Seattle – our primary Seattle physical therapy partner! We’re proud to have a strong partnership with Dr. Rindal, who performs Active Release Technique, chiropractic, Graston/ASTYM, and many other rehabilitative services and procedures. I can’t recommend him highly enough, as we’ve discussed biomechanics and kinesiology at length about a variety of sports/activities, and Dr. Rindal is also my personal PT and Chiropractor (I have two herniated discs – L4 and L5 – and treatment at InHealth Seattle has all but eliminated the symptoms).

Enjoy!

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Have you ever wondered why some people experience lower back pain on a recurrent basis?   As a baseball player it can be extremely limiting to your ability to throw, catch, run, and hit.  Many athletes who initially come to our office for treatment have a history of one or more previous acute bouts of lower back pain, and are seeking treatment for another “flare-up.”  Even though these individuals may not consistently experience lower back pain, between painful episodes, they are often heading down a path leading to chronic daily lower back pain.

Research has shown that pain and previous injuries can both inhibit proper muscle function.  We see this manifested in chronic lower back pain patients in what is called the “feed forward mechanism.”  Through the use of Electromyographic (EMG) studies, researchers have discovered that the deep stabilizing muscles of the lumbar spine, called the lumbar multifidii, are usually the first muscles to contract when the body is preparing for a quick response.  An example of this is when an object, such as a baseball, is thrown in our direction; before the large muscle of the spine contract, in an effort to move the body to avoid the object that was thrown, the multifidii muscles will have already contracted to brace and support the spine. This action of the multifidii occurs without us even having to think about bracing our spine.  However, in chronic lower back pain patients, this feed-forward mechanism is either delayed or absent.  This fact is clinically relevant, as often we see acute flare-ups developing from a simple motion such as the quick jarring of the body in response to missing a step…thus, the multifidii’s inability to brace the spine in time resulting in excessive strain to the other spinal stabilizing structures.

A May 2009 study published in the scientific journal Pain1 used muscle EMG to evaluate 15 patients with recurrent, unilateral pain (pain on one side of the body), who were currently asymptomatic, and 19 healthy control subjects with no previous history of lower back pain.  This group of researchers found that the patients with previous history of lower back pain did indeed demonstrate reduced function of the deep layers of the multifidus on the previously symptomatic side.  This study confirms what many of us in the spinal rehabilitation fields have assumed for quite some time, namely, that deep seeded muscle dysfunction is present in low back pain sufferers, and retraining the function of these deep pelvic and lumbar stabilizers is essential to completely resolve a patient’s lumbar spinal dysfunction.

At InHealth Seattle, we emphasize “core stability” with each and every lower back pain patient, as well as the importance of continuing their home exercise program after the pain has resolved.   Exercises such as “Kegels,” Pelvic Tilts, “Abdominal Hollowing,” “Plank,” “Side-Bridge,” and the “Bird Dog” are examples of exercise that activate the important deep layers of muscle that stabilize the spine, and can enhance your performance as a baseball player.

If you would like more information regarding this article, or exercises that you could perform as a preventative measure to fight chronic lower back pain, please contact Dr. Kevin Rindal at InHealth Seattle to schedule an appointment (206-315-7998).

1.         MacDonald D, Moseley GL, Hodges PW. Why do some patients keep hurting their back?  Evidence of ongoing back muscle dysfunction during remission from recurrent back pain. Pain 2009;142(3): 183-188.

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Bad Swing Coaching – Pushing Hands to the Ball / Extension Through the Ball

While perusing some YouTube videos of pro hitters to show my clients, I came across some more bad instruction (there’s plenty of it) – this time on hitting. I made a comparison video side-by-side of a common myth in hitting – that you can aid the swing by pushing or extending the hands through the point of contact in the baseball swing. This is just not true and not what happens with elite hitters, and furthermore, a complete violation of how you would efficiently use the kinetic chain in the body. Efficient kinetic chain use utilizes ground reaction forces (GRFs) to generate and transfer power from proximal to distal, largest body parts to smallest.

Attempting to engage the comparatively small muscles of the forearms will be counterproductive, as the bat barrel is completely ballistic at the point of contact (something Dr. Alan Nathan proved many years ago).

If your coach believes in this, you should find someone else who has actually read a text or two on kinesiology and understands the high-level swing.

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