Softball Pitchers Research Articles

Relationship Between Stride Mechanics and Shoulder Distraction Force in Collegiate Softball Pitchers.

Softball pitchers experience high shoulder distraction forces, and increased stride lengths are associated with upper extremity pain. Therefore, it is important to consider the influence of stride mechanics on shoulder distraction force in softball pitchers. To determine the relationship between stride mechanics and shoulder distraction force in collegiate softball pitchers. Descriptive laboratory study. A total of 63 collegiate softball pitchers (age, 20.1 ± 1.3 years; height, 173.3 ± 7.4 cm; weight, 79.7 ± 11.7 kg) were included in this study. Each pitcher threw 3 maximum-effort fastballs for a strike, and kinematic data were collected using an electromagnetic tracking system with a sampling frequency of 100 Hz. A forward regression analysis was used to determine the relationship between stride parameters at foot contact (stride length, stride-foot progression angle, and stride-foot position) and shoulder distraction force. Regression analysis revealed a significant and positive relationship between stride length and shoulder distraction force (R 2 = 0.11; F(1, 61) = 7.338; P = .009), where stride length accounted for 11% of the variation in shoulder distraction force. Specifically, shoulder distraction force increased by 0.94 N/kg for every 10% increase in stride length normalized as a percentage of body height. A positive relationship was found between stride length and peak shoulder distraction force during the acceleration phase of the softball pitch. Alternatively, no relationship was found between the other stride parameters (stride position and stride-foot progression angle) and shoulder distraction force. Coaches should be aware of the potential negative implications of increasing stride length during softball pitching. Although prior research has shown that greater stride length may positively affect performance, this may also increase stress at the shoulder.

Waveform Analysis To Identify Biomechanical Relationships and Differences Between Softball Pitchers With and Without Pain.

Softball pitchers accrue high rates of injury. Research suggests certain mechanics at discrete pitch events are related with pain. Here, we examine relationships between peak throwing shoulder kinetics and trunk/pelvis kinematics and compare trunk/pelvis kinematics between pitchers who were healthy and those currently experiencing pain. (1) Peak shoulder kinetics would be positively related to greater trunk and pelvis flexion, lateral flexion, and rotation; and (2) pitchers in pain would exhibit greater trunk and pelvis flexion, lateral flexion, and rotation during the pitch than those who were pain-free. Cross-sectional study. A total of 42 high school pitchers (height, 1.71 ± 0.06 m; weight, 75.0 ± 15.9 kg; age, 16 ± 2 years) were separated into 2 groups based on presence or absence of pain. Peak kinetic data from 3 pitches per pitcher were averaged and used as dependent variables. Kinematic data were averaged across 3 trials, and time normalized to 101 datapoints between foot contact and follow-through of the pitch. Statistical parametric mapping regressions were used to assess the relationships between peak shoulder kinetics and waveform of trunk and pelvis kinematics. Pelvic lateral tilt significantly predicted peak throwing shoulder superior (P = 0.05) and lateral (P = 0.04) force. Pelvis rotation predicted peak superior force (P = 0.02). Waveform analyses revealed no waveform differences between healthy pitchers and those currently experiencing pain. Peak shoulder kinetic variables are related with pelvic positioning during the pitch; however, trunk and pelvis kinematics do not differ according to presence of pain. Pitchers in pain do not adopt specific trunk and pelvic alterations during the pitch, potentially concealing the effects of pain from visual identification. Coaches and clinicians need to discuss health status with pitchers versus relying on visual observations to understand pain and injury risk.

Complete Proximal Long Head Biceps Tendon Rupture in an Elite 17-year-Old Softball Pitcher: A Case Report.

This case report describes the successful treatment of a year-round teenage softball pitcher who sustained a proximal biceps tendon rupture who underwent successful subpectoral tenodesis. To our knowledge, this is the only reported case of such an injury occurring in an underhand throwing teenage athlete. This case highlights an unusual instance of a sport-related injury in an adolescent softball pitcher, suggesting that the softball pitch in elite athletes may put similar stress on the shoulder to overhead throwing athletes over time and further demonstrating that patients may continue to have success at elite levels of competition after tenodesis.

Effects of a Simulated Game and Doubleheader Inning on Peak Kinetics in Softball Pitching Across Pitch Types

Background: Softball pitchers frequently pitch at high volumes. Previous research has demonstrated changes in mechanics, range of motion, and perceived levels of fatigue and pain at high workloads. To date, little research has assessed changes in kinetics at high workloads across pitch types to understand the injury risk. Purpose: To examine changes in peak kinetics of the shoulder, elbow, and wrist of the pitching arm throughout a simulated game and doubleheader inning. Study Design: Descriptive laboratory study. Methods: A total of 19 high school softball pitchers (mean age, 15.1 ± 1.5 years; mean height, 1.6 ± 0.2 m; mean weight, 76.3 ± 16.9 kg) participated. Pitchers threw 4 innings of 25 randomly assigned pitches to mimic a game's high pitch count. Participants then rested for 30 minutes before subsequently proceeding to pitch the first inning of a doubleheader. Each pitcher threw a fastball, drop ball, curveball, and changeup. Peak shoulder, elbow, and wrist kinetics were compared across the first, last, and doubleheader innings and pitch types. Results: Compared with the first inning, significant decreases in kinetics were observed at the shoulder, elbow, and wrist in the last (P < .016) and doubleheader (P < .016) innings, particularly for shoulder and elbow compression force during the drop ball and curveball pitch types and wrist net force for all pitch types but the changeup. Significant decreases in elbow and wrist kinetics were observed during the changeup between the last and doubleheader innings (P < .016). Furthermore, differences in kinetics were observed between pitch types (P < .008); notably, the changeup had reduced kinetics compared with the fastball and breaking ball pitch types (drop ball, curveball) across innings. Conclusion: Across innings, attenuations in select joint kinetics of the pitching arm occurred that were specific to the pitch type. Across pitch types, peak kinetics was often greater during the fastball, while the changeup displayed the lowest peak kinetics. Clinical Relevance: The joints examined in this study are common sites of overuse injuries in pitchers. This work adds to previous findings on decrements in neuromuscular function as well as self-reported fatigue and pain with tournament-style pitching that may increase the injury risk. Collectively, these findings support developing a protocol combining functional testing and player-reported outcomes to aid sports specialists’ decisions for pitchers to continue to pitch or return to play, which may help prevent musculoskeletal injuries and time loss from sports participation.

Caffeinated chewing gum improves the batting and pitching performance of female softball players: a randomized crossover study.

The purpose of this study was to investigate the effects of caffeinated chewing gum on female softball pitching and hitting performance in trained female softball fielders and pitchers. Twenty-four trained female softball players (10 pitchers and 14 fielders) were divided into a caffeine chewing gum trial (CAF) or a placebo trial (PLA) in a single-blind, randomized, crossover experimental design. Two pieces of gum containing 100 mg of caffeine (CAF) or without caffeine (PLA) were chewed for 10 minutes and then spit out, followed by a 15-minute warm-up. The physical tests included grip strength and countermovement jump (CMJ). The softball-specific tests included pitching or hitting. The two trials were separated by seven days. The CAF trial had significantly higher grip strength than the PAL trial in fielder (P=0.032, Cohen's d=0.29) and pitcher (P=0.016, Cohen's d=0.33). The height of CMJ in fielders was significantly higher in the CAF trial than in the PLA trial (P=0.015, Cohen's d=0.65) but not in pitchers (P=0.596, Cohen's d=0.15). The fielder's average and maximum batting exit speeds were significantly higher in the CAF trial than in the PLA trial (P<0.05). The average and max fastball speeds of the CAF trial were significantly higher than that of the PLA trial in pitchers (P<0.05). The study showed that chewing gum containing two pieces of gum containing 100 mg of caffeine effectively improved female softball fielder's batting performance and pitcher's pitching performance.

Increased Utilization of Pitchers in NCAA Women’s Softball Compared to Men’s Baseball

BACKGROUND: Pitch count and rest time guidelines are widely employed in youth baseball to mitigate injury risk among pitchers. Similar recommendations are lacking in youth softball, despite evidence of potential overuse injuries from the underhand windmill pitching motion. This disparity in regulation may heighten injury susceptibility. Additionally, the composition of collegiate softball and baseball rosters differs significantly, with softball teams typically featuring fewer pitchers. This discrepancy may lead to increased pitching demands for individual softball pitchers, potentially exacerbating injury risks. Therefore, understanding the relationship between the number of pitchers, game appearances, and injury incidence is crucial for informing injury prevention strategies in both baseball and softball. We hypothesize that individual softball pitchers will have significantly more game appearances per season and pitch more innings per game and season as compared to baseball pitchers, and that softball rosters will average significantly fewer pitchers per team than baseball rosters. METHODS: A retrospective analysis was conducted of National Collegiate Athletic Association Division I softball and baseball College World Series teams from 2016 to 2021. Individual data consisting of game appearances and season innings pitched facilitated calculations for innings per game. Team data included the number of athletes and pitchers per team. Statistical analysis comparing baseball and softball team continuous variables utilized Student’s t-test. Individual data, characterized by non-normal distribution, was evaluated with the Wilcoxon-Mann-Whitney Test. A significance level of p &lt; 0.05 was applied to all analyses. RESULTS: Softball pitchers had a significantly greater number of innings pitched per season (median 84.1 (21.0-143.2) vs 29.2 (10.0-56.1) p&lt;0.0001), game appearances per season (median 23.0 (10.0-32.0) vs 16.0 (9.0-21.0), p&lt;0.0001), and innings pitched per game (median 3.6 (2.2-4.7) vs 1.6 (1.1-2.8), p&lt;0.0001). Baseball rosters averaged significantly more total players (35.7 ± 3.9 vs 21.5 ± 2.8, p&lt;0.0001), more pitchers (15.7 ± 2.3 vs 4.5 ± 1.1, p&lt;0.0001), and a greater percentage of their roster was made up of pitchers (44.2% ± 6.4% vs 21.0% ± 4.4%, p&lt;0.0001). CONCLUSION: This study highlights a notable difference in collegiate softball pitcher utilization compared to baseball pitchers. Fewer pitchers on softball teams led to a higher cumulative workload per pitcher, with increased innings pitched per season, per game, and more game appearances. While the relationship between pitch count and injury risk is established in baseball, further research is needed to understand its implications for softball pitchers.

Medical advisability of softball youth pitching recommendations on the internet

ABSTRACT Objective Developing softball pitchers are prone to injury due to the repetitive throwing motion. Many children and parents use the internet as a source of medical advice, but this information may not always be aligned with medical guidelines. The purpose of this study was to assess the medical advisability of injury prevention guidelines for developing softball pitchers on websites using Google as the primary search engine. Methods The first 100 websites populated from a Google search using the term softball youth pitching recommendations were evaluated. Each website was categorized as discussing baseball, softball, or both, and as athletic, commercial, or educational. For every website, 16 recommendations described by the American Orthopaedic Society for Sports Medicine (AOSSM) Stop Sports Injuries softball injury prevention guidelines (Table 1) were scored as in agreement (+1), different guideline mentioned (0.5), no mention (0), or discordant (−1). Table 1. Websites with guidelines identical to AOSSM by type of website, by sport, and by order of appearance in google search, AOSSM = American orthopaedic society for sports medicine. ‘*’ indicates p value < 0.05. Results Of the 98 qualifying websites, 57 advised only about softball, while 19 advised about both baseball and softball. Fifty websites had no mention of any recommendation outlined by AOSSM. Websites that were mostly in agreement with AOSSM were educational websites (mean score = 3.9, p = 0.02), websites discussing only softball (mean score = 2.0, p = 0.02), and the first 50 websites (mean score = 2.2, p = 0.04). The most common discordant guideline was differing opinions in pitch count (13 websites). Conclusion The most common category in disagreement with AOSSM was different pitch count guidelines, highlighting a need for websites to provide more consistent information using high-quality resources. Educational websites, websites discussing only softball, and the first 50 websites had the highest scores, indicating that these types of websites are most likely to have the highest amount of medically advisable information. We recommend users conduct targeted Google searches on reliable websites for information on pitching softball recommendations to maximize the validity of Google search results.

A Model for Causality of Pitching-related Overuse Injuries in Women's Fastpitch Softball.

Fastpitch softball is a popular women's sport, and athletes, particularly pitchers, are at high risk for overuse injury. Softball-related injury rates are low; however, the prevalence of overuse injuries is high. Injuries at the high school and collegiate levels occur early in the season, and approximately 50% of shoulder and elbow injuries in softball are attributable to overuse. Survey research showed 77% of high school pitchers pitch with pain, and 73% of collegiate pitchers reported an overuse injury in the previous season. Modifiable and non-modifiable intrinsic and extrinsic risk factors contribute to injury risk in a model that can be used in history taking, clinical examination, and management of softball-related injuries. In this manuscript, we present a scoping review of fastpitch softball injury research by competitive levels from 1990 to present. We also introduce a model for overuse injury causality in this athlete population. With this information, clinicians will be able to identify risk factors related to injury in softball pitchers. More research is needed to make evidence-based recommendations for injury prevention in this athlete population.

Fastpitch Softball Injuries: Epidemiology, Biomechanics, and Injury Prevention.

Fastpitch softball is one of the most popular sports among youth and high school female athletes. Despite some similarities to baseball, key differences between the two sports result in different injury patterns, and there is comparatively less literature describing injury epidemiology in fastpitch softball. The purpose of this review is to describe the epidemiology, biomechanics, and injury prevention efforts in regards to fastpitch softball injury with a particular focus on underhand pitching. The injury rate in softball is relatively low and extended time loss injuries in particular are uncommon. Lower extremity injuries are more common overall in softball, but pitchers more often suffer upper extremity injury. Pitchers account for a relatively small proportion of all injuries recorded, but represent a similarly small subset of team rosters, with most teams carrying only a few pitchers in total. The underhand pitching motion exerts significant glenohumeral distractive forces and high stress across the biceps-labrum complex. Core and lower extremity strengthening play an important role in injury prevention for softball pitchers and position players. Fatigue and number of games pitched are tied to increased strength deficiencies and pain in fastpitch softball pitchers, yet pitch count limits are not employed in any major fastpitch softball leagues. While overall injury incidence is low in fastpitch softball players, the potential for overuse injury in pitchers in particular is noteworthy and not nearly as scrutinized as within the baseball community. Critical longitudinal tracking of softball injuries at varying levels of play would be helpful to better understand the sport's injury risk. There are currently no formal pitch count limits enforced in a majority of fastpitch softball leagues. Core and lower extremity strengthening, pre-season conditioning, and monitoring of pitchers for signs of fatigue may be helpful in injury prevention.

Clinical Diagnosis of Scapular Dyskinesis in a Youth Softball Pitcher: A Case Report.

Effective rehabilitation strategies for upper extremity injuries in softball pitchers are scarce in current literature, especially among youth athletes. Additionally, there continues to be ambiguity regarding the interpretation and clinical practicality when treating an overhead athlete with scapular dyskinesis. The purpose of this case report is to highlight the examination and treatment of a youth softball pitcher referred to physical therapy with the diagnosis of scapular dyskinesis. This case report presents data and outcomes for a 14-year-old female who experienced chronic right shoulder discomfort related to performing the windmill softball pitch (WSP). The subject was clinically diagnosed with scapular dyskinesis by her referring physician and demonstrated abnormal scapular movement when elevating and lowering her upper extremity. Internal and external rotator isokinetic strength testing and the Athletic Shoulder Test (ASH) were used as primary objective measures. Both were performed six days after the initial evaluation and again six weeks later. Initial testing demonstrated decreased peak torque and total work. Initial treatment involved periscapular and shoulder strengthening with progression to overhead loading. Later rehabilitation strategies focused on neuromuscular control, functional training, and sport-specific activities. The subject initially demonstrated improved peak torque and total work of the shoulder with isokinetic strength testing but continued to have symptoms with pitching, even though the Scapular Dyskinesis Test had become negative. After changing the focus to neuromuscular and functional training the subject had fewer symptoms and became comfortable with self-management. This case matches previous research that endorses scapular dyskinesis being a normal finding in overhead athletes with and without shoulder pain. Neuromuscular control and functional training after a period of scapular strengthening were beneficial in improving symptoms in this athlete. 5.

Effects of Increasing Pitch Count on Pitch Type Ball Metrics and Release Height in High School Softball Pitchers.

Softball research has investigated changes in physical characteristics, mechanics, and ball speed as elements of fatigue. However, the influence of pitch volume on ball metrics is unclear. The purpose of this study was to investigate the influence of pitch volume on ball performance and release metrics in softball pitchers across different pitch types. As pitch volume increased, there would be a decrease in ball metrics of the fastball and changes in breaking pitches would be observed earlier than the fastball or changeup. Descriptive laboratory study. Level 5. A total of 21 (15.4 ± 1.6 years; 1.6 ± 0.2 m; 76.0 ± 17.2 kg) softball pitchers participated. Procedures consisted of participants pitching a simulated game consisting of 100 pitches, taking a 30-minute break, and then throwing 12 pitches to simulate the first inning of a doubleheader. Participants randomly threw each pitch type (fastball, changeup, curveball, or dropball). Ball performance and release metrics were measured using a Rapsodo portable pitch tracker. A 3 (time) by 4 (pitch type) multivariate analysis of variance revealed that pitch speed was significantly higher in the first inning compared with the last inning and the doubleheader inning. The fastball, curveball, and dropball revealed a significant difference in pitch speed between timepoints. Specifically, the curveball and dropball first-inning pitch speed was significantly greater than the last and doubleheader inning. Alternatively, the fastball had a significant increase in pitch speed from the last inning to the doubleheader inning. The typical 30-minute break given between games for doubleheaders may be sufficient recovery time for the fastball but not for the curveball and dropball. The Rapsodo device is an accessible method of tracking ball performance and pitch release metrics and could be helpful in identifying when a pitcher may be experiencing performance detriments in response to increasing pitch count.

Understanding Shoulder and Elbow Injuries in the Windmill Softball Pitcher.

Although pitching-related injuries in the overhead athlete have been studied extensively, injuries associated with windmill pitching are not as clearly elucidated. Windmill pitching produces high forces and torques in the upper extremity, and studies have shown it creates similar shoulder and elbow joint loads to those reported in baseball pitchers. Studies have shown that the windmill pitching motion generates high levels of biceps activation with an eccentric load, placing the biceps at increased risk for overuse injuries. Although the American Orthopaedic Society for Sports Medicine published prevention guidelines including recommendations for maximum pitch counts in softball, these recommendations have not been adopted by most United States softball governing bodies. The repetitive windmill motion in conjunction with high pitch count demands in competitive softball creates notable challenges for the sports medicine physician. As with overhead throwing athletes, identifying and preventing overuse is crucial in preventing injuries in the windmill pitcher, and prevention and rehabilitation should focus on optimizing mechanics and kinematics, core, hip, and lower body strength, and recognition of muscle fatigue. With more than two million fastpitch softball participants in the United States, it is essential to better understand the etiology, evaluation, and prevention of injuries in the windmill pitching athlete.

Range of Motion Adaptations During a Simulated Game Exposure in Softball Pitchers.

Hip and shoulder range of motion (ROM) alterations are correlated with increased risk of injury in softball athletes. The purpose of this study was to investigate bilateral shoulder and hip ROM adaptation during a simulated softball double-header exposure. It was hypothesized that shoulder and hip ROM would decrease after simulated game exposure and would not return to baseline following a 30-minute break. Thirty (14.8±1.9 yrs, 162.5±18.3 cm, 71.79±16.03 kg) adolescent softball pitchers participated. Testing included: bilateral hip and shoulder ROM (preSG), simulated game exposure (100 pitches), bilateral hip and shoulder ROM (postSG), 30-minute break, bilateral hip and shoulder ROM (preDH), pitching first inning of a simulated double header (12 pitches), and bilateral hip and shoulder ROM (postDH). Two separate repeated measures multivariate analyses of variance tests determined differences in ROM between time points. Dominant shoulder internal rotation ROM and non-dominant shoulder internal and external rotation ROM significantly decreased from preDG. Stride hip external rotation ROM and drive hip internal and external rotation ROM significantly decreased from preSG to preDH. Key results revealed the break given between games may not be sufficient recovery time for hip ROM. Thus, assessing ROM as workload progresses can be a useful strategy for monitoring a softball pitcher's injury risk.

Quantitative and qualitative disparities exist between baseball and softball peer-reviewed pitching-related literature: a systematic review from 1990 to 2020

Baseball and softball are popular sports with similar rates of injury, especially among pitchers. However, parity between the two sports is lacking, as baseball receives greater research attention than softball. The purpose of this study was to describe the discrepancy between baseball and softball in terms of quantity and quality of research. We hypothesized baseball literature would outnumber softball literature, be published in higher-impact journals, and be of higher quality. A systematic review was performed to identify original research articles related to baseball and softball from 1990 to 2020. Articles pertaining to pitching were identified via literature searches of PubMed, the Physiotherapy Evidence Database, the Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Central Register of Controlled Trials and further screened by two independent reviewers. Age group studied, journal impact factor, type of research, and level of evidence were compared between pitching-related baseball and softball articles. Injury-related studies were also subanalyzed, and a meta-analysis was performed to assess rates of shoulder and elbow injuries between baseball and softball pitchers. There were 813 baseball publications and 158 softball publications that met our inclusion criteria. More baseball articles were published per year than softball (5:1, P < .001). Baseball had 368 articles related to pitching, while softball had significantly fewer at 49, and there were more baseball pitching articles published per year than softball pitching articles (7.5:1, P < .001). Pitching-related baseball articles were published in journals with a higher mean impact factor than softball pitching articles (3.1 vs. 2.0, P= .049). There was no difference in methodological index for non-randomized studies criteria for rigorous reporting (P= .678), and among all groups, most articles were level III evidence. Baseball pitching articles included more clinical articles than softball pitching articles (63% vs. 43%, P= .004). Despite the fact that softball pitchers have an odds ratio of shoulder and elbow injury slightly higher than baseball (4.02 vs. 3.60), injury-related studies focused on baseball outnumbered softball studies 7 to1. Softball is under-represented in the literature when compared to baseball with over 5 times fewer peer-reviewed research articles, despite having slightly higher shoulder and elbow injury rates than baseball. Pitching-related softball articles are nearly 8 times less frequent compared to baseball pitching articles and published in journals with a lower impact factor. Further research directed at softball is important to provide evidence-based injury prevention, practice guidelines, and treatment decisions.

Poster 370: Pitcher Utilization Patterns in NCAA Softball as Compared to Baseball

Objectives: Pitch counts have become a hot topic in baseball over the past two decades since being linked with injury risk. While the National Collegiate Athletic Association (NCAA) has yet to enforce a pitch count rule for participating baseball teams, multiple organizations including the MLB’s Pitch Smart provide age-based guidelines for limiting risk of injury in baseball pitchers through utilization of pitch count limits and rest time. These are generally enforced for youth and high school baseball players. No such recommendations exist for softball despite evidence showing that the underhand windmill pitching motion is not nearly as physiologically benign as once thought. The aims of this study were to compare the patterns of pitcher utilization between elite collegiate baseball and softball teams. Methods: Data was collected from the publicly available websites of baseball and softball teams which participated in the NCAA Division I softball and baseball College World Series from the years 2016 through 2021. The year 2020 was excluded due to a shortened season related to the COVID-19 pandemic. Team data collected included total number of athletes and pitchers per team, including only those pitchers listed as having &gt;0 innings pitched for the season. Data collected for each individual pitcher included the season total number of innings pitched and total number of game appearances. Total pitch counts were not available on a majority of publicly available team websites for both softball and baseball. Unpaired student’s t test was used to compare normally distributed data, and a Wilcoxon- Mann-Whitney Test was used for non-normally distributed data. A P value &lt;0.05 was considered statistically significant for all calculations. Results: Forty softball teams and forty baseball teams, with 158 softball pitchers and 612 baseball pitchers were included. Baseball team rosters averaged significantly more total players, more pitchers, and a greater percentage of their roster was made up of pitchers as compared to softball teams, as summarized in table 1. The range of pitchers per team is notable, with baseball teams listing 12 to 24 pitchers as compared to softball with 3 to 7 pitchers per team. The average percentage of baseball rosters comprised of pitchers is more than twice that seen in softball. On an individual level, it is apparent that softball pitchers see considerably more playing time than their baseball counterparts, with significantly more innings pitched and appearances per season, and greater innings pitched per game as summarized in table 2. Again the range within these data points is striking, with a maximum of 134.2 innings pitched in a season by baseball pitchers as compared to a maximum of 287.0 innings in softball. Only 7.35% of baseball pitchers threw more than 100 innings in a season as compared to 43.70% of softball pitchers. Conclusions: This analysis of elite collegiate baseball and softball teams highlights a significant discrepancy in the physical expectations of their respective pitchers. Due to the significantly lesser representation of pitchers on softball rosters as compared to baseball, each individual pitcher sees a higher pitch count overall and per game, and by playing in more total games, sees less recovery time as well. The tie between pitch count and injury risk is well established and respected within baseball, and further injury-based research should be conducted to consider support of similar limitations for softball pitchers. [Table: see text][Table: see text]

Differences in the Medical Advisability of Online Pitching Recommendations for Youth Softball Players Based on Website Source.

Guidelines regarding injury prevention in fast-pitch softball pitchers have yet to be widely adopted, risking the online dissemination of misleading advice. The purpose of this study was to assess the source and medical advisability of online pitching recommendations for youth softball players and highlight the risk of misinformation. It was hypothesized that many popular websites would contain content discordant with current medical guidelines regarding windmill softball pitching recommendations. Cross-sectional study. A Google search using the phrase "youth softball pitching recommendations" was performed. Up to 100 websites were extracted and analyzed for website source type (commercial, medical/educational, or athletic organization) and informational quality (advisable, neutral, or discordant). The latter was determined with respect to the STOP Sports Injuries guidelines for arm injury prevention in youth softball players. Descriptive and inferential statistics were used to assess potential associations between website source type and the informational quality of content therein. A total of 86 websites were included in the analysis. Website source type was significantly predictive of informational quality (P = .018). Among the 3 source types, medical/educational websites had the highest proportion classified as advisable (12/24 [50.0%]) and the lowest proportion classified as discordant (3/24 [12.5%]). Only 17.6% (6/34) of commercial websites were advisable, and advisable websites as a whole were more likely to be from medical/educational sources than athletic organization (P = .016) or commercial (P = .026) sources. The advisability rate among all websites was 25.6% (22/86). Although there was a significant association between position in the search results (first 10 vs remaining 76) and website source type (P = .006), there was no association between position and informational quality (P = .116). The first 10 websites, which trended toward greater advisability than the remaining 76 websites (P = .060), were more likely than the remaining websites to be medical/educational sources (P = .002). Website source type was significantly predictive of medical advisability. Medical/educational websites were the most advisable, while commercial and athletic organization websites were especially poor in their advisability. The overall advisability rate was only 25.6%. When making recommendations to patients, sports medicine providers should highlight the prevalence of discordant online softball pitching guidelines and take the opportunity to share medically advisable resources.

Effects of ice slurry ingestion on body temperature and softball pitching performance in a hot environment: a randomized crossover trial

BackgroundAlthough softball players are often required to play in hot environments, scarce evidence is available regarding the effects of ice slurry ingestion on body temperature and pitching performance in softball pitchers in a hot environment. Thus, this study investigated the effects of ice slurry ingestion before and between innings on body temperature and softball pitching performance in a hot environment.MethodsIn a randomized crossover design, seven heat-acclimatized amateur softball pitchers (four males and three females) completed simulated softball games consisting of 15 best-effort pitches per inning for seven innings with between-pitch rest intervals of 20 s. Participants were assigned to either a control trial (CON: ingestion of 5.0 g·kg−1 of cool fluid [9.8 ± 2.2 °C] before simulated softball games and 1.25 g·kg−1 of cool fluid between inning intervals) or an ice trial (ICE: ingestion of ice slurry [− 1.2 ± 0.1 °C] based on the same timings and doses as the CON). Participants performed both trials in an outdoor ground during the summer season (30.8 ± 2.7 °C, 57.0 ± 7.9% relative humidity).ResultsIce slurry ingestion before the simulated softball game (pre-cooling) resulted in a greater reduction in rectal temperature compared with cool fluid ingestion (p = 0.021, d = 0.68). No significant differences were observed between the trials in rectal temperature changes during the simulated softball game (p > 0.05). Compared to the CON, heart rate during the game was significantly decreased (p < 0.001, d = 0.43), and handgrip strength during the game was significantly increased (p = 0.001, d = 1.16) in the ICE. Ratings of perceived exertion, thermal comfort, and thermal sensation were improved in the ICE compared to those in the CON (p < 0.05). Ball velocity and pitching accuracy were not affected by ICE.ConclusionsIce slurry ingestion before and between innings reduced thermal, cardiovascular, and perceptual strain. However, it did not affect softball pitching performance compared to cool fluid ingestion.

Caregiver Awareness of Safe Pitching Recommendations in Youth Fastpitch Softball Pitchers

Although fastpitch softball participation continues to rise, there is a lack of established pitch count guidelines, potentially putting young female athletes at risk of overuse injuries. In addition to coaches, caregivers' ability to recognize and employ safe pitching guidelines plays an important role in athlete safety. The purpose of this study was to assess caregivers' knowledge of their child's pitching practices and their familiarity with softball pitching recommendations. We hypothesized that caregivers would be unaware of safe pitching recommendations in youth fastpitch softball. Cross-sectional study. A 30-question survey was distributed to caregivers of youth fastpitch softball pitchers in age groups 10U (ie, ≤10 years), 12U, 14U, 16U, and 18U. The survey included questions on the demographic characteristics of caregivers and athletes, caregivers' knowledge of safe pitching recommendations, and athletes' pitching background and throwing habits. Comparisons of responses between the age groups were conducted using the chi-square test, Fisher exact test, or 1-way analysis of variance, as appropriate. A total of 115 caregivers completed the survey. Of the respondents, 84% were between 31 and 50 years, and 81.7% had a degree beyond high school. Only 28.1% of caregivers reported participating in youth sports. When asked to estimate the number of pitches they considered a safe amount during a single outing, 28.7% of caregivers (n = 33) did not provide a limit, 4.3% (n = 5) stated no limit was needed, 32.2% (n = 37) suggested 25 to 80 pitches, 21.7% (n = 25) suggested 81 to 100 pitches, 12.2% (n = 14) suggested 100 to 150 pitches, and 0.9% (n = 1) suggested that >150 pitches were acceptable. These data emphasized that only 14.8% of the caregivers were aware of any pitching guidelines. However, 93% of caregivers acknowledged that they would adhere to recommendations if guidelines were made available. The study findings demonstrated that a majority of caregivers are unaware of current youth fastpitch softball pitching recommendations.

Softball Pitchers' Body Segment Girths Are Associated with Varied Biomechanics at Ball Release of the Pitch.

The purpose of this study was to examine the relationships between pitcher trunk and throwing arm girth with kinematics at ball release of the softball pitch. Softball pitchers can be of various shapes and sizes; however, it is unknown if segment girth might influence pitch biomechanics. Because of the importance of body positioning at ball release of the windmill pitch, this study examined the relationship between segment girth and pitch biomechanics at ball release. Forty-two pitchers volunteered to participate (1.706 ± 0.061 m, 74.98 ± 15.94 kg, 15.5 ± 1.7 yr). Participants' throwing upper arm, chest, waist, and hip girth were measured. Participants then pitched fastballs to a catcher (43 ft) while an electromagnetic motion capture system synced with a force plate and motion analysis software collected kinematic data (sampled at 240 Hz). Linear regressions revealed that upper arm, chest, and waist girth were associated with throwing arm shoulder horizontal abduction. Greater segment girth was associated with less horizontal abduction at ball release of the pitch. Segment girth is related to pitch biomechanics and may influence body positions at crucial softball pitch events such as ball release. Understanding biomechanical differences according to body segment girth is important for safe and optimal player development and performance.

Elbow stress in youth softball windmill pitchers: predictors of increased torque

Purpose: To assess torque at the elbow in the underhand throwing motion utilizing wearable sensor technology and discover the predictors of medial elbow toque in young female softball pitchers. Methods: Female softball players 12 to 18 years old whose primary position was pitcher and actively participating in sport were studied. Players experiencing throwing arm pain, lower extremity injury hindering pitching motion, or prior surgery were excluded. Age, handedness, height, weight, and throwing arm dimensions were measured and recorded. Pitchers threw 15 pitches, max effort from 43 feet and were given 30 to 60 second rest between pitches. A wearable sensor was placed inside an athletic compression sleeve which recorded data. Measurements included medial elbow torque (Newton-meters; NM), arm speed (peak rotational velocity of the forearm; in rotations per minute; RPM), arm slot (forearm angle in relation to the ground at release; in degrees), and shoulder rotation (maximum forearm angle during the 12 o’clock phase; in degrees). Peak ball velocity in miles per hour (MPH) was measured by a radar gun. Results: Twenty females mean age 15.2 years (range, 12.6-16.9 years) achieved an average elbow stress of 35.5 NM (14-78 NM). Average arm speed measured 583.8 RPM (3502.8 deg/sec) and ball speed ranged from 33-56 mph with an average of 44.1 mph. Multivariate analysis demonstrated arm stress significantly associated with increasing age (P-value 0.00003), and arm length (P-value 0.000006); however, increased forearm length measured a decreased arm stress (P-value 0.00007). Conclusions: There was significant stress measured across the medial elbow in young softball pitchers. Elbow torque was associated with increasing age and total arm length; however, increased forearm length was associated with decreased elbow torque.