SRVLL Safety Lecture2019

Introduction

Who I am.

What is our goal?

Basic Safety

Common Injuries

Risk Factors

Prevention

Coaches

Fatigue assessment?

Players outside commitments.

When the Doc says Labrum,

I hear, “#@&%#*”.

Performance ≠ Prevention?

The Basics

General Recommendations

Be aware of flying bats and balls Batting helmets

Bat control

Balls being thrown

Coaches/Parents: Know CPR and how to use AED

Field Check

Roster inventory

Action plan: Diabetics, Asthmatics, Allergies

Unhealed injuries

Basic First Aid Tips

Use gloves

If uncertain, do not move injured player Move other players, notify parents

If in doubt, dial 911

If any possibility of head injury-must remove and no return until cleared by MD.

Any limp, change in throwing, no return until cleared by MD

Tooth injuries: Dentist---Dislodged tooth in milk.

Bites

Eye injuries: Immediate ER evaluation

Injury Reporting

What to report:

Any person receiving Medical

Treatment.

Copy and complete injury report

form from binder.

When to report:

Within 48hrs.

How to report:

Email: safety@srvll.org

Concussion

Coaches Mandated Training: CDC, HEADS UP to Youth Sports: Online Training. Print Certificate of Completion.

Symptoms Headache

Nausea

Dizziness

Light

Memory

Confusion

Noise

Slowed Reaction

Drowsiness

Loss of Balance

Vomiting

Vision

Concussion

Coaches see Confusion

Dazed

LOC

Behavior Changes

Clumsy Movement

Personality Changes

Poor recall

Concussion

24 hour rule No Activity

Light aerobic exercise

Sport specific exercise

Non contact

Contact

Return to play

Heat Illness

WHY?

Symptoms Chills

Dark Urine

Dizzyness

Dry Mouth

Headaches

Thirst

Weakness

Heat Illness

Prevention Acclimation

Fluid replacement

Clothing

Hydration 16 oz 1hr prior

4 oz every 20 min during

Hydrate to thirst level after

Treatment Shade

Cold towels

Hydration

Medical Attention

Anatomy

Shoulder Anatomy

Shoulder Anatomy

Shoulder Anatomy

Shoulder Anatomy

Shoulder Anatomy

Shoulder Anatomy

Elbow Anatomy

Elbow Anatomy

Elbow Anatomy

Elbow Anatomy

Elbow Anatomy

Biomechanics

Pitching Biomechanics

Kinetic chain

Phases

Varus Torque at elbow of 65Nm

Internal Rotation Torque at shoulder 67Nm

IR Velocity 7000˚/S

Functional Strength and Flexibility

Angular Velocities for Mark Prior

-2000

-1000

0

1000

2000

3000

0.2 0.25 0.3 0.35 0.4 0.45 0.5 0.55 0.6

Time (s)

vel (

deg

/s)

Trunk Vel

Pelvis Vel

IR Vel

Comparison of Elite Professional Golfer and Elite Professional Pitcher

0.95 1.00 1.05 1.10 1.15 1.20 1.25 1.30 1.35

Time (s)

Hips

Shoulders

Arm

Ball Release

SLOW DOWN!!!!

You can only accelerate as fast as you can decelerate.

Elbow pain in young throwers

Look for the subtle signs: ”shaking” of the arm between pitches

Less interest in throwing

Throws going higher than usual

Loss of accuracy

Finger point test

Loss of extension

Elbow pain in young throwers

Inside elbow pain Irritation of growth plate

Strain of flexor/pronator muscles

Stretching of ulnar nerve

Ulnar collateral ligament tears

Outside of the elbow pain Radial head/Capitellum injury

Extensor/Supinator muscle injury

Olecranon impaction syndrome

Overuse injury

Rapid acceleration Intensity

Duration

Frequency

Premature return

Poor technique

Overuse injury

Treatment Cut back

Easy/hard

Proper technique

Proper warm-up/cool down

Ice

Anti-inflammatory

No pain, no gain

Do not increase more than 10%/week

Baseball Evaluation

Functional Evaluation

Functional Evaluation

Functional Evaluation

Functional Evaluation

Functional Evaluation

Functional Evaluation

Cases

Risk Factors

Risk Factors For Injury

Pitching while fatigued

Throwing too many innings

*Too many pitches in an inning*

Not taking enough time off from baseball yearly

Too many pitches or not enough rest

Pitching on consecutive days

Excessive throwing when not pitching

Pitching with injuries to other body regions

Curveballs and sliders at a young age

Showcases

Radar guns

Risk Factors For Injury

When can kids throw a curveball

USA Baseball says age 14

Biomechanics

True curveball risk may be talent

Teach the change up

What’s New 2018?

“BASEBALL PLAYERS PROHIBITED FROM THROWING AFTER OVERUSE INJURY HAD GREATER RETURN-TO-PLAY RATE”- Journal of Shoulder and Elbow Surgery PROHIBITED THROWING VS LIMITED THROWING

“FASTBALLS YIELDED GREATER TORQUE VS OTHER THROWS AMONG HIGH SCHOOL, COLLEGIATE PITCHERS”-Journal of Arthroscopy

Prevention

Health and Performance Equation

Biomechanics

+

Functional Strength and Flexibility

+

Pitch Totals

=

Health and Performance

Functional Strength and Flexibility

Foundation Fitness Work for Stability, Mobility, Flexibility and a Balanced Body

Joint Integrity Work for Repetitive Movement Durability

Machine Work for Speed and Power

Free Weight Work for Speed and Power

Overloading and

Underloading Implement

Training Work for Velocity

Summary

Prevention of youth arm injuries is a key public health issue.

The proliferation of competitive opportunities is a double edged sword.

Teaching proper mechanics and training is essential.

Education and adherence to USA baseball recommendations is essential.

Sport specific conditioning at an early age will help your child.

Prehab-Rehab will train the muscles/joints properly and prevent injuries.

PROTECT YOUR TALENT

Thank You

Pitch Smart Program

Age Pitch Count 0 Days 1 Day 2 Days 3 Days 4 Days

7-8 50 1-20 21-35 36-50 N/A N/A

9-10 75 1-20 21-35 36-50 51-65 66+

11-12 85 1-20 21-35 36-50 51-65 66+

13-14 95 1-20 21-35 36-50 51-65 66+

15-16 95 1-30 31-45 46-60 61-75 76+

17-18 105 1-30 31-45 46-60 61-75 76+