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Return to Pitch progressions
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Return to Pitch progressions - October 12, 2006 5:28:00 AM
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VagusX
Posts: 208
Joined: March 26, 2003
From: Savannah, GA, USA
Status: offline
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Does anybody have a conservative return to pitch progression . Pt is a 16 y/o who came to me with instability/and posterior capusular tightness. Rehab has been going well. He is no longer in pain during normal shoulder motions. We have been doing lots of funcitonal t-band and proprioception, but we have yet to reuturn to throwing. Outside of throwing without pain what is a good outline?
Thanks
Dan
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Re: Return to Pitch progressions - October 12, 2006 8:14:00 PM
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Rwantz
Posts: 84
Joined: December 10, 2004
From: Middletown, PA
Status: offline
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The purpose of this program is to gradually increase the intensity of throwing while minimizing the chance for re-injury. Proper throwing mechanics must be maintained through the program with a regulation baseball. It is important to warm-up (15-20 throws at 30-45 feet) and stretch prior to each throwing session. Each rest is followed by a warm-up prior to harder throwing. Every throwing session should be followed by a 10-minute rest. If pain or soreness presents the stage should be stopped and then restarted the following session. Each stage should be completed without pain or soreness before continuing.
Odd Step
W.U.
25 throws at X feet
Rest
W.U.
25 throws at X feet
Even Step
W.U.
25 throws at X feet
Rest
W.U.
25 throws at X feet
W.U.
25 throws at X feet
1 and 2. 45 feet
3 and 4. 60 feet
5 and 6. 90 feet
There are a lot of throwing progressions out there. They all basically have the same idea in mind. Mechanics are the key. Once he is good at 90 feet without pain or soreness on flat ground then he can return to the mound. Obviously there is so much more to it than just this, but it is a good basis. I have worked on more aggressive programs, but this is conservative.
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Re: Return to Pitch progressions - October 13, 2006 8:19:00 AM
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VagusX
Posts: 208
Joined: March 26, 2003
From: Savannah, GA, USA
Status: offline
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Thank you Rwantz
Can you explain "Odd Step" and "Even Step?"
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Re: Return to Pitch progressions - October 13, 2006 9:05:00 AM
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PHSPT
Posts: 119
Joined: December 1, 2005
From: Oklahoma
Status: offline
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Rwantz,
Interesting progression, is this documented/researched somewhere? Id like to read more about it. Thanks
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Re: Return to Pitch progressions - November 2, 2006 4:43:00 PM
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Rwantz
Posts: 84
Joined: December 10, 2004
From: Middletown, PA
Status: offline
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This is not documented. I have adapted it from several that I have found that are not documented either. Odd Step (1, 3, 5) Even Step (2, 4, 6)
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Re: Return to Pitch progressions - November 2, 2006 7:42:00 PM
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joelkphysio
Posts: 27
Joined: September 25, 2006
Status: offline
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before return to throwing, I often ensure they can accomplish a drop and catch program (to simulate the eccentric nature of the release portion of the throw). I start them with 2 lbs with the arm in full ext rot at 90deg abd, drop the weight forward (they are leaning forward) and then catch it, by dropping the arm into internal rotation (follow thru). Obviously the farther they drop the weight the larger the strain on the shoulder.
Make sure the posterior capsule tightness is resolved before this progression.
hope this helps a bit.
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