A loss of shoulder internal rotation, commonly referred to as GIRD, is a hot topic within the athletic rehab population, but does it really predict a baseball player’s injury risk? This article summarizes exactly what GIRD is, what it isn’t, and incorporates the findings of a recently published article that reports that they’re potentially other measurements that may be more beneficial to predict shoulder and elbow injuries in baseball players. By having a better understanding of GIRD and the other measurements, we can learn to treat athletes more efficiently and effectively.
The subscapularis aids in accelerating the ball as well as prevents anterior shoulder subluxation and shoulder injury during the throw, yet I rarely see it strengthened and almost never see it trained properly. The throwing motion places very high demands on the shoulder and elbow that your body must be able to adequately handle or it will break down. Specific subscapularis training should be included in every baseball player’s arm care routine to increase performance and decrease the risk of injury.
The interval throwing program is an important part of the rehabilitation process following surgery or injury. However, there are key components of the program that must be examined before implementing. Starting a throwing program without proper guidance or supervision can cause serious injury or re-injury due to its involvedness. This article identifies those components and how they can be detrimental to adolescent or mature throwers if not addressed properly.
This article outlines how to use recent research from ASMI to create an arm care system for players during baseball season. The most important changes have been linked to range of motion in the throwing arm. At our facility, we identify three changes in measurement as red flags while in season, and those are decreased shoulder flexion, decreased shoulder internal rotation and increasing shoulder external rotation. We have adopted specific mobility and stability exercises as part of an arm care system that draws heavily on this research.