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Investigation of the Effects of Multifaceted Interventions on Throwing Velocity and Injuries in Competitive Athletes.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Investigation of the Effects of Multifaceted Interventions on Throwing Velocity and Injuries in Competitive Athletes./
Author:	Lee, Dunstan.
other author:	Tayag, Kassandra
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	73 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-03, Section: B.
Contained By:	Dissertations Abstracts International83-03B.
Subject:	Physical therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28649287
ISBN:	9798538127436

Investigation of the Effects of Multifaceted Interventions on Throwing Velocity and Injuries in Competitive Athletes.
Lee, Dunstan.

Investigation of the Effects of Multifaceted Interventions on Throwing Velocity and Injuries in Competitive Athletes. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 73 p.

Source: Dissertations Abstracts International, Volume: 83-03, Section: B.

Thesis (D.P.T.)--Azusa Pacific University, 2021.

This item must not be sold to any third party vendors.

Background. Overhead throwing sports, such as baseball, require strength for throwing velocity and stability for shoulder injury prevention. The purpose of the systematic review and the critically appraised topic (CAT) was to investigate the effects of multifaceted interventions involving the upper and lower extremities and the trunk on the elements of throwing velocity and throwing injuries in competitive overhead athletes, respectively. Methods. Two independent reviewers conducted the systematic review and the CAT over seven databases (PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, Physiotherapy Evidence Database (PEDro), SPORTDiscus, Google Scholar, and Cochrane. The systematic review was conducted from May 2020 to January 2021, while the CAT was completed in January 2021. The inclusion criteria for the systematic review consisted of (a) male baseball players, (b) study designs of randomized controlled trials (RCTs), (c) non-RCTs, (d) cohort studies, and (e) case studies/series. The exclusion criteria consisted of (a) systematic reviews, (b) articles greater than 10 years old, (c) articles below the level of case studies/series, (d) non-English articles, and (e) texts including non-humans, females, core stability/strengthening exercises, and proprioceptive training/re-education. Studies selected for the systematic review included upper and lower extremity strengthening, and range of motion (ROM) exercises with throwing velocity as the outcome measure. The inclusion criteria of the CAT included overhead athletes, along with the same study designs as the systematic review. The CAT also excluded the same criteria as the systematic review, but did not exclude females or core stability/strengthening exercises. Studies selected for the CAT included trunk/core stability training with 6 throwing injuries as the outcome measure. The PEDro and the National Institutes of Health National Heart, Lung, and Blood Institute (NIH-NHLBI) tools were used to assess the risk of bias for each article selected. Results. Ten articles were appraised for the systematic review and four for the CAT. Two RCTs of the systematic review demonstrated that for both, upper extremity strength training programs increased throwing velocity. One RCT concluded a hip strength training program also improved strength in the lower extremity. One RCT revealed an improvement in throwing velocity with a strength training program for upper and lower extremities. Two non-RCTs investigating both upper and lower extremity strength and ROM programs showed no significance in throwing velocity. Four observational and cross-sectional studies showed an increase of correlation between lower extremity muscle activation related to throwing velocity. Four articles of the CAT showed a correlation between core musculature weakness and shoulder dysfunction. Overall, the systematic review contained several articles with high levels of evidence, while the CAT consisted primarily of articles of low-level evidence. Conclusion. Incorporating lower extremity and upper extremity strengthening was effective at increasing throwing velocity. Core instability was highly correlated to shoulder injuries, suggesting that core stability training may be beneficial for injury prevention. Limitations for the systematic review and the CAT were the lack of generalizability to a larger population of overhead athletes and a lack of high-level RCT studies.

ISBN: 9798538127436Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Baseball

Investigation of the Effects of Multifaceted Interventions on Throwing Velocity and Injuries in Competitive Athletes.
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245 1 0 $a Investigation of the Effects of Multifaceted Interventions on Throwing Velocity and Injuries in Competitive Athletes.
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300 $a 73 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-03, Section: B.
500 $a Advisor: Jeanfavre, Michael.
502 $a Thesis (D.P.T.)--Azusa Pacific University, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Background. Overhead throwing sports, such as baseball, require strength for throwing velocity and stability for shoulder injury prevention. The purpose of the systematic review and the critically appraised topic (CAT) was to investigate the effects of multifaceted interventions involving the upper and lower extremities and the trunk on the elements of throwing velocity and throwing injuries in competitive overhead athletes, respectively. Methods. Two independent reviewers conducted the systematic review and the CAT over seven databases (PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, Physiotherapy Evidence Database (PEDro), SPORTDiscus, Google Scholar, and Cochrane. The systematic review was conducted from May 2020 to January 2021, while the CAT was completed in January 2021. The inclusion criteria for the systematic review consisted of (a) male baseball players, (b) study designs of randomized controlled trials (RCTs), (c) non-RCTs, (d) cohort studies, and (e) case studies/series. The exclusion criteria consisted of (a) systematic reviews, (b) articles greater than 10 years old, (c) articles below the level of case studies/series, (d) non-English articles, and (e) texts including non-humans, females, core stability/strengthening exercises, and proprioceptive training/re-education. Studies selected for the systematic review included upper and lower extremity strengthening, and range of motion (ROM) exercises with throwing velocity as the outcome measure. The inclusion criteria of the CAT included overhead athletes, along with the same study designs as the systematic review. The CAT also excluded the same criteria as the systematic review, but did not exclude females or core stability/strengthening exercises. Studies selected for the CAT included trunk/core stability training with 6 throwing injuries as the outcome measure. The PEDro and the National Institutes of Health National Heart, Lung, and Blood Institute (NIH-NHLBI) tools were used to assess the risk of bias for each article selected. Results. Ten articles were appraised for the systematic review and four for the CAT. Two RCTs of the systematic review demonstrated that for both, upper extremity strength training programs increased throwing velocity. One RCT concluded a hip strength training program also improved strength in the lower extremity. One RCT revealed an improvement in throwing velocity with a strength training program for upper and lower extremities. Two non-RCTs investigating both upper and lower extremity strength and ROM programs showed no significance in throwing velocity. Four observational and cross-sectional studies showed an increase of correlation between lower extremity muscle activation related to throwing velocity. Four articles of the CAT showed a correlation between core musculature weakness and shoulder dysfunction. Overall, the systematic review contained several articles with high levels of evidence, while the CAT consisted primarily of articles of low-level evidence. Conclusion. Incorporating lower extremity and upper extremity strengthening was effective at increasing throwing velocity. Core instability was highly correlated to shoulder injuries, suggesting that core stability training may be beneficial for injury prevention. Limitations for the systematic review and the CAT were the lack of generalizability to a larger population of overhead athletes and a lack of high-level RCT studies.
590 $a School code: 1323.
650 4 $a Physical therapy. $3 588713
650 4 $a Kinesiology. $3 517627
650 4 $a Medicine. $3 641104
650 4 $a Biomechanics. $3 548685
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653 $a Shoulder injury prevention
653 $a Throwing
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792 $a 2021
793 $a English
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