{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:05:30Z","timestamp":1792368330904,"version":"4.4.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2014,10,15]],"date-time":"2014-10-15T00:00:00Z","timestamp":1413331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Baseball pitchers who undergo superior labrum anterior-posterior (SLAP) repair often have trouble returning to their previous level of performance. While the reason is often assumed to be diminished shoulder range of motion or other mechanical changes, differences in pitching biomechanics between baseball pitchers with a history of SLAP repair and pitchers with no injury history have not been studied previously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>The primary hypothesis was that compared with the control group, the SLAP group would exhibit compromised shoulder range of motion (external rotation and horizontal abduction) and internal rotation torque during pitching.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Controlled laboratory study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Pitching biomechanics were compared retrospectively between a group of 13 collegiate and professional pitchers with a history of a SLAP tear and a control group of 52 pitchers with no history of surgery; groups were matched by age, height, weight, and pitch velocity. Data were collected with an automated 3-dimensional motion analysis system while participants threw fastballs from the windup. Biomechanics of the shoulder (horizontal abduction and external rotation), elbow (flexion, extension velocity, and flexion torque), and body (stride length, shoulder horizontal adduction, and forward trunk tilt) were compared between the 2 groups. For each variable, a Student t test was used at an \u03b1 level of .05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Pitchers in the SLAP group exhibited significantly less shoulder horizontal abduction (10.0\u00b0 \u00b1 13.2\u00b0 vs 21.0\u00b0 \u00b1 11.7\u00b0, respectively; P = .013) and shoulder external rotation (168.3\u00b0 \u00b1 12.7\u00b0 vs 178.3\u00b0 \u00b1 7.3\u00b0, respectively; P = .016) than those in the control group. In addition, players in the SLAP group pitched with a more upright trunk, demonstrated by a less forward trunk tilt at the instant of ball release (30.2\u00b0 \u00b1 6.3\u00b0 vs 34.4\u00b0 \u00b1 6.6\u00b0, respectively; P = .048).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pitchers with a history of SLAP repair produce less shoulder horizontal abduction, shoulder external rotation, and forward trunk tilt during pitching than do pitchers with no history of injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>To facilitate normal pitching mechanics, shoulder external rotation and horizontal abduction at 90\u00b0 should be primary objectives in surgical repair and rehabilitation after SLAP repair. In addition, pitchers should work with their pitching coaches to ensure proper forward trunk tilt.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546514552183","type":"journal-article","created":{"date-parts":[[2014,10,16]],"date-time":"2014-10-16T00:49:22Z","timestamp":1413420562000},"page":"2837-2841","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":52,"title":["Deficiencies in Pitching Biomechanics in Baseball Players With a History of Superior Labrum Anterior-Posterior Repair"],"prefix":"10.1177","volume":"42","author":[{"given":"Walter A.","family":"Laughlin","sequence":"first","affiliation":[{"name":"American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn S.","family":"Fleisig","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Scillia","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle T.","family":"Aune","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"E. Lyle","family":"Cain","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Dugas","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,10,15]]},"reference":[{"key":"bibr1-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300508"},{"key":"bibr2-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70065-9"},{"key":"bibr3-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514552183"},{"key":"bibr4-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300218"},{"key":"bibr5-0363546514552183","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2011.3568"},{"key":"bibr6-0363546514552183","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01632"},{"key":"bibr7-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/1941738109338546"},{"key":"bibr8-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507308194"},{"key":"bibr9-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.218.1.r01ja44127"},{"key":"bibr10-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.06.021"},{"key":"bibr11-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504273050"},{"key":"bibr12-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510379971"},{"key":"bibr13-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.02.001"},{"key":"bibr14-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503262643"},{"key":"bibr15-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(90)90056-J"},{"key":"bibr16-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512459481"},{"key":"bibr17-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512447785"},{"issue":"5","key":"bibr18-0363546514552183","first-page":"579","volume":"8","author":"Wilk KE","year":"2013","journal-title":"Int J Sports Phys Ther"},{"key":"bibr19-0363546514552183","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(86)90201-0"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546514552183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546514552183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546514552183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:48:36Z","timestamp":1777369716000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546514552183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,15]]},"references-count":19,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1177\/0363546514552183"],"URL":"https:\/\/doi.org\/10.1177\/0363546514552183","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,15]]}}}