{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:51:10Z","timestamp":1788954670649,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T00:00:00Z","timestamp":1491955200000},"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":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Baseball players displaying deficits in shoulder range of motion (ROM) are at increased risk of arm injury. Currently, there is a lack of consensus regarding the best available treatment options to restore shoulder ROM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Instrumented manual therapy with self-stretching will result in clinically significant deficit reductions when compared with self-stretching alone.<\/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>Shoulder ROM and humeral torsion were assessed in 60 active baseball players (mean age, 19 \u00b1 2 years) with ROM deficits (nondominant \u2212 dominant, \u226515\u00b0). Athletes were randomly assigned to receive a single treatment of instrumented manual therapy plus self-stretching (n = 30) or self-stretching only (n = 30). Deficits in internal rotation, horizontal adduction, and total arc of motion were compared between groups immediately before and after a single treatment session. Treatment effectiveness was determined by mean comparison data, and a number-needed-to-treat (NNT) analysis was used for assessing the presence of ROM risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Prior to intervention, players displayed significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) dominant-sided deficits in internal rotation (\u221226\u00b0), total arc of motion (\u221218\u00b0), and horizontal adduction (\u221217\u00b0). After the intervention, both groups displayed significant improvements in ROM, with the instrumented manual therapy plus self-stretching group displaying greater increases in internal rotation (+5\u00b0,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010), total arc of motion (+6\u00b0,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010), and horizontal adduction (+7\u00b0,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004) compared with self-stretching alone. For horizontal adduction deficits, the added use of instrumented manual therapy with self-stretching decreased the NNT to 2.2 (95% CI, 2.1-2.4;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Instrumented manual therapy with self-stretching significantly reduces ROM risk factors in baseball players with motion deficits when compared with stretching alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>The added benefits of manual therapy may help to reduce ROM deficits in clinical scenarios where stretching alone is ineffective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1941738117702835","type":"journal-article","created":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T19:22:55Z","timestamp":1492024975000},"page":"230-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":62,"title":["Effectiveness of Manual Therapy and Stretching for Baseball Players With Shoulder Range of Motion Deficits"],"prefix":"10.1177","volume":"9","author":[{"given":"Lane B.","family":"Bailey","sequence":"first","affiliation":[{"name":"Memorial Hermann\u2019s Ironman Sports Medicine Institute, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Thigpen","sequence":"additional","affiliation":[{"name":"ATI Physical Therapy, Greenville, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Greenville Health System, Department of Orthopedics, Greenville, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul F.","family":"Beattie","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, The University of South Carolina, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Shanley","sequence":"additional","affiliation":[{"name":"ATI Physical Therapy, Greenville, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.34815"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2003.50128"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300011701"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2000.30.9.544"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200212000-00028"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-43.4.359"},{"key":"e_1_3_3_8_2","first-page":"375","article-title":"Assessing posterior shoulder contracture: the reliability and validity of measuring glenohumeral joint horizontal adduction","volume":"41","author":"Laudner KG","year":"2006","unstructured":"Laudner KG, Stanek JM, Meister K. Assessing posterior shoulder contracture: the reliability and validity of measuring glenohumeral joint horizontal adduction. J Athl Train. 2006;41:375-380.","journal-title":"J Athl Train"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2006.36.3.138"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512454530"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738109347775"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2007.2337"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281804"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512436801"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3181b544f6"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507304142"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300030801"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300030901"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.05.006"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.20.1.100"},{"key":"e_1_3_3_21_2","first-page":"A43","article-title":"Preseason shoulder ROM screening as a predictor of injury among youth, adolescent, and professional baseball pitchers","volume":"43","author":"Shanley E","year":"2013","unstructured":"Shanley E, Kissenberth MJ, Thigpen CA, . Preseason shoulder ROM screening as a predictor of injury among youth, adolescent, and professional baseball pitchers. J Orthop Sports Phys Ther. 2013;43:A43.","journal-title":"J Orthop Sports Phys Ther"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.03.012"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511408876"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.11.035"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.031"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509346050"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354650002800501"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2006.05.012"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510384223"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738108331201"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.06.009"}],"container-title":["Sports Health: A Multidisciplinary Approach"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941738117702835","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1941738117702835","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941738117702835","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:41:43Z","timestamp":1777588903000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1941738117702835"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,12]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1177\/1941738117702835"],"URL":"https:\/\/doi.org\/10.1177\/1941738117702835","relation":{},"ISSN":["1941-7381","1941-0921"],"issn-type":[{"value":"1941-7381","type":"print"},{"value":"1941-0921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,12]]}}}