Influence of Pelvic Rotation on Lower Extremity Kinematics, Elbow Varus Torque, and Ball Velocity in Professional Baseball Pitchers.

Background: Early pelvic rotation has been associated with decreased throwing arm kinetics in college baseball pitchers, though professional pitchers have yet to be examined. Purpose: To investigate the effect of pelvic rotation on trunk, pelvis and lower extremity kinematics, as well as throwing arm kinetics and pitch velocity in professional baseball pitchers. Study Design: Descriptive laboratory study. Methods: Data were analyzed for 157 professional baseball pitchers throwing fastballs using 3-dimensional motion capture (480 Hz). Pitchers were divided into an open pelvis (rotated toward target; n = 78) and a closed pelvis (n = 79) group based on pelvic rotation at foot contact. Variables of interest were compared between the groups using t tests and 2-way analysis of variance, while Spearman correlation was used to measure relationships between the variables of interest. Results: Pitchers in the open group had a longer stride length (81% ± 5% vs 77% ± 5% body height; P <.01, d = 0.74), greater lead knee flexion (49° ± 6° vs 47° ± 10°; P =.043, d = 0.33), faster peak knee extension velocity (424°/s ± 158°/s vs 325°/s ± 142 °/s; P <.01, d = 0.66), and faster ball velocity (39.1 ± 1.7 m/s vs 38.4 ± 2.1 m/s; P =.029, d = 0.35) compared with those in the closed group. There was no significant difference in elbow varus torque between the 2 groups (open: 87.8 ± 14.7 N·m, closed: 90.5 ± 17.2 N·m; P =.311). There were moderate negative relationships between pelvic rotation at foot contact and stride length (r _S = -0.385, P <.001), lead knee extension (r _S = -0.429, P <.001), and peak lead knee extension velocity (r _S = -0.359, P <.001). Conclusion: Professional pitchers who landed with an open pelvis demonstrated longer stride length, greater lead knee extension, faster lead knee velocity, and faster ball velocity compared with pitchers with a closed pelvis at foot contact. This increase in segment velocities and ball velocity was not associated with an increase in elbow varus torque and displays a potentially efficient method in which pitchers can increase ball velocity without an increase in elbow varus torque. Clinical Relevance: Instructing pitchers to rotate their pelvis toward the target at foot contact may allow pitchers to transfer momentum up the kinetic chain more efficiently, while producing greater ball velocity and limiting the torque sustained at the elbow. [ABSTRACT FROM AUTHOR]