Sleeper stretch

Stretching: The Truth

I'm planning on a series of articles to update our readers on some of the current concepts in pitcher related injuries and diagnoses that most fans have not heard much about.

We've all had our fill of reading about pitchers with rotator cuff and glenoid labrum tears. There are some interesting trends in sportsmedicine that have lead to changes in exercise programs throughout the majors and minors in an attempt to protect pitchers from a cascade of preventable injuries most fans don't know about.

Diagnoses such as:

GIRD: (Glenohumeral Internal Rotation Deficit...not to be confused with the stomach malady also known as GERD which Cubs fans get from watching too many losses). Pitching (both cocking phase and deceleration phase) leading to a tight or thickened posterior shoulder capsular ligament plus a loose anterior capsule and loss of internal rotation of the shoulder. Extra external rotation of the shoulder develops at the expense of internal rotation.

Scapular Dyskinesia: Shoulder blade weakness with altered kinematics.

Internal Impingement: Thought to be related to posterior shoulder contracture from GIRD with subsequent instability of the shoulder as the humeral head (ball of the shoulder joint) which shifts back/posteriorly and upward/superiorly). This is a different entity from subacromial or rotator cuff impingement which is more common and typically occurs from friction outside the shoulder joint.

...and finally connecting the dots, sorting out how the the injured or weakened shoulder (scapula) leads to severe strain on the elbow and tearing of the Ulnar Collateral Ligament (aka the Tommy John injury).

My attention to this topic started last summer, when  I heard a remarkable interview on XM radio with renown Orthopedic Surgeon, Dr. Craig D. Morgan with hosts Jim Memolo and Rob Dibble. The focus of the interview was Stephen Strasburg's shoulder tightness and the subsequent ulnar collateral ligament elbow injury that lead to "Tommy John" reconstruction of that ligament last summer. Dr. Morgan said that he had predicted elbow problems in Strasburg by watching the way he held his shoulder.

More on how the arm bone is connected to the...after the jump.

Recent comments

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  • James Russell elected free agency.

  • based on what SF has been doing every other year lately, getting access to the postseason playoffs seems to be what's important. bring on dat short series!

    that said, skipping the sudden death 1-game WC would be nice from here on out.

  • I know what you are saying, but I feel compelled to point out that there's no such thing as luck, curses, etc. The Cubs this year have as good as a chance as the Pirates to move on to the next round. If the Cubs proceed to the next round or not tomorrow, it will not be because of luck, but because one team outlasted the other. When/if the Cubs are lucky enough to make it to the league series, that's where they may find their biggest challenge. The Dodgers have a good, deep pitching staff.

  • debuting the new format 1 game "sudden death" WC matchup at yankee stadium does a perfect job of showing the intense emotion and drama this game can be.

    that said, i'm ready to not see yankee stadium or hear fans at yankee stadium for another 5 and 1/2 months. at least i don't have to sit through the braves with their "tommy hawk chawp" this postseason.

  • i'd like to know why the internet radio feed of the game (which is always delayed by a few seconds at best) is almost a minute faster than the ESPN cable TV coverage. wtf?

  • i dont know what order they'll be in, but i pretty much expect fowler/schwarb/rizzo/bryant/montero/castro/lastella/arrieta. any change at all (aside from the first 4 guys) wouldn't shock me, though. coghlan is still a wildcard in the lineup joe could always march d.ross out there with very slow arrieta pitching.

  • Yup. Have to agree. Baseball, like golf, certainly has that psych component for the player. There is no real reason why a fielding position should affect a batting average. The Cubs are 106 years over due for a little luck. Don't you guys think so? Maybe the rookies can bring some dumb luck on.

  • probably stacking capable lefties vs cole while keeping the "hot" castro in the game. fwiw, he's 1-6 lifetime with 0 bb/k vs cole (double).

    i chalk bryant's issues at the plate while playing OF up to coincidence so far.

  • I will call your dead horse, "Trigger".

    In one game, when anything is possble, I am glad that Joe Maddon is our Manager.

    He knows the stats better than all of us. It would seem, IF La Stella gets the start at 3B, it will be only up to the point that they were to get the lead (crosses fingers). From everything I have read, the game will be managed like a hoops game: offense/defense. So expect La Stella to be out of the game by the 5th. This team is incredibly deep which is so surprising. We never woulda thunk it.

  • i don't know what their roster plans are, but j.herrera is out there practicing with the team.

    i can't imagine him making any roster, though. dude had 4 PA the entire month of sept. him being a good dude to be around while keeping the clubhouse loose seems to be his main role at this point.

  • I know it's my own personal dead horse to beat --but Bryant has been a lousy hitter when playing the OF this year. Given that it's his first playoff game, I really hope they keep him in his natural position and don't mess with his routine.

    Lousy as in 8-for-45 with one XBH and no HR. Small sample and all that -- but why take the chance?

  • hard to tell what's up given they'll probably want to stack as many good lefties into the lineup as possible.

    castro being a bit hot doesn't help things. if he was still cool they'd probably stick la stella at 2nd and call it a day.

  • Madden won't announce lineups but Stella is practicing at 3rd and Bryant in LF today. I'd rather see Bryant at 3rd but I guess Stella has been hotter than Coghlan.

    /edit. Though I guess they could be practicing this with the idea Stella would come in as a PH then double switch him to 3rd base and Bryant to LF. Hope that's the plan instead

  • I really like the sound of that idea about expanding the AFL to ten teams. Each org. gets to field more players.
    They should do that anyway, regardless of Adv. Instructs.

  • Dallas Beeler, Corey Black, David Garner, Pierce Johnson, Steve Perakslis, James Pugliese, Duane Underwood Jr, and Rob Zastryzny threw early-morning bullpen side-sessions at Riverview yesterday.  

    Underwood threw last, and received specific one-on-one instruction from pitching coach Mike Mason. 

  • HAGSAG: There are only five advanced instructs squads left, and presently the only "co-op" team operating is the Angels/Cubs.

    The league was originally established as a "parallel" league to the AFL (a sort of "junior AFL"), for players too advanced for traditional ("basic") instructs but who were unable to get placed on AFL rosters due to AFL player-limits.