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BFR, Shoulder ROM, and Hand-Eye Coordination

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April 7, 2021
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BFR, Shoulder ROM, and Hand-Eye Coordination
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Listed below are three research the R&D Division at Driveline learn this month:

Blood movement restriction (BFR) is a standard software for rehab or energy and conditioning packages, and will be performed utilizing just a few completely different strategies. I’ve seen individuals use something from a VooDoo floss band, to gentle elastic bands, to velcro straps, all the best way to extra succesful BFR machines with customized stress. 

Bordessa et al. at San Diego State College used a pair completely different BFR strategies to see how every of them have an effect on muscle activation, ache, and perceived exertion within the quadricep muscular tissues. The authors had 34 individuals do knee extensions with two various kinds of BFR at 30% of their one rep most and with out BFR at 80% of their one rep most. The 2 varieties of BFR had been regulated and standardized—regulated maintains the identical stress on the muscle by adjusting strap dimension all through the train, whereas standardized simply retains the identical strap dimension the entire time. They discovered that:

  • Muscle activation was increased within the heavy load, non-BFR situation than each BFR circumstances
  • Ache was increased within the regulated BFR situation than within the standardized BFR situation and the non-BFR situation
  • Perceived exertion was increased within the regulated BFR situation than the standardized BFR situation and the non-BFR situation
Average EMG Amplitude
Values estimated from Bordessa et al. 2021

Greater than something, these outcomes spotlight how BFR might not be a substitute for heavy load. Muscle activation knowledge utilizing EMG is hard to interpret, and we don’t essentially know if increased or decrease muscle activation is healthier, however the distinction in muscle activation between BFR with a light-weight load and non-BFR with a heavy load tells us they don’t seem to be engaging in the identical factor. That can be regardless of the subjective measures of ache and perceived exertion in the course of the train being increased with one of many BFR circumstances.

Poor inside rotation of the throwing shoulder (Glenohumeral Inside Rotation Deficit; GIRD) is a well-documented impact that typically arises in overhead throwing populations. GIRD is usually accompanied by a rise in throwing shoulder exterior rotation, inflicting the overall vary of movement of shoulder rotation to stay near the identical. So long as the achieve in exterior rotation intently matches the lack of most inside rotation (in order that the athlete will not be shedding complete shoulder vary of movement), there’s minimal trigger for concern. 

One of many approaches to reduce the quantity of altered shoulder vary of movement is the usage of stretching and warm-up workouts. Heat-up routines are plentiful, and so they often embody both lively/dynamic actions, static stretching or a mixture of the 2. Many of the warm-up exercises we do at Driveline contain dynamic actions utilizing banded or weighted resistance versus static stretching. 

Bush et al. at Ohio Wesleyan College seemed into the consequences of conventional static stretches and conventional band workouts (resembling Jaegers J-Bands) on the passive vary of movement of the dominant shoulder. Twenty 5 collegiate baseball gamers with GIRD participated within the examine. There have been six static stretches used for the static stretching situation and 6 band workouts utilizing the bands:

Static Stretching Workout routines:

  • Two shoulder extension/horizontal abduction stretches
  • Overhead shoulder flexion stretch
  • Throughout the physique shoulder adduction stretch
  • Behind the top shoulder stretch
  • shoulder inside rotation stretch

Band Workout routines:

  • 90/90 shoulder exterior rotation
  • Shoulder flexion
  • Shoulder extension
  • Acceleration section of the throw
  • Deceleration section of the throw
  • Rows
Band exercises

The authors discovered that each varieties of heat ups enhance inside rotation, exterior rotation, and complete shoulder rotation vary of movement when in comparison with pre-warm up. Nevertheless, neither methodology improved shoulder inside rotation sufficient to declassify the themes from having GIRD. The one distinction between the 2 interventions was that static stretching elicited a higher improve in inside rotation from pre-to-post warmup than band workouts did, though the authors talked about that the distinction was not virtually vital. 

One primary limitation with this examine as a comparability of warm-up strategies is that passive vary of movement doesn’t inform the entire story about how ready a pitcher is to coach or compete. There are different issues that have to be thought-about to guage a heat up method together with: muscle temperature, muscle activation and nervous features of preparation, and different tissue properties of the muscular tissues and different skeletal tissue. It’s attainable that two athletes can achieve the identical quantity of vary of movement however one of many athletes is extra able to throw than the opposite. 

That being mentioned, that is an attention-grabbing have a look at a comparability of two completely different heat up train classifications. Each of which may probably be instrumental in managing vary of movement alterations. 

Hand-eye coordination is usually talked about when referring to the abilities required to be good at baseball. Because it seems, this isn’t a simple factor to measure and show, however Chen et al. on the College of Hong Kong tried to take action with a visible monitoring activity and a easy motor activity with a joystick. 

Forty-four baseball gamers on the Hong Kong Nationwide Baseball workforce and 47 non-baseball athletes participated in three duties. The visible monitoring activity was to easily comply with a transferring object on a display whereas the gaze place of the individuals was measured to find out visible monitoring accuracy. The guide management activity was comparable, however progressed: that the participant used a joystick to maintain the transferring object as near the middle of the display as attainable, mainly by compensating for the computer-led motion of the item. 

Batting efficiency was evaluated utilizing a mixture of pitch varieties from a pitching machine and figuring out a ‘hit charge’ which was the overall variety of swings that led to hits out of the 30 swings taken per pitch. 

The authors discovered that baseball gamers had higher visible monitoring efficiency and higher guide management efficiency based mostly on latency (lag) of motion, error in monitoring, and the speed at which their eyes wanted to meet up with a saccade (quick eye motion through which info will get misplaced), amongst others. Among the many baseball gamers, nevertheless, there was not a distinction of those capabilities based mostly on expertise. 

The outcomes of this examine will possible received’t be utilized to a participant improvement program. Nevertheless, it probably highlights one of many major elements that baseball gamers (and perhaps different athletes) develop all through their enjoying careers. One of the crucial attention-grabbing issues to me is that the shortage of great impact of enjoying expertise on the coordination measures among the many baseball populations exhibits how small of a distinction there could be differentiating elite athletes from the less-skilled. 

Kyle Lindley, Engineer/Sports activities Scientist



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