Konin ©2009 Preventing Injuries in Throwers with the Core and Hips Jeff G. Konin, PhD, ATC, PT Associate Professor & Vice Chair Department of Orthopaedics & Sports Medicine Executive Director The Sports Medicine & Athletic Related Trauma (SMART) Institute Konin ©2009 Serape Draped loosely and crosses over the front of the body in an “x” shape The concept has been translated to muscle function reinforcing the muscles of the core as a connector The serape muscles are considered to include: the rhomboids, serratus anterior, external obliques and internal obliques Logan, G., & McKinney, W. 1970. The serape effect. In Anatomic Kinesiology (2nd Ed., pp. 154-561). New York: William C. Brown, Co. a colorful garment worn by the people of Mexico Konin ©2009 Serape Effect In ballistic actions such as throwing and kicking, the serape muscles add to the summation of internal forces. They also transfer internal force from a large body segment, the trunk, to relatively smaller body parts, the limbs Hip to shoulder relationship Konin ©2009 Logan, G., & McKinney, W. 1970. The serape effect. In Anatomic Kinesiology (2nd Ed., pp. 154-561). New York: William C. Brown, Co Konin ©2009 Serape Effect Konin et al ATT 2003 Deficits in measurable active & passive hip extension, active hip flexion with pain (Kouvalchouk Rev Chir Orthop 1998) Konin ©2009 Konin ©2009 Preventing Injuries in Throwers with the Core and Hips LE Flexibility (Used as part of an overall warm-up) Ipsilateral hip extension Hip IR/ER (Lack of IR will force truck to open early and increase stress on medial Elbow and /or anterior shoulder) Core Training for Throwers Abdominal Bracing /Drawing in maneuver Prone Cobra Progression LE Balance/Proprioception* Standing Pulls - ant/post/lat pull (Weak gluts cause the hip to drop leading to drop of shoulder) LE Functional Strength Training** Wind-Up/Lunge with twist Lunge with twist Step-Ups with twist *Functional exercise that is multiplanar, incorporates the lumbo-pelvic-hip core complex and can be challenged with proprioceptive input from unstable surfaces, eyes closed, etc ** Lunge strength will help deceleration injuries to the shoulder Konin ©2009 Preventing Injuries in Throwers with the Core and Hips LE Flexibility (Used as part of an overall warm-up) Ipsilateral hip extension Hip IR/ER (Lack of IR will force truck to open early and increase stress on medial Elbow and /or anterior shoulder) Konin ©2009 Preventing Injuries in Throwers with the Core and Hips Core Training for Throwers Abdominal Bracing /Drawing in maneuver Prone Cobra Progression Konin ©2009 Preventing Injuries in Throwers with the Core and Hips LE Balance/Proprioception* Standing Pulls - ant/post/lat pull (Weak gluts cause the hip to drop leading to drop of shoulder) *Functional exercise that is multiplanar, incorporates the lumbo-pelvic-hip core complex and can be challenged with proprioceptive input from unstable surfaces, eyes closed, etc Konin ©2009 Preventing Injuries in Throwers with the Core and Hips LE Functional Strength Training** Wind-Up/Lunge with twist Lunge with twist Step-Ups with twist ** Lunge strength will help deceleration injuries to the shoulder Konin ©2009 Summary An example of a program that can be implemented to maximize performance and reduce injury