Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue Quantified

Upper extremity injuries are common in baseball. One of these is the ulnar collateral ligament (UCL) injury. In the field of sports injuries, most research focuses on average kinematics and kinetics between subjects, whereas focusing on within-subject variability appears to be more relevant for dete...

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Main Authors: Bart van Trigt, Ton (AJR) Leenen, Marco (MJM) Hoozemans, Frans (FCT) van der Helm, Dirkjan (HEJ) Veeger
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Proceedings
Subjects:
Online Access:https://www.mdpi.com/2504-3900/49/1/107
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spelling doaj-40315cef6ab94a08ab04550b4511ea482020-11-25T03:20:00ZengMDPI AGProceedings2504-39002020-06-014910710710.3390/proceedings2020049107Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue QuantifiedBart van Trigt0Ton (AJR) Leenen1Marco (MJM) Hoozemans2Frans (FCT) van der Helm3Dirkjan (HEJ) Veeger4Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Material Engineering, Delft University of Technology, Mekelweg 2, 2628 CD Delft, The NetherlandsDepartment of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, van der Boechorstraat 9, 1081 HV Amsterdam, The NetherlandsDepartment of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, van der Boechorstraat 9, 1081 HV Amsterdam, The NetherlandsDepartment of Biomechanical Engineering, Faculty of Mechanical, Maritime and Material Engineering, Delft University of Technology, Mekelweg 2, 2628 CD Delft, The NetherlandsDepartment of Biomechanical Engineering, Faculty of Mechanical, Maritime and Material Engineering, Delft University of Technology, Mekelweg 2, 2628 CD Delft, The NetherlandsUpper extremity injuries are common in baseball. One of these is the ulnar collateral ligament (UCL) injury. In the field of sports injuries, most research focuses on average kinematics and kinetics between subjects, whereas focusing on within-subject variability appears to be more relevant for determining injury risk. We constructed a simple explanatory simulation model to illustrate the relationship between within-subject load variability and risk, illustrating how pitchers with a higher load variability are more likely to sustain an injury compared to pitchers with less load variability. Furthermore, the model comprises the (theoretical) effect of fatigue on load variability and injury threshold over time.https://www.mdpi.com/2504-3900/49/1/107ulnar collateral ligamentbaseballpitchingupper extremityinverse dynamicsoverhead sports
collection DOAJ
language English
format Article
sources DOAJ
author Bart van Trigt
Ton (AJR) Leenen
Marco (MJM) Hoozemans
Frans (FCT) van der Helm
Dirkjan (HEJ) Veeger
spellingShingle Bart van Trigt
Ton (AJR) Leenen
Marco (MJM) Hoozemans
Frans (FCT) van der Helm
Dirkjan (HEJ) Veeger
Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue Quantified
Proceedings
ulnar collateral ligament
baseball
pitching
upper extremity
inverse dynamics
overhead sports
author_facet Bart van Trigt
Ton (AJR) Leenen
Marco (MJM) Hoozemans
Frans (FCT) van der Helm
Dirkjan (HEJ) Veeger
author_sort Bart van Trigt
title Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue Quantified
title_short Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue Quantified
title_full Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue Quantified
title_fullStr Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue Quantified
title_full_unstemmed Are UCL Injuries a Matter of Bad Luck? The Role of Variability and Fatigue Quantified
title_sort are ucl injuries a matter of bad luck? the role of variability and fatigue quantified
publisher MDPI AG
series Proceedings
issn 2504-3900
publishDate 2020-06-01
description Upper extremity injuries are common in baseball. One of these is the ulnar collateral ligament (UCL) injury. In the field of sports injuries, most research focuses on average kinematics and kinetics between subjects, whereas focusing on within-subject variability appears to be more relevant for determining injury risk. We constructed a simple explanatory simulation model to illustrate the relationship between within-subject load variability and risk, illustrating how pitchers with a higher load variability are more likely to sustain an injury compared to pitchers with less load variability. Furthermore, the model comprises the (theoretical) effect of fatigue on load variability and injury threshold over time.
topic ulnar collateral ligament
baseball
pitching
upper extremity
inverse dynamics
overhead sports
url https://www.mdpi.com/2504-3900/49/1/107
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