{"id":85266,"date":"2026-07-15T15:22:16","date_gmt":"2026-07-15T06:22:16","guid":{"rendered":"https:\/\/www.waseda.jp\/inst\/research\/?p=85266"},"modified":"2026-07-15T15:22:16","modified_gmt":"2026-07-15T06:22:16","slug":"weakening-of-the-active-muscle-restraint-against-valgus-loading-during-repeated-baseball-pitching-direct-evidence-of-fatigue-in-dynamic-valgus-stabilizers-of-the-elbow-joint-in-collegiate-baseball-pi","status":"publish","type":"post","link":"https:\/\/www.waseda.jp\/inst\/research\/news\/85266","title":{"rendered":"Weakening of the Active Muscle Restraint Against Valgus Loading During Repeated Baseball Pitching: Direct Evidence of Fatigue in Dynamic Valgus Stabilizers of the Elbow Joint in Collegiate Baseball Pitchers\uff08Published in American Journal of Sports Medicine, July, 2026\uff09"},"content":{"rendered":"<table class=\"table table-bordered table-colored-tbhd\" style=\"height: 636px; width: 100%; border-collapse: collapse; border-style: solid;\" border=\"1\">\n<tbody>\n<tr style=\"height: 78px;\">\n<td style=\"width: 18.9673%; height: 78px;\">Journal Title<br \/>\n\/\u63b2\u8f09\u30b8\u30e3\u30fc\u30ca\u30eb\u540d<\/td>\n<td style=\"width: 80.934%; height: 78px;\">American Journal of Sports Medicine<\/td>\n<\/tr>\n<tr style=\"height: 65px;\">\n<td style=\"width: 18.9673%; height: 80px;\">Publication Year and Month<br \/>\n\/\u63b2\u8f09\u5e74\u6708<\/td>\n<td style=\"width: 80.934%; height: 80px;\">July, 2026<\/td>\n<\/tr>\n<tr style=\"height: 55px;\">\n<td style=\"width: 18.9673%; height: 79px;\">Paper Title<br \/>\n\/\u8ad6\u6587\u30bf\u30a4\u30c8\u30eb<\/td>\n<td style=\"width: 80.934%; height: 79px;\">Weakening of the Active Muscle Restraint Against Valgus Loading During Repeated Baseball Pitching: Direct Evidence of Fatigue in Dynamic Valgus Stabilizers of the Elbow Joint in Collegiate Baseball Pitchers<\/td>\n<\/tr>\n<tr style=\"height: 85px;\">\n<td style=\"width: 18.9673%; height: 85px;\">DOI<br \/>\n\/\u8ad6\u6587DOI<\/td>\n<td style=\"width: 80.934%; height: 85px;\"><a href=\"https:\/\/doi.org\/10.1177\/03635465261460711\">10.1177\/03635465261460711<\/a><\/td>\n<\/tr>\n<tr style=\"height: 59px;\">\n<td style=\"width: 18.9673%; height: 80px;\">\u00a0Author of Waseda University<br \/>\n\/\u672c\u5b66\u306e\u8457\u8005<\/td>\n<td style=\"width: 80.934%; height: 80px;\"><span style=\"font-family: inherit; font-size: inherit;\"><span style=\"font-family: inherit; font-size: inherit;\">YANAI, Toshimasa(Professor, Faculty of Sport Sciences, School of Sport and Sciences):Lead Author<\/span><\/span><\/td>\n<\/tr>\n<tr style=\"height: 68px;\">\n<td style=\"width: 18.9673%; height: 86px;\">Related Websites<br \/>\n\/\u95a2\u9023Web<\/td>\n<td style=\"width: 80.934%; height: 86px;\">&#8211;<\/td>\n<\/tr>\n<tr style=\"height: 138px;\">\n<td style=\"width: 18.9673%; height: 148px;\">Abstract<br \/>\n\/\u6284\u9332<\/td>\n<td style=\"width: 80.934%; height: 148px;\">\n<div id=\"abstractBox\">\n<section id=\"abs-sec-1\">\n<h3>Background:<\/h3>\n<div role=\"paragraph\">Although research has shown the effect of repeated pitching on throwing arm strength, no studies have examined the weakening in the overall ability of dynamic stabilizers to restrain the medial elbow against valgus loading. Fatigue in the dynamic stabilizers increases reliance on the ulnar collateral ligament (UCL) to withstand the valgus loads during pitching.<\/div>\n<\/section>\n<section id=\"abs-sec-2\">\n<h3>Hypothesis:<\/h3>\n<div role=\"paragraph\">It was hypothesized that (1) the muscular varus strength weakens as the pitch count accumulates and (2) the muscular varus strength becomes insufficient to overcome the valgus loads in later innings.<\/div>\n<\/section>\n<section id=\"abs-sec-3\">\n<h3>Study Design:<\/h3>\n<div role=\"paragraph\">Descriptive laboratory study.<\/div>\n<\/section>\n<section id=\"abs-sec-4\">\n<h3>Methods:<\/h3>\n<div role=\"paragraph\">A total of 28 collegiate baseball pitchers threw 7 innings of 15 pitches in a bullpen. Seven genlocked cameras were used to record pitching performances, and the elbow valgus load was determined. Muscular varus strength was measured before the first inning and after completing the fourth and seventh innings using an isokinetic dynamometer system and an ultrasound device. A mixed-effect model was used to examine changes over the innings in the valgus load and varus strength, and\u00a0<i>t<\/i>\u00a0tests were used to compare the varus strengths and the largest valgus load in corresponding innings.<\/div>\n<\/section>\n<section id=\"abs-sec-5\">\n<h3>Results:<\/h3>\n<div role=\"paragraph\">Neither the largest valgus load of the inning nor the mean valgus load of the inning significantly changed across the innings, whereas the varus strength was reduced significantly after completing the fourth and seventh innings (<i>P<\/i>\u00a0&lt; .001). The varus strength was significantly greater than the mean valgus load in the first inning (<i>P<\/i>\u00a0&lt; .008) but not in the later innings.<\/div>\n<\/section>\n<section id=\"abs-sec-6\">\n<h3>Conclusion\/Clinical Relevance:<\/h3>\n<div role=\"paragraph\">Pitchers\u2019 medial elbow muscular varus strength decreased by a mean of 10% after 7 innings of 15 pitches, while motion-dependent valgus load remained fairly constant throughout the 7 innings, which could indicate increased reliance on the UCL to withstand the valgus loads in later innings.<\/div>\n<\/section>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Journal Title \/\u63b2\u8f09\u30b8\u30e3\u30fc\u30ca\u30eb\u540d American Journal of Sports Medicine Publication Year and Month \/\u63b2\u8f09\u5e74\u6708 July, 2026 Paper  [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[218,217],"class_list":["post-85266","post","type-post","status-publish","format-standard","hentry","tag-impact-en","tag-impact"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/posts\/85266","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/comments?post=85266"}],"version-history":[{"count":1,"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/posts\/85266\/revisions"}],"predecessor-version":[{"id":85268,"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/posts\/85266\/revisions\/85268"}],"wp:attachment":[{"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/media?parent=85266"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/categories?post=85266"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.waseda.jp\/inst\/research\/wp-json\/wp\/v2\/tags?post=85266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}