Rafael F Escamilla's research while affiliated with California State University and other places

Publications (38)

Article
Background: Baseball pitchers employ various contralateral trunk tilt (CTT) positions when pitching depending on if they have an overhand, three-quarter, or sidearm delivery. There are no known studies that have examined how pitching biomechanics are significantly different in professional pitchers with varying amounts of CTT, which may provide in...
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This clinical commentary will address five key concepts that can be used by clinicians as criteria for selecting lower extremity weight bearing exercises (WBE) and non-weight bearing exercises (NWBE) employed for cruciate ligament and patellofemoral rehabilitation. The following will be discussed for both cruciate ligament and patellofemoral rehabi...
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Purpose: The optimal surgical technique for unstable acromioclavicular (AC) and coracoclavicular (CC) joint injuries has not yet been established. The biomechanical and radiographic effect of the LockDown device, a synthetic ligament for AC joint reconstruction, was evaluated to assess the optimal surgical technique for unstable AC and CC joint in...
Article
The flow of mechanical energy of segmental motion during baseball pitching is poorly understood, particularly in relation to the valgus torque at the elbow which is prone to pitching-related injuries. This study employed an induced power analysis to determine the components of muscle and velocity-dependent torques that contribute to the power of th...
Article
Background It is unclear how a glenohumeral internal rotation (IR) loss (GIRLoss), a glenohumeral external rotation (ER) gain (GERGain), or a total rotational motion (TRM) deficit (TRMD) predict medial ulnar collateral ligament (MUCL) injury risk among high school (HS), college (COLL), and professional (PRO) baseball pitchers with and without MUCL...
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Background Pitching-related elbow injuries remain prevalent across all levels of baseball. Elbow valgus torque has been identified as a modifiable risk factor of injuries to the ulnar collateral ligament in skeletally mature pitchers. Purpose To examine how segmental energy flow (power) influences elbow valgus torque and ball speed in professional...
Article
Throwing athletes with ulnar collateral ligament (UCL) injury and symptomatic valgus instability can expect to return to the same or higher level of play. Reconstruction with tendon graft is the dominant method of surgical treatment. Recent evidence suggests that spanning the joint with a suture anchored on both sides is biomechanically equivalent...
Article
The purpose of this study was to assess biomechanical differences among overhand, three-quarter, and sidearm arm-slot professional baseball pitchers. It was hypothesized that kinematic-and-kinetic differences would be found among the three groups, with sidearm pitchers demonstrating greater movement along the transverse plane, and overhead pitchers...
Article
Background: In professional baseball pitchers, pitching biomechanics have not been examined for the slider, and the only known study for the curveball and changeup examined limited kinetics. Moreover, no known studies have investigated pitching biomechanics between strikes and balls. Purpose/Hypothesis: The purpose was to compare pitching biomecha...
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A relatively high number of active professional baseball pitchers have a history of ulnar collateral ligament reconstruction (UCLr) on their throwing elbow. Controversy exists in the literature about whether professional baseball pitchers regain optimal performance after return from UCLr. It has been suggested that pitchers may have different biome...
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Shoulder impingement is a progressive orthopedic condition that occurs as a result of altered biomechanics and/or structural abnormalities. An effective nonoperative treatment for impingement syndrome is aimed at addressing the underlying causative factor or factors that are identified after a complete and thorough evaluation. The clinician devises...
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Cruciate ligament injuries are common and may lead to dysfunction if not rehabilitated. Understanding how to progress anterior cruciate ligament and posterior cruciate ligament loading, early after injury or reconstruction, helps clinicians prescribe rehabilitation exercises in a safe manner to enhance recovery. Commonly prescribed therapeutic exer...
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There is a growing body of evidence documenting loads applied to the anterior cruciate ligament (ACL) for weight-bearing and non-weight-bearing exercises. ACL loading has been quantified by inverse dynamics techniques that measure anterior shear force at the tibiofemoral joint (net force primarily restrained by the ACL), ACL strain (defined as chan...
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A motion system collected 120-Hz data from 14 baseball adult hitters using normal and choke-up bat grips. Six swings were digitized for each hitter, and temporal and kinematic parameters were calculated. Compared with a normal grip, the choke-up grip resulted in 1) less time during stride phase and swing; 2) the upper torso more opened at lead foot...
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We propose that learning proper hitting kinematics should be encouraged at a young age during youth baseball because this may help reinforce proper hitting kinematics as a player progresses to higher levels of baseball in their adult years. To enhance our understanding between youth and adult baseball hitting, kinematic and temporal analyses of bas...
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Controlled laboratory biomechanics study using a repeated-measures, counterbalanced design. To compare patellofemoral joint force and stress between a short- and long-step forward lunge both with and without a stride. Although weight-bearing forward-lunge exercises are frequently employed during rehabilitation for individuals with patellofemoral jo...
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The primary purpose of this project was to examine whether lower extremity joint kinetic factors are related to the walk-run gait transition during human locomotion. Following determination of the preferred transition speed (PTS), each of the 16 subjects walked down a 25-m runway, and over a floor-mounted force platform at five speeds (70, 80, 90,...
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The purpose of this study was to compare the kinematics of kuzushi/tsukuri (KT) phases of the harai-goshi throw under competitive and non-competitive conditions. A third degree black belt subject served as the tori (thrower) for both conditions. Two black belt participants ranked as first degree and fourth degree served as the uke (faller) for the...
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When a treadmill accelerates continuously, the walk-run transition has generally been assumed to occur at the instant when a flight phase is first observed, while the run-walk transition has been assumed to occur at the instant of the first double support period. There is no theoretical or empirical evidence to suggest that gait transitions occur a...
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The effects of approaching muscular fatigue on pitching biomechanics are currently unknown. As a pitcher fatigues, pitching mechanics may change, leading to a decrease in performance and an increased risk of injury. As a pitcher approaches muscular fatigue, select pitching biomechanical variables will be significantly different than they were befor...
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Neck injuries signify a physical fitness and human system problem with high operational significance. The prevalence of injuries in tactical aviators has been reported to be as high as 84%, although few report engaging in neck-specific strengthening exercises. It is generally believed that neck strengthening may result in fewer neck injuries. This...
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Four black belt throwers (tori) and one black belt faller (uke) were filmed and analyzed in three-dimensions using two video cameras (JVC 60 Hz) and motion analysis software. Average linear momentum in the anteroposterior (x), vertical (y), and mediolateral (z) directions and average resultant impulse of uke's center of mass (COM) were investigated...
Article
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PURPOSE: Although the wall squat, forward lunge, side lunge, and one-leg squat are common exercises, there are limited EMG data regarding muscle recruitment patterns. The purpose of this study was to compare muscle activity among these exercises and between technique variations (short and long foot positions). METHODS: Nineteen healthy males (29±7...
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A repeated-measures, counterbalanced design. To test the effectiveness of 7 commercial abdominal machines (Ab Slide, Ab Twister, Ab Rocker, Ab Roller, Ab Doer, Torso Track, SAM) and 2 common abdominal exercises (crunch, bent-knee sit-up) on activating abdominal and extraneous (nonabdominal) musculature. Numerous abdominal machine exercises are beli...
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Some aspects of backward locomotion are similar to forward locomotion, while other aspects are not related to their forward counterpart. The backward preferred transition speed (BPTS) has never been directly compared to the energetically optimal transition speed (EOTS), nor has it been compared to the preferred transition speed (PTS) during forward...
Conference Paper
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INTRODUCTION Several researchers [1,2,3,4] have hypothesized that the gait transitions of quadrupeds are triggered by kinetic factors, such as musculoskeletal stresses, particularly at joints. Utilizing invasive techniques, it has been shown [1,2,4] that small horses, dogs, and goats reduced bone and joint strain when changing gait from a trot to a...
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The aim of this study was to compare and evaluate the kinematics of baseball pitchers who participated in the 1996 XXVI Centennial Olympic Games. Two synchronized video cameras operating at 120 Hz were used to video 48 pitchers from Australia, Japan, the Netherlands, Cuba, Italy, Korea, Nicaragua and the USA. All pitchers were analysed while throwi...
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The purpose of this study was to establish and compare kinematic data among four groups of collegiate pitchers who threw the fastball (FA), change-up (CH), curveball (CU), and slider (SL). Twenty-six kinematic parameters at lead foot contact, during the arm-cocking and arm acceleration phases, and at ball release were measured for 16 collegiate bas...
Article
Kinematic and kinetic aspects of baseball pitching and football passing were compared. Twenty-six high school and collegiate pitchers and 26 high school and collegiate quarterbacks were analyzed using three-dimensional high-speed motion analysis. Although maximum shoulder external rotation occurred earlier for quarterbacks, maximum angular velocity...
Article
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Elbow and shoulder kinetics for 26 highly skilled, healthy adult pitchers were calculated using high-speed motion analysis. Two critical instants were 1) shortly before the arm reached maximum external rotation, when 67 N-m of shoulder internal rotation torque and 64 N-m of elbow varus torque were generated, and 2) shortly after ball release, when...

Citations

... The segmental motion through the kinetic chain is initiated by the ground reaction force (Grf) on the drive (hind) side during the stride phase of the pitching motion. 1,2 propulsive and braking Grfs and impulses on the drive and stride (lead) legs, respectively, have been shown to be associated with the energy flow in and out of the pelvis, trunk, and throwing arm. 1 previous induced acceleration analyses (iaa) 3,4 suggest that the drive and stride legs provide a stable base of support for the movements of the upper body segments after stride foot contact (fc) with the pelvis and trunk generating more than half of the total force and energy required for the delivery. 5-7 a disruption in the functioning of the lower extremities could lead to altered upper extremity kinematics and increased load exerted on the shoulder and elbow. ...
... 9,18,19,37 Additionally, the timing of the kinetic chain is crucial, and temporal variations have significant impacts on both torque and ball velocity. 1,2,23,27,29,30 Professional pitchers with properly sequenced kinetic chains were reported to have faster ball velocity with no difference in elbow varus torque compared with pitchers with discordant kinetic chain sequencing. 23 In the present study, we did not investigate lower extremity, pelvis, and trunk kinematics or the timing of the transfer of energy to the throwing arm, which may be why we found no significant relationships when comparing across different pitchers' arm path and elbow varus torque. ...
... Furthermore, pitchers with an ulnar collateral ligament (UCL) tear had on average 21° of shoulder IR ROM loss compared with 13° of average shoulder IR loss in those without a UCL tear. 23 In the current study, extreme limitations in shoulder IR ROM and GIRD were detected by the reciprocal shoulder mobility screen. There were no high school or college-level players who passed the reciprocal shoulder mobility screen and had <45° of shoulder IR PROM or GIRD >20°. ...
... The ulnar collateral ligament (UCL) is the primary static stabilizer of valgus stress at the elbow. 13,25,29 UCL injuries are often caused by the valgus stress that occurs during the late cocking and early acceleration phases of throwing and are therefore relatively common in baseball pitchers. 14 UCL reconstruction is a well described and frequently performed surgical technique utilized to correct UCL injuries in these athletes. ...
... Pitchers have unique delivery styles, with arm slot (AS) position as a variable that can differ among pitchers. 22 The AS angle is composed of a combination of trunk lateral tilt, shoulder abduction, and elbow flexion ( Figure 1). Before 2018, AS was estimated using either qualitative assessment of video or lateral trunk flexion as a proxy. ...
... Biomechanical studies have investigated the pitching motion starting at the moment of FC, as it has been thought that the impact of movement before FC is negligible because FC is the first moment of energy transference between the ground and the body. [12][13][14]21,42 However, in the time that occurs before FC, or the interval that we have defined as early arm path (from MKH to FC), there is substantial movement of the throwing arm. In the present study, 51% of the total arm path is represented by the distance traveled in the early arm path interval. ...
... BR was calculated as the instant 0.01 sec after the wrist joint center passed the elbow joint center in the positive X-direction. 8,19,11 These time points were used to define the early arm path (MKH to FC), late arm path (FC to BR), and total arm path (MKH to BR). There is potential movement of the throwing arm before MKH and the arm continues to move after BR. ...
... The dummy drag assessment has recruits squat down, wrap their arms around a supine 56-75 kg weighted mannequin, and then drag said mannequin 9-18 m. The dummy drag places a high amount of stress on the spinal erectors like that of traditional hip hinge exercises such as the deadlift [13,[22][23][24]. ...
... 8,20 Data from the markers were filtered by a low-pass filter (fourth-order zero-lag Butterworth filter; 13.4-Hz cutoff frequency). 16 The pitch was divided into 3 time points: maximum knee height (MKH), FC, and BR (Figure 1). MKH was established as the frame where the lead knee reached maximum height in the Y-direction. ...
... Pitching biomechanics/3D motion capture As a secondary outcome measure, 22 athletes (BFR ¼ 12, NoBFR ¼ 10) underwent biomechanical assessments of fast ball pitching during the weeks of pre and post-training measurements (Fig. 2). 23,26,27 Notably, only pitchers who's academic and athletic schedules allowed for biomechanical assessment were able to perform this portion of the investigation. All motion capture measurements took place in a controlled indoor pitching lane off of a standard pitching mound. ...