** Flat Ground Throwing at 50% intensity with gradual increase as Phase 1 Progresses. Interval Throwing Program - Phase 1. Pitching: Progress to the next step of the program once current step is accomplished completely free of pain. Step 2 . Interval sports programs and, more specifically, interval throwing programs provide a structured, graduated return to practice and games. Every athlete progresses at different rates; therefore the “soreness rule” is used to prevent overstressing the soft tissue during progression. In addition, this program should be supplemented with a weight training PitchSmart.org - Overview . If continued pain, contact your physician. ¾If sore > 1 hour after throwing, or the next day, take 1 day off and repeat the most recent throwing program workout. For the Daily Workout: The completion of a proper warm-up, stretching routine, interval throwing stage, strengthening program, and cool down without pain. the interval throwing program, the following factors are considered most important. The act of throwing the baseball involves the transfer or energy from the feet through the legs, pelvis, trunk, and out the shoulder through the elbow and hand. Therefore, any return to throwing after injury must include attention to the entire body. 2. The chance for re-injury is lessened by a graduate progression of interval throwing. Little League - Interval Throwing Program. Soreness Rules - If sore more than 1 hour after throwing, or the next day, take 1 day off and repeat the most recent throwing program workout. The act of throwing the baseball involves the transfer or energy from the feet through THROWING PROGRAM Dr. James Bradley Burke & Bradley Orthopedics 200 Delafield Road, Suite 4010 Pittsburgh, PA 15215 Phone: 412.784.5770 Glenn Holland, PT, ATC Upon return to throwing, drop down one step. Return to play rates after ulnar collateral ligament … Upon return to throwing, drop down 1 phase. For throwers who are free of injury, but returning to throwing after a lay-off period, follow the interval-throwing program, on an every-other-day basis, without the rest periods. Interval-Throwing Program Baseball Players Dr. Walter R. Lowe The interval-throwing program is designed so that the athlete can achieve each individual level of throwing without pain or complication. • If sore during warm-up but soreness is gone within the first 15 throws, repeat the previous workout. o If passes test, begin interval throwing program o Must pass test before beginning interval throwing program o Re-test monthly until passed • Continue maintenance strengthening • Return to sport/activity only if: o Pass strength test o Completed throwing program o No pain with activity o Surgeon’s OK If you are held out of throwing for 4 weeks or more 2. Phase I throwing program Return-to-activity phase (weeks 6–9) Weeks 6 through 9 Return to play depends on thrower’s condition and progress; physician will determine when it is safe. 3. 1. If shoulder/ elbow becomes sore during this workout, stop and take 2 days off. -Consider throwing mechanics assessment -ER/IR Ratio >80% -Hand held dynamometry at 90 abduction within 10% of contralateral side - Quick DASH or Kerlin Jobe score - Initiate interval sport program once determined by physician. The program is set up to minimize the chance of re-injury and emphasize pre-throwing warm-up and stretching. Once again, if an athlete has increased pain, particularly at the joint, the throwing program should be backed off and re-advanced as tolerated, under the direction of the rehabilitation team. For throwers who are free of injury, but returning to throwing after a lay-off period, follow the interval-throwing program, on an every-other-day basis, without the rest periods. ¾If sore during warm-up but soreness is gone within the first 15 throws, repeat the previous workout. With any progressive “return to sports” program, there is both an art and science to designing and then following each step of the program. Interval Hitting/Batting Program. By slowly progressing through graduated distances and speeds, this program aims to return the throwing athlete to pain … -If sore during warmup but soreness is gone within the first 15 throws, repeat the previous workout. If shoulder becomes sore during this workout… free and there is no residual soreness the next day. At this point, full strength and confidence The ITP should be supplemented with a weight training program and a flexibility program to maintain the athlete in a top … If you are at 4-5 months post-op and have been cleared to begin throwing from your MD. During the recovery process the athlete may experience soreness and possibly a dull, aching sensation in the muscles and tendons. If shoulder becomes sore during this workout, stop and take 2 days off. During the recovery process, the athlete will probably experience soreness and a dull, diffuse aching sensation in the muscles and tendons. The athlete begins throwing at 13.7 m (45 ft) and gradually progresses to 18.3, 27.4, 36.6, 45.7, and 54.8 m (60, 90, 120, 150, and 180 ft, respectively). The interval-throwing program is designed so that the athlete can achieve each individual level of throwing without pain or complication. INTERVAL THROWING PROGRAM Each phase is designed to increase endurance and strength throughout the progression. For Progression to the Next Stage: The athlete must be completely comfortable with the current stage and must successfully complete 3 successive workouts at the previous stage. 1. INTERVAL THROWING PROGRAM PROFESSIONAL ORTHOPAEDICS Interval Throwing Program Training Log: Date Phase/Step Pain level 45 / ep 1 45 / ep 2 60 / ep 3 60 / ep 4 90 / ep 5 90/ ep 6 120 / ep 7 120 / ep 8 150 / ep 9 150 / ep 10 180 / ep 11 180 / ep 12 180 / ep 13 (hi is the same as step 11) Little League - Throwing Off Mound. The criteria to progress from step to step are that the throwing session was pain free and there is no residual soreness the next day. Interval Throwing Program Complete: With the interval throwing program complete, we will now start some basic mound work to prepare the athlete, and then have them throw at 80-90% rate of perceived exertion (RPE) off our mound with reflective markers on to capture biomechanics (kinematics and kinetics) of the athlete. Upon return to Phase 1 *Starting at Step 11 begin a throwing cool down with partner at the end of each session. experiences sharp pain, particularly in the joint, stop all throwing activity until this pain ceases. 2. Weight Training: The athlete should supplement the ITP with a high repetition, low weight exercise program. In development of the interval throwing program, the following factors are considered most important. 1. The act of throwing the baseball involves the transfer or energy from the feet through the legs, pelvis, trunk, and out the shoulder through the elbow and hand. 5 1996 Interval Throwing Program for Little Upon return to throwing, drop down to previous workout. The ITP should be supplemented with a weight training program and a flexibility program to maintain the athlete in top physical condition. The increasing frequency of Little … If the athlete experiences continued pain, contact the physician. throwing program workout. If sore during warmup and continues through the first 15 throws, stop throwing, and take 2 days off. experiences some soreness the following day and the soreness disappears after warm-up throwing, continue with the program at that step or phase. This program will be … In development of the interval throwing program, the following factors are considered most important. If sore more than one hour after throwing or the next day, take one day off and repeat the most recent throwing program workout. If no soreness, advance 1 phase every throwing day. 1. In development of the interval throwing program, the following factors are considered most important. Allow at least 24 hours to pass between successive steps. The interval throwing program is designed so that the athlete can achieve each individual level of throwing without pain or complication. Upon return to throwing, drop down one step. * Step 1 . -Successful progression of interval throwing program to 180ft with no pain. Interval Throwing Program Use this throwing program for the following: 1. b. If the athlete experiences sharp pain, particularly in the joint, stop all throwing activity until this pain ceases. 5. If sore during warm-up and soreness continues through the first 15 throws stop throwing and take two days off. Upon return to throwing, drop down one step. Return to a throwing sport after elbow or shoulder injury can be a daunting task. INTERVAL THROWING PROGRAM The purpose of an interval throwing program is to slowly help you regain strength, motion and confidence in your throwing arm after injury or surgery. Perform interval throwing program before engaging in strengthening routine Complete two or three pain-free sessions at each phase without complication before advancing to the next phase The athlete should warm-up by jogging, biking, or jumping rope to increase blood … The ITP should be supplemented with a weight training program and a flexibility program to maintain the athlete in a top physical condition. The interval throwing program is designed so that the athlete can achieve his or her individual level of throwing safely and without pain or complication. Upon return to throwing, drop down one step. This should be 10 throws with partner squatting at 60 feet flat ground. The ITP should be supplemented with a weight training program and a flexibility program to maintain the athlete in top physical condition. The criteria to progress from step to step are that the throwing session was pain free and there is no residual soreness the next day. PitchSmart.org - Pitch Count Guidelines. If sore more than one hour after throwing or the next day, take one day off and repeat the most recent throwing program workout. After the completion of Phase I of the Interval Throwing Program (ITP) and the athlete can throw to the prescribed distance without pain the athlete will be ready for throwing off the mound or return to their respective position. If sore during warm up and soreness continues through the 1st … Throwing should be done every other day, if symptoms permit. INTERVAL THROWING PROGRAM The interval-throwing program is designed so that the athlete can achieve each individual level of throwing without pain or complication. Baseball Throwing Program, Interval Throwing Program, Pitching, Return to Sport, Rehabilitation for Throwers . Weight Phase 1 & 2 (4 Weeks) - COMING SOON! 10 @ 30 Feet 25 @ 45 Feet. 2. Interval Throwing Program - Catchers. Soreness Rules -If sore more than 1 hour after throwing, or the next day, take 1 day off and repeat the most recent throwing program workout. experiences a sharp pain or pain that lasts longer than one half hour after throwing stop all throwing activity until the pain subsides. • •Progression of interval throwing program to prepare for return to competitive throwing with proper throwing mechanics • Development of individualized maintenance program in preparation for discontinuation of formal rehabilitation.
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