journal article·2025-08-09Open access

Assessment of Inspiratory Muscle Function and Glenohumeral Motion in the Throwing Arm of Division I Collegiate Baseball Players

Luis A. Feigenbaum, Julian J. Rivera, Michele A. Raya, Meryl I. Cohen, Lee D. Kaplan, Lawrence P. Cahalin

Applied Sciences· Volume 15· Issue 16

Abstract

This study investigated the relationships between inspiratory performance (IP) and glenohumeral rotation in Division 1 Collegiate baseball players (D1CBP). Thirty D1CBP were recruited. The Test of Incremental Respiratory Endurance (TIRE) provides maximal inspiratory pressure (MIP), sustained maximal inspiratory pressure (SMIP), and inspiratory duration (ID). Right and left glenohumeral internal and external rotation (RGHIR, RGHER, LGHIR, and LGHER, respectively) were measured with the shoulder in 90 degrees(d) of abduction. Significant differences between position groups were observed. IP of the entire group was significantly correlated to height, weight, and negatively correlated to right total rotational motion (RTRM) (r = −0.41; p < 0.05). The IP of all pitchers was significantly negatively correlated to both RTRM and LTRM (r = −0.56 to −0.61; p < 0.05). IP of right-handed pitchers was significantly correlated negatively to RGHER (r = −0.83 to −0.93; p < 0.05). IP of left-handed pitchers was significantly correlated negatively to LGHER (r = −0.82; p = 0.04). GH motions are significantly related to the IP of D1CBP. This association may be explained by the involvement of overstretched internal rotators, which act as accessory inspiratory muscles.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Shoulder Injury and Treatment · Shoulder and Clavicle Injuries · Cardiovascular Syncope and Autonomic Disorders

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Physical Therapy, Miller School of Medicine, University of Miami, Coral Gables, FL 33146, USA

Department of Intercollegiate Athletics, University of Miami, Coral Gables, FL 33146, USA

UHealth Sports Medicine Institute, University of Miami, Miami, FL 33136, USA

References (36)

Show source-provided references
1. Shoulder muscle recruitment patterns and biomechanics during upper extremity sports10.2165/00007256-200939070-00004 ↗
2. Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers10.1177/0363546510384223 ↗
3. Inspiratory muscle training in athletes: A systematic review
4. Incidence of injuries in high school softball and baseball players10.4085/1062-6050-46.6.648 ↗
5. Injury trends in Major League Baseball over 18 seasons: 1998–2015
6. Humeral retroversion and its relationship to glenohumeral rotation in the shoulder of college baseball players10.1177/03635465020300030901 ↗
7. Glenohumeral motion deficits: Friend or foe?
8. Posterior shoulder capsules are thicker and stiffer in the throwing shoulders of healthy college baseball players: A quantitative assessment using shear-wave ultrasound elastography10.1177/0363546515608476 ↗
9. Humeral retroversion and its association with posterior capsule thickness in collegiate baseball players10.1016/j.jse.2011.05.028 ↗
10. The disabled throwing shoulder: Spectrum of pathology part I: Pathoanatomy and biomechanics10.1053/jars.2003.50128 ↗
11. Shoulder strength and range of motion between collegiate pitchers and position players in baseball
12. Effect of excessive contralateral trunk tilt on pitching biomechanics and performance in high school baseball pitchers10.1177/0363546513496547 ↗
13. Glenohumeral internal rotation deficit in throwing athletes: Current perspectives10.2147/OAJSM.S138975 ↗
14. Glenohumeral internal rotation deficit: Pathogenesis and response to acute throwing10.1097/JSA.0b013e318244853e ↗
15. McConnell, A.K. (2013). Respiratory Muscle Training: Theory and Practice, Elsevier.10.1016/B978-0-7020-5020-6.00005-4 ↗
16. Hart, E., and Kulig, K. (2024). Inspiratory muscle performance is significantly related to acceleration and deceleration of isokinetic knee extension and flexion in Division I collegiate women soccer players: A pilot study. Sci, 6.10.3390/sci6040067 ↗
17. The influence of lumbopelvic control on shoulder and elbow kinetics in elite baseball pitchers10.1016/j.jse.2018.07.015 ↗
18. The relationship between trunk stability and pitching velocity in NCAA Division I baseball pitchers
19. The role of core stability in athletic function10.2165/00007256-200636030-00001 ↗
20. Fernández-Lázaro, D., Gallego-Gallego, D., Corchete, L.A., Fernández Zoppino, D., González-Bernal, J.J., García Gómez, B., and Mielgo-Ayuso, J. (2021). Inspiratory muscle training program using the PowerBreath®: Does it have ergogenic potential for respiratory and/or athletic performance? A systematic review with meta-analysis. Int. J. Environ. Res. Public Health, 18.10.3390/ijerph18136703 ↗
21. Respiratory muscle training in healthy humans: Resolving the controversy10.1055/s-2004-815827 ↗
22. Acute Upper-Body and Lower-Body Neuromuscular Fatigue Effect on Baseball Pitchers’ Velocity: A Pilot Study10.1519/JSC.0000000000004822 ↗
23. Johnson, A.L., Kokott, W., Dziuk, C., and Cross, J.A. (2025). Assessment of Muscular Fatigue on Hip and Torso Biomechanics in Adolescent Baseball Pitchers. J. Strength. Cond. Res., ahead of print.
24. Inspiratory muscle training attenuates the human respiratory muscle metaboreflex10.1113/jphysiol.2007.140855 ↗
25. Ventilation and respiratory mechanics10.1002/j.2040-4603.2012.tb00417.x ↗
26. Chang, Y.C., Chang, H.Y., Ho, C.C., Lee, P.F., Chou, Y.C., Tsai, M.W., and Chou, L.W. (2021). Effects of 4-Week Inspiratory Muscle Training on Sport Performance in College 800-Meter Track Runners. Medicina, 57.10.3390/medicina57010072 ↗
27. Effect of Moderate- or High-Intensity Inspiratory Muscle Strength Training on Maximal Inspiratory Mouth Pressure and Swimming Performance in Highly Trained Competitive Swimmers10.1123/ijspp.2021-0119 ↗
28. Inspiratory muscle training improves the swimming performance of competitive young male sprint swimmers
29. Cirino, C., Marostegan, A.B., Hartz, C.S., Moreno, M.A., Gobatto, C.A., and Manchado-Gobatto, F.B. (2023). Effects of Inspiratory Muscle Warm-Up on Physical Exercise: A Systematic Review. Biology, 12.10.3390/biology12020333 ↗
30. Activation of the human diaphragm during a repetitive postural task10.1111/j.1469-7793.2000.t01-1-00165.xm ↗
31. Pitching biomechanics as a pitcher approaches muscular fatigue during a simulated baseball game10.1177/0363546506293025 ↗
32. Crotin, R.L., and Conforti, C. (2024). A Case Study Exploring the Effects of a Novel Intra-Abdominal Pressure Belt on Fastball and Change-Up Velocity, Command, and Deception Among Collegiate Baseball Pitchers. Appl. Sci., 14.10.3390/app142210471 ↗
33. Case Study: Using Healables® ElectroGear® Wearable E-Textile Sleeve with Embedded Microcurrent Electrodes and WelMetrix® Physiologic Motion Sensors to Enhance and Monitor the Sporting Performance of a Baseball Pitcher
34. Cheng, S.C., Wan, T.Y., and Chang, C.H. (2021). The Relationship between the Glenohumeral Joint Internal Rotation Deficit and the Trunk Compensation Movement in Baseball Pitchers. Medicina, 57.10.3390/medicina57030243 ↗
35. da Silva, L.S., da Silva Vieira, R.G., Wanderley e Lima, T.B., Resqueti, V.R., Vilaro, J., da Fonseca, J.D.M., Ribeiro-Samora, G.A., and de Freitas Fregonezi, G.A. (2024). Effect of Body Position on Electrical Activity of Respiratory Muscles During Mouth and Nasal Maximal Respiratory Pressure in Healthy Adults: A Pilot Study. J. Funct. Morphol. Kinesiol., 9.10.3390/jfmk9040241 ↗
36. Deliceoğlu, G., Kabak, B., Çakır, V.O., Ceylan, H.İ., Raul-Ioan, M., Alexe, D.I., and Stefanica, V. (2024). Respiratory Muscle Strength as a Predictor of VO2max and Aerobic Endurance in Competitive Athletes. Appl. Sci., 14.10.3390/app14198976 ↗