ECB Coaches Association links Inside Edge 6 May 2018 | Page 60

58 LOOKING AFTER FIELDER’S ARMS LOOKING AFTER FIELDER’S ARMS 59 We will discuss the physical demands of the skill, emphasising the importance of appropriate strategies for shoulder care. The injuries that are commonly observed in baseball throwers are at the elbow and shoulder, which is entirely understandable once we are aware of the extreme forces that throwing demands. The preparation of our cricketers from a throwing perspective is of key importance, particularly once we fully appreciate the extreme demands of the skill. Whilst cricketers may not throw at the velocities that baseball pitchers manage, the technique displayed has certain similarities. It therefore stands to reason that we should certainly prepare in a similar fashion and with the same outcome in mind: keeping athletes healthy and allowing them to excel in performance. Worth warming up! As the front foot contacts the floor, throwers have begun the arm cocking phase. This phase sees a maximal external rotation of the shoulder, which subsequently allows greater acceleration of the hand forwards. Unsurprisingly, the physical stresses that occur at this portion of the movement are significant. The shoulder and elbow experience maximal forces around similar times in this position and the Infraspinatus (one of the rotator cuff muscles at the posterior shoulder) may become impinged and subsequently tear. Meanwhile, the front of the shoulder capsule and the elbow ligaments are also under strain. Following the cocking phase, the arm accelerates forwards rapidly - this action is one of the fastest joints movements recorded in all of sports. In addition to this, the biceps muscle is required to decelerate the forward progression of the arm, while the shoulder and elbow contend with huge resultant forces. Tommy John Surgeries (ulnar collateral ligament), SLAP tears and rotator cuff tears are all too commonplace. With all this being said, how do we keep our throwers healthy? The best strength and conditioning programmes for throwing don’t solely focus on the shoulder: developing athletes capable of producing force from the ground up, with the ability to brace, rotate, squat, lunge and hinge should be a priority for all performance coaches. Both stability and mobility capacities lower down the chain have an impact on the requirements at the shoulder and elbow. Therefore developing programmes for cricketers that provide them with a good foundation of strength and movement is paramount. As cricketers develop, it may be possible to witness anatomical differences between throwers. These may be congenital, or the result of adaptations to the throwing they have completed. As cricket is a sport that is imbalanced in nature, the concept of handedness (one side dominating over the other) is highly applicable. Throwing arms are commonly more retroverted (rotated backwards) than non-throwing arms in the same individual, and more in the throwing shoulder of throwers than non-throwers. Interestingly, this Looking after fielder’s arms