Konin 2009

Preventing Injuries in Throwers with the Core and Hips

Jeff G. Konin, PhD, ATC, PT

Associate Professor & Vice Chair
Department of Orthopaedics & Sports Medicine

Executive Director
The Sports Medicine & Athletic Related Trauma (SMART) Institute
 Konin 2009

Serape
Draped loosely and crosses over the
front of the body in an x shape

The concept has been translated to

muscle function reinforcing the
muscles of the core as a connector

The serape muscles are considered

to include:
the rhomboids, serratus anterior, a colorful garment
external obliques and internal obliques worn by the
people of Mexico

Logan, G., & McKinney, W. 1970. The serape effect. In Anatomic

Kinesiology (2nd Ed., pp. 154-561). New York: William C. Brown, Co.
 Konin 2009

Serape Effect
In ballistic actions such as throwing and
kicking, the serape muscles add to the
summation of internal forces. They also
transfer internal force from a large body
segment, the trunk, to relatively smaller
body parts, the limbs

Hip to shoulder relationship

 Konin 2009

Logan, G., & McKinney, W. 1970. The serape effect. In

Anatomic Kinesiology (2nd Ed., pp. 154-561). New
York: William C. Brown, Co
 Konin 2009

Serape Effect
Konin et al ATT 2003

Deficits in measurable active

& passive hip extension,
active hip flexion with pain
(Kouvalchouk Rev Chir Orthop 1998)
Konin 2009
 Konin 2009

Preventing Injuries in Throwers with the Core and Hips

LE Flexibility (Used as part of an overall warm-up)

Ipsilateral hip extension
Hip IR/ER (Lack of IR will force truck to open early and increase stress on medial
Elbow and /or anterior shoulder)
Core Training for Throwers
Abdominal Bracing /Drawing in maneuver
Prone Cobra Progression
LE Balance/Proprioception*
Standing Pulls - ant/post/lat pull (Weak gluts cause the hip to drop leading to drop of shoulder)
LE Functional Strength Training**
Wind-Up/Lunge with twist
Lunge with twist
Step-Ups with twist
*Functional exercise that is multiplanar, incorporates the lumbo-pelvic-hip core
complex and can be challenged with proprioceptive input from unstable surfaces,
eyes closed, etc
** Lunge strength will help deceleration injuries to the shoulder
 Konin 2009

Preventing Injuries in Throwers with the Core and Hips

LE Flexibility (Used as part of an overall warm-up)

Ipsilateral hip extension
Hip IR/ER (Lack of IR will force truck to open early and increase stress on medial
Elbow and /or anterior shoulder)
 Konin 2009

Preventing Injuries in Throwers with the Core and Hips

Core Training for Throwers

Abdominal Bracing /Drawing in maneuver
Prone Cobra Progression
 Konin 2009

Preventing Injuries in Throwers with the Core and Hips

LE Balance/Proprioception*
Standing Pulls - ant/post/lat pull (Weak gluts cause the hip to drop leading to drop of
shoulder)
*Functional exercise that is multiplanar, incorporates the lumbo-pelvic-hip core
complex and can be challenged with proprioceptive input from unstable
surfaces, eyes closed, etc
 Konin 2009

Preventing Injuries in Throwers with the Core and Hips

LE Functional Strength Training**

Wind-Up/Lunge with twist
Lunge with twist
Step-Ups with twist
** Lunge strength will help deceleration injuries to the shoulder
 Konin 2009

Summary

An example of a program that can

be implemented to maximize
performance and reduce injury