Unilateral baseball pitching: morphological and functional adaptations in the neck muscles

BackgroundFunctional asymmetry and muscle imbalances are recognized as contributors to injury risk in athletes. Sports with repetitive unilateral movements such as baseball pitching can lead to adaptations in shoulder and scapular muscles. There is a lack of research on whether these movements resul...

Full description

Saved in:
Bibliographic Details
Main Authors: Leila Rahnama, Ceren Acik, Christine Dy, Stefan Keslacy
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Sports and Active Living
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fspor.2025.1452412/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823861022340939776
author Leila Rahnama
Ceren Acik
Christine Dy
Stefan Keslacy
author_facet Leila Rahnama
Ceren Acik
Christine Dy
Stefan Keslacy
author_sort Leila Rahnama
collection DOAJ
description BackgroundFunctional asymmetry and muscle imbalances are recognized as contributors to injury risk in athletes. Sports with repetitive unilateral movements such as baseball pitching can lead to adaptations in shoulder and scapular muscles. There is a lack of research on whether these movements result in neck muscle alterations. Understanding potential asymmetries in neck musculature could provide valuable insights into athletes’ performance and injury prevention strategies.MethodsA total of 14 collegiate baseball pitchers and 15 controls voluntarily participated in this study. Bilateral dorsal neck muscle thickness, stiffness, neck range of motion (ROM), neck repositioning error, and extensor strength were measured, and the asymmetry between the two groups was compared. Rehabilitative ultrasound imaging was used to assess muscle thickness and stiffness. An inclinometer and a dynamometer were utilized to evaluate neck ROM and strength, respectively.ResultsThe mean age of the baseball pitchers and controls was 21.86 ± 1.6 and 25.87 ± 5.10 years, respectively. A significantly greater thickness of the splenius capitis on the non-dominant side was observed in baseball pitchers [p = 0.029, effect size (ES) = 0.857], whereas controls demonstrated symmetrical muscle thickness in all dorsal neck muscles. Pitchers exhibited higher neck extensor maximal voluntary contraction compared to controls (p = 0.017, ES = 0.926). Controls showed more bilateral differences in muscle stiffness in the splenius capitis and the semispinalis cervicis, although statistical asymmetry was not demonstrated.ConclusionThe cervical multifidus muscles showed bilateral symmetry despite the unilateral throwing motion in baseball pitching. However, unilateral neck rotation toward the non-dominant side appears to contribute to greater thickness of the splenius capitis on the non-dominant side of pitchers.
format Article
id doaj-art-47718ca8e4a34b0188b5ac2e6dda1655
institution Kabale University
issn 2624-9367
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Sports and Active Living
spelling doaj-art-47718ca8e4a34b0188b5ac2e6dda16552025-02-10T06:48:34ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672025-02-01710.3389/fspor.2025.14524121452412Unilateral baseball pitching: morphological and functional adaptations in the neck musclesLeila RahnamaCeren AcikChristine DyStefan KeslacyBackgroundFunctional asymmetry and muscle imbalances are recognized as contributors to injury risk in athletes. Sports with repetitive unilateral movements such as baseball pitching can lead to adaptations in shoulder and scapular muscles. There is a lack of research on whether these movements result in neck muscle alterations. Understanding potential asymmetries in neck musculature could provide valuable insights into athletes’ performance and injury prevention strategies.MethodsA total of 14 collegiate baseball pitchers and 15 controls voluntarily participated in this study. Bilateral dorsal neck muscle thickness, stiffness, neck range of motion (ROM), neck repositioning error, and extensor strength were measured, and the asymmetry between the two groups was compared. Rehabilitative ultrasound imaging was used to assess muscle thickness and stiffness. An inclinometer and a dynamometer were utilized to evaluate neck ROM and strength, respectively.ResultsThe mean age of the baseball pitchers and controls was 21.86 ± 1.6 and 25.87 ± 5.10 years, respectively. A significantly greater thickness of the splenius capitis on the non-dominant side was observed in baseball pitchers [p = 0.029, effect size (ES) = 0.857], whereas controls demonstrated symmetrical muscle thickness in all dorsal neck muscles. Pitchers exhibited higher neck extensor maximal voluntary contraction compared to controls (p = 0.017, ES = 0.926). Controls showed more bilateral differences in muscle stiffness in the splenius capitis and the semispinalis cervicis, although statistical asymmetry was not demonstrated.ConclusionThe cervical multifidus muscles showed bilateral symmetry despite the unilateral throwing motion in baseball pitching. However, unilateral neck rotation toward the non-dominant side appears to contribute to greater thickness of the splenius capitis on the non-dominant side of pitchers.https://www.frontiersin.org/articles/10.3389/fspor.2025.1452412/fullneck musclesbaseballmuscle adaptationfunctional asymmetrystrengthproprioception
spellingShingle Leila Rahnama
Ceren Acik
Christine Dy
Stefan Keslacy
Unilateral baseball pitching: morphological and functional adaptations in the neck muscles
Frontiers in Sports and Active Living
neck muscles
baseball
muscle adaptation
functional asymmetry
strength
proprioception
title Unilateral baseball pitching: morphological and functional adaptations in the neck muscles
title_full Unilateral baseball pitching: morphological and functional adaptations in the neck muscles
title_fullStr Unilateral baseball pitching: morphological and functional adaptations in the neck muscles
title_full_unstemmed Unilateral baseball pitching: morphological and functional adaptations in the neck muscles
title_short Unilateral baseball pitching: morphological and functional adaptations in the neck muscles
title_sort unilateral baseball pitching morphological and functional adaptations in the neck muscles
topic neck muscles
baseball
muscle adaptation
functional asymmetry
strength
proprioception
url https://www.frontiersin.org/articles/10.3389/fspor.2025.1452412/full
work_keys_str_mv AT leilarahnama unilateralbaseballpitchingmorphologicalandfunctionaladaptationsintheneckmuscles
AT cerenacik unilateralbaseballpitchingmorphologicalandfunctionaladaptationsintheneckmuscles
AT christinedy unilateralbaseballpitchingmorphologicalandfunctionaladaptationsintheneckmuscles
AT stefankeslacy unilateralbaseballpitchingmorphologicalandfunctionaladaptationsintheneckmuscles