Brian Ommen, DPT Ryan Koepp, DPT, ATC 7872 Century Blvd 16550 W. 78 th Street Suite B

1. Brian Ommen, DPT Ryan Koepp, DPT, ATC 7872 Century Blvd 16550 W. 78th Street Suite B Chanhassen, MN 55317 Eden Prairie, MN 55346 (952) 448-9081 (952)873-7400

2. Keys to Injury Prevention • Encourage proper pitching mechanics • Keep pitchers long term health in mind • General physical conditioning and stretching/strengthening program

3. Rehabilitation Exercises • Scaption • External Rotation • Push Ups Plus • Sleeper stretch

4. Scaption • No shrugging • Raise arms at 45 degree angle, leading with thumbs • Raise to shoulder height, then slowly lower to hips

5. External Rotation • Towel roll under elbow • Keep shoulder blade stable, “down and back” • Don’t “roll” your shoulder

6. Push Up Plus • Lean onto table/counter/couch • Lower into a push up and return • Finish with a “plus” – Push mid-back outward

7. Stretches Sleeper Stretch TowelStretch

8. When To Seek Medical Attention • Pain • Hours after throwing or with day to day activities • Worsening • At night • Progressing into other locations • Pain with decreased velocity • Constant complaints of fatigue • Change in mechanics due to pain