The pitching motion is an asymmetric action by which coordination of scapular rotation in the dominant arm might be affected in time and in comparison with the non-dominant arm. The study aimed to compare asymmetry and the evolution of scapular upward rotation over a one-year period. Data were collected twice, before and after a one-year period, from 92 participants (age = 15.1 SD 1.4 years, body height = 177.3 SD 10.9 cm, body weight 69.2 SD 14.5 kg). Scapular motion was tracked at different glenohumeral angles of elevation in the scapular plane: anatomical position (0°), 45°, 90° and 135°. Scapular upward rotation was calculated as the angle between the spinae scapula and the spine. Scapular upward rotation of the dominant arm was 5.1° (95% CI: 2.1°−8.1°) more compared to the non-dominant arm. Age group or glenohumeral angles of elevation did not affect this difference. Scapular upward rotation of the dominant arm decreased 1.9° (95% CI: −0.5° to 4.3°) after a one-year period, however, neither this observation, nor the interaction with age group or elevation angle was significant. These findings may indicate that pitchers could be at risk to develop shoulder injuries especially those that have been associated with scapular asymmetry.

It has often been shown that performance and learning in movement tasks may be improved by focusing on the effect of the movement in the environment (external focus of attention) instead of the movement itself (internal focus of attention). Nevertheless, most coaching instructions and feedback information given in sports seem to favor an internal focus of attention over an external one. In the present study, we investigated coaches’ instructions and feedback in an instrumental sports action, viz. baseball pitching, in which external targets are readily identifiable, such as the strike area or the catcher’s glove. To this end, we recorded and analyzed the pitching instructions and feedback statements of six baseball coaches given to 70 elite youth baseball pitchers (mean age 15.3 (SD 1.67) years) during regular pitching training sessions over a training period of four weeks. All instructions and feedback statements were classified according to the type of focus of attention invoked (i.e. internal or external), and a rest category of all other statements. Of the statements promoting a specific focus of attention (717/1699), only 31% (224/717) were classified as external focus of attention statements. Correspondingly, the responses on a questionnaire filled out by the pitchers indicated that they used an internal focus of attention during practice and preferred to receive internally oriented over externally oriented instructions and feedback. The present results show that, even in sports involving clear external targets such as baseball pitching, the internal focus of attention instructions prevails, the experimental evidence in favor of external focus of attention instructions notwithstanding

In repetitive work, more physical variation is believed to reduce the risk of eventually developing musculoskeletal disorders. We investigated the extent to which workstation designs leading to more variation in upper arm postures during a pick-and-place task influenced outcomes of relevance to musculoskeletal disorder risk, including muscle activity, cardiovascular response, and perceived exertion, measured through the maximal acceptable work pace. Posture variation to the extent obtained in our experiment had only minor effects on these outcomes, and considerably less impact than a moderate change in working height. Apparently, substantial manipulations of the workstation or of the work task will be needed to accomplish variation to an extent that can significantly change outcomes of relevance to occupational musculoskeletal disorders and, thus, represent a potential for reduction in musculoskeletal disorder risk.