GIRD

Stretching: The Truth

I'm planning on a series of articles to update our readers on some of the current concepts in pitcher related injuries and diagnoses that most fans have not heard much about.

We've all had our fill of reading about pitchers with rotator cuff and glenoid labrum tears. There are some interesting trends in sportsmedicine that have lead to changes in exercise programs throughout the majors and minors in an attempt to protect pitchers from a cascade of preventable injuries most fans don't know about.

Diagnoses such as:

GIRD: (Glenohumeral Internal Rotation Deficit...not to be confused with the stomach malady also known as GERD which Cubs fans get from watching too many losses). Pitching (both cocking phase and deceleration phase) leading to a tight or thickened posterior shoulder capsular ligament plus a loose anterior capsule and loss of internal rotation of the shoulder. Extra external rotation of the shoulder develops at the expense of internal rotation.

Scapular Dyskinesia: Shoulder blade weakness with altered kinematics.

Internal Impingement: Thought to be related to posterior shoulder contracture from GIRD with subsequent instability of the shoulder as the humeral head (ball of the shoulder joint) which shifts back/posteriorly and upward/superiorly). This is a different entity from subacromial or rotator cuff impingement which is more common and typically occurs from friction outside the shoulder joint.

...and finally connecting the dots, sorting out how the the injured or weakened shoulder (scapula) leads to severe strain on the elbow and tearing of the Ulnar Collateral Ligament (aka the Tommy John injury).

My attention to this topic started last summer, when  I heard a remarkable interview on XM radio with renown Orthopedic Surgeon, Dr. Craig D. Morgan with hosts Jim Memolo and Rob Dibble. The focus of the interview was Stephen Strasburg's shoulder tightness and the subsequent ulnar collateral ligament elbow injury that lead to "Tommy John" reconstruction of that ligament last summer. Dr. Morgan said that he had predicted elbow problems in Strasburg by watching the way he held his shoulder.

More on how the arm bone is connected to the...after the jump.

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  • I love this team.

    Looks like Mother Nature is trying to call this fight.

    Rob Richardson 1 hour 22 min ago view
  • Hey! I remember this team!

    billybucks 1 hour 31 min ago view
  • The key for Heyward's offense: get early leads. Heard a stat on Mike & Mike on the way to work that his avg/power much better this year when the Cubs have the lead. And true to form he gets the two run dinger with Cubs winning 3-0 ...

    Eric S 2 hours 57 min ago view
  • I'm sorry - I was probably not looking at the correct line, or spot, or...who knows!

    I could blame it on the weed, but I stopped smoking many years ago.

    Fortunately, I can rely on the rest of you sober and astute folks to bring the correct info forth.

    The E-Man 3 hours 24 min ago view
  • Oh yeah! It just felt like one for some reason.

    Old and Blue 4 hours 30 min ago view
  • Agreed. I was not including Fowler or Heyward.

    I'm just not a fan of 2016 Coghlan.....

    Dusty Baylor 4 hours 37 min ago view
  • @Dusty Contreras if it's a Lester or Arrieta start. TLS is good PH too. You also forgot about Heyward, assume Fowler is CF.

    chitownmvp01 4 hours 38 min ago view
  • I expect Soler to get optioned as well when activated and Cahill to replace Grimm. It wouldn't surprise me if Coghlan and/or Soler is included in a trade.

    Maybe Coghlan is up to see if he can get on track before someone acquires him.

    This move could also be to assure that we have as much OF depth as possible to maximize Joe's ability to rest players in September once we've clinched.

    chitownmvp01 4 hours 40 min ago view
  • Maddon basically said as much...Fowler still kind of sore, they're being proactive, etc.

    Tito 4 hours 43 min ago view
  • La Stella at 2B...Baez at 3B, or vice versa. Zobrist in RF, Bryant in LF No one gets bumped.

    Dusty Baylor 4 hours 51 min ago view
  • If Coghlan is leading off, I assume Fowler is getting the day off. Who is supposed to lead off, then? Someone has to get on base for Bryant and Rizzo. Coghlan's OBP is .346 with the Cubs. Jackson's was .304. LaStella can lead off, but then he has to play second or third, and bump Zobrist or Baez.

    Unless he gets hot, Coghlan will likely change places with Soler soon.

    VirginiaPhil 4 hours 52 min ago view
  • I suspect the Cubs asked Chris Coghlan if he would accept an Optional Assignment to the minors and he refused (Coghlan has one minor league option left), so either you keep LaStella on the 25 and release Coghlan, or option LaStella to AAA for about a month and have both LaStella and Coghlan available in September-October. (As an Article XIX-A player, Coghlan must give his permission before he can be optioned to the minors, while LaStella has not accrued enough MLB Service Time to refuse an optional assignment).

    Arizona Phil 5 hours 13 min ago view
  • Given today's lineup -- maybe they just wanted an extra OF to give Dexter a few days off (i.e. day game after a night game).

    billybucks 5 hours 16 min ago view
  • Tommy LaStella has three minor leaue options left so it's no big deal to send him to Iowa, but as of right now he projects to be at 2+124 MLB Service Time by the end of the of the 2016 MLB regular season, which will place him "on the bubble" as far as being eligible for salary arbitration as a "Super Two" post-2016.

    But if he spends at least twenty days on optional assignment this season (anything less than twenty days and he will accrue a full season of MLB Service Time), he will not have enough MLB Service Time to have a chance to be a "Super Two."

    Arizona Phil 5 hours 27 min ago view
  • this will be his 4th time leading off for the cubs this season...WITH A .500 OB%! HAIL MADDON! THE PLAN (c)2016! HE HAS RISEN! #YOLO #SWAG! KONY 2012!

    crunch 5 hours 34 min ago view
  • I don't hate Coghlan as a PHer but he's leading off today which is as bad as Austin Jackson doing so last year. He doesn't even have the speed.

    johann 6 hours 23 min ago view