Scott Richardson, DPT, CSCS

Baseball Rehab Guy | Data-Driven Return to Throw Programs

[Scott Richardson, DPT, CSCS @return2throwguy]

I recently started a traditional 6-week return to throw program while wearing a pulse sensor

Here is a thread I will be continually adding to along the way to share the info I collect:

[Scott Richardson, DPT, CSCS @return2throwguy]

@VeloBeam Does this work with only the stalker sport radar guns or does it also work with stalker pro?

[Scott Richardson, DPT, CSCS @return2throwguy]

Fire me up 🔥

From missing his entire senior HS season to getting innings opening weekend as a true freshmen. Hard work pays off!

[Jake Majerus @chromedomejake]

He made it back! Let the journey begin.

Thank you to all that were part of his journey! He wouldn't be here without everyone's help.

[Mike Grady @pitchingschool]

Here is a weekly in-season throwing plan for a starting pitcher.

In reality, plans like these are constantly changing and they will rarely look like the chart below as game days change, weather impacts practice, etc.

Start by having a plan each day based on when your next outing may be.

[Scott Richardson, DPT, CSCS @return2throwguy]

I am only about halfway through reading this and can say that without a doubt this is a must read 🔥

Casey is an expert in all things workload and took my understanding to the next level. He wants to impact the health of the game at every level and he’s going to.

Read this now!

[Casey Mulholland @CaseyMulholland]

🚨 ITS OFFICIALLY LIVE!!! (And Free)

👉🏻“Official Response To The MLB Injuries Report”

📌58 pages
📌An absurd amount of research

In this report I address the REAL problem and it’s not velocity or pitch design…

Read Our Response Here. 👇🏻👇🏻👇🏻

https://t.co/Byr12HgYTU

[Scott Richardson, DPT, CSCS @return2throwguy]

“Workload management” shouldn’t just be used to eliminate overuse and limit throwing

It’s also used to address lack of preparation and INCREASE throwing

Use the data to make sure the PROPER amount of throwing is happening

[Scott Richardson, DPT, CSCS @return2throwguy]

In conclusion, time off of throwing (weeks) x 2 = time of build up does not hold up

BUT we don’t need more than 6 weeks to build up for 2 weeks off of throwing

We can make a 4-week build up work but it requires continued throwing…more on this next week

[Scott Richardson, DPT, CSCS @return2throwguy]

We don’t ignore the data but chronic workload shouldn’t decrease if we apply the appropriate workloads as throwing resumes

Instead - we enter 4 weeks of “dummy data” to allow the data to be set at a CW of 5 and NOT decrease as we begin throwing

[Scott Richardson, DPT, CSCS @return2throwguy]

In doing this, we now have accurate and usable data for this build up.

A 4-week build up to these workloads was still too fast but 6-weeks is now appropriate

[Scott Richardson, DPT, CSCS @return2throwguy]

The decreasing CW is the main reason for the significant spikes in AC ratio because the calculation no longer is using data from pre-time off and is pulling 50% of its data from the 2 weeks off without any throwing…

So do we ignore the data or…?

[Scott Richardson, DPT, CSCS @return2throwguy]

Posted this thread looking at a 4 week build up for 2 weeks time off throwing

It was inadequate. Did it again for 6 weeks which also inadequate according to the data.

So do we really need more than 6 weeks for 2 weeks off or is it a problem with the data?

A thread 🧵

[Scott Richardson, DPT, CSCS @return2throwguy]

The old rule in baseball for throwing build up after time off is:

Time off of throwing (weeks) x 2 = required build up time

But is this true?

A thread exploring build up times following a 2-week shutdown 🧵

[Scott Richardson, DPT, CSCS @return2throwguy]

At the end of 2 weeks off of throwing, an athlete previously at a CW of 10 decreases to a 5

But you can notice that as the athlete starts throwing on day 43 their CW continues to decrease which shouldn’t happen as they were given workloads equivalent to a 5 CW

[Scott Richardson, DPT, CSCS @return2throwguy]

Athlete is built up to a chronic workload (CW) of 10 and needs to take 2 weeks off of throwing

9-day acute workload (ACW) and 28-day chronic workload calculation showed that even a 6-week build up was inadequate due to significant spikes in AC ratio

But is the data correct?

[Scott Richardson, DPT, CSCS @return2throwguy]

@royalper4mance That’s the problem with a 28-day chronic workload window - after 4 weeks off, chronic workload technically resets to 0.

If you were built up enough, it’s likely not 0 after 4 weeks but we would need a larger window. There’s some other work arounds I’ll share more on soon

[Scott Richardson, DPT, CSCS @return2throwguy]

The old rule in baseball for throwing build up after time off is:

Time off of throwing (weeks) x 2 = required build up time

But is this true?

A thread exploring build up times following a 2-week shutdown 🧵

[Scott Richardson, DPT, CSCS @return2throwguy]

Conclusion:

This data would indicate that a 4-week build up is not an appropriate amount of time following a 2-week shutdown

Limitations:

A 28-day chronic workload calculation may be insufficient to determine the decay and return of chronic workload

[Scott Richardson, DPT, CSCS @return2throwguy]

Results:

AC Ratio spiked > 1.35 for 18 of the 28 days of throwing

AC Ratio reached 2.65 (~2x greater than recommended “safe” zone)

Chronic workload dips as low as 3.1 and finishes at 7.9

Chronic workload increases 4.8 points in 15 days

[Scott Richardson, DPT, CSCS @return2throwguy]

Attended a baseball medicine conference this weekend

I want to see more discussion on ideas to keep athletes healthy within the context of the modern game

Such as proper use of WBs, how to on-ramp throwing, managing throwing workload and building throwing fitness etc.

[Scott Richardson, DPT, CSCS @return2throwguy]

@thewarthog93 For sure. Definitely need to go into the return to throw process with more capacity than what’s built with some band exercises