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      • About Us
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      • Patient Forms
      • Patient Education
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  • Home
  • About Us
    • About Us
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    • Affiliations
  • Our Services
  • Client Education
  • Patient Portal
    • Patient Forms
    • Patient Education
  • Community Outreach
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Post Operative Guidelines

These guidelines are intended to guide the rehabilitation process.  Constant communication between the client, therapist and surgeon lead to the most ideal outcomes.  These guidelines were developed to serve as a supplement to an individualized plan of care based on healing timelines.    

ACL Standard Protocol 2023 (pdf)Download
Rotator Cuff Repair Protocol 2023 (pdf)Download
Shoulder Stabilization Procedure Small Medium Large Protocol 2023 (pdf)Download
Post Operative Sling Weaning Protocol with Citation (SWEAP) 2023 (pdf)Download

Interval Baseball Programs

Interval Throwing Program for Baseball Players (pdf)Download
INTERVAL HITTING PROGRAM (pdf)Download

Baseball Specific Information

Grip strength and Exit Velocity

Grip strength and Exit Velocity

Grip strength and Exit Velocity

Bat speed and exit velocity are two crucial aspects to consider when  assessing a baseball player's striking ability. Despite their  similarities, it's important to recognize the differences between these  two ideas and how they work together to affect a player's success at the  plate. 

Pitch Type

Grip strength and Exit Velocity

Grip strength and Exit Velocity

  

Learn good throwing mechanics as soon as possible. The first steps should be to learn, in order: 1) basic throwing, 2) fastball pitching, 3) change-up pitching. Avoid using radar guns. A pitcher should not also be a catcher for his team. The pitcher-catcher combination results in too many throws and may increase the risk of injury. If a pitcher complains of pain in his elbow or shoulder, discontinue pitching until evaluated by a sports medicine specialist. Inspire adolescent pitchers to have fun playing baseball and other sports. Participation and enjoyment of various physical activities will increase the player's athleticism and interest in sports.

Pitch Counts

Grip strength and Exit Velocity

Pitch Counts

  

Watch and respond to signs of fatigue (such as decreased ball velocity, decreased accuracy, upright trunk during pitching, dropped elbow during pitching, or increased time between pitches).  No overhead throwing of any kind for at least 2-3 consecutive months per year (4 months is preferred). No competitive baseball pitching for at least 4 months per year. Do not pitch more than 100 innings in games in any calendar year. Follow limits for pitch counts and rest days. Avoid pitching on multiple teams with overlapping seasons.

Publications Authored By Dr. Pniewski (open source)

A Criterion Based Sling Weaning Progression (SWEAP) IJSPT 2014 (pdf)Download
Hip Arthroscopy and Progressive Weight Bearing IJSPT 2017 (pdf)Download

Joshua E. Pniewski Curriculum Vitae

Pniewski Joshua CV 9.21.23 (pdf)Download

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