Treatment of the overhead throwing athlete is a very involved process that has multiple components to consider. Having an understanding of throwing mechanics and the forces the shoulder goes through are beneficial for diagnosis and treatment. Pain and shoulder dysfunction may be a result of scapular dysfunction, repetitive stress or micro-trauma to joint capsule and musculature, improper throwing mechanics, and lower extremity asymmetries. The purpose of this case series is to demonstrate whether a Postural Restoration based approach is effective in the management of injured baseball players. The Postural Restoration exercises focused on obtaining proper respiration, rib cage and scapular position, increased glenohumeral motion, and addressed asymmetries at the pelvis and lower extremities. These exercises demonstrated significant changes in shoulder ranges of motion, an average increase in the subjects ASES scores by 30.6 points, and an average increase in the VAS scores by 4.9 points. However, one patient had a two point improvement in his VAS score which does not demonstrate clinical significance. The Postural Restoration exercises seem to be a very effective treatment approach for baseball players with shoulder conditions and pain. It also demonstrated significant change in shoulder ranges of motion that may be beneficial in reducing further risk of injury.
