SPECTRUM MEDICAL, INC

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1 Surgical Date: Rehab Start Date: Sftball Thrwing Prtcl INTERVAL THROWING PROGRAM SOFTBALL - FASTPITCH PITCHERS The interval thrwing prgram is designed s that the athlete can achieve each individual level f thrwing withut pain r cmplicatin. The ITP shuld be supplemented with a weight training prgram and a flexibility prgram t maintain the athlete in a tp physical cnditin. Weight training shuld be dne n a thrwing day and shuld emphasis high repetitin with lw weight as a maintenance prgram fr the athlete. The athlete shuld be thrwing every ther day and using the day between fr flexibility and rest. This prgram has been set up t minimize the risk fr reinjury and emphasize pre-thrwing warm-up, stretching, prper bdy and thrwing mechanics, and the imprtance f weight training with the thrwing athlete. Baseline requirements f thrwing include: 1. Clearance by the athlete s physician 2. Pain-free range f mtin 3. Adequate muscle pwer 4. Adequate muscle resistance t fatigue The athlete shuld warm-up by jgging, biking, r jumping rpe t increase bld flw and increase the muscular flexibility. Fllwing warm-up, stretching shuld be perfrmed. Emphasis shuld be placed n prper thrwing and bdy mechanics. The crw-hp methd shuld be used t avid stress t the thrwing arm. The velcity f the thrw is determined by the distance f the thrw and the ball shuld nly have enugh speed t travel the apprpriate distance. The athlete shuld begin with warm-up thrws. The gal is t be able t thrw the specified distance 75 times withut pain. During the recvery prcess the athlete may experience sreness and pssibly a dull, aching sensatin in the muscles and tendns. If the athlete experiences sharp pain, particularly in the jint, stp all thrwing activity until the pain ceases and call the athlete s physician if pain cntinues. This prgram is based n an individual thrwer, and because all thrwers will vary, there is n time fr cmpletin f the prgram. It is essential that the thrwer cmplete each individual phase with the prper thrwing and bdy mechanics and withut an increase in pain. Once the phase has been cmpleted, the athlete then prgresses t the next phase. This sets up a prgressin that an individual gal is achieved prir t advancement instead f advancing at a specified time. This will greatly decrease the chance fr re-injury and greatly increase the mst adequate and safest rute t return t cmpetitin. Begin each phase with warm-up thrwing fr 10 minutes and stretching Rest 10 minutes between each set t avid fatigue and lss f prper mechanics Infrmatin taken Dr. James Andrews and ASMI Website

2 Surgical Date: Rehab Start Date: Sftball Thrwing Prtcl 30 PHASE (Delayed/Slwed Prgram Only) Step thrws Rest fr 15 minutes thrws Step thrws Rest fr 10 minutes thrws Rest fr 10 minutes thrws 45 PHASE Step thrws Rest fr 15 minutes thrws Step thrws Rest fr 10 minutes thrws Rest fr 10 minutes thrws 60 PHASE Step thrws Rest fr 15 minutes thrws Step thrws Rest fr 10 minutes thrws Rest fr 10 minutes thrws 75 PHASE Step thrws Rest fr 15 minutes Infrmatin taken Dr. James Andrews and ASMI Website

3 Surgical Date: Rehab Start Date: Sftball Thrwing Prtcl thrws Step 8 Step 9 Warm-up thrwing thrws Rest fr 10 minutes Warm-up thrwing thrws Rest fr 10 minutes Warm-up thrwing thrws Warm-up thrwing thrws Rest fr 15 minutes Warm-up thrwing thrws 90 PHASE Step thrws Rest fr 10 minutes thrws Rest fr 10 minutes thrws Step thrws Rest fr 15 minutes thrws Step thrws Rest fr 10 minutes thrws Rest fr 10 minutes thrws Rest fr 10 minutes Prgressing frm 90 t thrws 120 PHASE Step 13 Begin thrwing ff the mund r return t respective psitin. Thrwing prgram shuld be perfrmed every ther day, unless therwise specified by yur physician r rehabilitatin specialist. Infrmatin taken Dr. James Andrews and ASMI Website

4 Surgical Date: Rehab Start Date: Sftball Thrwing Prtcl THROWING FROM THE MOUND After cmpletin f the Interval Thrwing Prgram (ITP) and the athlete can thrw 180, 50 times withut pain the athlete will be ready fr thrwing ff the mund r return t their respective psitin. (Use interval thrwing t 120 phase as warm-up fr the first 5 Steps) *All thrwing ff f the mund shuld be dne with the pitching cach r therapist present t assure prper mechanics. Step 1: Step 2: Step 3: Step 4: Step 5: Stage One -- Fastball Only Interval Thrwing 15 thrws ff mund 50% Interval Thrwing 30 thrws ff mund 50% Interval Thrwing 45 thrws ff mund 50% Interval Thrwing 60 thrws ff mund 50% Interval Thrwing 70 thrws ff mund 50% Step 6: 45 thrws ff mund 50% 30 thrws ff mund 75% Step 7: 45 thrws ff mund 50% 30 thrws ff mund 75% Step 8: 60 thrws ff mund 50% 60 thrws ff mund 75% Stage Tw: Fastballs Only Step 9: 60 thrws ff mund 75% 15 thrws in batting practice Step 10: thrws ff mund 75% 30 thrws in batting practice Step 11: thrws ff mund 75% 45 thrws in batting practice Stage Three Step 12: 30 thrws ff mund 75% warm-up 15 thrws ff mund 50% BEGIN BREAKING BALLS thrws in batting practice (fastball nly) Step 13: 30 thrws ff mund 75% 30 breaking balls 75% 30 thrws in batting practice Step 14: 30 thrws ff mund 75% thrws in batting practice (Gradually increase breaking balls) Step 15: Simulated game prgressing by 15 thrws per wrkut (Pitch Cunt) Infrmatin taken Dr. James Andrews and ASMI Website

5 Surgical Date: Rehab Start Date: Sftball Thrwing Prtcl ****Hwever, the ASMI recmmendatins are used fr sftball due t the lack f research fr pitch cunts in sftball. Pitch Cunt and Other ASMI Recmmendatins PITCH COUNTS Age Max Pitches/Game Max Games/Week RECOVERY TIMES (Pitches Thrwn in Game) Age 1 Day Rest 2 Day Rest 3 Day Rest 4 Day Rest Infrmatin taken Dr. James Andrews and ASMI Website