Elbow Valgus Control Deficit
Elbow/Wrist - Dynamic
Dynamic valgus at the elbow during load or throwing can increase medial elbow stress.
Biomechanical Mechanism
Inadequate proximal control and forearm strength reduce valgus stability under load.
Clinical Rationale
Upper extremity injury prevention programs emphasize strength and control to reduce overload risk.
Practical Solution
Build forearm strength and integrate control under load.
Common Compensations
- Medial elbow pain during load
- Reduced throwing endurance
Progression
- Isometrics and basic strengthening
- Eccentric and concentric loading
- Sport-specific integration
Regression
- Reduce load
- Avoid painful ranges
Red Flags
- Sharp medial elbow pain
- Instability
Differential Diagnosis
- UCL sprain
- Medial epicondylalgia
Related Patterns
Related Exercises
- wrist flexor isometric
- wrist flexor eccentric
- wrist extensor isometric
- wrist extensor eccentric
- forearm pronation supination arom
Related Assessments
- elbow valgus stress test assessment
Evidence
Level: limited
Upper extremity injury prevention evidence supports strength/control interventions, but direct valgus-control outcomes are limited.
Sources:
- systematic review/meta-analysis: Prevention strategies and modifiable risk factors for upper extremity injury: a systematic review and meta-analysis for the Female, woman and/or girl Athlete Injury pRevention (FAIR) consensus. (link)