Jaeger/Sullivan Return to Throwing From Tommy John Surgery Manual & Schedule
About Lesson

Nolan Rappé Plyometric Progressions for Throwing Program

Plyometric Progressions for Throwing Program

This overview details the proper plyometric progressions required to prepare the body for a throwing program. This gradual approach helps with enhancing stress absorption, power generation, and the efficiency of the stretch-shortening cycle (SSC). This culminates in modified throws that closely simulate the throwing action. This helps systematically build stress while cultivating confidence within the athlete. This sequence is designed to progressively load the tissues of the arm to better facilitate more confident throwing mechanics once the throwing program has started.

Purpose

The intent of this detailed plyometric continuum is to systematically load the tissues of the arm to drive adaptation through proper build of stress. Athletes will typically follow a two-handed to one-handed progression within each phase. Athletes, coaches, and movement professionals should keep in mind that this is a continuum rather than a specific, stepwise progression. Athletes may begin in phase one and blend into phases two and three within the same session or in a condensed amount of time. This continuum can even be used within session to structure the order of the chosen plyometrics. This program should be monitored by a movement/rehab professional or coach. Keep in mind that these are simply examples and coaches/movement professionals should take the general loading strategy and apply it with their own exercise selection preferences to fit the athlete. All unilateral exercises can be done on both sides.

Plyometric Continuum

Phase 1: Stress Absorption (Eccentric Emphasis)

Objective: Develop ability to effectively absorb force and expose elbow to high contractile speeds

Two-Handed Progression

Exercise

Set

Rep

Notes

Link

Supine MB Catch

2

10

Absorb first, then “stick” rep once comfortable

Link

Fall Into Wall Elbows Bent

2

10

 

Link

Fall into Wall Elbow Straight

2

10

 

Link

Supported or Unsupported Nordic Falls

2

8-10

Can support with band under armpits

Link

One-Handed Progression

Exercise

Set

Rep

Notes

Link

Trampoline “Force Acceptance” Catch

2

20

Throw with opposite arm and “catch” with involved arm

Link

Quadruped Plyo Ball T Drop Deceleration

2

20

Drop and “Stick”

Link

Off Box Push Up Position “Drop”

2

6-8

Try to maintain scapular stability

Link

Half Kneeling Over the Shoulder Deceleration Catch

2

15-20

Play with arm angles – cue is to slow body down right after catch

Link

Phase 2: Isolated Concentric Exposure

Objective: Concentric focused development

Two-Handed

Exercise

Set

Rep

Notes

Link

Supine Paused MB Press

3-4

4-6

Explosive after pause

Link

Supine Paused OH MB Throw

3-4

4-6

Fast up after pause

Link

Standing MB Chest Pass

3-4

4-6

Explosive, concentric only

Link

Paused Tall-Kneeling LM Press

3-6

2-4

Explosive

Link

One-Handed

Exercise

Set

Rep

Notes

Link

90/90 Concentric Only IR Rebounder/Plyo

3-4

10-12

Promote shoulder IR independent of ER

Link

Push Up Position Box “Bound” w/Pause

3-4

4-6

Short load, pause, then go

Link

Paused Reverse Throw (Half kneeling)

2

10

Try to create full torso turn

Link

Half Kneeling Paused Landmine Press

2-6

2-4

Explosive

Link

Phase 3: Low Amplitude Stretch Shortening Cycle (SSC)

Objective: Begin to integrate the eccentric and concentric phases with minimal delay, focusing on quick, reactive movements.

Two-Handed

Exercise

Set

Rep

Notes

Link

Bilateral Standing MB Chest Press

3-4

4-6

Promote speed

Link

Double Arm “Box Hop”

3-4

4-6

Small load, low box

Link

OH MB Short Amp Lat “Dribbles”

2

10-15

Short, quick – drive with pec/lat

Link

Supine MB Plyo Press

3-6

2-4

Quickly catch/press

Link

One-Handed

Exercise

Set

Rep

Notes

Link

ER/Y Band Dribbles

3-4

6-8 seconds

Move arm as quickly as possible between each band

Link

 

Link

Prone/Quadruped Y/T Ball Drops

2-3

30-50 reps

Emphasize stable shoulder blade

Link

Low Amp Wall Plyo Ball Wall dribbles

2

40-50

Drive motion from shoulder, not wrist

Link

LM Drop Catches

2-6

2-4

Quickly drop/catch

Link

Phase 4: High Amplitude Stretch Shortening Cycle (SSC)

Objective: Increase the intensity and amplitude of the SSC movements to progressively load UCL.

Two-Handed

Exercise

Set

Rep

Notes

Link

MB “Fake” Throw Scoop Toss

3-4

4-6

Work to decelerate as quickly as possible

Link

Assisted/Resisted Plyo Push Up

3-4

4-6

Start assisted – work to resisted

Link

Alternating Lateral MB OH Slams

2

10-15

Get into the hip, rotate the back leg

Link

Supine MB Stretch OH Throw

3-6

2-4

Full stretch and go quickly

Link

One-Handed

Exercise

Set

Rep

Notes

Link

Off Box Land into Reactive Bound

3-4 each side

6-8 reps

Catch and explode quickly

Link

Half Kneeling Landmine Barbell Catch/Press

3-4

4-6

Catch and explode quickly

Link

Large Amplitude Plyo Wall Dribbles (ER/IR)

2

40-50

Allow arm to lay back

Link

Lat-Based OH MB “Dribbles”

2

15-20

Drive with lat/pec

Link

VI. Phase 5: Modified Throws

Objective: Transition plyometric gains into throwing-specific movements, integrating technique with power.

Exercise

Set

Rep

Notes

Link

Mound-Based OH Medball Work

2-3

4-6 throws

Make sure to evenly distribute pushing force through both hands to prevent excessive loaded layback

Link

Throwing Sock/Throw Holds

2

10-15 throws

Use 11 oz to 1 lb ball for trained individuals

Link

Football Catch

1-2

15-30

 

 

Plyoball Drills

1-2

6-10 each drill

Focus placed on proposed mechanical changes at around 50-60% RPE

-Coaches choose

Implementation Notes

  • As mentioned before, this can be treated as a continuum and not a strict “progression” based on athlete presentation
  • Pay close attention to athlete response both during and after (how athlete recovers from session to session) implementation

Pre/Post Throw Routine – Phase Specific

Goal of the pre-throw routine is to help prepare the body for the specific demands of the specific phase of throwing. Athletes will complete these exercises after a total body dynamic warm up and resistance band routine. This routine should be created by the movement professional or strength coach and tailored to individual athlete needs utilizing the movements below as a guideline.

I. Pre-Throw Exercises

Phase 1 – Fascial Sling Emphasis, Total Body Athleticism, LE/UE Plyometrics

Exercise

Set

Rep

Notes

Link

Dynamic Reverse Lunge with Twist + Side Bend

1 each side

6-8

Emphasize stability/balance throughout

Link

High Plank Opposite Foot Touch

1

8-10 each

Drive hips back with hands

Link

Medial Hop Into 90 Degree Turn

1

4-6 each side

Stick landing – minimal knee bend after initial foot contact

Link

Plyo Push Up

1

4-6

Can do assisted/resisted or on elevated surface

Link

Phase 2 – Total Body Athleticism – Exposure to End Range Positions

Exercise

Set

Rep

Notes

Link

Lunge Stance Band Forward Press into OH Reach

1 each side

10

Keep rib cage down

Link

Standing Shoulder CAR

1

8-10 each

Keep rib cage still

Link

Lateral Heiden Jump (Load and Go)

1

6 each side

Load into the hip

Link

Banded Eccentric Shoulder IR “Catches”

1

8

Quick release “catch”

Link

Phase 3 – End Range Exploration, Rate of Force Development Potentiation

Exercise

Set

Rep

Notes

Link

Quadruped Hip Airplane

1 each side

8-10

Belt buckle and sternum move at the same rate

Link

Half Kneeling Bow and Arrow

1

10

Purely spin in the thoracic spine – limit side bend

Link

Single Leg Hop into Lateral Bound

1

4-6 each side

Spend as little time on ground between hops

Link

Supine Band Plyo Lat Pullover w/Slow Eccentric

1

6

Quick, isolated lat activation

Link

Cool Down Tips – To Be Done Following Prescribed Post Throw Strength Work

Exercise

Set

Rep

Notes

Link

Standing or Half Kneeling Shoulder CAR

1 each side

8-10

Keep ribs still while standing

Link

Crab Position Breathing

1

10 breaths

Pull shoulder blades together at top

Link

Quadruped Thread the Needle with Horizontal Adduction Emphasis

1

10 each side

1 inhale/exhale at end range for each rep

Link

Hooklying Cadence Belly Breathing Progression

3-5 min total

I. 2 Second Inhale, 3 Second Hold, 6 Second Exhale

II. 3 Second Inhale, 4 Second Hold, 8 Second Exhale

Follow cadence progression listed here

Link

Training Schedule Recommendations – Application of Daniel Bove’s “Quadrant System” (High/Low Model)

(click to enlarge)

*Understanding how to properly organize throwing and training/rehab sessions allows for adequate tissue and central nervous system (CNS) recovery. This efficient recovery is essential in avoiding setbacks and frequent need for “deload” periods.

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