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Little League considers pitching limitsSports medicine researchers see rise in arm injuries
 E.J. Strehlow hurt his elbow last year, which his father says occurred from throwing too much at a young age. 
SPECIAL REPORTYOUR E-MAIL ALERTSSOUTH WILLIAMSPORT, Pennsylvania (AP) -- E.J. Strehlow is a Little League pitcher with a big-league injury. The 12-year-old Strehlow tore a ligament in his right elbow last year, a condition that his father Ernie Strehlow said occurred from throwing too much at a young age. "It caught up with him. A young arm," said the elder Strehlow, a Little League administrator from Orangevale, California. Before he was hurt, E.J. was throwing about six innings a week. He didn't need surgery, but a doctor ordered him to stay off the mound for three months. Sports medicine researchers say such injuries to youngsters are becoming more common as enthusiastic kids throw more innings on more teams, are mismanaged by coaches or aren't properly monitored by parents. Hoping to reduce wear and tear, Little League Baseball tested a new pitch count rule used voluntarily by about 500 of the 6,400 leagues in the United States. The rule won't be in place for the Little League World Series, which starts Friday. But it appears it will be permanently in the books in the near future and possibly by next year's series. Any change must be approved by Little League's board. The Little League pitch count limits increase according to the player's age, with kids 10 and under limited to 75 pitches per day and teens 17-18 held to 105 pitches. There are also rest rules that also vary by age; pitchers 7-to-16, for instance, must spend four days off the mound after throwing 61 pitches. This year's test expanded on a study in 25 leagues in 2005. "I don't think it's a well-kept secret," Little League president Stephen Keener said, referring to the organization's increased focus on pitch counts. "We are doing this to test the effectiveness of something like this in the future." Tim Fern, a league administrator from Brooklyn Center, Minnesota, gave his approval. "For safety purposes, Little League might be going up the right alley," Fern said. Strehlow said his son is fine now. His league switched to a pitch count system, and his son was more rested in pos-tseason play. The rule was mainly well-received by managers, but Strehlow said a few managers at times stretched pitchers to the 85 limit. "The consequence was, the team in the running tended to ride their pitchers more than the normal system," he said. The World Series in South Williamsport, which features mostly 11- and 12-year-olds, will stick with the official system of limiting pitchers according to innings. The main rule: A pitcher cannot throw more than six innings an outing, the length of a regulation game. Keener said Little League officials became concerned about pitch counts several years ago. Enter Dr. James Andrews, a surgeon who founded the American Sports Medicine Institute in Birmingham, Alabama and is known for treating injured major leaguers. Andrews also sits on the USA Baseball Medical and Safety Advisory Committee, and his colleague, researcher Glenn Fleisig, consulted with Little League on the pitch count test. Andrews began noticing 10 years ago that more young players were coming in with arm injuries. A 2002 study of youth pitchers in Alabama authored in part by Andrews and Fleisig found elbow and shoulder pain was more prevalent in pitchers who threw more than 75 balls than in players who threw under 75. A big part of the problem today, Fleisig said, is that more kids -- especially the more talented pitchers -- are playing in more than one league at the same time. A generation ago, most kids just played Little League. Today there are other all-star and traveling teams that often share players. Managers may not keep track of what a good pitcher might be doing in another league, Fleisig said. "Parents get competitive. ... Whatever the situation is, the kids end up playing two or three summer leagues," said Scott Myrick, an athletic trainer with Elite Sports Medicine at the Connecticut Children's Medical Center in Hartford, Connecticut. Myrick recommends that pitchers who must play on multiple teams get at least a season's break before returning to regular competition, and at least three to five days' rest between pitching appearances. Myrick said his office sees about 15 Little Leaguers a week during or just after the season. "They aren't physically strong around the elbow joint to support the repetitive torque on such a frequent basis without a sufficient amount of rest," he said. In leagues that tested it, the pitch count rule is having other effects: Managers who can no longer rely on their aces must develop deeper staffs. More players get to take the mound and play other positions. "It was an eye-opening experience as far as what kids were pitching," said Duane Connor, a Little League administrator in Winston-Salem, North Carolnia. "A little bit of coach's education, too." 
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