4/10/2017 GOLF RELATED INJURY PREVALANCE: - 60% Of Golf - - PDF document

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4/10/2017 GOLF RELATED INJURY PREVALANCE: - 60% Of Golf - - PDF document

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4/10/2017 GOLF RELATED INJURY PREVALANCE: - 60% Of Golf Professionals - 40% Of Amateur - 80% Related To Overuse Injuries AREAS OF CONCERN : Low Back, Shoulders, Elbows, Hips, Knees, Wrists/Hands And Neck CONTRIBUTING FACTORS Faulty

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GOLF RELATED INJURY

PREVALANCE:

  • 60% Of Golf Professionals
  • 40% Of Amateur
  • 80% Related To Overuse Injuries

AREAS OF CONCERN: Low Back, Shoulders, Elbows, Hips, Knees, Wrists/Hands And Neck

CONTRIBUTING FACTORS

Faulty Biomechanics:

  • Posture/Ball Positioning
  • Flexibility
  • Soft Tissue/Joint Imbalances
  • Before/During/After Swing
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SLIDE 2

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POSTURE/SET-UP:

  • I-posture C-posture S-posture

BALL POSITIONING

  • Maintaining neutral spine angle

arms hanging loosely from shoulders, perpendicular with ground

  • Minimize lumbar flexion
  • Let club length dictate your distance

away from the ball during set-up!!!

1) Lindsay D, Horton J. Comparison of spine motion in elite golfers with and without low back pain. J Sports Sci 2002;20(8): 599–605. 2) Takahashi I, Kikuchi S, Sato K, Sato N. Mechanical load of the lumbar spine during forward bending motion of the trunkda biomechanical

  • study. Spine 2006;31(1):18–23.

JOINT /SOFT TISSUE IMBALANCES

AREAS OF IMBALANCE:

  • HIPSTHORACIC SPINE
  • ASSOCIATED SOFT TISSUE TIGHTNESS

OF TRUNK/HIPS

REASON:

  • REPETITIVE UNI-DIRECTIONAL MOTION
  • OVERUSE + SPEED COMPONENT
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SLIDE 3

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PRESERVATION OF LUMBAR SPINE

  • Average swing speeds:

MALE ~80to 90 mph FEMALE~60 to 70 mph

  • Compression loading of the spine:

~8x an individual’s body weight or ~1,400 lbs produced during a golf swing around the L3-4 spinal segment ~1,900 lbs of spinal compression of Division 1-A football lineman hitting a blocking sled

5)Gatt JC, Hosea TM, Palumbo RC. Impact loading of the lumbar spine during football blocking. Am J Sports Med 1997;25(3):317–21. 6)Adams MA, Hutton WC. Mechanics of the intervertebral disc. In: Ghosh P, editor. The biology of the intervertebral disc. Boca Raton,FL: CRC Press, 1988:39–71.

  • 3 phases to improved upon away from the course:
  • Flexibility
  • Strength
  • Balance

PRO ACTIVE APPROACH FLEXIBILITY

JOINTS TO MAXIMIZE MOTION

HIPS:

  • IR/ER ~ 45o EACH DIRECTION, 180O TOTAL AVAILABLE HIP MOTION

THORACIC SPINE/SCAPULAE:

  • ROTATION~ 50o /SIDE BENDING ~35o GIVING 85-90O OF COUPLED

MOTION

  • PROTRACTION/RETRACTION

JOINTS TO MINIMIZE MOTION

LUMBAR SPINE:

  • MOST COMMON SITE OF INJURY
  • MINIMIAL LUMBAR SPINE ROTATION AVAILABLE ~20-30O
  • STRESSED MOST DURING TRANSITION

DOWNSWINGIMPACT AS TORQUE INCREASES ABOUT THE SPINE

3)Troupe JD. Biomechanics of the vertebral column. Physiology 1979;65:238. 4)Tall RL, DeVault W. Spinal injury in sport: epidemiologic considerations. Clin Sports Med 1993;12:441–8.

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SLIDE 4

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STRENGTH

The Core:

  • The core’s first and primary function should always be protecting the low

back.!!!!

  • Inside-Out approach to the core: Protect first, Move second
  • Deepest muscle group: transversus abdominus and multifidus

The Gluteals:

  • Maximus, Medius, Minimus :stabilize pelvis and control femur
  • Provides stable “platform” for the trunk to rotate over

“Proximal stability for distal mobility”

BALANCE

  • Maintaining proper balance maintains spine and head

alignment during your swing

  • Changing spine angle = strain on spine and variable strikes of

the golf ball

  • Uphill/downhill/side-hill lies

TEE-BOX WARM UP:

  • Dynamic stretching routine
  • Predispose tissues to demands of movement
  • Specificity of training should include a warm-up as well
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SLIDE 5

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FADE and DRAW Stance FRONT vs BACK leg stance LUNGE swing

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SLIDE 6

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“BASEBALL” swing/drill

QUESTIONS???? REFERENCES

1) Lindsay D, Horton J. Comparison of spine motion in elite golfers with and without low back pain. J Sports Sci 2002;20(8): 599–605. 2) Takahashi I, Kikuchi S, Sato K, Sato N. Mechanical load of the lumbar spine during forward bending motion of the trunkda biomechanical

  • study. Spine 2006;31(1):18–23.

3)Troupe JD. Biomechanics of the vertebral column. Physiology 1979;65:238. 4)Tall RL, DeVault W. Spinal injury in sport: epidemiologic considerations. Clin Sports Med 1993;12:441–8 5)Gatt JC, Hosea TM, Palumbo RC. Impact loading of the lumbar spine during football blocking. Am J Sports Med 1997;25(3):317–21. 6)Adams MA, Hutton WC. Mechanics of the intervertebral disc. In: Ghosh P, editor. The biology of the intervertebral disc. Boca Raton,FL: CRC Press, 1988:39–71.