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 Biomechanics: -Posture/Ball Positioning -Flexibility -Soft Tissue/Joint Imbalances -Before/During/After Swing 1
4/10/2017 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 2
4/10/2017 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. PRO ACTIVE APPROACH -3 phases to improved upon away from the course: -Flexibility -Strength -Balance FLEXIBILITY JOINTS TO MAXIMIZE MOTION HIPS: -IR/ER ~ 45 o EACH DIRECTION, 180 O TOTAL AVAILABLE HIP MOTION THORACIC SPINE/SCAPULAE: -ROTATION~ 50 o /SIDE BENDING ~35 o GIVING 85-90 O OF COUPLED MOTION -PROTRACTION/RETRACTION JOINTS TO MINIMIZE MOTION LUMBAR SPINE: - MOST COMMON SITE OF INJURY -MINIMIAL LUMBAR SPINE ROTATION AVAILABLE ~20-30 O -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. 3
4/10/2017 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 4
4/10/2017 FADE and DRAW Stance FRONT vs BACK leg stance LUNGE swing 5
4/10/2017 “ 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. 6
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