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Golf Injuries

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  1. Golf Injuries Matt Serlo, M.P.T. Jacksonville, FL.

  2. The Typical Golfer • Competitive in nature • Active and fitness-minded individuals • Swings too hard • Perceives golf as a passive sport • Eager to improve

  3. Causes of Injuries • Limited Flexibility • Decreased Strength • Poor Posture • Balance • Inappropriate Warm-up • Inconsistent Swing • Swings Too Hard!!

  4. Anatomy of Golf – Shoulder • Gleno-humeral Joint • Primary movers (pec, delt, lats) • Stabilizers / RTC mm’s • Motions include; • Flexion – Extension • ABDuction – ADDuction • Horizontal ABD – ADD • External – Internal Rotation • Circumduction

  5. Most Common Golfing Injuries Shoulder • Rotator Cuff Tendinitis - irritation/ inflammation of the rotator cuff tendons in shoulder • Rotator Cuff Strain/Tear - muscle or tendon in shoulder

  6. Shoulder Injuries:Factors • Lack of ROM/flexibility • External rotation, horizontal adduction • Thoracic posture • Strength of Rotator Cuff • Arthritic conditions • Joint integrity hypo/hypermobility

  7. Shoulder Motion • Hor Add: 130 degrees (lead) • ER: 100 degrees (back) • Causes if limited -Steep swing -Elbow breakdown -Lateral slide -Improper grip

  8. Anatomy of Golf – Forearm • Ulna & Radius • Flexor mm group • Extensor mm group • Deviators • Motions include; • Wrist-Finger Flexion – Extension • Forearm Pronation – Supination • Radial – Ulnar Deviation

  9. Most Common Golfing Injuries Hand / Wrist • DeQuervain’s Syndrome - tendinitis of the thumb extensors • Hook of Hamate Fractures - small wrist bone on palmer side • Ligament sprains • Muscle/Tendon strains

  10. Wrist and Hand Injuries • Lack of Range of Motion • Thumb extension or radial deviation • Inappropriate grip • too much or too little • Trauma • hitting the ground

  11. Wrist Motion • Back wrist extension: 70 degrees • Front wrist radial deviation: 20 degrees • Front thumb extension: 50 degrees • If restricted: -unable to hold angle-club speed -square clubface

  12. Most Common Golfing Injuries Elbow • Lateral Elbow - tendinitis strain to lead arm at wrist extensor muscles • Medial Elbow - stretch/sprain of back arm inside ligaments

  13. Elbow injuries • Improper grip • unnatural grip not allowing hands to move properly will cause stress at both wrist and elbow • Valgus Stress-trauma/repetition • Supination/Pronation

  14. Anatomy of Golf – Thigh • Femur and Patella • Quads, HS, ADD, ABD • Motions include; • Flexion – Extension • ABD – ADD • Patellar Alignment

  15. Most Common Golfing Injuries Knee • Ligament damage - lead knee twist on follow-through with poor balance • Cartilage damage - rotation & extension during follow-through • Tendonitis: I.T. band

  16. Knee Injuries:Causes • Lack of range of motion • Lack of stability in the knee -ACL (lead) -LCL (back) • Quad strength-static/dynamic • Proprioception • Improper swing mechanics

  17. Anatomy of Golf – Lower Leg • Tibia, Fibula, Talus, Calcaneus, etc. • Posterior mm’s (gastroc-soleus) • Ant/Lateral mm’s (Ant Tib/Peroneal) • Motions include; • Flexion – Extension • Inversion – Eversion • Supination - Pronation

  18. Ankle • Ligament damage - Lead ankle twist on follow through • Inflammation: Plantar Fascitis, Achilles Tendonitis

  19. Ankle Injuries:Causes • Lack of ROM/flexibility • Improper swing mechanics • Pronated or supinated feet • Improper shoe wear • Proprioception

  20. Anatomy of Golf – Cervical Spine • Seven Cervical Vertebrea • Spinal muscles • Motions Include; • Flexion • Extension • Side Bend (L&R) • Rotation (L&R)

  21. Cervical Injuries:Causes • Lack of sufficient ROM • Trauma caused by improper swing mechanics • Eye Dominance

  22. Cervical Motion • Optimal: 90 degrees • If restricted: -Drop left shoulder -lateral tilt of head-lose of spinal angle -lateral shift of hips

  23. Anatomy of Golf – Hip • SI, Ilium, Femur • Anterior mm’s • Posterior mm’s • Lateral mm’s & connective tissue • Motions include; • Flexion – Extension • ABDuction – ADDuction • External – Internal Rotation • Circumduction

  24. Most Common Golfing Injuries Hip • Inflammation: Bursitis, Tendonitis-Lead leg. • DJD.

  25. Hip Injuries: Factors • Lack of ROM/Flexibility • Decreased Strength -rotators, abductors • Poor Balance • Poor Posture

  26. Anatomy of Golf – Trunk • Thoracic & Lumbar Spine, Ribs • Anterior – Abdominals (3) • Posterior – Paraspinals – Rotatory • Motions include; • Flexion – Extension • Side Bending (L&R) • Rotation (L&R)

  27. Most Common Golfing Injuries Back • Muscular strains/spasms - erector spinae muscle group • Ligament sprains • Vertebral disc damage/displacement -Herniated disc - disc protrudes out from back -Ruptured disc - disc nucleus ruptures

  28. Back Injuries • Improper Address position (not in neutral spine) • Lack of ROM or flexibility • Abdominal Integrity • Proprioception • Medical history

  29. Spine Angles • Primary: 40-45 degrees • Secondary: 8-12 degrees • Benefits of maintaining angles during swing: -minimize lateral movement -maintain correct swing path -maintain balance: COG within BOS -decreased stress on the body

  30. Thank You