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Golf Injuries. Matt Serlo, M.P.T. Jacksonville, FL. The Typical Golfer. Competitive in nature Active and fitness-minded individuals Swings too hard Perceives golf as a passive sport Eager to improve. Causes of Injuries. Limited Flexibility Decreased Strength Poor Posture Balance

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Golf injuries

Golf Injuries

Matt Serlo, M.P.T.

Jacksonville, FL.


The typical golfer
The Typical Golfer

  • Competitive in nature

  • Active and fitness-minded individuals

  • Swings too hard

  • Perceives golf as a passive sport

  • Eager to improve


Causes of injuries
Causes of Injuries

  • Limited Flexibility

  • Decreased Strength

  • Poor Posture

  • Balance

  • Inappropriate Warm-up

  • Inconsistent Swing

  • Swings Too Hard!!


Anatomy of golf shoulder
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


Most common golfing injuries
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


Shoulder injuries factors
Shoulder Injuries:Factors

  • Lack of ROM/flexibility

    • External rotation, horizontal adduction

  • Thoracic posture

  • Strength of Rotator Cuff

  • Arthritic conditions

  • Joint integrity hypo/hypermobility


Shoulder motion
Shoulder Motion

  • Hor Add: 130 degrees (lead)

  • ER: 100 degrees (back)

  • Causes if limited

    -Steep swing

    -Elbow breakdown

    -Lateral slide

    -Improper grip


Anatomy of golf forearm
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


Most common golfing injuries1
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


Wrist and hand injuries
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


Wrist motion
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


Most common golfing injuries2
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


Elbow injuries
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


Anatomy of golf thigh
Anatomy of Golf – Thigh

  • Femur and Patella

  • Quads, HS, ADD, ABD

  • Motions include;

    • Flexion – Extension

    • ABD – ADD

    • Patellar Alignment


Most common golfing injuries3
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


Knee injuries causes
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


Anatomy of golf lower leg
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


Ankle
Ankle

  • Ligament damage - Lead ankle twist on follow through

  • Inflammation: Plantar Fascitis, Achilles Tendonitis


Ankle injuries causes
Ankle Injuries:Causes

  • Lack of ROM/flexibility

  • Improper swing mechanics

  • Pronated or supinated feet

  • Improper shoe wear

  • Proprioception


Anatomy of golf cervical spine
Anatomy of Golf – Cervical Spine

  • Seven Cervical Vertebrea

  • Spinal muscles

  • Motions Include;

    • Flexion

    • Extension

    • Side Bend (L&R)

    • Rotation (L&R)


Cervical injuries causes
Cervical Injuries:Causes

  • Lack of sufficient ROM

  • Trauma caused by improper swing mechanics

  • Eye Dominance


Cervical motion
Cervical Motion

  • Optimal: 90 degrees

  • If restricted: -Drop left shoulder -lateral tilt of head-lose of spinal angle -lateral shift of hips


Anatomy of golf hip
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


Most common golfing injuries4
Most Common Golfing Injuries

Hip

  • Inflammation: Bursitis, Tendonitis-Lead leg.

  • DJD.


Hip injuries factors
Hip Injuries: Factors

  • Lack of ROM/Flexibility

  • Decreased Strength

    -rotators, abductors

  • Poor Balance

  • Poor Posture


Anatomy of golf trunk
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)


Most common golfing injuries5
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


Back injuries
Back Injuries

  • Improper Address position (not in neutral spine)

  • Lack of ROM or flexibility

  • Abdominal Integrity

  • Proprioception

  • Medical history


Spine angles
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



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