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Matt Serlo, M.P.T. Jacksonville, FL.

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Presentation on theme: "Matt Serlo, M.P.T. Jacksonville, FL."— Presentation transcript:

1 Matt Serlo, M.P.T. Jacksonville, FL.
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 Valgus Stress-trauma/repetition
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


18 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

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

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

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

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

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

24 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

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

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

27 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)

28 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

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

30 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



33 Thank You



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