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

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

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

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

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

5 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

6 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

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

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

9 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

10 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

11 Wrist and Hand Injuries n Lack of Range of Motion -Thumb extension or radial deviation n Inappropriate grip -too much or too little n Trauma -hitting the ground

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

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

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

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

16 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

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

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19 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

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

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

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

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

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

25 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

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

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

28 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)

29 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 -Ruptured disc - disc nucleus ruptures

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

31 Spine Angles n Primary: 40-45 degrees n Secondary: 8-12 degrees n 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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34 Thank You

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