/
Are you getting the best from your golf game? Are you getting the best from your golf game?

Are you getting the best from your golf game? - PowerPoint Presentation

natalia-silvester
natalia-silvester . @natalia-silvester
Follow
405 views
Uploaded On 2016-03-28

Are you getting the best from your golf game? - PPT Presentation

Chiropractic and Golf By Dr Nicholas Wall Wall Chiropractic The Golf Swing Setup Posture Training Backswing Loading mechanism Top Downswing Explode Impact Sequence Follow through mimic takeaway ID: 270711

injury swing elbow golf swing injury golf elbow shoulder wrist spine injuries males females hips overuse rotation extension internal

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document "Are you getting the best from your golf ..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

Are you getting the best from your golf game?

Chiropractic and Golf

By: Dr. Nicholas Wall

Wall

ChiropracticSlide2

The Golf Swing

SetupPostureTraining

Backswing = Loading mechanism

Top

Downswing = Explode

Impact = Sequence

Follow through = mimic takeaway

Finish = DecelerationSlide3

Mechanism of a swing

Arm Abduction and Adduction

Shoulder Rotation – Internal/External

Flexion

Knees

Back

Arms

Extension

Back

Arms

Legs

Abdominal CoreSlide4

Swing Styles

Two main styles Classic

ModernSlide5

Modern Swing

Large shoulder rotationMinimal hip rotationSupposed to increase chance of striking ball with a square club face↑ Power

↑ Distance

Increased separation angle – shoulder/hip separation

Causes increased lateral bend (crunching)

Overextension of spineSlide6

Classic Swing

Balanced hip and shoulder rotationDecreased separation angleDecreases lateral bending (↓ crunching)Lowers amount of torque on lumbar spine

Balanced, upright form on finish

Studies have shown this swing can reduce incidence of low back painSlide7

Posture

Neutral spineHip flexedKnees slightly bentT/S extended with chin tucked

Arms hanging straight down, relaxedSlide8

Posture

MobilityFeetHipsThoracic Spine

These three are the key areas of the body that must be mobile and controlled, or problems arise

Many injuries can be traced back to poor posture

Training the body

RehabilitationSlide9

Stabilization

Internal/External ObliquesQuadratus Lumborum

Erector

Spinae

Multifidi

Rectus

Abdominus

Hip

Gluteus

maximusSlide10

The Feet

Dorsiflexion- 8 inch step down

Pronation

- Talus must adduct and internally rotate

Calcaneal

(Heel)

eversion

Golf is one of the only sports that generates an explosive force with both feet on the ground at all times

This requires very mobile feet since they are locked onto the ground

Albert

PujolsSlide11

The Hips

During the Back Swing, both hips internally rotate

The Femur moves faster than the pelvis on the front leg, giving relative internal rotation

Hip internal rotation turns on our most powerful force producers, our anterior and posterior muscle slings

Internal rotation of the hips loads our

gluteal

and abdominal muscles

This activates the anterior and posterior oblique sling muscles, producing a concentric moment of force, the explosion or downswing.

If the

calcaneus

doesn’t

evert

, we will not be able to internally rotate our hips, causing a slide or sway, which makes it near impossible to get back to our original setup position.Slide12

Thoracic Spine

To end range load our Anterior sling muscles, we must EXTEND and rotate through our T/S.

T/S extension is necessary to retract our scapula, stabilizing it

This “sets” the club at the top of the back swing

At this point, the T/S is extended, rotated and laterally flexed

Separate our arms from our body, POWER!Slide13

Swing and Impact

Counternutation of Sacrum and hip extension

Supination

of

both

feet

Abdominals eccentrically controlling lumbar spine extensionSlide14

Follow Through

Abdominal Eccentric control of lumbar extensionHip extension

Hip internal rotation

Feet

Supination

Thoracic spine extension and rotation

Left scapula retraction

Right scapula protraction Slide15

Injury

What areas are most commonly injured when playing golf? - Low Back

- Elbows

- Wrists

- Shoulders

- Neck

- Knees (Tiger Woods)

Slide16

Why?

Why do we get injured?Improper biomechanics*RepetitionOveruse*

Bad luck

Most golf injuries are repetitive

microtrauma

injuries, joints and muscles become overloaded by excessive forces and motions and symptoms present

Look for the areas not moving enough and find out why they are not moving.

The most common locations for these dysfunctions are the HIPS, FEET, and T/S!

The body must work together as a whole to avoid injury.

Chiropractic!!!

Acute trauma can occur, as in the classic “fat” shot and wrist injury Slide17

Study

Source of data

No. of respondents

Most common injuries

Mechanisms/comment

McCarroll

et al.

Amateur (942 males, 202 females)

1144 (942 males, 202 females)

Males: low

back, elbow, wrist/hand

Females: elbow, low back, shoulder

Excessive

play, poor swing mechanics, hitting the ground, 50% of all injuries occurred at impact

Batt

Amateur

193 (

164 males, 29 females)

Males: wrist, back

Females: elbow

Incorrect swing/miss-hit (affecting wrist), overuse

type injuries

Nicholas

et al.

Amateur

368

47.6% had been struck by a golf ball in lower extremity, followed by trunk and upper extremity injury

sites

Most serious injury being struck by a golf ball,

contusion followed by concussion and fracture were most common

Theriault

et al.

528 (347 males, 181 females)

Upper limb

(42.4%), spine (39.7%), lower limb (17.9%)

Technical

injury (53.9%),

overextertion

of trunk during swing (30.8), overuse (14.1%)

Burdorf

et al.

Back pain in beginner males

196

Baseline survey: life-long

cumulative incidence of back pain was 63%, 28% had a history or back pain within 1 month prior to answering the survey

Those that were athletes had increased

odds ratio of 2.1:1 to previous back pain compared with non-athletes

Gosheger

et al

Amateur and professionals

643 amateurs

(70.9% males), 60 professionals (90% males)

Professionals:

back, wrist, shoulder

Amateurs: elbow, back, shoulder

More than

80% of injuries were attributed to overuse in the back, shoulder, knee and elbow

McCarroll

and

Gioe

Professional

226 (127

males, 99 females)

Male:

low back, wrist, shoulder

Females: wrist, low back, hand

Sugaya

et al.

Low back pain among

elite/professional

283

(115 regular tour males, 55 senior tour males, 113 tour females

Low back, followed by neck/high

back and elbow and shoulder

equaly

72% experienced injuries that caused them to miss a tournament or perform at a lower level, mostly

due to back and upper extremity injuries

McNicholas

et al.

Sports medicine clinics data collection

286

Most common site was reported as upper limb,

followed by trunk and knee

Nearly 90%

were recreational golfers. Of the upper limb injuries, lateral

epicondylitis

was most common, followed by shoulder impingement and medial

epicondylitis

Finch

et al.

Sports medicine clinics

and emergency

depts

34

Lower

back, elbow and knee

Overuse, a twist or rotational component

of the swing, poor swing mechanics, aggravation of previous injury. Elbow injury due to overuse (2/3) and missed hits (1/3)Slide18

Incidence of Injury

Area

Amateur %

Professional %

Male

%

Female %

Low back

15-34

22-24

25-36

22-27

Wrist

13-20

20-27

18-28

12-36

Elbow

25-33

7-10

8-33

6-50Slide19

Professionals

WristLow BackMechanismRepetition

Hitting something other than golf ballSlide20

Amateurs

Elbows ****Low backWristShouldersMechanism

Poor mechanics ****

Overuse

Hitting the groundSlide21

Low Back

Most common injured areaMechanism of injury:Setup: Extension or flexion? Too much rotation? Combination?

Reverse pivot swing fault

Early extension swing fault

Sedentary lifestyleSlide22

Low Back

Why is it getting injured? Compensations: Tight hips: poor loading during backswing, poor glut max and med function

Tight t/s: must be able to extend and rotate

Stiff ankles: poor

dorsiflexion

and

subtalar

joint

eversion

Muscle Imbalance

Abdominals: stabilize the spine, rotate around a stable L/S

Gluts Max: control weight shift to back leg, control femur internal rotation, proper loading for power and control

Scapular stabilizers:

serratus

anterior, middle and lower trap

ADLs and functionSlide23

Elbows

Amateurs/ProfessionalsGolfer’s elbow (medial epicondylitis)

Tennis elbow (lateral

epicondylitis

)

Mechanism of Injury:

Overuse of the wrist extensors eccentrically slowing down wrist flexion and

pronation

.

Casting swing fault.

Scooping motion at impact.

Slicing shot pattern.Slide24

Wrists

Cartilage weakness/Hook of Hamate

fx

Swing faults of Casting or Over the Top (compression of cartilage during

ulnar

deviation)

Hitting a fat shot, causing

fx

Lack of:

Spine extension

Hip internal rotation

Hip extension

Tight

pecs

/

lats

.Slide25

How do you prevent injury?

Know your weakness areasGolf swingLoss of function

Correcting weaknesses

Lessons

Chiropractor

Exercise/Rehabilitation

Keys to successful rehab:

Are you working on the key link?

Does your rehab mimic golf?

You must know golf biomechanics to understand how injuries occur!Slide26

Injury Prevention

Go see your chiropractor!!!!EducationPre-game Stretching

TrainingSlide27

Low Back

Chiropractic adjustingCore MusculatureExercisesBridge

Side Bridge

Cat-Camel

Bird Dog

Glut Musculature

Exercises

Glut Bridge

Bird Dog

Wobble BoardSlide28

Thoracic Spine

Adjust for extension

Exercise ball mobilization

Bruegger’s

posture

Stretch tight muscles - Pecs,

latsSlide29

Elbow/Shoulder

ElbowChiropractic AdjustmentsExercise ball throwsThera

-band

Hip and T/S mobility

Shoulder

Chiropractic Adjustments

Hip and T/S mobility

Thera

-band

Lawnmower pullsSlide30

Wrist

Chiropractic AdjustmentsStrengtheningThera-band

Broccoli stretching

All ROM

Stabilization

Thera

-band

Wood chops

Bracing

Training hips and T/SSlide31

References

McHardy A, Pollard H, Luo K. Golf Injuries – A Review of the Literature

. Sports Med 2006; 36 (2): 171-187

Lehman G.

Resistance training for performance

and injury prevention in golf.

JCCA 2006; 50(1):27–42.

Gluck GS,

Bendo

JA,

Spivak

JM.

The Lumbar Spine and Low Back Pain in Golf: A Literature Review of Swing Mechanics and Injury Prevention.

The Spine

Journal 2008; 8 (5): 778-88.