Golfers Flashcards

1
Q

mechanical stress lumbar spine

A
  • cadaver study have shown that it takes 9x the normal compression force of gravity to rupture a disc while a proper golf swing generates 8x the normal force or 8 Gs
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2
Q

most common injuries in amateurs

A
  • left elbow
  • left wrist/hand
  • low back
  • left shoulder
  • right elbow
  • left knee
  • elbow much more common for amateurs due o hitting ground or objects, overuse, poor technique
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3
Q

most common injuries in professionals

A
  • lower back
  • L elbow
  • L wrist/hand
  • L shoulder
  • L knee

*LB much more common for pros due to repetitive swinging, high force technique

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4
Q

Common Golf injuries Phases

A
  • Address
  • Backswing
  • Down Phase
  • Impact
  • Follow through
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5
Q

Address

A
  • address refers to the initial stance
  • no injuries typically occur in the address phase, but mistakes in grip or stance can lead to injury-causing consequences later in the swing
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6
Q

Backswing injuries

A
  • wrist/thumb tendonitis
  • aggravation of wrist/ thumb arthritis
  • nerve stretch injuries of the wrist (*carpal tunnel)
  • elbow tendonitis
  • shoulder impingement
  • low back injuries
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7
Q

Downswing

A
    • abdominal muscles are working 3 times harder, spinal muscles are working 4-5 times harder, and right RC and pecs working 6-7 times harder in down swing
  • head of golf club has a potential to accelerate up to 100 mph in 0.2 sec
  • injuries are 2 times more likely to occur in this phase versus the backswing due to the amt of force and velocity required
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8
Q

downswing inuries

A
  • wrist tendonitis/ strain
  • elbow tendonitis/strain
  • stress fractures of the ribs
  • strains in RC, pecs, and back muscles
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9
Q

impact injuries

A
  • Impact phase refers to the portion of the swing in which the club makes contact with the ball
  • hamate fracture
  • carpal tunnel syndrome
  • wrist/finger tendonitis
  • elbow tendonitis
  • RC strain or trear
  • aggravation of hip/knee arthritis pain
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10
Q

follow through injuries

A
  • refers to the deceleration or the slowing down of the club after contact with the ball
  • one in four golf swing injuries occur here
  • low back hyperextension injury
  • sprain knee and ankle
  • hip bursitis/tendonitis
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11
Q

Patient education wrist/hand

A
  • select the proper equipment
  • use larger and softer club grip
  • get clubs rewrapped yearly ( or every 50 rounds)
  • use a glove on each hand
  • use proper club length
  • handle should extend beyond left pinky flesh
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12
Q

patient education knees

A
  • prepare with proper warm ups and proper equipment selection
  • take golf lessons
  • rest as needed
  • use cart as walking an 18 hole course can exceed 5-6 miles of walking
  • use shorter irons
  • go spike less
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13
Q

patient education

total joint replacements

A
  • total joint replacements can be golfer friendly with no higher complications found 2 years post op with golfing
  • consider precautions for first 6-12 mo
  • avoid playing in wet conditions
  • use small spikes or none
  • use a cart or caddy
  • limit backswing and follow through to decr mechanical stress on body
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14
Q

patient education low back

A
  • Prepare with a proper warm
  • se of proper equipment
  • sufficient strength and flexibility of spine/trunk and LE
  • most injuries are sustained during fatigue
  • proper form and mobility will increase endurance needed for proper form
  • proper body mechanics during non swing activities such as putting on shoes, retrieving or teeing up ball, getting bag out of car should be performed properly
  • make sure and provide sufficient time to recover prior to returning to golfing
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15
Q

return to play guidelines

A
  • safely consists of 5 week progression to full return this is assuming that pain, and flexibility deficits have been corrected and you have been cleared by a healthcare professional in cases of post-op surgeries and serious injuries
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16
Q

5 week progression of return to play

A
  • Week 1: Putting and chipping
    2: chipping and short irons
    3: short/medium irons
    4: long irons and driving
    5: full play 9 holes 1st then 18
17
Q

What body parts are responsible for rotating?

A
  • Subtalar 5-8 deg
  • Hips 30-40 deg IR
  • Hips 40-60 deg ER
  • Thoracic spine 40 deg
18
Q

What happens when we don’t use the body properly?

A
  • compensations

- the lost kinetic energy in this case results in excessive upper extremity force to compensate resulting in UE injuries