Transcript Physiotherapy for Golf Performance

Physiotherapy for Golf
Performance
Paul Thawley
MSc BSc (Hons) MCSP SRP
The Role of Physiotherapy
• Assess the Golfers Physical Capabilities
using a series of baseline tests
• Combine Golf Pro assessment with Physio
Screening and Video Analysis
• Categorise into one of four profiles
Muscle Imbalance
• Stability Muscles
Control of Trunk and Pelvis
Postural Control
Balance & Segmental Stability
Smooth Co-ordination
Spread the load
Apply the brakes
Muscle Imbalance
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Mobility / Power Muscles
Accelerate the club
Rapid ballistic movement
Power
Movement
Limb and whole body movement
Consequence of Imbalance
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Altered Swing Path
Inconsistency
Reduced Power & Distance
Injury
Incorrect activation / Timing
Reduced Efficiency
Fatigue
Ideal Control in Golf
• Establish Control of Pelvic Movement
independently of the spine and hips
• Appropriate sequencing
• Re-balancing movement
• Assess and Address muscle imbalance
4 Basic Problems
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Lack of Basic Skill
Structural Problem (Pathology)
Functional Problem (Muscle Imbalance)
Reactive functional problems
Lack of Basic Skill
Structural Problem
• Manage Problem (Appropriate Treatment)
• Change or modify technique to
accommodate problem
• Unless the problem is likely to resolve
• Establish time frame
(e.g. Increased hip rotation causing
muscle imbalance v degenerative arthritis)
Functional Problems
Correct with Exercise
Restrictions
Tests of Range
Compensations
Tests of Control
Consistent problem of
ball control
Reactive Functional Problems
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Golfer aware of problem
Tries to correct it
Over-correction
Subtle restrictions / Movement
Dysfunctions
• Address Underlying Cause
Rotation Control Issues
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Wrist & Forearm
Arm & Shoulder v Shoulder Blade / Back
L & R Shoulder blades & Back
Low back & Pelvis v Upper back
Low back & Pelvis v Tilt / Shift of Pelvis
Low back & Pelvis v Hips
Head & Neck v Shoulder Blades / Back
Hips v Lower Limbs & Weight Shift
Control Issues
• Performance faults often come before the
pain
• Provides a rationale for addressing
movement dysfunction to address
performance and to prevent injury
Restriction of Range
• Restriction of
Shoulder Inward
Rotation
50% Limited
Passively
Must be compensated
for in the golf swing
Restricted Internal Rotation
Waiter’s Bow
Pelvis & Hip Rotation Control