Introduction to Golf Rehabilitation and Performance: 90 Percent Mental, 90 Percent Physical: Summary 38
ASSESSMENT
2. Top of backswing : ■ L shoulder to or past the ball (FO) ■ Want to see L arm through R shoulder (DTL) 3. Impact :
Subjective Exam • What is your handicap/index? • How often do you play? Where do you play? • What is your miss? • Where do you feel like you can improve most? • What are you looking to accomplish regarding golf? • Consider the patient/client in front of you: ○ What do they want? ○ What do they need to achieve what they want? Objective Exam: Strength and Range of Motion • Foot/Knee : ○ Fore foot inversion/eversion ○ Midfoot inversion/eversion ○ Subtalar inversion/eversion ○ Talocrural glides ○ Distal/proximal tibia/fibula anterior/posterior, posterior/anterior glides ○ Tibial IR/ER • Hip : ○ Flexion ○ ER ○ IR ○ Add/IR/extension (Ober’s) ○ Abduction raise • Shoulder (Thorax) : ○ Shoulder ER @ 0 degrees (upper posterior ribs) ○ Shoulder ER @ 90 degrees (lower posterior ribs) ○ Shoulder horizontal abduction (upper posterior ribs) ○ Shoulder IR @ 90 degrees (lower anterior ribs) ○ Shoulder horizontal adduction (upper anterior ribs) ○ Shoulder flexion (upper anterior and posterior ribs) • Cervical spine : Swing Analysis • Two main viewing angles : 1. Face on (FO) 2. Down the line (DTL) • Four checkpoints : 1. Initial takeaway (club at or below belt level) : ■ Wide takeaway (FO) ■ Want to see club head outside the hands (DTL) ○ Lower cervical rotation test ○ Mid-cervical sidebend test
■ Look for the L back pocket (DTL ■ Look for the backwards “K” (FO)
4. Follow-through :
■ Back foot on toe ■ Belt buckle to target
INTERVENTIONS (Refer to video for demonstration of each) If there are no movement capacity limitations, the client would likely benefit most from working with a golf coach. If movement limitations exist: 1. Intervene to improve movement limitation 2. Create specificity with the new movement capability Preferred Warm-up • T-walk around
• Shoulder points • 9–3 pendulums Foot and Ankle Limited Subtalar Inversion/Eversion:
• Manual therapy • Self-mobilization • Heel rockers Downswing Issues:
• Water bottle drill (inside left or outside right foot) : Set up your target line and place water bottle just outside/in front of target line. Goal is to avoid hitting water bottle during your downswing: ○ Helpful intervention for golfers who slice the ball Follow-through Issues: • Show the gum (right foot) : Work through follow through and push completely into left side to see whole bottom of right shoe and “show me gum on bottom of shoe” ○ Appropriate for someone who has difficulty rotating hip to the left side because of limited left hip IR and right ER • Club under right heel : Take a wedge and place the clubface under the right heel. The goal is for the club to fall during downswing and follow through to show they are shifting weight better to right side ○ Appropriate to use for a patient who has issue with transferring weight to the right side
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