Reducing Golf Injuries with. Golf-Flexology

Transcription

1 Reducing Golf Injuries with Golf-Flexology By Ralph R. Stephens Ralph Stephens 1

2 In primitive society, when tribes beat the ground with clubs and yelled, it was called witchcraft.today, in civilized society, it is called, Golf 2

3 Golf used to be a rich man s sport. Now there are millions of poor players. The Majority of Golfers Suffer a Golf Related injury Almost every one is a potential client that you can help. 3

4 or S i gn a t ur e ser i es Learn to prevent injury, maintain, and care for your bodyspecifically designed with the golfer in mind. 4

5 The Golf Swing Clubhead Speed of 100mph+ 2 parts of the swing Back swing Down swing The Back Swing 5

6 The Down Swing Follow Through 6

7 The Golf Swing Weight transfers from inside the right foot to the left foot The swing ends with the body coiled 90 degrees and facing the target, with all the weight on the left foot, which is pointing toward what was forward. This puts incredible torque on the left knee. Golf equates in muscular exertion to football, martial arts and other sports. Just no physical contact. The Golf Swing 7

8 The Golf Swing places extreme loads on the joints. Common Golf Injuries Golfers Elbow (Medial Epicondylitis) Low back Shoulder Knee 8

9 These conditions are soft-tissue injury and dysfunction: Fascia, Muscle, & Tendon Causes of Golf Injuries Too much play or practice Playing before an injury has recovered fully Poor Swing Mechanics (form) Too little warm-up Twisting spine during swing Structural Imbalances Poor Form or Lack of Conditioning Lack of flexibility 9

10 Lack of Flexibility Restricts one s ability to perform the golf swing Results in inconsistencies Predisposes golfer to injuries How Can a Massage Therapist Help a Golfer? Reduce the pain of injuries Decrease healing time Improve flexibility Massage Stretching 10

11 Let s Look at some golf injury anatomy 11

12 Golfer s Elbow 12

13 Medial Epicondylitis (Golfer's Elbow) Tennis and golfer s elbow 13

14 Flexors_of_Forearm The Low Back 3 primary reasons for low back injuries in golfers: Poor Posture Lack of flexibility in the Hips Poor Swing Mechanics 14

15 Quadratus_Lumborum Multifidi_and_Rotatores 15

16 Most causes of back pain are due to muscle spasm only 1 3% due to discs! Sciatica is most often due to piriformis spasm or Hamstring spasm Pelvic imbalances Lumbar lesions Piriformis 16

17 Gluteus_Medius Gluteus_Minimus 17

18 The Shoulder Supraspinatus 18

19 Infraspinatus Teres_Major 19

20 Teres_Minor Subscapularis 20

21 Medical Massage for the Knee Patella & Retinaculum 21

22 Tibial Collateral Ligament Popliteus_and_Plantaris 22

23 How to Address These Conditions Thoroughly examine tissues Accurately Precisely Normalize abnormal tissues Ischemia (TePs) Trigger Points (TrPs) Restore Range of Motion (ROM) How to Address Golfer s Elbow Skin rolling & myofascial stretching Compression of flexors Circular deep friction Deep stripping effleurage Point by point examination of flexors Deep friction and sustained pressure at and just distal to medial epicondyle Stretching AIS & Pin & Stretch 23

24 Wrist Extension: Hand Prone 90º (and at 45º each way) Primary muscles stretched: flexor carpi radialis, flexor carpi ulnaris, flexor digitorum (greater emphasis at distal attachments) Wrist Extension: Hand Supine 90º (and at 45º each way) Primary muscles stretched: flexor carpi radialis, flexor carpi ulnaris, flexor digitorum (greater emphasis at proximal attachments) 24

25 Wrist Extension with the Fingers: Hand Prone (and at 45º each way) Primary muscles stretched: flexor carpi radialis, flexor carpi ulnaris, flexor digitorum Wrist Extension: Hand Prone 90º with the fingers (and at 45º each way) Primary muscles stretched: flexor carpi radialis, flexor carpi ulnaris, flexor digitorum (greater emphasis at distal attachments) 25

26 Forearm Extensors Stretching Summary Wrist Flexion: Hand Prone 90º (and at 45º each way) Primary muscles stretched: extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris 26

27 Wrist Flexion: Finger Extensors Stretch (with a fist; prone and supine, and at 45º each way) Primary muscles stretched: extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris, extensor digitorum, extensor indicis, extensor digiti minimi Exercise For Golfer s Elbow 27

28 How to Address Low Back Pain Skin rolling and myofascial stretching Examine quadratus lumborum Examine paraspinal muscles superficial & deep Examine hip, especially superior to trochanter AIS Stretching Lateral Gluteus Maximus (vertical thigh, knee across body, 90º) Primary muscles stretched: gluteus maximus and lower back rotators 28

29 Oblique Gluteus Maximus (vertical thigh, knee across body higher, 80º) Primary muscle stretched: gluteus maximus (oblique fibers) Double Leg Pelvic Tilt (feet together, knees 90º, sacrum up) Primary muscles stretched: erector spinae, multifidus, quadratus lumborum, sacrospinalis, lumbar extensors Also: tensile force on lumbar and sacral ligaments 29

30 Oblique Double Leg Pelvic Tilt (knees up, twist, up to same axilla) Primary muscles stretched: erector spinae, multifidus, quadratus lumborum, sacrospinalis, and lumbar extensors on the opposite side Also: tensile force on lumbar and sacral ligaments Piriformis and Trunk Stretches Summary 30

31 How to Address Shoulder Pain Skin rolling and myofascial stretching Examine each muscle of the rotator cuff and shoulder girdle AIS stretching Horizontal Flexion with Thumb Up Primary muscles stretched: infraspinatus and teres minor 31

32 Horizontal Flexion with Palm Up Horizontal Flexion with Palm Down 32

33 Horizontal Flexion with Thumb Down How to Address Knee Pain Skin rolling and myofascial stretching Examine each muscle that crosses the knee Examine the tendon capsule of the knee, especially around the patella Examine the superficial ligaments Active Isolated Stretching Mattes Method Active Isolated Strengthening Mattes Method 33

34 How to Address Lack of Flexibility Examine each muscle that crosses the joint involved in the complaint or that is lacking ROM Active Isolated Stretching Mattes Method Active Isolated Strengthening Mattes Method Thank YOU so Much! Time for questions And hopefully answers. 34

35 or S i gn a t ur e ser i es Learn to prevent injury, maintain, and care for your bodyspecifically designed with the golfer in mind. 35