1. Physiotherapy for Golf Performance Paul Thawley MSc BSc (Hons) MCSP SRP

2. 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

3. Muscle Imbalance Stability Muscles Control of Trunk and Pelvis Postural Control Balance & Segmental Stability Smooth Co-ordination Spread the load Apply the brakes

4. Muscle Imbalance Mobility / Power Muscles Accelerate the club Rapid ballistic movement Power Movement Limb and whole body movement

5. Consequence of Imbalance Altered Swing Path Inconsistency Reduced Power & Distance Injury Incorrect activation / Timing Reduced Efficiency Fatigue

6. 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

7. 4 Basic Problems Lack of Basic Skill Structural Problem (Pathology) Functional Problem (Muscle Imbalance) Reactive functional problems

8. Lack of Basic Skill

9. 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)

10. Functional Problems Correct with Exercise Restrictions Tests of Range Compensations Tests of Control Consistent problem of ball control

11. Reactive Functional Problems Golfer aware of problem Tries to correct it Over-correction Subtle restrictions / Movement Dysfunctions Address Underlying Cause

12. Rotation Control Issues 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

13. Control Issues Performance faults often come before the pain Provides a rationale for addressing movement dysfunction to address performance and to prevent injury

14. Restriction of Range Restriction of Shoulder Inward Rotation 50% Limited Passively Must be compensated for in the golf swing

15. Restricted Internal Rotation

16. Waiter’s Bow

17. Pelvis & Hip Rotation Control