Clinical segmental hypermobility, and thereby the outer mode load the lumbar spine is a
common cause of back pain in golfers.
An individual functional analysis of each player and his golf swing is necessary to
discover why the movement is ofunktionell and from the back point of error. Sacrum
position and its position relative was the emphasis falls, controls how the operating outlet in
columna occurs. It is therefore important that in all phases of golf swing analysis position,
center of gravity and to move aside in columna is physiologically. If this can be done together
with the player’s coach, you can already do this any changes in your swing by
favorable to affect the wrong move.
Movement in columna takes place in a combination of motion abstraction. There is really no
movement unique in a single segment, but at a normal motion allocated movement across multiple
segments. This is an advantage when the load is spread over several segments and thereby
reduce the load on each individual link. It also can have a disadvantage with
adjacent segmental stiffness, then the effect of increasing the load on the hyper-mobile
segment, which may offset the adjacent hypomobila segment’s immobility. At
the clinical examination, it is also important to examine the adjacent leads
such as hip, thoracolumbala transition and other lumbar segments to detect
Any hypomobilitet. Thus it can be indicated by the mobilization treatment of
adjacent rigid segments and leads to so reduce the burden on the local
hyper-mobile segment.
When the clinical segmental hypermobility has been difficult to physiological stress
maintain the optimal position between the joint surface due to a ofysiologisk motion axis is the
of paramount importance that muskulart trying to compensate for this. A very large proportion of
ryggmuskulaturens function is precisely postural, ie, adjust and maintain the desired position when
the upset – mostly due to gravity. Mono Segment speaking innervate muscles in
lumbalcolumna, (m inter-transverse and m. multifidus), are major proprioceptive sensors with
a high content of muscle spindles in comparison with polysegmentell innervate muscles
(1). It has been found impaired proprioception in patients with low back pain (2). Other
Researchers (3) says that just proprioceptionstraning is more important than pure strength training in
rehab l none of joint damage. The muscles that appear to be the main stabilizing
function of the lumbar spine is m. multifidus (4). M. multifidus is also the muscles that have
best momentarm and best ability to stabilize, prevent and withdraw the rotation,
Paradoxically, both the contralateral breast and ipsilateral rotation. The actual rotation of lumbalcolumna
are operating as an indirect result of the rotation of thoracalcolumna, mainly rotated
of the oblique abdominal muscles, or as a result of the emphasis the movement of the legs and
pelvis. This compares with a golf swing.
Other muscles of the Erector spinae m. is polysegmentellt innervate. It seems, by his
originating primarily from thoracalcolumna and his mount through senaponeuroser the sacrum and
iliumkanten, as a bowstring over lumbalcolumna. This means that the muscles tighten
lumbalcolumna Lordos and more in an already hyper-mobile Extenders segment ports
further in the hyper-extension. This also means using “active insuffiens” impaired ability
of m. multifidus to stabilize the lumbar segment.
With regard to the leg muscles function, research from Australia (5) demonstrated that
m. The transverse abdominis is the most important for the stabilization of the lumbar spine. The
anticipatorisk has a postural function that has been lost or are delayed in
low back pain. Other research has shown an altered activation pattern of
abdominal muscles in chronic low back pain (6).
Finally, the muscles that stabilize the pelvis and lower limb major
importance for the position of the sacrum during a swing motion. In rehabilitation, it is therefore
important to analyze the function and the train of the same to get the optimum condition
for the proper motion of the lumbar spine. Examples of training positions for the patient and how
can gradually elevate the burden will be displayed.
References
1. Bogduk N and L Twomey, Clinical Anatomy of the Lumbar spine,
Churcill Livingstone, 1991.
2nd Casing Park et al, Jospt, 19:282-295, 1994.
3rd Sjolander P and H Johansson, Sensory endings in ligaments: response properties and
effects on proprioception and motor control. Ligaments and ligamentopathies
Ed. L Yohia Springer Verlag, New York.
4th Sihvonen T, Low Back Pain, Para Spinal EMG and Forgotten Dorsal Rami,
dissertation, University of Kuopio, Finland.
5th Hagdes P and C Richardson, Inefficient muscular stabilization of the lumbar spine
associated with low back pain: A motor control evaluation of the transverse abdominis,
Spine, 21:2640-2650.
6th O’Sullivan, Twomey et al, Altered abdominal muscle recruitment in patients with chronic
back pain following a specific exercise intervention. Jopst, 27: 114-124, 1998.