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08 December 2024 : Case report  USA

Improving Golf Swing Kinematics in a 78-Year-Old Golfer with Lower Back Pain: A Case Report

Unusual or unexpected effect of treatment

Jonathan Grathwohl ABCDEF 1, Robert Sillevis ACDEF 1*

DOI: 10.12659/AJCR.946077

Am J Case Rep 2024; 25:e946077

Table 6. Treatment interventions.

Treatment sessionInterventions
First treatmentNeuromuscular control: supine hook lying pelvic tilts (3 sets×15 reps), TrA activation (10-s hold×10 repetitions), physioball PNF upper extremity D1 and D2 (3 sets×15 reps)Hip/torso disassociation: supine hook lying lower trunk rotations (3 sets×15 reps), supine hook lying open books (2 sets×2-s holds×10 reps), physioball horizontal twists (3 sets×15 reps)Balance: single leg stands on foam pad (10-s holds×10 reps each leg×open eyes), 10-m balance beam walks (4 sets×2 eyes straight×1 eyes up/down×1 eyes left/right)Flexibility: hamstring stretch (3 sets×30-s holds×both legs), gluteus stretch (3 sets×30-s holds×both legs), piriformis stretch (3 sets×30-s holds×both legs)
Second treatmentNeuromuscular control: supine hook lying pelvic tilts (3 sets×15 reps), TrA activation (10-s holds×10 reps), TrA activation with marching (10 sets×10 marches), TrA activation with straight leg raise (10 sets×10 reps), resisted physioball PNF upper extremity D1 and D2 (3 sets×15 reps)Hip/torso disassociation: supine hook lying lower trunk rotations with weighted counter rotation (3 sets×15 reps), side lying open books (2 sets×2-s holds×10 reps), resisted physioball horizontal twists (3 sets×15 reps)Balance: single leg stands on a foam pad (10-s holds×10 reps each leg×open eyes), 10-m balance beam walks (4 sets×2 eyes straight×1 eyes up/down×1 eyes left/right), single leg stand on the ground with pelvic tilts (2 sets×10 reps each leg)Flexibility: contract relax hamstring stretch (2 sets×30-s holds×both legs), contract relax quadriceps stretch (2 sets×30-s holds×both legs), contract relax chest stretch (2 sets×30-s holds×bilaterally), gluteus stretch (3 sets×30-s holds×both legs), piriformis stretch (3 sets×30-s holds×both legs
Third treatmentNeuromuscular control: pelvic clocks (2 sets), TrA activation with side-lying clamshells (10 sets×10 reps), TrA activation with straight leg raise (10 sets×10 reps), resisted physioball PNF upper extremity D1 and D2 (3 sets×15 reps), supported pelvic powerhouse (2 sets×10 reps)Hip/torso disassociation: side lying open books (2 sets×2-s holds×10 reps), resisted physioball horizontal twists (3 sets×15 reps)Balance: single leg stands on foam pad (10-s holds×10 reps each leg×open eyes), 10-meter balance beam walks (4 sets×2 eyes straight×1 eyes up/down×1 eyes left/right)Flexibility: contract relax hamstring stretch (2 sets×30-s holds×both legs), contract relax quadriceps stretch (2 sets×30-s holds×both legs), contract relax chest stretch (2 sets×30-s holds×bilaterally), gluteus stretch (3 sets×30-s holds×both legs), piriformis stretch (3 sets×30-s holds×both legs)
PNF – proprioception neuromuscular facilitation; TrA – transversus abdominis.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923