A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report

# Background and Purpose Low back pain is one of the most common conditions occurring in the golfing population. Many approaches have been utilized throughout the years to address this condition including the concept of regional interdependence. The purpose of this case report is to describe the ev...

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Autor principal:	Luke Deckard
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/bd50220b2c4740779f0557873d431787
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spelling	oai:doaj.org-article:bd50220b2c4740779f0557873d4317872021-12-02T17:43:25ZA Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report10.26603/001c.234702159-2896https://doaj.org/article/bd50220b2c4740779f0557873d4317872021-06-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/23470-a-targeted-approach-to-evaluating-the-golfing-athlete-with-low-back-pain-a-resident-s-case-report.pdfhttps://doaj.org/toc/2159-2896# Background and Purpose Low back pain is one of the most common conditions occurring in the golfing population. Many approaches have been utilized throughout the years to address this condition including the concept of regional interdependence. The purpose of this case report is to describe the evaluation process and treatment approach of a golfer with low back pain using the principles of regional interdependence. # Case Description A thirty-year-old male with right-sided low back pain was evaluated using a comprehensive approach including golf specific movement screening and a swing evaluation. The patient had mobility restrictions in his thoracic spine and hips that appeared to be contributing to a hypermobility in the lower lumbar spine. Based on the evaluation, he was placed into the treatment-based classification (TBC) of stabilization but would also benefit from mobilization/manipulation techniques. # Outcomes After seven visits over a four-week span, the patient’s mobility and core stability both improved and he was able to play golf and workout pain free. His outcome measures also improved, including the revised Oswestry Disability index from 26% disabled to 10%, the Fear Avoidance Behavior Questionnaire (FABQ) Work from 10/42 to 3/42, and the FABQ Physical Activity from 19/24 to 6/24. # Discussion Evaluating and developing a plan of care to address low back pain in an avid golfer can be challenging as a variety of demands are placed on the spine during the movement. This case report describes the evaluation process and treatment approach to specifically target the demands that are required during the golf swing. Utilizing a targeted approach that includes golf specific movement screening and a swing evaluation can help guide the therapist in their treatment and improve the patient’s outcome. # Level of Evidence Level 4Luke DeckardNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Luke Deckard A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report
description	# Background and Purpose Low back pain is one of the most common conditions occurring in the golfing population. Many approaches have been utilized throughout the years to address this condition including the concept of regional interdependence. The purpose of this case report is to describe the evaluation process and treatment approach of a golfer with low back pain using the principles of regional interdependence. # Case Description A thirty-year-old male with right-sided low back pain was evaluated using a comprehensive approach including golf specific movement screening and a swing evaluation. The patient had mobility restrictions in his thoracic spine and hips that appeared to be contributing to a hypermobility in the lower lumbar spine. Based on the evaluation, he was placed into the treatment-based classification (TBC) of stabilization but would also benefit from mobilization/manipulation techniques. # Outcomes After seven visits over a four-week span, the patient’s mobility and core stability both improved and he was able to play golf and workout pain free. His outcome measures also improved, including the revised Oswestry Disability index from 26% disabled to 10%, the Fear Avoidance Behavior Questionnaire (FABQ) Work from 10/42 to 3/42, and the FABQ Physical Activity from 19/24 to 6/24. # Discussion Evaluating and developing a plan of care to address low back pain in an avid golfer can be challenging as a variety of demands are placed on the spine during the movement. This case report describes the evaluation process and treatment approach to specifically target the demands that are required during the golf swing. Utilizing a targeted approach that includes golf specific movement screening and a swing evaluation can help guide the therapist in their treatment and improve the patient’s outcome. # Level of Evidence Level 4
format	article
author	Luke Deckard
author_facet	Luke Deckard
author_sort	Luke Deckard
title	A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report
title_short	A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report
title_full	A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report
title_fullStr	A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report
title_full_unstemmed	A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report
title_sort	targeted approach to evaluating the golfing athlete with low back pain: a resident’s case report
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/bd50220b2c4740779f0557873d431787
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A Targeted Approach to Evaluating the Golfing Athlete with Low Back Pain: A Resident’s Case Report

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