Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer

The prevalence of spondylolysis amongst adolescent athletes presenting with low back pain has been reported as high as 47-55%. Youth athletes participating in sports involving movements combining compression, extension and rotation appear most susceptible. As such, young golfers are a high-risk gro...

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Autores principales:	Simon L Brearley, Orlaith Buckley, Patrick Gillham, Bryan Clements, Daniel Coughlan
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/d1a9458e219a4ecab619d894978eb037
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spelling	oai:doaj.org-article:d1a9458e219a4ecab619d894978eb0372021-12-02T17:43:26ZInter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer10.26603/001c.188732159-2896https://doaj.org/article/d1a9458e219a4ecab619d894978eb0372021-02-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/18873-inter-disciplinary-conservative-management-of-bilateral-non-united-lumbar-pars-defects-in-a-junior-elite-golfer.pdfhttps://doaj.org/toc/2159-2896The prevalence of spondylolysis amongst adolescent athletes presenting with low back pain has been reported as high as 47-55%. Youth athletes participating in sports involving movements combining compression, extension and rotation appear most susceptible. As such, young golfers are a high-risk group, particularly given the high shear and compressive forces associated with the golf swing action. This is compounded by a culture which encourages very high practice volumes, typically poorly monitored. Although non-operative interventions are deemed the gold-standard management for this condition, surgery is indicated for more severe presentations and cases of ‘failed’ conservative management. The case presented herein outlines an inter-disciplinary, non-operative management of a 17-year old elite golfer with a moderate to severe presentation. A 4-stage model of reconditioning is outlined, which may be of use to practitioners given the paucity of rehabilitation guidelines for this condition. The report highlights the benefits of a graded program of exercise-based rehabilitation over the typically prescribed “12 weeks rest” prior to a return to the provocative activity. It also supports existing evidence that passive therapeutic approaches should only be used as an adjunct to exercise, if at all in the management of spondylolysis. Finally, and crucially, it also underlines that to deem non-surgical rehabilitation ‘unsuccessful’ or ‘failed’, clinicians should ensure that (long-term) exercise was included in the conservative approach. # Level of Evidence 4-Case ReportSimon L BrearleyOrlaith BuckleyPatrick GillhamBryan ClementsDaniel CoughlanNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Simon L Brearley Orlaith Buckley Patrick Gillham Bryan Clements Daniel Coughlan Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer
description	The prevalence of spondylolysis amongst adolescent athletes presenting with low back pain has been reported as high as 47-55%. Youth athletes participating in sports involving movements combining compression, extension and rotation appear most susceptible. As such, young golfers are a high-risk group, particularly given the high shear and compressive forces associated with the golf swing action. This is compounded by a culture which encourages very high practice volumes, typically poorly monitored. Although non-operative interventions are deemed the gold-standard management for this condition, surgery is indicated for more severe presentations and cases of ‘failed’ conservative management. The case presented herein outlines an inter-disciplinary, non-operative management of a 17-year old elite golfer with a moderate to severe presentation. A 4-stage model of reconditioning is outlined, which may be of use to practitioners given the paucity of rehabilitation guidelines for this condition. The report highlights the benefits of a graded program of exercise-based rehabilitation over the typically prescribed “12 weeks rest” prior to a return to the provocative activity. It also supports existing evidence that passive therapeutic approaches should only be used as an adjunct to exercise, if at all in the management of spondylolysis. Finally, and crucially, it also underlines that to deem non-surgical rehabilitation ‘unsuccessful’ or ‘failed’, clinicians should ensure that (long-term) exercise was included in the conservative approach. # Level of Evidence 4-Case Report
format	article
author	Simon L Brearley Orlaith Buckley Patrick Gillham Bryan Clements Daniel Coughlan
author_facet	Simon L Brearley Orlaith Buckley Patrick Gillham Bryan Clements Daniel Coughlan
author_sort	Simon L Brearley
title	Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer
title_short	Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer
title_full	Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer
title_fullStr	Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer
title_full_unstemmed	Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer
title_sort	inter-disciplinary conservative management of bilateral non-united lumbar pars defects in a junior elite golfer
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/d1a9458e219a4ecab619d894978eb037
work_keys_str_mv	AT simonlbrearley interdisciplinaryconservativemanagementofbilateralnonunitedlumbarparsdefectsinajuniorelitegolfer AT orlaithbuckley interdisciplinaryconservativemanagementofbilateralnonunitedlumbarparsdefectsinajuniorelitegolfer AT patrickgillham interdisciplinaryconservativemanagementofbilateralnonunitedlumbarparsdefectsinajuniorelitegolfer AT bryanclements interdisciplinaryconservativemanagementofbilateralnonunitedlumbarparsdefectsinajuniorelitegolfer AT danielcoughlan interdisciplinaryconservativemanagementofbilateralnonunitedlumbarparsdefectsinajuniorelitegolfer
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Inter-Disciplinary Conservative Management of Bilateral Non-United Lumbar Pars Defects in a Junior Elite Golfer

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