Golf

HIP JOINT TORQUES DURING A GOLF SWING AFTER A TOTAL HIP REPLACEMENT: A CASE SERIES

Purpose: Total Hip Replacements (THR) are common procedures for older people who suffer from degenerative joint disease. Golf is a popular leisure sport played by older Americans including those with THR. Hip torques encountered in a golf swing after THR has not been reported. The purpose of this study is to describe 3D hip joint torques generated during a golf swinging by those with THR. Methods: Three male amateur golfers who were at least 1 year post THR (ages 59-71 year old and right hand dominant, (2 were left THR) participated. Golf handicap ranged from 16-18. All participants completed the Hip Harris Score. Passive reflective markers were placed on key boney anatomical landmarks. During data collection, participants completed ten swings using a standardized driver, after a warm up. Kinetics and kinematics were captured using a 10 camera Motion Analysis system and two AMTI forceplates. Inverse dynamics procedure was used to calculate peak hip torques in all three planes. Hip torques were normalized and presented as internal torques. Comparisons were made to previously collected similarly aged senior group. Results: Average Club head velocity was slower than senior group. Sagittal Plane: THR golfers exhibited the greatest torque similar to senior group. Frontal plane: THR golfers demonstrated a lower hip adductor torque on the lead leg compared to the trail leg and senior group. Transverse plane: THR exhibited higher hip external rotation torques compared to the internal rotation torques and the senior group. Conclusion: 3-D peak hip torques generated during the golf swing by persons with a THR are greatest in the sagittal plane. THR golfers demonstrated slower club head speed but generated higher hip torques in the transverse plane as compared to those without a THR. Hip external rotation torque was higher in all of the THR compared to the senior group. Clinical Significance: Subjects with a THR may be prone to abnormal forces in the transverse plane during the golf swing. Future studies are needed to determine impact on return to golf decisions following a THR.
Listed In: Biomechanics, Physical Therapy, Sports Science