Conditioning & Preventive Exercises for Golf

By: Dr. Larry Foster


Have you ever overheard someone in the clubhouse locker room say, "I don't work out because if I bulk up too much I'll lose my flexibility and my golf swing will suffer"? Or how about: "I play golf so often I don't need extra conditioning"? Personally, I was never clever enough to come up with excuses like those not to exercise - I'm just plain lazy.

Since the injury rate for recreational golfers is a surprisingly high sixty percent (and even higher for senior players), and because poor conditioning is one of the main ingredients in the recreational golfer's Recipe for Injury, it makes sense to understand how basic conditioning is an important weapon in the war against golf injuries.

People may have thought that golf-fitness pioneer Gary Player had spent too many rounds in the hot sun when he began advocating decades ago the importance of fitness for golfers. Golf requires fitness? You bet it does if it is going to be played well and with a minimum of injuries. History has proven Gary to be as accurate as one of his chip shots. Not only has he enjoyed a long, successful and healthy career, but today's touring professionals are surrounded by trainers and fitness gurus as well as a caravan of physical therapists.

Okay, so golf doesn't require the endurance of running a marathon or the brute strength of bench-pressing 400 pounds. But during the two seconds it takes to perform a golf swing, we accelerate the club head to speeds of 100 miles an hour or more - which is pretty macho stuff when you think of it. The golf swing also demands rapid, coordinated movement from many muscle groups and stresses parts of our bodies to near all-out capacity (the spinal and trunk muscles, for example).

Admittedly, no one is maintaining that the gal or guy who plays a few rounds of golf a month needs to hit the gym the same way Tiger does. That said, it is a widely held conviction among golf-medicine experts that a flexible and strong body is better protected from the excessive forces of the golf swing than a poorly conditioned body.

The three components to golf fitness are:

Strength
Flexibility
Aerobic Conditioning

Strength

In the golf swing, muscle force generates club head speed, and club head speed is what sends the ball flying. What, then, are the key "golf muscles" that we should be concerned with? Scientific studies have taught us that there are lots of important golf muscles, some of the most important of which are:

* The rotator cuff muscles of the shoulder, both left and right;

* The scapular-stabilizing muscles of the shoulders;

* The pectoral and latissimus ("pecs" and "lats"), which are key in developing power during the downswing;

* The spinal and abdominal muscles;

* The gluteal and hamstring muscles of the hips and thighs;

* The forearm muscles, which provide a firm grip and stabilize the club head as it impacts the ball.

Flexibility

We are all familiar with the red line on the upper portion of our car's tachometer gauge. It's there to remind us that if we push the engine beyond its stress tolerance bad things will happen. Our muscles and joints have limits, too. If we push them beyond their stress tolerances, bad things (like sprains and strains) will happen.

But flexibility training stretches our muscles, ligaments, and tendons in a controlled, gradual, and progressive way. The net result, over time, is that the golf swing no longer stresses our muscles and joints to their extreme limits of motion. It's almost as if we nudge that red line on the tachometer farther and farther.

Want to be more like Gary and Tiger? Well, researchers have noted that trunk flexibility is a key difference between the professional golfer and the amateur. Some experts believe that trunk mobility is the most important component of a successful golf conditioning program. Improving trunk and spine flexibility in the recreational golfer will likely result both in improved swing performance and decreased risk of injury.

Aerobic Conditioning

By definition, an aerobic activity is any exercise that increases the heart rate to 75 percent of a predicted maximum and keeps it there for at least 20 minutes, three times a week. The "target" heart rate varies depending on the athlete's age. Popular aerobic activities include brisk walking, jogging, biking, and swimming.

Remember, walking a golf course involves schlepping up and down five miles of hill and dale and burns up to 1,000 calories. So, while playing golf won't get you in shape to climb Mount Everest, it is better for you than sitting around the house. But, if playing golf is the only regular exercise you get, you are likely to feel pretty wiped out by the back nine. This will likely detract from both your performance and your enjoyment of the game.

It is imperative to keep in mind that athletic training should be approached cautiously, and should be individualized for each golfer based on his/her age and the presence of underlying medical conditions such as high blood pressure or heart disease. Golfers are advised to consult with their doctor before starting anY vigorous exercise program.

In summary, the ideal conditioning program for the recreational golfer should involve a progression of sport-specific activities designed to develop muscular strength, endurance, flexibility of the muscles and joints used in golf, and overall aerobic fitness. Illustrations of simple golf conditioning exercises that you can do at home are found in "Dr. Divot's Guide to Golf Injuries - A Handbook for Golf Injury Prevention and Treatment."

Dr. Larry Foster, M.D., F.A.A.O.S. is a board-certified orthopedic surgeon whose enthusiasm for golf has earned him the title "Dr. Divot." Dr. Foster received his medical degree in 1988 from the Columbia University College of Physicians and Surgeons and completed his residency training at the Hospital for Joint Diseases in New York.

Dr. Foster is the author of "Dr. Divot's Guide to Golf Injuries - A Handbook for Golf Injury Prevention and Treatment." The book costs $19.95. He gives lectures and seminars to PGA and LPGA golf professionals, trainers, therapists, and recreational golfers on the important but neglected topic of golf-injury prevention and treatment.

Dr. Foster has been in practice in New York for over a decade. He loves golf, but struggles to break 100 consistently. For Dr. Divot, a good round of golf is when the beer stays cold through the 18th hole, and nobody has been hurt.

You can learn more about Dr. Divot and his book by visiting www.doctordivotmd.com.