Why golfers BENEFIT so much from finding their heels

If you aren’t already, stand up, and notice where your weight is on your feet. I bet you that you are on your mid-foot and/or toes. Don’t worry, this is normal, but not ideal if you want to be a better golfer or stay out of pain.​

Now, try to lean forward completely on your toes. Ouch! That’s kicking in your quads and back. Then try to find 100% on your heels. That feels…weird. Off balance, but your quads and back is likely to relax.

What you’ve discovered is how weight distribution affects posture and muscle activation. As humans we tend to default to having our weight forward, which kicks in our back and quads (see the image below. Anterior tilt = weight on toes).

Anterior-Pelvic-Tilt.jpg

If we are stuck in this extended state, we are going to struggle to rotate. Our days out golfing are going to hurt instead of be enjoyable. Our ribs MUST be back in order for us to rotate (see THIS article for more info).

Our heels are a secret to unlocking our golf game. Heels will kick in hamstrings, glutes, and abs, which we all need in an effective swing. It will allow you to rotate freely while keeping you out of pain. This doesn’t mean you keep 100% of your weight in your heels as you swing so that you fall backwards. What I am describing is an even weight distribution, about 50% on your heels and 50% on your mid-foot.

tweak-weight-inside-foot.png

Next time you hit the range or play a round, try this out! You can benefit enormously from just a simple change like this. At Sandhills Sports Performance, we specialize in helping clients find their heels and turn on the right muscles. If you would like to learn more, click HERE to sign up for a FREE complementary consultation with us!

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Sandhills Sports Performance is in Need of a Full-Time Physical Therapist!

Sandhills Sports Performance (SHSP) is in need of a full-time outpatient Physical Therapist (PT). We are a privately owned, Postural Restoration Certified Center in Southern Pines, NC. We are a unique physical therapy clinic that incorporates rehabilitation, strength and conditioning training as well as wellness-oriented programs. Our programs are holistic in nature, identifying the root cause of a problem verses symptom management. We are patient centered and home program oriented. We believe that education is the key to self-management, so our patients can return to a pain free functional lifestyle and understand how to help themselves. We’re looking for a thoughtful, energetic, hard-working individual that wants to work with our forward-thinking professionals. A preferred candidate has previous Postural Restoration training, but willing to train.

 

Full-Time Physical Therapist Description

Physical Therapist will provide exceptional service to patients who have impairments, functional limitations, disabilities, or changes in physical function and health status resulting from injuries, disease, or other causes. Also, to prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, and injuries

Candidates must:

  • Possess strong communication and interpersonal skills.
  • Possess good problem solving and evaluation skills.
  • Be a “team minded” professional who embraces growth and challenges.
  • Work collaboratively with patients and staff.
  • Be able to plan, implement, and progress physical therapy treatment for patients.
  • Direct and supervise all treatment and physical therapy service, including numerous aspects such as manual therapy, TE, education, and modalities.
  • Provide consultant services to various entities as needed.

Requirements (ideal candidates have the following):

  • Minimum of Bachelor’s degree from an accredited Physical Therapist school.
  • Completion of all three Postural Restoration Institute’s Introductory courses.
  • Clinical rotations/education in specific clinical specialty settings.
  • Continuing education – minimum of 16 hours per year.
  • Have or ability to get ASAP a North Carolina Physical Therapy license.
  • Successful completion of National Board exam.

 

To apply, send resume & cover letter to Ashley Brooks at ashley@sandhillssp.com

Sandhills Sports Performance is growing. Two full-time positions open

Sandhills Sports Performance is growing. We are looking for a full-time Certified Strength and Conditioning Specialist/Certified Athletic Trainer and a full-time Physical Therapist.

We are a unique PRI clinic that incorporates physical therapy, strength training and conditioning, as well as wellness oriented programs. We are looking for an energetic hard-working individuals that want to work in one of the few multifunctional PRI clinics in the US.

 

Full-Time Physical Therapist

Description                                                                                                                                       

Physical Therapist will provide exceptional service to patients who have impairments, functional limitations, disabilities, or changes in physical function and health status resulting from injuries, disease, or other causes. Also, to prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, and injuries.

The candidate must:

  • Possess strong communication and interpersonal skills.
  • Possess good problem solving and evaluation skills.
  • Be a “team minded” professional who embraces growth and challenges.
  • Work collaboratively with patients and staff.
  • Be able to plan, implement, and progress physical therapy treatment for patients.
  • Direct and supervise all treatment and physical therapy service, including numerous aspects such as manual therapy, TE, education, and modalities.
  • Provide consultant services to various entities as needed.

Requirements                                                                                                                                  

The ideal candidate will have the following qualifications:

  • Minimum of Bachelor’s degree from an accredited Physical Therapist school.
  • Completion of all three Postural Restoration Institute’s Introductory courses.
  • Clinical rotations/education in specific clinical specialty settings.
  • Continuing education – minimum of 16 hours per year.
  • Have or ability to get ASAP a North Carolina Physical Therapy license.
  • Successful completion of National Board exam.

 

Certified Strength and Conditioning Specialist/Certified Athletic Trainer

Description                                                                                                                                       

The Certified Strength and Conditioning Specialist/Certified Athletic Trainer will be responsible for a comprehensive program design, implementation, and supervision of clients of various ages and skill levels.

The candidate must:

  • Possess strong communication and interpersonal skills.
  • Be a “team minded” professional who embraces growth and challenges.
  • Possess the ability to work in individual, small group and team settings.
  • Have a thorough understanding of the physiological basis of exercise and the ability to evaluate, program/instruct according to the National Strength and Conditioning Association (NSCA) Preferred or National Athletic Trainer Certification (NATA) and American College of Sports Medicine (ACSM) or National Academy of Sports Medicine (NASM) Preferred.
  • Understand and demonstrate proficiency in technical skill knowledge domains in order to provide services with their scope of practice.
  • Have the ability to administer and interpret results for submaximal cardiovascular and fitness assessments.
  • Work with PT staff to assist with plans of care and transition to personal training if applicable.
  • Possess previous skills in athletic performance
  • Be able to work with growth and development needs of unique client populations consisting of high school, college athletes, and adults
  • Maintain safety, maintenance, and cleanliness of facility

Requirements                                                                                                                                  

The ideal candidate will have the following qualifications:

  • Bachelor’s degree from an accredited institution in the field of Exercise Science, Kinesiology, Health, Physical Education, Recreation, or other closely related discipline.
  • Valid CPR Certification
  • 2 or more years of clinical experience preferred
  • Experience in Postural Restoration preferred

Please send resume and cover letter to melissa@sandhillssp.com by April 28th, 2017

Non-Invasive Treatment of Pelvic Pain

holding-baby

CASE REPORT: 28 y/o FEMALE WITH POST-PARTUM PELVIS PAIN

Abstract:

Mrs. R is a 28 y/o female SAHM with three children ages 4, 18 months and 7 weeks. She reports a history of pubic symphysis pain, pelvic pain and R hip/SI pain which she rated at up to 6/10 at times. Mrs. R had previously been very active with running and triathlons and was able to resume normal activities not long after her first and second children were born. However, her pain persisted following this most recent delivery.  Based on her initial exam, physical therapy using Postural Restoration was indicated. Following treatment, Mrs. R reports that she feels 95% better, has nearly lost all of her pregnancy weight, has no pain, and is back to running and working out at home pain-free. This case details how PRI treatment at Sandhills Sports Performance can be an excellent alternative to help providers successfully manage their patients with pelvic pain.

History:

Mrs. R is a 28y/o female, mother of three. Children ages 4, 18 mo, and 7 weeks old. She reports R hip/SIJ pain, bilateral pubic symphysis pain and pelvic pain following the birth of her son 7 weeks ago.  All three of Mrs. R’s pregnancies were full term with natural vaginal delivery with no complications and with no pelvic floor tearing of episiotomies. In her previous 2 pregnancies she denies much lasting pelvic pain beyond 4 weeks. She notes that she was able to run a half marathon 10 weeks after the birth of her second child. Mrs. R is also actively breast-feeding.

Her functional limitations at the time of evaluation were pain with prolonged sitting, standing, lifting her baby or other children, bending,  walking/running, or attempTing home workouts.

Examination:

Tenderness to palpation at pubic rami and symphysis

Tenderness to palpation R SI joint

Increased lumbar lordosis

Bilateral rib flares

 

Mrs. R’s biomechanical assessment was as follows:

 

Right Left
Hip Adduction( Modified Ober’s) Limited Limited
Hip Extension ( Modified Thomas) Full Limited
Hip IR (seated) 30 30
Hip ER (seated) 50 50
Trunk Rotation (supine) LIM 50% LIM 50%
SLR 70 deg 60 deg
Lumbar Forward Flexion (standing) Fingertips to Floor Fingertips to Floor

 

Apical Expansion Limited Limited
Posterior Mediastinal Expansion Limited Limited

Treatment:

Mrs. R’s examination findings indicate that she has an anteriorly tipped and externally rotated pelvis bilaterally.   As well as limited apical and posterior mediastinal expansion. This forward pelvis position is indicated by her inability to adduct or internally rotate either hip. In this forward position, the patient should not be able to fully extend their hips,  touch their toes, or have a SLR test  of 90 deg based on the anatomical structure of the lumbo-pelvic-hip complex.   On Mrs. R’s Right side she has full hip extension, greater SLR than L and she is able to touch her fingertips to the floor. This indicates that she has some pathology of the R hip indicating Illiofemoral/pubofemoral ligament laxity as well as muscles of the pelvic floor to be in a positionally descended, hypertonic and in an inefficient position.

We were also interested in Mrs R’s breathing mechanics as limited apical expansion and posterior mediastinal expansion are indicative of a descended and posturally oriented respiratory diaphragm. This position also contributes to long and weak internal obliques and transversus abdominus muscles and an increased lumbar lordosis. Research shows us that the pelvic diaphragm position mirrors the respiratory diaphragm and so in Mrs R’s case both are in a descended and weak position.

Intervention:

12 Postural Restoration sessions were conducted to reposition and properly stabilize her faulty pelvis and diaphragmatic position.

The 12 sessions were conducted over a 12 week period and included the development of a comprehensive, specialized home exercise program which was preformed 1-2x/day.

The objectives of the home program and PT sessions were to:

  1. Reposition her pelvis and correct respiratory mechanics using PRI manual and non-manual techniques
  2. Provide specific neuromuscular stabilization to help maintain the corrected pelvic position during all functional activities
  3. Incorporate proper ways to sit, stand, sleep, carry/lift her children without shifting back into her dominant pelvic /respiratory position.

Outcomes:

Following PRI therapy Mrs. R reports significantly reduced hip, pubic symphysis and pelvic pain. As well as dramatic improvement in function

  • Pain decreased to 0-1/10
  • Pt reports 95% functional improvement
  • Functional improvements noted as an ability to stand, run and workout without pain, as well as lifting and carrying young children without pain
  • Pt returned to pre-pregnancy weight

Upon re-examination findings included:

No pain upon palpation of SIJ, Symphysis pubis or R hip/SIJ

Hayley Todd MPT

Contact Hayley at hayley@sandhillssp.com

 

Right trunk rotation with TRX

This exercise will benefit golfers looking to maintain abdominal stabilization in their backswing. It is best applied after repositioning the pelvis using PRI techniques.

TRX Back swing

Coaching keys are to maintain a slightly backward rotated pelvis, inhale with good opposition through the left abdominal wall, exhale and move your arms to the right. Inhale again as your arms move further to the right while feeling your left front ribs stay down. Continue this sequence for 5 breaths.