Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing

Abstract The load on the lead knee joint during a golf swing is greater than that observed during gait. However, current evidence regarding golf swing biomechanics for risks associated with knee osteoarthritis (OA) is limited. Therefore, this study investigated golf swing styles associated with knee...

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Main Authors: Sung Eun Kim, Nicole Segovia Pham, Jae Hyeon Park, Amy Ladd, Jangyun Lee
Format: Article
Language:English
Published: Nature Portfolio 2022-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-27160-4
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author Sung Eun Kim
Nicole Segovia Pham
Jae Hyeon Park
Amy Ladd
Jangyun Lee
author_facet Sung Eun Kim
Nicole Segovia Pham
Jae Hyeon Park
Amy Ladd
Jangyun Lee
author_sort Sung Eun Kim
collection DOAJ
description Abstract The load on the lead knee joint during a golf swing is greater than that observed during gait. However, current evidence regarding golf swing biomechanics for risks associated with knee osteoarthritis (OA) is limited. Therefore, this study investigated golf swing styles associated with knee adduction and abduction moments, which are considered to be crucial loading regions of the medial and lateral compartments of knee OA, respectively. Thirteen professional male golfers performed five shots using a 5-iron club, and their swings were recorded using a motion capture system with two force platforms for the feet. A regression analysis was performed to calculate the correlation coefficients between the peak knee adduction and abduction moments of the lead leg and varus/valgus angle, toe-out angle, stance width, weight transfer, and shoulder sway. Swinging with a narrower stance width at address (r =  − 0.62, p = 0.02) with more weight shift (r = 0.66, p = 0.014) and shoulder sway (r = 0.79, p = 0.001) towards the target during the downswing were associated with a higher peak knee adduction of the lead leg, whereas a greater valgus angle at address (r = 0.60, p = 0.03) was associated with a higher peak knee abduction of the lead leg. Based on these findings, we anticipate future research to support postural changes, particularly a wider stance width and restricted shoulder sway for golfers who are classified to be at high risk of developing medial compartment knee OA, as well as a lower valgus (tibial medial tilt) angle at address for those classified to be at high risk of developing lateral compartment knee OA.
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spelling doaj.art-292856deddf749afa142fdf093a318842023-01-01T12:19:52ZengNature PortfolioScientific Reports2045-23222022-12-011211910.1038/s41598-022-27160-4Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swingSung Eun Kim0Nicole Segovia Pham1Jae Hyeon Park2Amy Ladd3Jangyun Lee4Department of Orthopaedic Surgery, Stanford UniversityDepartment of Orthopaedic Surgery, Stanford UniversityDepartment of Rehabilitation Medicine, Hanyang University Guri HospitalDepartment of Orthopaedic Surgery, Stanford UniversityDepartment of Orthopedic Surgery, 6-01 Dongguk University Ilsan HospitalAbstract The load on the lead knee joint during a golf swing is greater than that observed during gait. However, current evidence regarding golf swing biomechanics for risks associated with knee osteoarthritis (OA) is limited. Therefore, this study investigated golf swing styles associated with knee adduction and abduction moments, which are considered to be crucial loading regions of the medial and lateral compartments of knee OA, respectively. Thirteen professional male golfers performed five shots using a 5-iron club, and their swings were recorded using a motion capture system with two force platforms for the feet. A regression analysis was performed to calculate the correlation coefficients between the peak knee adduction and abduction moments of the lead leg and varus/valgus angle, toe-out angle, stance width, weight transfer, and shoulder sway. Swinging with a narrower stance width at address (r =  − 0.62, p = 0.02) with more weight shift (r = 0.66, p = 0.014) and shoulder sway (r = 0.79, p = 0.001) towards the target during the downswing were associated with a higher peak knee adduction of the lead leg, whereas a greater valgus angle at address (r = 0.60, p = 0.03) was associated with a higher peak knee abduction of the lead leg. Based on these findings, we anticipate future research to support postural changes, particularly a wider stance width and restricted shoulder sway for golfers who are classified to be at high risk of developing medial compartment knee OA, as well as a lower valgus (tibial medial tilt) angle at address for those classified to be at high risk of developing lateral compartment knee OA.https://doi.org/10.1038/s41598-022-27160-4
spellingShingle Sung Eun Kim
Nicole Segovia Pham
Jae Hyeon Park
Amy Ladd
Jangyun Lee
Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing
Scientific Reports
title Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing
title_full Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing
title_fullStr Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing
title_full_unstemmed Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing
title_short Potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing
title_sort potential biomechanical risk factors on developing lead knee osteoarthritis in the golf swing
url https://doi.org/10.1038/s41598-022-27160-4
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