Howell Emily R
Ashbridge's Health Centre, 1522 Queen St. East, Toronto, ON M4L 1E3. E-mail:
J Can Chiropr Assoc. 2012 Sep;56(3):201-8.
This case study reviews the conservative chiropractic treatment of hip osteoarthritis (OA) and the prescription of a rehabilitation program for a recreational golfer.
A 49-year-old registered nurse/ college instructor presented with a five year history of left hip OA and pain, recent right hip pain and occasional low back stiffness. Once her symptoms improved, a golf-specific functional rehabilitation program was prescribed in preparation for the upcoming golf season.
The initial treatment included ultrasound, soft tissue and myofascial therapy, mobilizations, acupuncture and home advice. Rehabilitative exercises included core and scapular stability exercises, general conditioning, golf specific stretches, functional swinging, proprioceptive and strengthening exercises, and referral to a swing coach. The positive outcomes included increased ranges of motion, decreased pain, as well as improvements in golf driving distance and endurance.
Conservative management and golf-specific rehabilitation prescription appears to be beneficial for hip OA and recreational golf performance in this case.
本案例研究回顾了一名休闲高尔夫球手髋骨关节炎（OA）的保守整脊治疗及康复计划的处方。
一名49岁的注册护士/大学教师，有五年的左髋OA病史及疼痛，近期出现右髋疼痛和偶尔的下背部僵硬。一旦她的症状有所改善，便制定了一项针对高尔夫运动的功能性康复计划，为即将到来的高尔夫赛季做准备。
初始治疗包括超声、软组织和肌筋膜治疗、松动术、针灸及家庭建议。康复锻炼包括核心和肩胛稳定性锻炼、一般体能训练、针对高尔夫运动的伸展、功能性挥杆、本体感觉和强化锻炼，并转诊至一名挥杆教练处。积极的结果包括活动范围增加、疼痛减轻，以及高尔夫击球距离和耐力的改善。
在本案例中，保守治疗和针对高尔夫运动的康复处方似乎对髋OA和休闲高尔夫运动表现有益。
