Golf Clinic, Department of Orthopaedics and Tumor Orthopaedics, University Hospital Münster (UKM), Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
BMC Musculoskelet Disord. 2024 Aug 26;25(1):668. doi: 10.1186/s12891-024-07774-7.
The elbow is a common site for overuse injuries in golfers. Tendinopathies, such as medial and lateral epicondylitis, are frequently diagnosed in amateur and professional golfers. The aim of our study was to determine the effect of an ergonomic golf grip on forearm muscle activity during the five phases of the golf swing.
Thirty right-handed golfers with a mean age of 32 years (range, 18-70 years) and a mean handicap of 15 (range, 0-43) performed 10 golf swings with a standard and ergonomic golf grip respectively. The mean and maximum muscle activity of the Musculus (M.) extensor carpi radialis brevis (ECRB), M. flexor carpi ulnaris (FCU), M. pronator teres (PT) and M. biceps brachii (BB) of the lead and trail arms were assessed during the five phases of the golf swing using surface electromyography (EMG). Subgroup analyses were performed regarding sex, playing ability (handicap < 10 vs. ≥10), weekly playing time (≤ 5 h, 5-20 h, > 20 h) and preexisting elbow pain during golfing (VAS < 2 vs. VAS ≥ 2). Significance was set at p < 0.05.
An ergonomic golf grip resulted in a reduction in muscle activity in at least one but up to three consecutive phases of the golf swing for the ECRB, FCU and PT of the lead arm and for the PT of the trail arm. Amateurs, a playing time < 20 h per week and golfers without preexisting elbow pain were factors that were associated with greater reductions in muscle activity.
Forearm muscle activity can be decreased using an ergonomic golf grip, indicating the possible role of an ergonomic golf grip as a preventive measure against overuse syndromes such as medial and lateral epicondylitis.
This study was retrospectively registered at the German Clinical Trials Register DRKS-ID: DRKS00033732 (01/03/2024).
肘部是高尔夫球手常见的过度使用损伤部位。在业余和职业高尔夫球手中，经常诊断出肌腱病，如内上髁和外上髁炎。我们的研究目的是确定符合人体工程学的高尔夫握把对高尔夫挥杆五个阶段前臂肌肉活动的影响。
30 名右手高尔夫球手，平均年龄 32 岁（18-70 岁），平均差点 15 分（0-43 分），分别使用标准和符合人体工程学的高尔夫握把进行 10 次高尔夫挥杆。使用表面肌电图（EMG）评估 5 个阶段的 lead 和 trail 臂中 Musculus (M.) extensor carpi radialis brevis (ECRB)、M. flexor carpi ulnaris (FCU)、M. pronator teres (PT) 和 M. biceps brachii (BB) 的平均和最大肌肉活动。根据性别、打球能力（差点 < 10 与 ≥10）、每周打球时间（≤ 5 小时、5-20 小时、> 20 小时）和高尔夫球肘痛史（VAS < 2 与 VAS ≥ 2）进行亚组分析。显著性设为 p < 0.05。
符合人体工程学的高尔夫握把可使 lead 臂的 ECRB、FCU 和 PT 以及 trail 臂的 PT 在至少一个但最多三个连续的高尔夫挥杆阶段肌肉活动减少。业余球手、每周打球时间 < 20 小时和无高尔夫球肘痛史是肌肉活动减少更大的相关因素。
使用符合人体工程学的高尔夫握把可以降低前臂肌肉活动，表明符合人体工程学的高尔夫握把可能作为预防内上髁和外上髁炎等过度使用综合征的措施。
本研究在德国临床试验注册中心 DRKS-ID 中进行了回顾性注册：DRKS00033732（2024 年 3 月 1 日）。
