The Yips: Methods to Identify Golfers with a Dystonic Etiology/Golfer's Cramp.

Abstract:

PURPOSE:To determine whether quantitative methods could separate golfers with a possible dystonic cause of the "yips" from those that appear to be nondystonic. METHODS:Twenty-seven golfers completed 10 two-handed and 10 right hand-only putts. Surface EMG assessed forearm muscle co-contraction and motion detectors monitored wrist and putter movements. Based on a videotape review, golfers were grouped into those with yips of dystonic etiology, those with the yips nondystonic, and those with no yips. RESULTS:On video review of two-handed putting, five golfers had yips that appeared to be dystonic, nine had yips that did not appear to be dystonic, and 13 had no yips. During two-handed putting co-occurrence of a yipped putt and wrist flexor/extensor and/or pronator/supinator co-contraction was significantly more frequent in those with dystonic yips. The dystonic group had no increase in the number of yipped putts or yips with co-contraction when putting right hand only, whereas the nondystonic group had significantly more yipped putts and more yipped putts with co-contraction with right hand only. CONCLUSIONS:Quantitative methods were identified that appear to identify golfers with a dystonic etiology for the yips. It is not just the frequency of yips nor just specific motion patterns alone, rather it is also a combination of yips with co-occurring co-contraction when putting with two hands, and then right hand only, that distinguished this possible etiology. Despite being a small study, identifying a dystonic pattern, even in a nonpressure indoor setting, may aid in assessment and possible monitoring of treatment.

journal_name

Med Sci Sports Exerc

authors

Adler CH,Temkit M,Crews D,McDaniel T,Tucker J,Hentz JG,Marquardt C,Abraham D,Caviness JN

doi

10.1249/MSS.0000000000001687

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

2226-2230

issue

11

eissn

0195-9131

issn

1530-0315

journal_volume

50

pub_type

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