The short-term effects of trigger point therapy, stretching and medicine ball exercises on accuracy and back swing hip turn in elite, male golfers – A randomised controlled trial

• Myofascial trigger point therapy and medicine ball exercises improve the golf swing.
• Physiotherapy interventions improve backswing hip turn and accuracy in golf.
• Physiotherapy interventions do not affect golf performance negatively.
• Physiotherapy interventions can be performed before a golf tournament.

ObjectivesThis study aimed to compare the effect of myofascial trigger point therapy (MTPT) and stretching, MTPT and medicine ball exercises, and no intervention, on hip flexor length (HFL), golf swing biomechanics and performance in elite, male golfers.DesignSingle blind, randomised controlled trial with two experimental groups (stretch group: MTPT and stretching; and the ball group: MTPT, a single stretch and medicine ball exercises) and one control group (no intervention).SettingProfessional golf academy.ParticipantsOne hundred, elite, male golfers aged 16–25 years.Main outcome measuresHFL, 3D biomechanical analysis of the golf swing, club head speed (CHS), smash ratio, accuracy and distance at baseline and after the interventions.ResultsBackswing hip turn (BSHT) improved in the ball group relative to the control group (p = 0.0248). Accuracy in the ball group and the stretch group improved relative to the control group (Fisher's exact = 0.016).ConclusionsOther performance parameters such as: smash ratio, distance and CHS were not compromised by either intervention. This study advocates the use of MTPT combined with medicine ball exercises over MTPT combined with stretching in the treatment of golfers with shortened hip flexors – even immediately preceding a tournament.