Abstract Details

Title Movement Disorders in Golfers

Topic Movement Disorders

Presentation(s) P02 - (-)

Poster/Presentation
Number 070

Objective

Background BACKGROUND: Golf is a precision game. Any form of movement disorder in golfers can have a significant impact on their game. Other than the usual movement disorders seen in the general population, golfers are also prone to a unique form of movement disorder known as golfer's cramps or the yips, which according to recent research may be a form of task specific focal dystonia of the hand.

Design/Methods DESIGN/METHODS: We present four cases of movement disorders in golfers seen in our movement disorder clinic. Case1: 62 year-old golfer with noticeable pronation of his left hand when putting. Case 2: 80 year-old male with involuntary pulling of the head backwards, markedly exacerbated when putting. Case 3: 72 year-old male with several months history of mild essential tremor that worsened significantly during putting. Case 4: 52 year-old male with right arm spasm and jerking while putting which evolved over 25 years to also cause involuntary head turning to the right when putting or making a swing.

Results RESULTS: The common theme to all these cases is that if they were not golfers they would not be troubled by their movement disorders. The first case has focal dystonia of his left hand when putting. The second case represents cervical dystonia that is specifically exacerbated during putting. The third case is an example of a patient with very mild essential tremor that is markedly exacerbated during putting. Finally, the fourth case initially had focal hand dystonia which evolved over time to also cause cervical dystonia. In all these patients the movement disorder jeopardized their golf career, until their movement disorder was satisfactorily treated with botulinum toxin injections targeting the abnormally contracting muscles.

Conclusions CONCLUSIONS: Early identification and appropriate treatment of movement disorders in golfers can help them to continue with their game.

Authors/Disclosures
Samish Dhungana, MD PRESENTER	No disclosure on file
	No disclosure on file
Joseph Jankovic, MD, FAAN (Baylor College of Medicine)	Dr. Jankovic has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Revance. Dr. Jankovic has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Revance, Allergan. The institution of Dr. Jankovic has received research support from Baylor College of Medicine. Dr. Jankovic has received research support from Abbvie. The institution of Dr. Jankovic has received research support from Abbvie.

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