Centre of pressure golf swing movement strategies are better defined using a continuous approach than by segregated styles.

The relationships between movement style and golf performance have been well researched, but the premise of segregated movement styles has not been fully examined. The purpose of this investigation was to examine the postulation that centre of pressure data are not best described by segregated styles but instead by a continuum and to determine relationships between centre of pressure, handicap and clubhead speed using a continuous approach. Centre of pressure paths of driver and 5-iron shots from 104 amateur golfers were analysed using discrete and continuous methods. Discrete methods used different cluster evaluation criteria which result in two-cluster and twenty-cluster solutions being considered "optimum". The two-cluster solution showed the characteristics of "front-foot" and "reverse" centre of pressure styles. However, a continuous principal component analysis method revealed that the clusters were not well separated and provided support for a multidimensional continuum. The principal components had a high correlation with handicap and clubhead speed. Lower handicap and higher swing speed golfers tended to display a centre of pressure with a "front-foot" style and a fast transition towards the front foot at the start of the downswing. A continuous characterisation of centre of pressure styles has more utility than the segregated styles previously described.

Variability in clubhead presentation characteristics and ball impact location for golfers' drives.

The purpose of the present study was to analyse the variability in clubhead presentation to the ball and the resulting ball impact location on the club face for a range of golfers of different ability. A total of 285 male and female participants hit multiple shots using one of four proprietary drivers. Self-reported handicap was used to quantify a participant's golfing ability. A bespoke motion capture system and user-written algorithms was used to track the clubhead just before and at impact, measuring clubhead speed, clubhead orientation, and impact location. A Doppler radar was used to measure golf ball speed. Generally, golfers of higher skill (lower handicap) generated increased clubhead speed and increased efficiency (ratio of ball speed to clubhead speed). Non-parametric statistical tests showed that low-handicap golfers exhibit significantly lower variability from shot to shot in clubhead speed, efficiency, impact location, attack angle, club path, and face angle compared with high-handicap golfers.

Effects of golf shaft stiffness on strain, clubhead presentation and wrist kinematics.

The aim of this study was to quantify and explain the effect of shaft stiffness on the dynamics of golf drives. Twenty golfers performed swings with two clubs designed to differ only in shaft bending stiffness. Wrist kinematics and clubhead presentation to the ball were determined using optical motion capture systems in conjunction with a radar device for capturing ball speed, launch angle, and spin. Shaft stiffness had a marginally small effect on clubhead and ball speeds, which increased by 0.45% (p < 0.001) and 0.7% (p = 0.008), respectively, for the less stiff club. Two factors directly contributed to these increases: (i) a faster recovery of the lower flex shaft from lag to lead bending just before impact (p < 0.001); and (ii) an increase of 0.4% in angular velocity of the grip of the lower flex club at impact (p = 0.003). Unsurprisingly, decreases in shaft stiffness led to more shaft bending at the transition from backswing to downswing (p < 0.001). Contrary to previous research, lead bending at impact marginally increased for the stiffer shaft (p = 0.003). Overall, and taking effect sizes into account, the changes in shaft stiffness in isolation did not have a meaningful effect on the measured parameters, for the type of shaft investigated.

Determination of the swing technique characteristics and performance outcome relationship in golf driving for low handicap female golfers.

Previous studies on the kinematics of the golf swing have mainly focused on group analysis of male golfers of a wide ability range. In the present study, we investigated gross body kinematics using a novel method of analysis for golf research for a group of low handicap female golfers to provide an understanding of their swing mechanics in relation to performance. Data were collected for the drive swings of 16 golfers using a 12-camera three-dimensional motion capture system and a stereoscopic launch monitor. Analysis of covariance identified three covariates (increased pelvis-thorax differential at the top of the backswing, increased pelvis translation during the backswing, and a decrease in absolute backswing time) as determinants of the variance in clubhead speed (adjusted r (2) = 0.965, P < 0.05). A significant correlation was found between left-hand grip strength and clubhead speed (r = 0.54, P < 0.05) and between handicap and clubhead speed (r = -0.612, P < 0.05). Flexibility measures showed some correlation with clubhead speed; both sitting flexibility tests gave positive correlations (clockwise: r = 0.522, P < 0.05; counterclockwise: r = 0.711, P < 0.01). The results suggest that there is no common driver swing technique for optimal performance in low handicap female golfers, and therefore consideration should be given to individual swing characteristics in future studies.

The relationship between skill and ground reaction force variability in amateur golfers.

It is accepted that highly skilled golfers are more consistent in their clubhead presentation and shot outcomes than their lesser skilled counterparts. However, the relationships between movement variability, outcome variability and skill in golf are not particularly well understood. This study examined the ground reaction force variability of one-hundred and four amateur golfers for shots with drivers and 5-irons. Principal component analysis was used as a data reduction technique and allowed all three components of ground reaction force to be considered together. There were statistically significant trends for the higher skilled golfers to display lower variability in two of the five principal components (driver) and four of the five principal components (5-iron). A similar trend was also observed in the other principal components, but these trends were not statistically significant. Intra-individual variability was much lower than inter-individual variability across all golfers; the golfers were each relatively consistent in maintaining their own ground reaction force patterns. Lower variability in ground reaction forces may partly explain how highly skilled golfers maintain lower variability in shot outcomes.

Influence of shaft length on golf driving performance.

The aim of this study was to determine how shaft length affects golf driving performance. A range of drivers with lengths between 1.168 m and 1.270 m, representing lengths close to the 1.219 m limit imposed by R&A Rules Limited (2008), were assembled and evaluated. Clubhead and ball launch conditions and drive distance and accuracy were determined for seven category 1 golfers (handicaps 0.21 +/- 2.41) who performed shots on a purpose-built practice hole. As shaft length increased from 1.168 m to 1.270 m, initial ball velocity increased (+ 1.8 m/s, P < 0.01). Ball carry (+ 4.3 m, P = 0.152) also increased, although not significantly so. Furthermore, as shaft length increased, for all club comparisons there was no decrease in accuracy. Ball launch conditions of spin components and launch angle remained unaffected by shaft length. Launch angle increased (0.8 degree, F = 1.074, P = 0.362) as driver shaft length increased. Our results show that clubhead and ball velocity together with ball carry tended to increase with no loss of accuracy.

'Compassionate use' protocol for auditory brainstem implantation in neurofibromatosis type 2: Early House Ear Institute experience.

OBJECTIVE: To report the preliminary outcomes of auditory brainstem implantation (ABI) under a compassionate use protocol for two ABI devices that are not approved by the US Food and Drug Administration. METHODS: A retrospective review was performed of neurofibromatosis type 2 (NF2) patients who underwent microsurgery for vestibular schwannoma (VS) and placement of either the Cochlear ABI541 or Med-El Synchrony ABIs. Peri-operative and device- related complications were reviewed. Audiometric performance was also evaluated. RESULTS: Seven patients received either the Cochlear ABI541 (6) or the Med-El Synchrony ABI (1) after the resection of VS. No device or patient-related complications occurred to date. Surgical times and early audiological performance are similar to our previous experience with the Cochlear ABI24 device. CONCLUSIONS: Early experience with the Cochlear ABI541 and Med-El Synchrony ABI devices under a compassionate use protocol suggest that both devices are safe with comparable utility to the Cochlear ABI24 device.