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Fitness experts can help you swing better and prevent injury
By TARA GRAVEL

You just spent a chunk of your earnings on the latest, greatest driver, and this past summer, you spent quite a few hours at the driving range. But when was the last time you looked to your body as a way to improve your game? Performed a stretch? Lifted a weight?

We thought so.

You're not alone. As a group, amateur golfers aren't known for their stellar health habits. (Think golf carts, cigars, and the 19th hole.) But that's changing. And fitness experts who specialize in golf are leading the way. Tour pros use them to help cure aches and pains and to provide exercise regimens. But when should the recreational golfer schedule a visit, and how does he or she find someone qualified?

"Anyone who wants to play the game well should be on some type of fitness program," says H.J. Ferrante, a physical therapist who formed Back to Golf, which licenses 145 clinics nationwide. "Too many golfers don't have the flexibility or strength they need. As a result, their swing mechanics are faulty."

Say your teaching pro has told you countless times you don't make a full shoulder turn; it's sapping your power and distance. Try as you might, you can't get your left shoulder under your chin. You and your pro begin to think you're unteachable. But a physical therapist or certified athletic trainer who knows the swing would notice that you're simply inflexible. He or she could prescribe stretches that would enable you to do what your pro asks.

Need another reason to consider visiting a fitness expert? Being out of shape may lead to more serious problems. Two-thirds of all golfers eventually suffer an injury -- the most common being back and neck pain, much of which could be prevented through stretching and exercise.

"People used to laugh at golfers, saying they aren't athletes and don't need to be in shape," says Gregory Florez, a fitness expert who co-founded Performance Golf/First Fitness, Inc. in Chicago. "But there are very unusual demands on the body during the swing and golfers need to prepare themselves before and during the season."

Many types of fitness experts can help you do that, though they all have varying degrees of training and expertise. If you have ever suffered a swing-related injury, you may already have seen a physical therapist on a doctor's referral. Therapists licensed by the American Physical Therapy Association have at least a bachelor's degree and are trained specifically to rehabilitate injuries; many who specialize in golf also offer anatomical evaluations and personalized exercise programs for golfers who simply want to improve their game and prevent injury.

Certified athletic trainers, who are licensed by the National Athletic Trainers Association, and exercise physiologists also have, at minimum, a bachelor's degree. Both can provide individualized exercise programs and help prevent injuries. Personal trainers mainly provide exercise programs, and are not trained to rehabilitate injuries. Their educational backgrounds vary.

Here's how a typical evaluation by a fitness expert -- in this case, a physical therapist -- works:

Though there are variations -- some use 3-D computer models, some videotape your swing and work with a teaching pro -- the analysis usually starts with simple strength and flexibility tests. Recently, a high handicapper visited HealthSouth physical therapist Karen Nell (HealthSouth mans the fitness trailers for the LPGA Tour). Nell, who is based in Danbury, Connecticut, tested -- from head to toe -- muscles and joints key to the swing, a process that took less than an hour.

The prognosis: weak obliques (muscles on the sides of the trunk, near the abdominals) and lower back muscles, which caused trunk instability and soreness in the lower back. The cost of one of Nell's evaluations, which includes a personalized exercise program: $100.

Like the other 250-plus HealthSouth therapists specializing in golf, Nell went through hours of training on the swing, all overseen by HealthSouth's resident golf pro Hank Johnson. Because fitness experts vary in their knowledge of the swing, there are several questions to ask to be sure you are spending time and money with someone qualified.

"There are people who say they have a great golf program who don't even know what it is when you say, 'through the swing' or 'follow through.' They've just read from a book," says Paul Hospenthal, a physical therapist who works with Tour pros and founded the Desert Institute of Physical Therapy in Scottsdale, Arizona.

"You have to ask what is their background with golf. If they are teaching golf-specific exercises and stretches, where did they learn them? A good answer is that they have read the original research on the golf swing, otherwise they are just giving opinions. The next question to ask is what is their professional background? Are they a licensed physical therapist, certified athletic trainer, or a strength and conditioning coach?"

Adds Pete Draovitch, who works with Greg Norman and is helping rehabilitate the Shark's shoulder after rotator cuff surgery, "You may want to ask questions such as, 'Do you understand trunk stabilization training? Have you treated golfers, baseball players [who suffer similar injuries], and athletes in general? Are you familiar with the mechanics of the golf swing? Are you willing to communicate with a golf pro?' Therapists should feel comfortable answering these questions."

Also, fitness experts should never give swing advice -- that remains the domain of a teaching pro. Still, their advice may wind up making you a better golfer in the end. And, if you shape up in the process, who's complaining?

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