Practical tips to manage malaligned players


  • Carl Petersen
  • Nina Nittinger



Malalignment syndrome, injury, physiotherapy, prevention


Tennis, due to its one-handed nature and the prevalence of certain shots such as the forehand and serve within it, lends itself to malalignments which can lead to tension, weakness, loss of power / strength, and even injury. This article introduces and discusses malalignment syndrome, and provides exercises for evaluation and treatment.


Download data is not yet available.


De Mey K, Danneels L, Cagnie B, Lotte VD, Johan F, Cools AM. (2012b) Kinetic chain influences on upper and lower trapezius muscle activation during eight variations of a scapular retraction exercise in overhead athletes. J Sci Med Sport. May 31.

Hartig DE, Henderson JM. (1999) Increasing hamstring flexibility decreases lower extremity injuries in military basic trainees. Am J Sports Med.;27(2): 173-176.

Maenhout A, Van Praet K, Pizzi L, VanHerzeele M, Cools A. (2009) Electromyographic analysis of knee push-ups plus variations: what’s the influence of the kinetic chain on scapular muscle activity? Br J Sports med, Published Online First:14 September 2009 doi:10.1136/bjsm.2009.062810.

Maquirriain J, Ghisi JP, Kokalj, AM. (2007) Rectus abdominus (??abdominis??) muscle strains in tennis players. Br. J Sports Med: 41:842-848.

Morante SM, Brotherhood JR. Match characteristics of professiona singles tennis. Med Sci Tennis 2005;10(3):12-3.

O'Donoghue P, Ingram B. A notational analysis of elite tennis strategy. J Sport Sci 2001; 19:107-15.

Petersen C. (2005) Fit to play: practical tips for faster recovery (part 1). J Medicine & Science in Tennis; (10) 1.

Petersen C, (2006) Chapter 24 Self-Assessment and Functional Testing in C. Petersen and N. Nittinger. Fit to Play-Tennis™, High Performance Training Tips. Racquet Tech Publishing, Vista, CA, USA. Pages:325-328.

Petersen C. & Sirdevan M. (2006) Soft Tissue Release (Muscle & Fasciae) in C. Petersen and N. Nittinger. Fit to Play-Tennis™, High Performance Training Tips. Racquet Tech Publishing, Vista, CA, USA. Page:380.

Petersen C. & Nittinger N. (2013) Connecting the Core-Exercises to Enhance Stability. J. Medicine & Science in Tennis; Feb: Vol:18, No.1

Petersen C, & Schamberger W. (2013) Managing Malalignment Syndrome: A Clinical Perspective J Medicine & Science in Tennis; (18) 3.

Roetert EP, Kovacs MS. (2011) Tennis Anatomy-Your illustrated guide for tennis strength, speed, power and agility. Human Kinetics, Champaign, Illinois page-1

Schamberger W. (2002) The malalignment syndrome: Implications for medicine and sport. Churchill Livingstone.

Schamberger W. (2013) The Malalignment Syndrome: Diagnosing and treating a common cause of acute and chronic pelvic, limb and back pain. Churchill Livingstone.

Smekal G, von Duvillard SP, Rihacek C, Pokan R, Hofmann P, Baron R, Tschan H, Bachl N. A physiological profile of tennis match play. Med Sci Sports Exerc 2001; 33:999-1005.

Weber K, Pieper S, Exler T. (2007). "Characteristics and significance of running speed at the Australian Open 2006 for training and injury prevention." Medicine and Science in Tennis 12(1): 14-17..



How to Cite

Petersen, C., & Nittinger, N. (2018). Practical tips to manage malaligned players. ITF Coaching & Sport Science Review, 26(75), 31–37.