Tennis Performance

By Emily Kolar, PT, DPT & Michael Yorio, M.D.

It is essential to find the proper health care provider in tennis medicine who understands the biomechanics, language, and equipment in order to enhance ones performance. Individualized tennis rehabilitation programs focus on injury prevention and injury management. The Jacksonville Orthopaedic Institute (JOI) Sports Center offers tennis programs developed by Dr. Michael Yorio, M.D. to work with players. Dr. Yorio a Sports Medicine provider has completed extensive research on the topic of tennis and has been a member of the United States Tennis Association (USTA) Sports Science Committee for years.

Tennis is a commonly played sport throughout the world which includes both recreational and competitive levels, and a diverse age group. Tennis can be played at any age therefor typically becoming a lifelong sport. While the older tennis population tend to have injuries found more in the upper extremities and the tennis younger population found in the lower extremity and back.

Having the correct medical advice is essential for tennis performance.

Tennis player with an injury.

Common Tennis Injuries include:

  • Upper or lower extremity injury.
  • Shoulder impingement.
  • Tennis elbow AKA Lateral epicondylitis.
  • Back pain, sprain/strain.
  • Knee injury.
  • Ankle injury.
  • Overuse injury.
  • Tendinopathy.

Injury Prevention

Ensuring players have the proper equipment is important. The appropriate racquet for the player is crucial. Assessing ones skill level and position will help determine specific training goals.

Screening will include:

  • Medical Handout.
  • Tennis Performance and Injury Information.
  • High Performance Profile Testing (HPP).

The HPP is an assessment developed by USTA which includes 10 examinations to screen for potential injury risk factors. The series of tests will evaluate for muscular strength and flexibility deficits.  Every 6 months the HPP will be administered to monitor players. Theorizing why the individual has had a previous injury or is at risk for a future injury will help determine interventions to utilize.


Tennis medicine uses screening findings and performance testing results collected to manage tennis player’s risk of injury. Performance testing will further determine why a player is unsuccessful during games.

Performance testing will assess:

  • Quickness, foot speed.
  • Speed, agility.
  • Power, serve strength, rotational power.
  • Flexibility, abduction angle.
  • Endurance, fatigue.

Findings will correlate with injury causation and risk of future injuries. Assessing test results, identifying risk factors, addressing deficits, and continued monitoring will improve ones performance. Players setting specific goals and working towards them will increase program adherence.


An individualized tennis specific rehabilitation program will be implemented to target deficits. Rehab will focus on impairments found from testing results and physical therapy evaluation. Therapists use evidenced-based practice and research to determine interventions.


  • Range of Motion.
  • Flexibility.
  • Strength.
  • Endurance.

Therapeutic exercises, manual interventions, and modalities will be used during treatments. Assessments throughout treatments will be used to ensure one is progressing towards their goals.

Performance Enhancement

The objective of this tennis program is to improve ones performance and reduce injury risks by utilizing this clinically proven model. These interventions aim to enhance a tennis player’s success and reach their goals in order to continue playing this lifelong sport.


JOI Physicians and JOI Rehab are now offering Telehealth visits using the free zoom app.  If you are interested in this service, please call JOI-2000.

ASAP Fracture Care

JOI Doctors are currently offering ASAP fracture and soft tissue injury care.

By: Michael Yorio, M.D., Emily Kolar, PT, DPT

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