1
|
Stephens SE, Edwards JF, Cannada LK. Dance-related fractures occur in the upper and lower extremities at similar rates: An analysis of the 2004-2023 National Electronic Injury Surveillance System database. J ISAKOS 2025; 12:100853. [PMID: 40139534 DOI: 10.1016/j.jisako.2025.100853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2025] [Revised: 03/06/2025] [Accepted: 03/19/2025] [Indexed: 03/29/2025]
Abstract
INTRODUCTION In the United States, 21% of adolescents participate in dance. Dancers are susceptible to injuries, particularly of the lower extremity, due to extreme positioning, dynamic overload, and repetitive movements. OBJECTIVES (1) to report the prevalence and describe demographic characteristics of dance-related fractures and (2) to analyze variables associated with disposition status. METHODS The National Electronic Injury Surveillance System (NEISS) database, published by the US Consumer Product Safety Commission, was used to investigate dance-related fractures diagnosed in a sample of 100 emergency departments over 20 years. Descriptive statistics and demographic variables were analyzed using chi-squared tests. Age was analyzed as a continuous variable using a one-way analysis of variance. Chi-squared tests were used to assess factors related to disposition status. RESULTS Between 01/01/2004 and 12/31/2023, 1,271 patients experienced 1,327 fractures. More injuries occurred in females and patients under the age of 18 years (p < 0.0001). When analyzing fracture location, upper extremity fractures were 47.3% of the total (n = 628), lower extremity fractures were 47.2% (n = 626), head/neck fractures were 2.9% (n = 39) and trunk fractures were 2.6% (n = 34). Regarding disposition status, patients were more likely to be discharged (n = 1,234, 93%) than admitted to the hospital (n = 93, 7%) (p = 0.004). Patients over the age of 18 years had increased odds of hospital admission (odds ratio [OR] = 5.11, p < 0.0001). Patients with lower extremity fractures had increased odds of hospital admission (OR = 2.14, p = 0.002), while patients with head/neck fractures had decreased odds of hospital admission (OR = 0.31, p = 0.041). Patients with upper and lower extremity fractures were younger than those with trunk fractures (p = 0.007 and p = 0.021, respectively). The most commonly reported mechanism of injury was falling. CONCLUSION The NEISS national weighted estimate was 39,211 cases or 1960 cases per year. Dance-related fractures more commonly occurred in females under 18 years of age with similar rates between upper and lower extremities. Most patients were discharged, and those over 18 years of age and those with lower extremity fractures were more likely to be admitted. LEVEL OF EVIDENCE III.
Collapse
Affiliation(s)
- Senah E Stephens
- Macon & Joan Brock Virginia Health Sciences Eastern Virginia Medical School at Old Dominion University, 700 W Olney Rd, Norfolk, VA, 23507, USA.
| | - Joshua F Edwards
- Department of Medical Student Research, Macon & Joan Brock Virginia Health Sciences Eastern Virginia Medical School at Old Dominion University, 700 W Olney Rd, Norfolk, VA, 23507, USA.
| | - Lisa K Cannada
- Department of Orthopaedics, University of North Carolina Charlotte, Presbyterian Medical Tower, 1718 East 4th Street, Suite 601, Charlotte, NC, 28204, USA.
| |
Collapse
|
2
|
Mathew T, Huddar A, Bhardwaj S, Govindappa SKG. Piriformis Syndrome as a Cause of Non-discogenic Sciatic Pain in a Young Bharatanatyam Dancer. Ann Indian Acad Neurol 2024; 27:737-738. [PMID: 39245993 PMCID: PMC11745267 DOI: 10.4103/aian.aian_401_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2024] [Revised: 07/04/2024] [Accepted: 07/27/2024] [Indexed: 09/10/2024] Open
Affiliation(s)
- Thomas Mathew
- Department of Neurology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India
| | - Akshata Huddar
- Department of Neurology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India
| | - Shagun Bhardwaj
- Department of Neurology, St. John’s Medical College Hospital, Bengaluru, Karnataka, India
| | | |
Collapse
|
3
|
Braem LE, Hallet G, Van Cant J. Taking care of ballet dancers' lower back. J Bodyw Mov Ther 2024; 40:1837-1843. [PMID: 39593532 DOI: 10.1016/j.jbmt.2024.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 05/03/2024] [Accepted: 10/13/2024] [Indexed: 11/28/2024]
Abstract
INTRODUCTION Low back pain (LBP) accounts for nearly a third of musculoskeletal disorders in ballet dancers. LBP has a significant short- and long-term impact on dancers' performance, career, income, identity and overall health. However, the literature provides little specific guidance for the prevention and management of low back pain in ballet dancers. Against this background, this review presents those considerations and highlights gaps in the literature that warrant future research. METHOD We examined 15 bibliographical databases from February to June 2022. RESULTS AND DISCUSSION Recommendations for prevention and treatment formulated in the current literature omit elements of key importance for classical dancers and do little to distinguish the issues they face from those facing other athletes. The management of LBP in classical dancers needs to take proper account of the biopsychosocial and environmental landscapes in which they work. CONCLUSION Building trustful relationships, shared decision-making and exploration of dancers' beliefs are key pillars of LBP care. The current literature does not fully explore these issues and fails to provide dance-specific screening tools.
Collapse
Affiliation(s)
- Lalit E Braem
- Haute Ecole Léonard de Vinci, Parnasse-Isei, Avenue Mounier 84, 1200 Bruxelles, Belgium.
| | - Geoffroy Hallet
- Haute Ecole Léonard de Vinci, Parnasse-Isei, Avenue Mounier 84, 1200 Bruxelles, Belgium
| | - Joachim Van Cant
- Université Libre de Bruxelles, Faculté des Sciences de la Motricité Humaine, Unité de Recherche en Sciences de la Réadaptation, route de Lennik 808, 1070 Bruxelles, Belgium; SFMKS - Société Française des Masso-Kinésithérapeutes du Sport
| |
Collapse
|
4
|
Campbell I, Fary R, Hopper L, Hendry D. An Exploration of Low Back Beliefs of Male Pre-Professional and Professional Dancers. J Dance Med Sci 2024; 28:152-162. [PMID: 38476056 DOI: 10.1177/1089313x241237846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2024]
Abstract
BACKGROUND Globally, male dancers are affected by low back pain (LBP) up to 2.5 times more than female dancers. While female dancers' beliefs around LBP and dance-specific low back movements exist, no research has explored male dancers' beliefs. This study aimed to (1) examine the low back beliefs of Australian male professional and pre-professional dancers, and (2) determine if beliefs toward common low back movements and lifting differed when current LBP or history of disabling LBP (DLBP) were considered. METHODS 40 male dancers (mean age [SD] 26.9 years [7.9]) from a range of dance backgrounds (all participating in ballet) were recruited to complete a cross-sectional survey comprising a beliefs questionnaire considering dance-specific movement and lifting tasks, the Back Pain Attitudes Questionnaire (Back-PAQ) and the Athletic Fear Avoidance Questionnaire (AFAQ). Primary analysis included initial descriptives, a repeated measures ANOVA for movement-specific beliefs and visual thematic analysis for written responses within the belief's questionnaire. Secondary subgroup analysis included independent T-tests for those with/without current LBP and those with/without a history of DLBP. RESULTS Fourteen dancers reported current LBP and 30 reported a history of DLBP. Dancers held generally negative beliefs toward the low back (Back-PAQ mean 123.1 ± 9.7) with neither subgroup demonstrating significant between-group difference (P < .05). Dance-specific flexion movements were seen as safer than extension movements (P < .05), and more extended-spine lifting was seen as safer than more flexed-spine lifting (P < .05). Dancers experiencing current LBP held less positive beliefs surrounding some dance-specific movements. CONCLUSIONS Dancers hold negative general beliefs toward the low back irrespective of current or historical DLBP, however their beliefs surrounding dance-specific movements were relatively positive. Dancers' beliefs surrounding some movements were affected by the presence of current LBP, in particular an arabesque and a fish dive.
Collapse
Affiliation(s)
| | - Robyn Fary
- Curtin University, Perth, WA, Australia
- The enAble Institute, Curtin University, Perth, WA, Australia
| | - Luke Hopper
- Edith Cowan University, Mount Lawley, WA, Australia
| | | |
Collapse
|
5
|
Kochman M, Cmela G, Kasperek W, Guzik A, Drużbicki M. Body Posture and Low Back Pain: Differences between Folk and Ballroom Dancers. Healthcare (Basel) 2024; 12:137. [PMID: 38255027 PMCID: PMC10815755 DOI: 10.3390/healthcare12020137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 01/03/2024] [Accepted: 01/04/2024] [Indexed: 01/24/2024] Open
Abstract
(1) Background: Dance is extremely diverse in its styles. Each of them presents different training, dynamics, and figures that may impact the body posture and the occurrence of low back pain. This observational study aimed to compare the sagittal curvatures and the range of motion (ROM) of the spine, as well as the low back pain occurrence and its intensity between folk and ballroom dancers. (2) Methods: Fifty-one participants took part in the study (nineteen folk dancers, fifteen ballroom dancers, and seventeen non-dancers) aged 18-32. Study groups did not differ in anthropometric parameters as well as in dancing experience and training frequency. Study procedures included a self-administered questionnaire and a physical examination of the sagittal spine curvatures and ROM. The questionnaire included questions about epidemiological data and the occurrence of chronic pain and its intensity using a Visual Analogue Scale (VAS). (3) Results: There was a significant difference in thoracic kyphosis angle between study groups (p = 0.02). The greatest angle was found in folk dancers and the lowest in ballroom dancers (40 vs. 33 respectively). We have found no significant differences in spine ROM, low back pain occurrence, and intensity between study groups (p > 0.05). We have found no correlation between low back pain and spine curvatures and ROM in dancers (p > 0.05), however, we found a very strong and negative correlation between thoracic spine range of motion and the pain intensity in non-dancers (R= -0.95, p = 0.003). The analysis also revealed that only in folk dancers, but not in ballroom dancers, the BMI correlates positively with dancing experience (R = 0.67, p = 0.002). (4) Conclusions: There are no differences in low back pain occurrence and pain intensity between folk and ballroom dancers, however, the prevalence of low back pain in dancers is very high. Folk dancers seem to have more flexed body posture compared to ballroom dancers.
Collapse
Affiliation(s)
- Maciej Kochman
- Physiotherapy Department, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-215 Rzeszów, Poland
| | | | | | | | | |
Collapse
|
6
|
Vignaud E, Menu P, Daley P, Grondin J, Dauty M, Fouasson-Chailloux A. Artistic Swimming Injuries in Young Elite Athletes: An 11-year Follow-Up. Clin J Sport Med 2023; 33:421-427. [PMID: 36877656 DOI: 10.1097/jsm.0000000000001139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 02/09/2023] [Indexed: 03/07/2023]
Abstract
OBJECTIVE Artistic swimming is a highly challenging discipline, requiring physical skills and creativity. There are almost no published data on trauma. We aimed to assess the incidence and the nature of injuries in artistic swimmers. DESIGN An 11-year retrospective single-center cohort study. SETTING Department of Sport Medicine of a University Hospital. PATIENTS One hundred and twenty-four elite female artistic swimmers aged 12.9 ± 1.6 years. INTERVENTIONS The cohort was divided into 3 groups according to the competition categories (from 9 to 12 years old called "future", 12-15 years old called "youth", 15-19 years old called "junior"). MAIN OUTCOME MEASURES Injury rate per season and per athlete was assessed. RESULTS The injury rate was 0.95 injuries/season/athlete and 1.05 injuries/1000 hours of practice. The most frequent injuries were rotator cuff tendinopathy (13.6%), acute low back pain (13.6%), and patellofemoral syndrome (11.9%). Swimmers in the youth and junior categories had significantly more injuries than those in the future category ( P = 0.009), possibly because of more training hours ( P < 0.001). Twelve major injuries occurred, all in the same group of youth swimmers. CONCLUSION This is the first study investigating trauma during artistic swimming practice. A better knowledge of the main injuries is necessary for the physician to provide optimal care for athletes and to develop prevention. Attention should be particularly paid to the swimmers' shoulders and knees.
Collapse
Affiliation(s)
- Emeline Vignaud
- Service de Médecine Physique et Réadaption Locomotrice, CHU Nantes, Nantes Université, France
- Service de Rhumatologie, CHU Nantes, Nantes Université, France
| | - Pierre Menu
- Service de Médecine Physique et Réadaption Locomotrice, CHU Nantes, Nantes Université, France
- Service de Médecine du Sport, CHU Nantes, Nantes Université, France
- INSERM UMR U1229/RMeS, Regenerative Medicine and Skeleton-Nantes Université, France; and
- Institut Régional de Médecine du Sport, Nantes, France
| | - Pauline Daley
- Service de Médecine Physique et Réadaption Locomotrice, CHU Nantes, Nantes Université, France
- Service de Médecine du Sport, CHU Nantes, Nantes Université, France
| | - Jérôme Grondin
- Service de Médecine Physique et Réadaption Locomotrice, CHU Nantes, Nantes Université, France
- Service de Médecine du Sport, CHU Nantes, Nantes Université, France
| | - Marc Dauty
- Service de Médecine Physique et Réadaption Locomotrice, CHU Nantes, Nantes Université, France
- Service de Médecine du Sport, CHU Nantes, Nantes Université, France
- INSERM UMR U1229/RMeS, Regenerative Medicine and Skeleton-Nantes Université, France; and
- Institut Régional de Médecine du Sport, Nantes, France
| | - Alban Fouasson-Chailloux
- Service de Médecine Physique et Réadaption Locomotrice, CHU Nantes, Nantes Université, France
- Service de Médecine du Sport, CHU Nantes, Nantes Université, France
- INSERM UMR U1229/RMeS, Regenerative Medicine and Skeleton-Nantes Université, France; and
- Institut Régional de Médecine du Sport, Nantes, France
| |
Collapse
|
7
|
de Souza BL, de Souza PC, Ribeiro AP. Effect of low back pain on clinical-functional factors and its associated potential risk of chronicity in adolescent dancers of classical ballet: cross-sectional study. BMC Sports Sci Med Rehabil 2022; 14:81. [PMID: 35501831 PMCID: PMC9063377 DOI: 10.1186/s13102-022-00474-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 04/22/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND Low back pain (LBP) is a common symptom in classical ballet dancers, which can limit their daily activities and dance training routines. The purpose of the study was to verify the association and comparison of clinical-functional outcomes (spine flexibility and foot posture) between different levels of intensity low back pain in adolescents of classical ballet and the potential risk of chronicity using the STarT back tool. METHODS Cross-sectional study. PARTICIPANTS 78 adolescent girls who practice classical ballet were evaluated and divided into groups according to level of low back pain: mild (n = 21), moderate (n = 17), and high (n = 20), and a control group (n = 20). MAIN OUTCOME MEASURES Pain, flexibility of the spine (thoracic and lumbosacral), risk of chronicity for low back pain, and foot posture were assessed using the visual analogue scale, clinical tests, STarT back screening tool (SBST) questionnaire, and foot posture index (FPI), respectively. RESULTS Dancers with high-intensity low back pain showed a potential risk of chronicity by the SBST. The spine pain intensity was not different considering thoracic and lumbosacral flexibility in the sagittal plane, but was different with greater supine FPI when compared to control dancers. Mild low back pain was associated with greater supine FPI. The SBST score was associated with higher exposure time-frequency and time of dancing. CONCLUSION Adolescents of classical ballet with high-intensity low back pain showed a potential risk of chronicity by the SBST. The level of intensity low back pain did not influence the clinical-functional aspects of spine flexibility in the sagittal plane, but the level of intensity moderate pain promoted changes in foot posture (more supinated). The potential risk of chronicity using the SBST was also associated with higher exposure time-frequency and time of dancing, in adolescents of classical ballet.
Collapse
Affiliation(s)
- Brenda Luciano de Souza
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Patricia Colombo de Souza
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil
| | - Ana Paula Ribeiro
- Biomechanics and Musculoskeletal Rehabilitation Laboratory, Health Science Post-Graduate Department, School of Medicine, University Santo Amaro, R. Professor Enéas de Siqueira Neto, 340, Campus I, São Paulo, SP, 04829-900, Brazil. .,Physical Therapy and Sport Science Department, School of Medicine, University of São Paulo, São Paulo, Brazil.
| |
Collapse
|
8
|
Abelleira-Lamela T, Vaquero-Cristóbal R, González-Gálvez N, Esparza-Ros F, Espeso-García A, Marcos-Pardo PJ. Sagittal spine disposition and pelvic tilt during outdoor fitness equipment use and their associations with kinanthropometry proportions in middle-aged and older adults. PeerJ 2021; 9:e12657. [PMID: 35036145 PMCID: PMC8697770 DOI: 10.7717/peerj.12657] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 11/29/2021] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Outdoor fitness training has become popular as a tool for improving the health, especially middle-aged and older adults. For this purpose, outdoor fitness equipment (OFE) have been installed in public areas. However, their safety and effectiveness are still unknown. The aim of the present research was to analyze the sagittal disposition of the spine and pelvic tilt during the use of OFE, and to determine the influence of anthropometric variables on these factors in middle-aged and older adults. METHODS Seventy healthy volunteers, 56 women and 14 men (age: 63.14 ± 8.19 years) participated in the study. Sagittal spine disposition and pelvic tilt were measured using a Spinal Mouse®, in the relaxed standing position, and during the use of the OFE. In addition, kinanthropometry variables were also measured according to the guidelines of the International Society for the Advancement of Kinanthropometry. RESULTS Regarding thoracic kyphosis, a significant decrease was found in thoracic kyphosis in the initial position (IP) in single bonny rider (SBR) (p = 0.006) and row (p = 0.046), and a significant increase in the final position (FP) in the row (p = 0.011), surfboard (p < 0.001) and air walker (p = 0.027) machines. In relation to the lumbar curvature and pelvic tilt, a significant decrease in lumbar lordosis and a decrease in pelvic anteversion were observed in the IP and FP in SBR and row; and in the bike (p < 0.001) machine. In the surfboard machine, a significant decrease in lumbar lordosis was found (p = 0.002), with no changes in pelvic tilt. According to the multiple linear regression analysis, the subjects with a higher cormic index and height were more at risk of increasing their thoracic kyphosis, decreasing lumbar lordosis and/or decreasing pelvic anteversion towards pelvic retroversion. CONCLUSIONS Middle-aged and older adults show spinal misalignments when using the OFE with respect to the standing position, showing a decrease in the thoracic kyphosis in IP of SBR and ROW, and a significant increase in the surfboard and air walker, and in the FP of Row, in the lumbar lordosis in all the OFE in sitting and some in standing, and in the pelvic anteversion in all the OFE in sitting. The variables height and the cormic index explained most of the changes in sagittal spine disposition.
Collapse
Affiliation(s)
- Tomás Abelleira-Lamela
- Injury Prevention in Sport Research Group. Faculty of Sport Science, Catholic University San Antonio of Murcia, Murcia, Spain
| | - Raquel Vaquero-Cristóbal
- Injury Prevention in Sport Research Group. Faculty of Sport Science, Catholic University San Antonio of Murcia, Murcia, Spain
- Injury Prevention in Sport Research Group. International Chair of Kinanthropometry, Catholic University San Antonio of Murcia, Murcia, Spain
- Active Aging, Exercise and Health/HEALTHY-AGE Network, Consejo Superior de Deportes (CSD), Ministry of Culture and Sport of Spain, Madrid, Spain
| | - Noelia González-Gálvez
- Injury Prevention in Sport Research Group. Faculty of Sport Science, Catholic University San Antonio of Murcia, Murcia, Spain
- Active Aging, Exercise and Health/HEALTHY-AGE Network, Consejo Superior de Deportes (CSD), Ministry of Culture and Sport of Spain, Madrid, Spain
| | - Francisco Esparza-Ros
- Injury Prevention in Sport Research Group. International Chair of Kinanthropometry, Catholic University San Antonio of Murcia, Murcia, Spain
- Active Aging, Exercise and Health/HEALTHY-AGE Network, Consejo Superior de Deportes (CSD), Ministry of Culture and Sport of Spain, Madrid, Spain
| | - Alejandro Espeso-García
- Injury Prevention in Sport Research Group. Faculty of Sport Science, Catholic University San Antonio of Murcia, Murcia, Spain
| | - Pablo Jorge Marcos-Pardo
- SPORT Research Group (CTS-1024). Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain
- Active Aging, Exercise and Health/HEALTHY-AGE Network, Consejo Superior de Deportes (CSD), Ministry of Culture and Sport of Spain, Madrid, Spain
| |
Collapse
|
9
|
Hagins M, Swain CTV, Orishimo KF, Kremenic IJ, Liederbach M. Motion of the multi-segmented spine in elite dancers during passé and arabesque. Gait Posture 2021; 88:198-202. [PMID: 34116396 DOI: 10.1016/j.gaitpost.2021.05.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 05/11/2021] [Accepted: 05/30/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND The spinal biomechanics of dance tasks have received little study and no studies have used a multi-segmented spinal model. Knowledge of how the segments of the spine move may be useful to the dance clinician and dance educator. RESEARCH QUESTION What is the direction and amount of motion of the primary segments of the spine in elite dancers during an arabesque and a passé? METHODS This observational study examined 59 elite dancers performing an arabesque and a passé using a three-dimensional motion analysis system with the trunk divided into a series of five segments: pelvis, lower lumbar, upper lumbar, lower thoracic and upper thoracic spine. RESULTS For the arabesque, all spinal segments moved in the same direction within each plane and the majority of total spinal motion occurred in the thoracic spine. Thoracic segments were at or near end range position at completion of the arabesque. For the passé, the spinal segments moved in different directions within each plane and the majority of total spinal motion occurred in the lumbar spine. SIGNIFICANCE Dance clinicians and dance educators may benefit from the knowledge that thoracic hypomobility in any plane may limit arabesque performance and that attempts to instruct dancers to achieve a position of passé without flexion of the lumbar spine may be a valid aesthetic ideal but also an unrealistic functional expectation.
Collapse
Affiliation(s)
- Marshall Hagins
- Harkness Center for Dance Injuries, NYU Langone Health, 614 2ndAv, Suite G, 2nd Floor, New York, NY 10016, USA.
| | - Christopher T V Swain
- School of Behavioural and Health Sciences, Australian Catholic University, Daniel Mannix Building, 17 Young St, Fitzroy, VIC 3065, Australia.
| | - Karl F Orishimo
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, 210 East 64th St, 5th Floor, New York, NY 10065, USA.
| | - Ian J Kremenic
- Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, 210 East 64th St, 5th Floor, New York, NY 10065, USA.
| | - Marijeanne Liederbach
- Harkness Center for Dance Injuries, NYU Langone Health, 614 2ndAv, Suite G, 2nd Floor, New York, NY 10016, USA.
| |
Collapse
|
10
|
Sagittal Integral Morphotype of Female Classical Ballet Dancers and Predictors of Sciatica and Low Back Pain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18095039. [PMID: 34068738 PMCID: PMC8126247 DOI: 10.3390/ijerph18095039] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 04/24/2021] [Accepted: 05/06/2021] [Indexed: 02/01/2023]
Abstract
The aims of this study were to describe the sagittal integral morphotype (SIM) of classical ballet (CB) dancers, and to establish predictor factors and their cut off values for high risk of experiencing sciatica or low back pain (LBP). This retrospective cohort study was performed in 33 female professional CB dancers. Data related to anthropometric parameters, CB dance experience, sciatica or LBP history, and sagittal spine curvatures were collected. A binary logistic regression and receiver-operating characteristic analysis were performed. The main spine misalignments observed in the SIM of CB dancers were thoracic functional hyperkyphosis, hypomobile kyphosis, and hypokyphosis, and those for the lumbar curvature were hyperlordotic attitude and functional hyperkyphosis. The lumbar curvature in slump sitting and trunk forward bending positions, together with the stature, were significant predictor factors of sciatica history, while the years of dance experience was a significant predictor factor of LBP history. The cut off values analysis revealed that dancers with a stature of 161 cm or less, and those with 14 years of experience or more, have a greater probability of experiencing sciatica or LBP history, respectively.
Collapse
|
11
|
Zack O, Barak Y, Finestone AS, Krakov A, Slodownik D, Alperovitch-Najenson D, Moshe S. Occupational influences on Spondylolysis and Spondylolisthesis in a cohort of 18-year-old male military conscripts. BMC Musculoskelet Disord 2020; 21:720. [PMID: 33153454 PMCID: PMC7643341 DOI: 10.1186/s12891-020-03747-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Accepted: 10/28/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The reported prevalence of spondylolysis (SL) in the adult population is 6-7%. Data concerning adolescent-onset spondylolisthesis (SLS) and the impact of certain activities on it is scarce. We examined the risk of clinical progression of SL and SLS as a function of primary severity and occupational strain among military recruits. METHODS Based on the Israel defense Force (IDF) central human resources database, we identified 1521 18-year-old males inducted to the IDF with SL/SLS between the late nineteen nineties and early two-thousands. We followed changes in the SL/SLS status during the 3 years of obligatory military service. Disease severity was classified as Cat2: radiological findings of SL without clinical findings; Cat3: painful SL or asymptomatic grade 1 SLS; Cat4: grade 1 SLS with pain; Cat5: Grade 2 SLS. The soldiers were subdivided into the following occupational categories: administrative, combat, maintenance, and driving. The purpose was to compare the progression rates in different medical categories and job assignments. RESULTS There were 162 recruits in Cat2, 961 in Cat3, and 398 recruits in Cat4. The overall progression rate to Cat5 (grade 2 SLS) was 1.02%. Significant progression rates were seen amongst administrative soldiers with a relatively higher risk of progression from Cat4 (painful-grade-1 SLS: 2.2%) vs. Cat3 (asymptomatic SLS: 0.5%, relative risk = 4.7, p < 0.02). Other occupational categories did not exhibit significant progression rates. CONCLUSION Progression of SL/SLS was highest in Cat4, i.e. for recruits already diagnosed with painful SLS (i.e. with a more severe baseline disorder). Progression did not correlate with military occupation. We recommend further follow-up studies that include, aside from progression rates, incidence rates of newly diagnosed grade 2 SL during military service.
Collapse
Affiliation(s)
- Oren Zack
- The Israel Defense Forces, Medical Corps, Tel-Aviv, Israel
- Department of Occupational and Environmental Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv university, Tel-Aviv, Israel
| | - Yair Barak
- The Israel Defense Forces, Medical Corps, Tel-Aviv, Israel
| | - Aharon S. Finestone
- Department of Orthopedics, Shamir Medical Center, Zerifin, Affiliated to the Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel
| | - Ayala Krakov
- Department of Occupational and Environmental Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv university, Tel-Aviv, Israel
- Department of Occupational Medicine, Hashfela and Jerusalem district, Maccabi Healthcare Services, 15 Rothschild St., Rishon Letzion, Israel
| | - Dani Slodownik
- Department of Occupational and Environmental Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv university, Tel-Aviv, Israel
- Department of Dermatology, Tel Aviv Sourascky Medical Center, Tel Aviv, Israel
| | - Deborah Alperovitch-Najenson
- Department of Occupational and Environmental Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv university, Tel-Aviv, Israel
- Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Shlomo Moshe
- Department of Occupational and Environmental Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv university, Tel-Aviv, Israel
- Department of Occupational Medicine, Hashfela and Jerusalem district, Maccabi Healthcare Services, 15 Rothschild St., Rishon Letzion, Israel
| |
Collapse
|
12
|
Gorwa J, Kabaciński J, Murawa M, Fryzowicz A. On the track of the ideal turnout: Electromyographic and kinematic analysis of the five classical ballet positions. PLoS One 2020; 15:e0230654. [PMID: 32210478 PMCID: PMC7094876 DOI: 10.1371/journal.pone.0230654] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Accepted: 02/05/2020] [Indexed: 11/18/2022] Open
Abstract
The turnout of the lower extremities is the major component of the classical ballet positions (CPs) and correctly is initiated in the hips. The aim of this research was to determine the differences in the electromyographic and kinematic variables in the five CPs in ballet students with greater and lesser amount of passive hip external rotation (HER). A group of 14 female pre-professional ballet dancers 11–16 years of age participated in the study. Based on the amount of passive HER, participants with higher values made up greater rotation group (n = 7) whereas those with lesser values formed lesser rotation group (n = 7). Electromyographic activity of 14 muscles from right side of the trunk and right lower extremity was recorded with the surface electrodes while subjects were standing in all five CPs (CP1-CP5). The external rotation of the hips, knees and feet were recorded with the motion capture system. The kinematic differences between the groups were revealed in asymmetric positions CP4 and CP5 where foot progression angle was significantly lesser in forward than backward setting only in lesser rotation group. In lesser rotation group the ankle and back muscles were more engaged in CPs while abdominal and hip muscles less when compared with greater rotation group. This finding suggests that in the group with lesser passive HER the mechanism of forced turnout was employed. The most remarkable finding in our work was that various electromyographic patterns can be observed between groups in all CPs, while kinematic differences may be marked only in asymmetric positions.
Collapse
Affiliation(s)
- Joanna Gorwa
- Department of Biomechanics, Poznan University of Physical Education, Poznan, Poland
- * E-mail:
| | - Jarosław Kabaciński
- Department of Biomechanics, Poznan University of Physical Education, Poznan, Poland
| | - Michał Murawa
- Department of Biomechanics, Poznan University of Physical Education, Poznan, Poland
| | - Anna Fryzowicz
- Department of Biomechanics, Poznan University of Physical Education, Poznan, Poland
| |
Collapse
|
13
|
Ball JR, Harris CB, Lee J, Vives MJ. Lumbar Spine Injuries in Sports: Review of the Literature and Current Treatment Recommendations. SPORTS MEDICINE-OPEN 2019; 5:26. [PMID: 31236714 PMCID: PMC6591346 DOI: 10.1186/s40798-019-0199-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Accepted: 06/07/2019] [Indexed: 11/22/2022]
Abstract
Low back pain is one of the most prevalent complaints of athletes at all levels of competition. The purpose of this literature review is to provide an overview of sport-specific injuries and treatment outcomes that can be used by healthcare providers to better recognize injury patterns and treatment options for different groups of athletes. To our knowledge, no prior comprehensive review of lumbar spine injuries in sports is currently available in the literature, and it is essential that healthcare providers understand the sport-specific injury patterns and treatment guidelines for athletes presenting with low back pain following an athletic injury. Injury mechanisms were found to vary significantly by sport, although some broad recommendations can be made with regards to optimal treatment for these injuries and return to play. Additionally, it was found that certain treatments were more beneficial and resulted in higher rates of return to play depending on the specific sport of the injured athlete. Healthcare providers need to be aware of the different injury patterns seen in specific sports in order to properly evaluate and treat these injuries. Furthermore, an individualized treatment plan needs to be selected in a sport-specific context in order to meet the needs of the athlete in the short and long term.
Collapse
Affiliation(s)
- Jacob R Ball
- Department of Orthopaedics, Rutgers New Jersey Medical School, 140 Bergen St., ACC D1610, Newark, NJ, 07103, USA
| | - Colin B Harris
- Department of Orthopaedics, Rutgers New Jersey Medical School, 140 Bergen St., ACC D1610, Newark, NJ, 07103, USA.
| | - Jonathan Lee
- Department of Orthopaedics, Rutgers New Jersey Medical School, 140 Bergen St., ACC D1610, Newark, NJ, 07103, USA
| | - Michael J Vives
- Department of Orthopaedics, Rutgers New Jersey Medical School, 140 Bergen St., ACC D1610, Newark, NJ, 07103, USA
| |
Collapse
|
14
|
Diogo MAK, Ribas GGDO, Skare TL. Frequency of pain and eating disorders among professional and amateur dancers. SAO PAULO MED J 2016; 134:0. [PMID: 27680217 PMCID: PMC11448728 DOI: 10.1590/1516-3180.2016.0077310516] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 03/24/2016] [Accepted: 05/31/2016] [Indexed: 11/21/2022] Open
Abstract
CONTEXT AND OBJECTIVE: The pursuit of perfection can cause anxiety and lead dancers to exceed their physical limits. The aim here was to evaluate the prevalence of pain symptoms and eating disorders among professional and amateur dancers. DESIGN AND SETTING: Observational cross-sectional study; Curitiba, PR, Brazil. METHODS: Data on 150 professional and non-professional practitioners of ballet, jazz and street dance were collected through specific questionnaires: Brief Pain Inventory-Short Form (BPI-SF), Eating Attitudes Test-26 (EAT-26), Bulimic Investigatory Test Edinburgh (BITE) and State-Trait Anxiety Inventory-T-6 (STAI-T-6). RESULTS: Pain was observed in 58.6% of the sample, equally between professionals and amateurs (P = 0.19). Ballet dancers had more lower-limb pain than the other groups (P = 0.05). EAT-26 showed a tendency towards more eating disorders among the amateurs (P = 0.06). Higher risk of eating disorders was found among ballet dancers (P = 0.004) and jazz practitioners (P = 0.02) than among street dancers. Amateurs had more symptoms on the BITE scale (P < 0.0001), more pain (P = 0.002) and higher anxiety (P < 0.0001). Eating disorders were more common among females (P = 0.01) and singles (P = 0.02). Professionals were more satisfied with their own body image than amateurs (P < 0.001). CONCLUSIONS: Pain symptoms were found in almost half of the sample, equally among professionals and amateurs as well as between the three dance styles. Female and singles had more eating disorders. Those with eating disorders had higher levels of pain and anxiety.
Collapse
Affiliation(s)
| | | | - Thelma Larocca Skare
- MD, PhD. Head of Rheumatology Unit, Hospital Universitário Evangélico de Curitiba, Curitiba, PR, Brazil.
| |
Collapse
|
15
|
Notarnicola A, Maccagnano G, Pesce V, Tafuri S, Leo N, Moretti B. Is the Zumba fitness responsible for low back pain? Musculoskelet Surg 2015; 99:211-6. [PMID: 25904350 DOI: 10.1007/s12306-015-0370-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2015] [Accepted: 04/03/2015] [Indexed: 10/23/2022]
Abstract
PURPOSE Zumba fitness requires aerobic repetition exercises, involving the whole body including the spine. Our study is aimed at verifying whether this sport may cause low back pain. METHODS Young healthy females were recruited. They were allocated to a "Zumba group" (n = 25) or an "inactivity control group" (n = 25). The Roland-Morris Disability, the Oswestry, the SF-36 and the Spinal Functional Sort Questionaries of all subjects were measured at the baseline (T0) and at 6 months (T1). During this 6-month study, the number of episodes of low back pain was recorded. RESULTS At T1, improvements were seen in the "Zumba group." The "inactivity control group" showed worsening in each test at T1. The differences between the two groups were statistically significant for the items Role limitations and physical problems, Physical functioning, Pain and Social activity of SF-36 (p < 0.05). There were no any statistically significant differences in either group of episodes of back pain (p > 0.05). CONCLUSIONS We verified that Zumba is not responsible for low back pain. Furthermore, we revealed that Zumba can increase the normal functional activity of the spine. On the basis of this data, we can recommend the practice of this sport on a regular basis for the healthy population, without worrying about the risk of overloading the spine. Further studies are necessary to check whether the patients with chronic spine disease may practice Zumba.
Collapse
Affiliation(s)
- A Notarnicola
- Orthopedics Section, Department of Basical Medical Sciences, Neuroscience and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy. .,Course of Motor and Sports Sciences, Faculty of Medicine and Surgery, University of Study of Bari, Lungomare Starita 1, 70123, Bari, Italy.
| | - G Maccagnano
- Orthopedics Section, Department of Basical Medical Sciences, Neuroscience and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy
| | - V Pesce
- Orthopedics Section, Department of Basical Medical Sciences, Neuroscience and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy
| | - S Tafuri
- Department of Biomedical Sciences and Human Oncology, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy
| | - N Leo
- Course of Motor and Sports Sciences, Faculty of Medicine and Surgery, University of Study of Bari, Lungomare Starita 1, 70123, Bari, Italy
| | - B Moretti
- Orthopedics Section, Department of Basical Medical Sciences, Neuroscience and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy.,Course of Motor and Sports Sciences, Faculty of Medicine and Surgery, University of Study of Bari, Lungomare Starita 1, 70123, Bari, Italy
| |
Collapse
|
16
|
Steinberg N, Hershkovitz I, Peleg S, Dar G, Masharawi Y, Zeev A, Siev-Ner I. Morphological characteristics of the young scoliotic dancer. Phys Ther Sport 2013; 14:213-20. [DOI: 10.1016/j.ptsp.2012.07.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2012] [Revised: 07/14/2012] [Accepted: 07/18/2012] [Indexed: 10/27/2022]
|
17
|
Sport-Specific Biomechanics of Spinal Injuries in Aesthetic Athletes (Dancers, Gymnasts, and Figure Skaters). Clin Sports Med 2012; 31:397-408. [DOI: 10.1016/j.csm.2012.03.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|