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Póvoa AR, Costa CM, Simões S, Azevedo AM, Oliveira R. Irish Dancing Injuries and Associated Risk Factors: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6190. [PMID: 37372775 DOI: 10.3390/ijerph20126190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 06/12/2023] [Accepted: 06/15/2023] [Indexed: 06/29/2023]
Abstract
Irish dance is growing in popularity, evolving to a more athletic and demanding dance style. The aim of this study is to conduct a systematic review, previously registered with PROSPERO, to identify the prevalence, incidence, and the injury pattern among Irish dancers and analyse the associated risk factors. Six online databases and two dance-specific science publications were searched systematically. Studies were included if the patterns of injuries among Irish dancers were evaluated or the factors associated with injury were analysed, published in English or Portuguese, in peer-reviewed scientific journals. Four reviewers assessed the quality and level of evidence using the Downs and Black criteria and a modified Oxford Centre of Evidence-Based Medicine 2009 model, respectively. Eleven articles were included, eight of Level 3c (cross-sectional) and three of Level 3b (prospective). Mean DB percentage score was 63% ± 7.2%. Prevalence ranged from 72.2% to 92.6%, affecting mostly the foot/ankle complex. Only two articles reported incidence, which ranged from 3.4 to 10.6 injuries/1000 h danced depending on injury definition. Psychological factors, elite level, and insufficient/poor sleep were associated with musculoskeletal injury. Injury prevalence and incidence is high in Irish dancers, with the foot and ankle being more affected. Due to heterogeneity in injury definitions, methods, and populations, along with the need for improvement in studies quality, recommendations were made for future research.
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Affiliation(s)
- Ana Rita Póvoa
- Egas Moniz School of Health and Science, 2829-511 Almada, Portugal
| | - Cláudia Maria Costa
- Hospital Garcia de Orta, 2805-267 Almada, Portugal
- CiiEM-Centro de Investigação Interdisciplinar Egas Moniz, 2829-511 Caparica, Portugal
| | - Sérgio Simões
- Egas Moniz School of Health and Science, 2829-511 Almada, Portugal
| | - Ana Morais Azevedo
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne 3086, Australia
- The Australian Ballet, Melbourne 3006, Australia
| | - Raul Oliveira
- Interdisciplinary Centre for the Study of Human Performance, Neuromuscular Research Lab, Human Kinetics Faculty, University of Lisbon, 1499-002 Cruz Quebrada-Dafundo, Portugal
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Wallace K, Kalogeropoulou S, Lamb P. The time-continuous association between turnout and axial joint moments in the competitive Irish dance 'fly' landing. Sports Biomech 2021:1-10. [PMID: 34962189 DOI: 10.1080/14763141.2021.2016927] [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: 08/02/2021] [Accepted: 12/03/2021] [Indexed: 10/19/2022]
Abstract
Turnout is a key technical and aesthetic element in competitive Irish dance involving external rotation of the lower limb and must be sustained during landings. 'Forced' turnout, aided by floor friction rather than active hip rotation, is likely to result in large internal rotation moments at the knee and ankle, which may increase the risk of injury. The aim of the current study was to establish the relationship between the hip and ankle external rotation vector field and maximum internal rotation moments of the ankle and knee. Thirteen (12 female) competitive Irish dancers performed 10 flys (common Irish dance leap) onto a force plate while being recorded by a ten-camera motion capture system. Time-continuous data were analysed over the duration of landing using statistical parametric mapping (SPM). A positive correlation (p < 0.05) was found between the hip-ankle turnout vector field and maximum ankle internal rotation moments throughout most of the landing. Post-hoc analyses showed that hip external rotation contributed the most to the maximum ankle internal rotation moment (p < 0.05). Increasing hip turnout during landing could reduce internal rotation moments, assuming hip turnout brings the thigh and foot axial orientation more in line with each other.
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Affiliation(s)
- Kelsi Wallace
- School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, New Zealand
| | | | - Peter Lamb
- School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, New Zealand
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Radcliffe CR, Coltman CE, Spratford WA. The effect of fatigue on peak Achilles tendon force in Irish dancing-specific landing tasks. Sports Biomech 2021:1-14. [PMID: 34315333 DOI: 10.1080/14763141.2021.1951826] [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: 05/08/2020] [Accepted: 06/30/2021] [Indexed: 10/20/2022]
Abstract
Achilles tendinopathy is prevalent among Irish dancers, believed to be due to aesthetic technical requirements and high-impact landing tasks. However, the peak Achilles tendon force during Irish dancing-specific landing tasks has not been quantified. Furthermore, the influence of fatigue is unclear. This study aimed to quantify the peak Achilles tendon force during three common Irish dancing landing tasks and investigate the effects of fatigue on this force. Twelve nationally competitive Irish dancers completed the landing tasks prior to and following a fatigue protocol. A Vicon motion analysis system and AMTI force plates were used to calculate sagittal plane ankle joint kinematics during landing to estimate peak Achilles tendon force. Three independent measures (Rating-of-Fatigue scale, Flight time: Contraction during a counter movement jump and jump height during the landing trials) were used to evaluate participant fatigue between conditions. Results revealed a significant difference in peak Achilles tendon force between the three landing tasks, however, no significant difference was observed between pre- and post-fatigue. Further research is required to investigate the effects of the landing technique used in Irish Dancing on peak Achilles tendon force with the aim to reduce peak Achilles tendon force and the risk of developing Achilles tendinopathy.
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Affiliation(s)
- Ceridwen R Radcliffe
- Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, Canberra, Australia
- University of Canberra Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Canberra, Australia
| | - Celeste E Coltman
- Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, Canberra, Australia
- University of Canberra Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Canberra, Australia
| | - Wayne A Spratford
- Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, Canberra, Australia
- University of Canberra Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Canberra, Australia
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Cahalan R, Bargary N, O’Sullivan K. Dance exposure, general health, sleep and injury in elite adolescent Irish dancers: A prospective study. Phys Ther Sport 2019; 40:153-159. [DOI: 10.1016/j.ptsp.2019.09.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Revised: 08/06/2019] [Accepted: 09/17/2019] [Indexed: 12/21/2022]
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Wanke EM, Gabrys L, Leslie-Spinks J, Ohlendorf D, Groneberg DA. Functional muscle asymmetries and laterality in Latin American formation dancers. J Back Musculoskelet Rehabil 2019; 31:931-938. [PMID: 29945337 DOI: 10.3233/bmr-160633] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Despite the high popularity of Latin American dance and the specific movement patterns characteristic of this dance discipline, studies on the physical effects of these dance style specific movement patterns are still lacking. OBJECTIVE The purpose of the present study is to analyze strength level differences and shortening of relevant muscle groups resulting from formation dance, taking performance standard and gender into consideration. Furthermore, the correlation between the findings of muscle function tests (MFT) and the occurrence of lumbar spine complaints is evaluated. METHODS A total of 66 participants (m: n= 31, f: n= 35) volunteered for this cross-sectional study (examination group, n= 39, m: n= 19, f: n= 20). The control group consisted of n= 27 participants (m: n= 12, f: n= 15). Besides isometric maximal strength tests (Digi Max system, mechaTronic), relevant muscle groups were examined for shortenings (hip flexors, hamstrings). RESULTS The male participants in dance sport reached a significantly higher strength level in the muscles of the spine region (p= 0.011) than the participants of the control group. The female elite dance athletes developed a significantly higher strength level in the knee flexors on the right side than the dancers of the advanced group (NL) (p= 0.021). At that, muscle shortening were observed that seem to be specific to dance sport. In addition, gender specific differences were observed both in strength levels and in tendency to shortenings. CONCLUSION The specific requirements profile of Latin American formation dance seems to produce affects in the form of muscular imbalance on both sides of the body. These differences of muscular status were mainly observed between dance sport competitors and non-dancers rather than between performance levels. Future investigations with higher numbers of participants would be necessary here.
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Affiliation(s)
- Eileen M Wanke
- Goethe-University, Institute of Environmental, Social and Occupational Medicine, 60590 Frankfurt/Main, Germany
| | - Lars Gabrys
- University of Applied Sciences for Sports and Management, 14471 Potsdam, Germany
| | | | - Daniela Ohlendorf
- Goethe-University, Institute of Environmental, Social and Occupational Medicine, 60590 Frankfurt/Main, Germany
| | - David A Groneberg
- Goethe-University, Institute of Environmental, Social and Occupational Medicine, 60590 Frankfurt/Main, Germany
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Wild CY, Grealish A, Hopper D. Lower Limb and Trunk Biomechanics After Fatigue in Competitive Female Irish Dancers. J Athl Train 2017; 52:643-648. [PMID: 28437130 DOI: 10.4085/1062-6050-52.3.12] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Because of the increasing popularity of participation in Irish dance, the incidence of lower limb injuries is high among this competitive population. OBJECTIVE To investigate the effects of fatigue on the peak lower limb and trunk angles as well as the peak lower limb joint forces and moments of competitive female Irish dancers during the performance of a dance-specific single-limb landing. DESIGN Cross-sectional study. SETTING Laboratory. PATIENTS OR OTHER PARTICIPANTS Fourteen healthy, female, competitive Irish dancers (age = 19.4 ± 3.7 years, height = 165.3 ± 5.9 cm, mass = 57.9 ± 8.2 kg). INTERVENTION(S) Participants performed an Irish dance-specific leap before and after a dance-specific fatigue protocol. During each landing movement, 3-dimensional lower limb kinematics (250 Hz) and ground reaction forces (1000 Hz) were collected. Paired t tests were performed to determine the differences (P ≤ .05) in lower limb and trunk biomechanics prefatigue and postfatigue. MAIN OUTCOME MEASURE(S) Peak lower limb and trunk angles as well as peak lower limb joint reaction forces and external moments. RESULTS Compared with the prefatigue trials, dancers landed with reduced ankle plantar flexion (P = .003) and hip external rotation (P = .007) and increased hip-adduction alignment (P = .034) postfatigue. Dancers displayed greater anterior shear (P = .003) and compressive (P = .024) forces at the ankle and greater external knee-flexion moments (P = .024) during the postfatigue compared with the prefatigue landing trials. CONCLUSIONS When fatigued, dancers displayed a decline in landing performance in terms of aesthetics as well as increased ankle- and knee-joint loading, potentially exposing them to a greater risk of injuries.
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Abstract
The objective of this study was to conduct a systematic review of case reports documenting the epidemiology of unique and rare musculoskeletal injuries in dancers. A systematic review was conducted online using PubMed and Google Scholar, as per PRISMA guidelines up to July 30, 2016. Predefined eligibility criteria were applied, and the data thus compiled was analysed. Study quality was assessed based on CARE guidelines. 72 studies reporting 92 dance injuries were included in the review. The average age of dancers was 23 years (SD = 10 years) with majority being females (65%). Chronic injuries were the most common presentation with lower extremity injuries being the commonest. Foot and knee injuries were the top two articulations involved across injuries and groups. Overall bony injuries were most frequently reported, with stress injury being the most common type. Conservative approach was the most commonly reported treatment approach across case reports. The methodological quality of case reports included in the study varied considerably and lacked uniformity. The evidence provided, though not sufficient for any recommendation, it should alert the physicians and those concerned with the primary care of the dancers to be vigilant of the eccentricity and severity of the injuries, their atypical presentation, mode, mechanism and trend, thereby being prepared for the unexpected.
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Affiliation(s)
- Akilesh Anand Prakash
- a Department of Sports Medicine , Anamiivaa Clinic and Sports Medicine Centre , Coimbatore , India
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Stracciolini A, Yin AX, Sugimoto D. Etiology and body area of injuries in young female dancers presenting to sports medicine clinic: A comparison by age group. PHYSICIAN SPORTSMED 2015; 43:342-7. [PMID: 26255907 DOI: 10.1080/00913847.2015.1076326] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Improving knowledge regarding injuries sustained by pediatric dancers is important in order to better understand injury risk. The aim of this study is to analyze dance injury etiology and body area by age in a cohort of young female dancers presenting to a pediatric sports/dance medicine clinic. METHODS The cross-sectional epidemiological study of a 5% probability sample of dancers evaluated between 1/1/2000 and 12/31/2009 with a musculoskeletal injury requiring physician evaluation. A total of 2,133 charts were reviewed from which 171 female dancers 8-17 years old (mean age 14.7 years) were identified. Data were stratified by age, < 12 years and ≥ 12 years, and analyzed based on injury body area, type, and etiology. Fisher's exact test was used to determine statistical significance. RESULTS Injuries sustained by dancers in the younger age category (< 12 years) were largely to the foot-ankle/lower leg/knee (93.3%) versus thigh-hip/spine/upper extremity (6.7%). In comparison, dancers in the older age group (≥ 12 years) had a large proportion of injuries to the foot-ankle/lower leg/knee (67.3%) as well, but had a notably larger fraction of injuries to the thigh-hip/spine/upper extremity (32.7%; p = 0.04). Approximately two-thirds of the injuries sustained in the younger age group (< 12 years) were classified as bony. In comparison, injuries in the older age group (≥ 12 years) were roughly half bony and half soft tissue (51.3% and 48.7%, respectively; p = 0.29). Most injuries were overuse in etiology for both younger and older age groups (86.7% and 82.1%, respectively; p = 1.00). Through puberty, there was a decline in the injuries to the foot-ankle/lower leg/knee. Conversely, there was an increase in the thigh/hip-pelvis/spine/upper extremity injuries through growth. CONCLUSIONS Injuries to young female dancers in this study cohort were mostly categorized as overuse in etiology, and differed by the age group and the body area. Increased information regarding dance injuries can help guide future injury prevention efforts.
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Affiliation(s)
- Andrea Stracciolini
- a 1 The Micheli Center for Sports Injury Prevention , Waltham, MA, USA.,b 2 Boston Children's Hospital, Department of Orthopaedic Surgery, Division of Sports Medicine , Boston, Massachusetts, USA.,c 3 Boston Children's Hospital, Department of Medicine, Division of Emergency Medicine , Boston, Massachusetts, USA.,d 4 Harvard Medical School , Boston, Massachusetts, USA
| | - Amy X Yin
- d 4 Harvard Medical School , Boston, Massachusetts, USA.,e 5 Spaulding Rehabilitation Hospital, Department of Physical Medicine & Rehabilitation , Charlestown, Massachusetts, USA
| | - Dai Sugimoto
- a 1 The Micheli Center for Sports Injury Prevention , Waltham, MA, USA.,b 2 Boston Children's Hospital, Department of Orthopaedic Surgery, Division of Sports Medicine , Boston, Massachusetts, USA.,d 4 Harvard Medical School , Boston, Massachusetts, USA
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Cahalan R, O'Sullivan P, Purtill H, Bargary N, Ni Bhriain O, O'Sullivan K. Inability to perform because of pain/injury in elite adult Irish dance: A prospective investigation of contributing factors. Scand J Med Sci Sports 2015; 26:694-702. [PMID: 26040202 DOI: 10.1111/sms.12492] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/13/2015] [Indexed: 12/26/2022]
Affiliation(s)
- R. Cahalan
- Department of Clinical Therapies; University of Limerick; Limerick Ireland
| | - P. O'Sullivan
- School of Physiotherapy; Curtin University of Technology; Perth Western Australia Australia
| | - H. Purtill
- Department of Mathematics & Statistics; University of Limerick; Limerick Ireland
| | - N. Bargary
- Department of Mathematics & Statistics; University of Limerick; Limerick Ireland
| | - O. Ni Bhriain
- Irish World Academy of Music and Dance; University of Limerick; Limerick Ireland
| | - K. O'Sullivan
- Department of Clinical Therapies; University of Limerick; Limerick Ireland
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