11+ Dance: A Neuromuscular Injury Prevention Exercise Program for Dancers (original) (raw)
Related papers
Injuries in pre-professional ballet dancers: Incidence, characteristics and consequences
Journal of Science and Medicine in Sport, 2014
Objectives: Compared to other athletic activities, research on injury incidence and risk factors in dance is limited. There is also a need for more research evaluating the impact of intense training on elite adolescent athletes. The aim of this study was to evaluate the rates and risk of injuries, the hours of dance exposure and the characteristics and consequences of injuries among elite pre-professional ballet students. Design: Prospective epidemiological study. Methods: 266 (112 male) full-time students aged 15-19 years from three elite pre-professional ballet schools were followed prospectively over one school year. Injury rate was reported per 1000 h of dance and 1000 dance exposures (DEs). Injury details collected included type and anatomical location of injury. Results: The clinical incidence of injury was 1.42 injuries per dancer and the risk of injury was 76% over the one-year period. The rate of injury was 1.38/1000 h of dance and 1.87/1000 DEs. Joints were the most commonly injured structures and the ankle was the most commonly injured body area. Overuse injuries were more common than traumatic injuries. Bony injuries (e.g. stress fractures), and injuries to the knee were associated with the greatest time loss per injury. Injury risk and rate increased as students progressed through their three years of training. Conclusions: In comparison with other adolescent athletic populations, participants in this study had a similar injury rate but a higher risk of injury. This may be attributable to the high level of training exposure in pre-professional ballet students.
Ballet Injuries: Injury Incidence and Severity Over 1 Year
Journal of Orthopaedic & Sports Physical Therapy, 2012
B allet dancers are described as both artists and athletes, 19,25 performing complex artistic routines that require a high level of athletic ability due to the extreme physical demands placed on them. 51 Consequently, ballet dancers are at risk for injuries that can potentially disrupt performance and curtail a career. 23,51 The van Mechelen et al 56 injury prevention model indicates the need to understand the extent of the injury problem. However, within dance, this has been challenging due to methodological deficiencies and inconsistencies in published epidemiological studies. 4,22,27 These include the choice of research design, such as injury surveys 3,26,28,46 and retrospective data collection, 17,37 and variations in injury definitions, including medical attention 17,37 and financial cost. 18 When examined prospectively, the incidence of dance injury has been reported to be between 0.62 and 5.6 injuries per 1000 dancing hours. 19,30,38 Two of these studies were based on preprofessional dancers, 19,30 which may render the findings less generalizable to a professional ballet company. 22,53 Although epidemiological studies can aid in the understanding of the injury profile, allowing appropriate interventions to reduce the risk of injury, 34,35,40 the epidemiology of injuries in ballet is not well understood. Therefore, the pur
Potential Predictors of Injury Among Pre-Professional Ballet and Contemporary Dancers
Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science, 2017
Injuries occur frequently among ballet and contemporary dancers. However, limited literature exists on injuries to pre-professional dancers in the USA. The goals of this study were to 1. provide a descriptive epidemiology of the incidence of musculoskeletal injuries in an adolescent and young adult dance population and 2. identify parsimonious regression models that could be potentially used to predict injury incidence. The study was based at the University of North Carolina School of the Arts (UNCSA) from Fall 2009 to Spring 2015. An injury was defined as any event that caused a dancer to be seen at the UNCSA Student Health Services and caused the dancer to modify or curtail dance activity for at least 1 day. Injury rate ratios (IRRs) were calculated using negative binomial generalized estimating equations. Models predicting injury rates were built using forward selection, stratified by sex. Among 480 dancers, 1,014 injuries were sustained. Most injuries were to the lower extremity...
An Injury Prevention Program for Professional Ballet: A Randomized Controlled Investigation
Orthopaedic Journal of Sports Medicine
Background:Few investigations have examined dance-specific injury prevention programs (IPPs), and no published randomized controlled trials are available that evaluate IPPs for dance.Hypothesis:The implementation of an IPP will significantly reduce the risk of injury in professional ballet dancers.Study Design:Randomized controlled trial; Level of evidence, 2.Methods:A randomized controlled trial was designed that entailed a superiority model for the intervention group. All professional dancers from a single ballet company were eligible to participate. Randomization and allocation were performed before the start of the season. The control group practiced and performed without change to preexisting standard operating practice. The IPP group was instructed to perform a 30-minute exercise program 3 times per week over the 52-week study period. Injuries were recorded. Standard continuous and categorical data comparisons and correlations were used. Cox proportional hazards regression mod...
Clinical Journal of Sport Medicine, 2017
Objectives: To determine the prevalence of self-reported 1-year injury history and examine its association with preparticipation evaluation components aimed at predicting future injury risk (PPE-IP) among preprofessional ballet and contemporary dancers. Design: Cross-sectional study. Setting: Preprofessional ballet school, university contemporary dance program. Participants: Full-time preprofessional ballet and contemporary dancers. Assessment of Risk Factors: Preparticipation evaluation consisted of the Athletic Coping Skills Inventory-28, body mass index, total bone mineral density, ankle range of motion, active standing turnout, lumbopelvic control, unipedal dynamic balance, and Y-Balance test. Main Outcome Measure: Self-reported 1-year history of dance-related medical attention and/or time-loss injury. Results: A total of 155 ballet [n 5 90, 80 females, median age 15 years (range 11-19)] and contemporary [n 5 65, 63 females, median age 20 years (range 17-30)] dancers participated. Forty-six percent (95% confidence interval (CI), 38.4-54.6) reported a 1-year injury history. Self-reported injury history was not associated with any PPE-IP, however, an influence of age and psychological coping skills on the relationship between 1-year injury history and PPE-IP was identified. Multivariable analyses revealed that prevalence of 1-year injury history did not differ by age [referent group ,15 years; 15-18 years: odds ratio (OR) 0.80 (95% CI, 0.35-1.79); .18 years: OR 0.69 (95% CI, 0.30-1.56)], or level of psychological coping skills [OR 1.35 (95% CI, 0.61-2.94)]. Conclusions: The prevalence of self-reported 1-year injury history among preprofessional ballet and contemporary dancers is high. Although measures of PPE-IP did not differ based on injury history, it is important that age and psychological coping skills are considered in future dance injury prevention and prediction research. Level of Evidence: Level 3 evidence. (Clin J Sport Med 2017;0:1–9)
A Survey of Injuries Affecting Pre-Professional Ballet Dancers
A cross-sectional design was employed retrospectively to evaluate injuries self-reported by 71 pre-professional ballet dancers over one season. Some of the descriptive findings of this survey were consistent with those of previous research and suggest particular demographic and injury trends in pre-professional ballet. These results include gender distribution, mean age and age range of participants, training hours, injury location, acute versus overuse injuries, as well as average number of physiotherapy treatments per dancer. Other results provide information that was heretofore unreported or inconsistent with previous investigations. These findings involved proportion of dancers injured, average number of injuries per dancer, overall injury incidence during an 8.5 month period, incidence rate by technique level, mean time loss per injury, proportion of recurrent injury, and activity practiced at time of injury. The results of univariate analyses revealed several significant findings, including a decrease in incidence rate of injury with increased months of experience in the pre-professional program, dancers having lower injury risk in rehearsal and performance than in class, and a reduced risk of injury for dancers at certain technique levels. However, only this latter finding remained significant in multivariate analysis. The results of this study underscore the importance of determining injury rates by gender, technique level, and activity setting in addition to overall injury rates. They also point to the necessity of looking at both overall and individual dancer based injury risks.
Risk factors for musculoskeletal injury in preprofessional dancers: A systematic review
British Journal of Sports Medicine, 2016
BACKGROUND: Preprofessional dancers partake in rigorous training and have high injury prevalence. Attempts to identify risk factors for dance injuries have focused on a diversity of intrinsic and extrinsic factors. OBJECTIVE: To identify and evaluate the evidence examining risk factors for musculoskeletal injury in preprofessional ballet and modern dancers. METHODS: Fifteen electronic databases were systematically searched to October 2015. Studies selected met a priori inclusion criteria and investigated musculoskeletal injury risk factors in preprofessional (elite adolescent, student, young adult) ballet and modern dancers. Two reviewers independently assessed the quality and level of evidence using the Downs and Black (DB) criteria and a modified Oxford Centre of Evidence-Based Medicine 2009 model, respectively. RESULTS: Of 1364 potentially relevant studies, 47 were included and scored. Inconsistent injury definition and methodology precluded meta-analysis. The most common modifiable risk factors investigated were anthropometrics (ie, body mass index, adiposity), joint range of motion (ie, lower extremity), dance exposure (ie, years training, exposure hours) and age. The median DB score across studies was 8/33 (range 2-16). The majority of studies were classified as level 3 evidence and few considered risk factor inter-relationships. There is some level 2 evidence that previous injury and poor psychological coping skills are associated with increased injury risk. CONCLUSIONS: Because of the lack of high-quality studies, consensus regarding risk factors for musculoskeletal injury in preprofessional dancers remains difficult. There is a need for injury definition consensus and high-quality prospective studies examining the multifactorial relationship between risk factors and injury in preprofessional dance.
Injury Prevention for Modern Dancers: A Pilot Study of an Educational Intervention
Journal of Community Health, 2010
Modern dancers suffer a high rate of musculoskeletal injuries. Preventing injury prolongs dance careers and eases financial burden on both individual dancers and dance companies alike. A medical student partnered with Garth Fagan Dance to develop a curriculum to teach principles of injury prevention specific to preprofessional and professional modern dancers. Quantitative assessments showed a significant increase in participant injury prevention knowledge after completion of the course (P < 0.0001). Participants’ concern that injury may end their careers showed no significant change after the course (P = 0.35). Injury prevention and dance-related injuries were reported the most often as useful topics while weight management was reported the least often as a useful topic. Qualitative evaluations showed that participants’ found a course on injury prevention valuable and desired a course of longer duration that includes a greater number of topics. These findings show that modern dancers perceive an educational course on injury prevention as valuable and retain information presented in the course in the short-term. Further study is warranted to assess changes in injury rates after the course and to continue to improve curriculum content and implementation.