Ankle Sprains and Instability in Dancers (original) (raw)
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Foot and Ankle Injuries in Dance
Clinics in Sports Medicine, 2000
Ballet is a highly demanding activity that requires a unique balance of athleticism and artistry. Participation in ballet declines with age because of a variety of factors, with injury frequently implicated." There are numerous epidemiologic studies of dance injuries, with injury incidence of 40% to 80% depending on the level of parti~ipation,~, 34, 44 and a lifetime incidence of up to 90% for all Many studies document injury patterns, with the lower leg, foot, and ankle making up roughly 40%, and the knee and hip each about 20%, of injuries.34, 36
Foot and Ankle Injuries in the Adolescent Dancer
2017
A young dancer’s foot and ankle are subjected to large forces in the extreme ranges of joint motion, notably during ankle plantar flexion and first metatarsophalangeal joint dorsiflexion. Adolescent dancers can have training levels exceeding those in other sports, with many repetitions of highly specific movements leading to the high incidence of overuse injuries found in this population. Growth and maturation must also be considered, as young dancers with open physes are at risk for a spectrum of specific overuse injuries not found in skeletally mature dancers. The physician must provide an accurate, timely diagnosis and realistic expectations for the young dancer, and remain sensitive to his or her fear of losing dance roles or opportunities if time off is required to heal an injury. The healthcare team must work with the dancer to develop a treatment strategy that will maximize healing potential while maintaining flexibility, fitness, and strength whenever possible.
Applied Sciences
Ballet dancers have a higher risk than the general population of ankle sprains. Ankle proprioception is of the utmost importance for executing static and dynamic positions typical of ballet dancing. Ankle sprains can create changes in functional ability that may affect ballet performance. The aim of this cross-sectional observational study is to evaluate if non-professional ballet dancers that were previously injured with a grade II ankle sprain carry a long-term stability deficit in ballet specific positions (passé, arabesque) and in single-leg flat-foot stance, thereby affecting ballet performance. We enrolled 22 amateur female ballet dancers, 11 who previously had a grade II ankle injury and 11 who had no history of ankle injury. Stabilometric data (Center of Pressure Speed and Elipse Area) were assessed with the postural electronic multisensory baropodometer in normal, arabesque, and passè positions with both open and closed eyes. Using an unpaired t-test, we compared healthy an...
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
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.
Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science, 2014
Previous investigations have established that dancers suffer a large number of injuries to the lower leg, foot, and ankle, with a portion of these being significant time loss injuries or in some cases career ending. Lateral ankle sprain is a common injury in dancers and can often lead to recurrent instability and repetitive injuries. Research in other active populations has linked ankle sprains to the development of chronic ankle instability (CAI). Therefore, the purpose of this study was to identify the prevalence of CAI and related symptoms of ankle sprain in a student dance population. Individuals were included if they were currently a modern or ballet dance major at the investigators' university (exclusion criterion: a history of fracture or surgery in the lower extremities). A self-reported demographic questionnaire and the Identification of Functional Ankle Instability survey were used to identify the presence and characteristics of CAI. A total of 83 questionnaires were c...
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.