Does forced or compensated turnout lead to musculoskeletal injuries in dancers? A systematic review on the complexity of causes

Kaufmann, Judith-Elisa; Nelissen, Rob G H H; Exner-Grave, Elisabeth; Gademan, Maaike G.J.

doi:10.1016/j.jbiomech.2020.110084

Cited by 8 publications

(4 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have suggested that ballet injuries are associated with intrinsic factors such as female gender, age, reduced functional turnout, pronated foot, insufficient ankle plantar flexion range of motion, and previous contralateral inversion ankle sprain ( Kenny et al, 2016 ; Campbell et al, 2019 ). The extrinsic risk factors among female dancers proposed to increase ballet injury were training errors ( Kaufmann et al, 2021 ), inappropriate training methods ( Kaufmann et al, 2021 ), technique demands and style of dance ( Yin et al, 2019 ), shoes, environmental temperature ( Fong Yan et al, 2011 ), floors and costumes ( Barringer and Schlesinger, 2004 ), and psychosocial factors ( Byhring and Bø, 2002 ). Although ballet shoes are an important consideration, their role is rarely discussed in the current literature.…”

Section: Introductionmentioning

confidence: 99%

Relationship of Extrinsic Risk Factors to Lower Extremity Injury in Collegiate Ballet Dancers

Huang

Lin

Jankaew

et al. 2022

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Ballet dancers are thought to be at higher risk of lower extremity injury. This objective of this study was to describe the self-reported incidence, location, and factors associated with lower extremity injury in collegiate ballet dancers. Two hundred and forty-nine female ballet dancers responded to a questionnaire that addressed their injury event/location, dance behavior over the past 2 years, and overall dance history. Behaviors assessed included the following: types and number of shoes worn (pointé shoes/ballet slippers), wear time, training time (session frequency and duration), use of warm-up/cool-down, and use of a strengthening program and lower extremity accessory. Overall dance history included age of the onset of training, total years of experience, and number of dance styles. Backward multivariable logistic regression analysis was used to determine the extent to which variables measured were associated with injury. Ankle injury was the most prevalent injury. Years of wearing pointé shoes (adjusted odds ratio = 1.21, p = 0.01) and days/weeks in pointé shoes (adjusted odds ratio = 1.26, p = 0.04) were associated with an increased risk of injury; while additional strengthening (adjusted odds ratio = 0.39, p = 0.02) and use of lower extremity accessories during classes/rehearsals (adjusted odds ratio = 0.64, p = 0.01) were protective associations. These findings suggested that the use of pointé shoes, lower extremity accessories, and additional exercise should specifically be recorded during evaluation of injured ballet dancers; and must be considered potential factors to modify during rehabilitation.

show abstract

Section: Introductionmentioning

confidence: 99%

Relationship of Extrinsic Risk Factors to Lower Extremity Injury in Collegiate Ballet Dancers

Huang

Lin

Jankaew

et al. 2022

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

show abstract

“…Professionelle Tänzer geben häufiger Schmerzen im unteren Rücken an als Amateure (17,6 % vs. 9,8 %). Dies ist bedingt durch häufige Extensionsbewegungen der Hüfte (beispielsweise bei einer Arabesque), durch die Forcierung der Außenrotation der Beine bei hyperlordosierter Lendenwirbelsäule mit Kompression im Sakroiliacalgelenk sowie durch fehlende Rumpfstabilität und dadurch bedingte segmentale Hypermobilitäten bis hin zu Spondylolisthesis 11 , 19 . Bei Amateuren sind häufiger Hüfte, Leiste und Oberschenkel (4–26 %) durch Verletzungen betroffen 19 .…”

Section: Inzidenz Und Lokalisation Von Verletzungenunclassified

Mit Leichtigkeit tanzen – Verletzungsprophylaxe im Hochleistungstanz

Kaufmann,

Keller

2024

Sportphysio

Self Cite

View full text Add to dashboard Cite

show abstract

“…Bowerman et al [22] examined the temps levé and fondu movements and identified an association between excessive pronation of the foot during those movements and injury. Researchers within ballet have identified that greater foot pronation can be associated with "rolling" the feet and "forcing" turnout, which may then influence injury risk [65]. These turnout positions are unique to ballet and therefore these findings may not be replicated in non-balletic populations.…”

Section: Specific Dance Functionmentioning

confidence: 99%

“…Interestingly, despite the range of more global measures of turnout examined by Gamboa et al [12], none showed any relationship with injury risk. Anatomical structure, passive joint mobility, muscular strength, and coordination of all of these elements throughout various ballet movements underpin a dancer's functional turnout [65,66]. Potentially because of the highly complex interrelationships between these factors and functional performance, researchers have failed to identify screening strategies that accurately measure a dancer's turnout.…”

Section: Specific Dance Functionmentioning

confidence: 99%

The Use of Physical Screening Tools to Identify Injury Risk Within Pre-Professional Ballet Dancers: An Integrative Review

MacSweeney

Pedlar

Cohen³

et al. 2022

Rev. Investig. Innov. Cienc. Salud

View full text Add to dashboard Cite

Objective. To conduct an integrative review of all relevant research investigating the physical risk factors for injury within pre-professional ballet dancers, to provide insight that may benefit practitioners within these institutions and highlight areas for future research within this specialised population. Design. Studies were identified from the following electronic databases: MEDLINE via PubMed, SPORTDiscus via EBSCOhost, and Web of Science Core Collection via Web of Science. 8,415 titles were identified during the electronic search process. Five studies satisfied the inclusion criteria and were included in the review. The modified Agency for Healthcare Research and Quality (AHRQ) scale for observational studies was used to assess study quality. Results. The review identified that the following physical characteristics may influence prospective injury risk in pre-professional ballet dancers: age and maturation status, anthropometrics and body composition, strength and power, joint mobility and range of motion, specific dance function, and cardiorespiratory fitness. Limitations. The research identified lacked methodological quality. This, combined with the low number of studies identified, makes the design of screening protocols challenging for practitioners. Originality. Despite the number of pre-professional balletic institutions worldwide, previous reviews have not used a systematic search strategy or investigated both sexes in this cohort. Due to the unique demands of ballet, an understanding of the interaction between injury and physical characteristics is a critical step in order to reduce injury burden. Conclusions. This review succeeded in determining risk factors for injury within this population, but, due to insufficient evidence, could not provide robust screening recommendations.

show abstract

Does forced or compensated turnout lead to musculoskeletal injuries in dancers? A systematic review on the complexity of causes

Cited by 8 publications

References 54 publications

Relationship of Extrinsic Risk Factors to Lower Extremity Injury in Collegiate Ballet Dancers

Relationship of Extrinsic Risk Factors to Lower Extremity Injury in Collegiate Ballet Dancers

Mit Leichtigkeit tanzen – Verletzungsprophylaxe im Hochleistungstanz

The Use of Physical Screening Tools to Identify Injury Risk Within Pre-Professional Ballet Dancers: An Integrative Review

Contact Info

Product

Resources

About