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Meekins MM, Zucker-Levin A, Harris-Hayes M, Singhal K, Huffman K, Kasser R. The effect of chronic low back pain and lumbopelvic stabilization instructions on gluteus medius activation during sidelying hip movements. Physiother Theory Pract 2024:1-8. [PMID: 38801071 DOI: 10.1080/09593985.2024.2357130] [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: 12/09/2023] [Accepted: 05/13/2024] [Indexed: 05/29/2024]
Abstract
BACKGROUND People with chronic low back pain (LBP) often demonstrate altered muscle activation with movements that involve the lumbopelvic region and hips. OBJECTIVE The purpose of this study was to compare gluteus medius activity during sidelying hip abduction (SHA) and sidelying hip abduction-lateral rotation (SHALR) with and without instruction for lumbopelvic stabilization in people with and without chronic LBP. METHODS A cross-sectional study was conducted recruiting participants with (n = 17) and without (n = 17) chronic LBP. Gluteus medius activity was recorded with surface electromyography during the performance of SHA and SHALR with and without instructions including the abdominal drawing-in maneuver for lumbopelvic stabilization. RESULTS For SHA and SHALR, there was a significant main effect for instruction for stabilization indicated by a decrease in gluteus medius activity with instructions (p = .001, p < .001). There was not a significant main effect of chronic LBP on gluteus medius activity between groups for either activity. There was no significant interaction effect of pain and instruction for stabilization with SHA or SHALR. CONCLUSION Knowledge of changes in gluteus medius muscle activation patterns with trunk stabilization instruction may help clinicians with assessment of exercise performance to optimize gluteus medius activation.
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Affiliation(s)
- Myra M Meekins
- College of Health Professions, Department of Physical Therapy, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Audrey Zucker-Levin
- College of Medicine, School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada
| | - Marcie Harris-Hayes
- Physical Therapy and Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO, USA
| | - Kunal Singhal
- College of Rehabilitative Sciences, University of St. Augustine for Health Sciences, Austin, TX, USA
| | - Kyle Huffman
- College of Health Professions, Department of Physical Therapy, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Richard Kasser
- College of Health Professions, Department of Physical Therapy, University of Tennessee Health Science Center, Memphis, TN, USA
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Critchley ML, Bonfield S, Ferber R, Pasanen K, Kenny SJ. Relationships Between Common Preseason Screening Measures and Dance-Related Injuries in Preprofessional Ballet Dancers. J Orthop Sports Phys Ther 2023; 53:703-711. [PMID: 37787614 DOI: 10.2519/jospt.2023.11835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
OBJECTIVE: To examine modifiable and nonmodifiable factors for associations with dance-related injury among preprofessional ballet dancers over 5 academic years. DESIGN: Prospective cohort study. METHODS: Full-time preprofessional ballet dancers (n = 452; 399 female; median age [range], 15 years [11-21]) participated across 5 academic years at a vocational school. Participants completed baseline screening and online weekly injury questionnaires including dance exposure (hours/week). Zero-inflated Poisson regression models were used to examine associations between potential risk factors measured at baseline and self-reported dance-related injury. RESULTS: In count model coefficients, left one leg standing score (log coefficient estimate, -0.249 [95% CI: -0.478, -0.02]; P = .033) and right unipedal dynamic balance time (log coefficient estimate, -0.0294 [95% CI: -0.048, -0.01]; P>.001) carried a protective effect with increased years of training when adjusted for Athletic Coping Skills Inventory (ACSI) score. A significant association was found for left unipedal dynamic balance time and dance-related injury (log coefficient estimate, 0.013 [95% CI: 0.000, 0.026]; P = .045) when adjusted for years of training and ACSI score. There were no significant associations between dance-related injury and ankle and hip range of motion, active straight leg raise, or Y Balance Test measures. CONCLUSION: When adjusted for years of previous dance training and psychological coping skills, there was a significant association between limb-specific lumbopelvic control and dynamic balance tasks, as well as self-reported dance-related injury in preprofessional ballet. J Orthop Sports Phys Ther 2023;53(11):703-711. Epub 3 October 2023. doi:10.2519/jospt.2023.11835.
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The Effects of Abdominal Hollowing and Bracing Maneuvers on Trunk Muscle Activity and Pelvic Rotation Angle during Leg Pull Front Pilates Exercise. Healthcare (Basel) 2022; 11:healthcare11010060. [PMID: 36611520 PMCID: PMC9818814 DOI: 10.3390/healthcare11010060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 12/16/2022] [Accepted: 12/20/2022] [Indexed: 12/28/2022] Open
Abstract
Pilates methods use mats for trunk muscles stabilization exercises, and leg pull front (LPF) is one of the traditional Pilates mat exercises. Abdominal hollowing (AH) and Abdominal bracing (AB) maneuvers are recommended to stabilize the trunk muscles and prevent unwanted pelvic movement during motion. This study aimed to explore the effects of AH and AB on electromyography (EMG) activity of the trunk muscles and angle of pelvic rotation during LPF. A total of 20 healthy volunteers participated in the study. AH, AB, and without any condition (WC) were randomly performed during LPF exercise. Each was repeated three times for 5 s. The trunk muscle activities were measured using EMG and rotation of pelvis was measured using a Smart KEMA device. The activities of the transversus abdominis/obliquus internus abdominis (TrA/IO) and right obliquus externus abdominis (EO) muscles were highest in LPF-AH compared to the other conditions. Multifidus (MF) activity was significantly greater in LPF-AH and LPF-AB compared to that of without any condition. The pelvic rotation angle was significantly smaller in LPF-AB. Therefore, AH maneuver during LPF for trunk muscle stabilization exercises is suitable for selective activation of the TrA/IO, and AB maneuver during LPF is recommended for the prevention of unwanted pelvic rotation.
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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: 0.5] [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.
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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.
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Jung E, Sung J, Uh I, Oh J. The effects of abdominal hollowing and bracing on abdominal muscle thicknesses and pelvic rotation during active straight leg raise. ISOKINET EXERC SCI 2022. [DOI: 10.3233/ies-203204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Active straight leg-raise (ASLR) is often performed to strengthen abdominal muscles. The correct execution and maximum benefit of the ASLR can be achieved using abdominal hollowing (AH) and abdominal bracing (AB) exercises. OBJECTIVE: To compare the effects of AH and AB on transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) thicknesses, as well as on the pelvic rotation angle, in healthy women during active ASLR. METHODS: The participants in this study were assigned randomly to either the AH (n= 15) or AB groups (n= 15). During ASLR, abdominal muscle thickness was measured using ultrasound and pelvic rotation was measured using a Smart KEMA device. Each trial was repeated three times for 5 s each. RESULTS: The thickness of the TrA was significantly greater during ASLR with AH than during ASLR with AB (p< 0.001). In contrast, there was no respective significant change in the thickness of the EO (p> 0.311) or IO (p> 0.818). Pelvic rotation angle was significantly reduced during ASLR with AB, compared with ASLR with AH (p< 0.018). CONCLUSIONS: We recommend that AH be performed for the selective contraction of TrA during ASLR, and that AB be performed for the prevention of the pelvic rotation during ASLR. Therefore, AH and AB should be separately done in stabilization exercises.
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Affiliation(s)
- Eunjoo Jung
- Department of Rehabilitation Science, The Graduate School, Inje University, Gimhae, Korea
| | - Jinwook Sung
- Department of Korean Medicine, Dang Dang Korean Medicine Center, Pusan, Korea
| | - Injoon Uh
- Department of Korean Medicine, Dang Dang Korean Medicine Center, Jinju, Korea
| | - Jaeseop Oh
- Department of Physical Therapy, Inje University, Gimhae, Korea
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Kenny SJ, Critchley ML, Whittaker JL, Kodalore Vijayan VW, Emery CA. Association between pre-participation characteristics and risk of injury amongst pre-professional dancers. Phys Ther Sport 2021; 52:239-247. [PMID: 34653772 DOI: 10.1016/j.ptsp.2021.10.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 10/01/2021] [Accepted: 10/04/2021] [Indexed: 01/22/2023]
Abstract
STUDY DESIGN Prospective Cohort Study. BACKGROUND Few investigations utilize evidence-informed pre-participation evaluation, inclusive injury definitions, and prospective surveillance to identify risk factors for dance-related injuries. OBJECTIVE To evaluate pre-participation characteristics that may be associated with greater odds of dance-related musculoskeletal complaints in pre-professional dancers. METHODS Full-time pre-professional ballet [n = 85, 77 females, median (range) age 15-years (11-19)] and contemporary [n = 60, 58 females, 19-years (17-30)] dancers underwent pre-participation evaluation: baseline questionnaire, coping skills, body mass index, bone mineral density, ankle range-of-motion, active standing turnout, lumbopelvic control, and balance tests. Self-reported complaints (any physical problem making dance participation difficult, irrespective of medical attention or time-loss) were captured weekly via online questionnaires for one academic year. Self-reported musculoskeletal complaints were recorded weekly (yes/no). Potential risk factors were identified a-priori through systematic review. Associations between potential risk factors and musculoskeletal complaints were examined with generalized linear mixed method regression models. RESULTS Response rate was 99%, with 81% of dancers reporting at least one musculoskeletal complaint. Of 1521 complaints (19% first-time, 81% ongoing), the ankle (22%), knee (21%), and foot (12%) accounted for the majority. Injury history [odds ratio (OR) 7.37 (95% CI 3.41, 15.91)] and previous week's dance hours [OR 1.02 (1.01, 1.03)] were associated with dance-related musculoskeletal complaints. CONCLUSIONS Prevalence of musculoskeletal complaints amongst pre-professional dancers is high and associated with injury history and training volume. Further understanding of the relationship between training load and injury is needed, with particular consideration of the dynamic and recursive nature of dance injury etiology. LEVEL OF EVIDENCE Therapy / Prevention, Aetiology / Harm, level 2b.
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Affiliation(s)
- Sarah J Kenny
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada; Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada; O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.
| | - Meghan L Critchley
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
| | - Jackie L Whittaker
- Department of Physical Therapy, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada; Arthritis Research Canada, Richmond, British Columbia, Canada
| | | | - Carolyn A Emery
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada; Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada; O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
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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: 1.3] [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.
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Long KL, Milidonis MK, Wildermuth VL, Kruse AN, Parham UT. The Impact of Dance-Specific Neuromuscular Conditioning and Injury Prevention Training on Motor Control, Stability, Balance, Function and Injury in Professional Ballet Dancers: A Mixed-Methods Quasi-Experimental Study. Int J Sports Phys Ther 2021; 16:404-417. [PMID: 33842036 PMCID: PMC8016435 DOI: 10.26603/001c.21150] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Accepted: 10/11/2020] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Professional ballet dancers suffer high injury rates and are less likely than other athletes to specifically train to improve muscular strength, coordination, agility, speed and motor control because of heavy training demands, aesthetic appearances and financial barriers. HYPOTHESIS/PURPOSE The purpose of this study was to examine the effects of a supplemental conditioning program on professional and pre-professional contemporary ballet dancers. The authors hypothesized that those participating in a training program would reduce injury rate by improving their motor control, stability, balance and physical function. The authors aimed to observe the feasibility and qualitative phenomena related to a conditioning program from the dancer's perspective. STUDY DESIGN A mixed-methods study; within subject quasi-experimental design and qualitative interviews. METHODS Six professional classical and contemporary ballet dancers completed the five-week conditioning and injury prevention training program. Non-parametric analysis of baseline, posttest and four-month follow-up physical performance measures, subjective outcomes, and qualitative follow-up interviews, were reported. RESULTS Significant post-test improvements included: The Dance Functional Outcome Survey (Z= -2.2, p= 0.04), composite Modified Star Excursion Balance Test (Z= -2.2, p= 0.03 bilaterally), Single Leg Hop for Distance (Z= -2.02, p= 0.04), and Upper Extremity Closed Kinetic Chain Test (Z=-2.03, p= 0.04). Significant changes from baseline to the four-month follow up remained for: (1) Dance Functional Outcome Survey (Z= -2.2, p= 0.03), (2) Single Leg Hop for Distance (Z= -2.2, p= 0.03), and (3) Modified Star Excursion Balance Test composite maximum reach for the left lower extremity (Z= -2.2, p= 0.03). CONCLUSION Completing a conditioning and prevention program for professional ballet dancers was related to improved function, balance, hop distance/stability and upper extremity stability. Dancers found the program beneficial, identified barriers to participation, and elucidated factors making the program feasible and successful. More research is necessary to determine the effect of such programs on injury incidence. LEVEL OF EVIDENCE 3b.
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Rossi MK, Pasanen K, Heinonen A, Äyrämö S, Leppänen M, Myklebust G, Vasankari T, Kannus P, Parkkari J. The standing knee lift test is not a useful screening tool for time loss from low back pain in youth basketball and floorball players. Phys Ther Sport 2021; 49:141-148. [PMID: 33689988 DOI: 10.1016/j.ptsp.2021.01.017] [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: 12/30/2019] [Revised: 10/22/2020] [Accepted: 01/10/2021] [Indexed: 10/22/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the association between pelvic kinematics during the standing knee lift (SKL) test and low back pain (LBP) in youth floorball and basketball players. DESIGN A prospective cohort study. SETTING Finnish elite youth floorball and basketball players. PARTICIPANTS Finnish elite youth female and male floorball and basketball players (n = 258, mean age 15.7 ± 1.8). MAIN OUTCOME MEASURES LBP resulting in time loss from practice and games was recorded over a 12-month period and verified by a study physician. Associations between LBP and sagittal plane pelvic tilt and frontal plane pelvic obliquity during the SKL test as measured at baseline were investigated. Individual training and game hours were recorded, and Cox's proportional hazard models with mixed effects were used for the analysis. RESULTS Cox analyses revealed that sagittal plane pelvic tilt and frontal plane pelvic obliquity were not associated with LBP in floorball and basketball players during the follow-up. The hazard ratios for pelvic tilt and pelvic obliquity ranged between 0.93 and 1.08 (95% CIs between 0.91 and 1.07 and 0.83 and 1.29), respectively. CONCLUSIONS Pelvic movement during the SKL test is not associated with future LBP in youth floorball and basketball players.
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Affiliation(s)
- Marleena Katariina Rossi
- Tampere Research Center of Sports Medicine, The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500, Tampere, Finland; Faculty of Sport and Health Sciences, P.O. Box 35 40014, University of Jyväskylä, Jyväskylä, Finland.
| | - Kati Pasanen
- Tampere Research Center of Sports Medicine, The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500, Tampere, Finland; Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada; Alberta Children's Hospital Research Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2n 4N1, Canada; McCaig Institute for Bone and Joint Health, 3280 Hospital Drvie NW, Calgary, AB, T2N 4Z6, Canada
| | - Ari Heinonen
- Faculty of Sport and Health Sciences, P.O. Box 35 40014, University of Jyväskylä, Jyväskylä, Finland
| | - Sami Äyrämö
- Faculty of Information Technology, P.O. Box 35 40014, University of Jyväskylä, Jyväskylä, Finland
| | - Mari Leppänen
- Tampere Research Center of Sports Medicine, The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500, Tampere, Finland
| | - Grethe Myklebust
- Oslo Sports Trauma Research Center, Department of Sports Sciences, Norwegian School of Sport Sciences, Sognsveien 220, 0806, Oslo, Norway
| | - Tommi Vasankari
- Tampere Research Center of Sports Medicine, The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500, Tampere, Finland
| | - Pekka Kannus
- Tampere Research Center of Sports Medicine, The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500, Tampere, Finland; Department of Orthopedics & Traumatology, Central Hospital, PO BOX 2000, FI-33521, Tampere, Finland
| | - Jari Parkkari
- Tampere Research Center of Sports Medicine, The UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500, Tampere, Finland; Tampere University Hospital, Central Hospital, PO BOX 2000, FI-33521, Tampere, Finland
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Generalized Joint Hypermobility and Injuries: A Prospective Cohort Study of 185 Pre-Professional Contemporary Dancers. J Clin Med 2021; 10:jcm10051007. [PMID: 33801305 PMCID: PMC7958324 DOI: 10.3390/jcm10051007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 02/22/2021] [Accepted: 02/23/2021] [Indexed: 12/27/2022] Open
Abstract
Generalized joint hypermobility (GJH) has been mentioned as one of the factors associated with dance injuries, but the findings are inconclusive. This study aims to investigate whether GJH, based on different Beighton score cut-off points, is a potential risk factor for injuries in pre-professional dancers. Four cohorts of first-year pre-professional dancers (N = 185), mean age 19.1 ± 1.3 years, were screened on musculoskeletal functioning at the start of their academic year. The Beighton score was used to measure GJH. During the academic year, the dancers completed monthly questionnaires about their physical and mental health. Based on the Oslo Sports Trauma Research Centre Questionnaire on Health Problems (OSTRC), three injury definitions were used (i.e., all complaints, substantial injury, and time-loss injury). To examine potential risk factors for injuries, univariate and multivariate regression models were applied. The response rate of monthly completed questionnaires was 90%. The overall mean (SD) Beighton score was 2.8. The 1-year injury incidence proportion was 67.6% (n = 125), 43.2% (n = 80), and 54.6% (n = 101) for all complaint injuries, substantial injuries, and time-loss injuries, respectively. The multivariate analyses showed a significant association between a previous long lasting injury in the past year and the three injury definitions (p < 0.05). Pre-professional contemporary dancers are at high risk for injuries and hypermobility. However, these two variables are not associated with each other. Health professionals should take injury history into account when assessing dance students, because this variable is associated with increased injury risk.
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L Biernacki J, Stracciolini A, Fraser J, J Micheli L, Sugimoto D. Risk Factors for Lower-Extremity Injuries in Female Ballet Dancers: A Systematic Review. Clin J Sport Med 2021; 31:e64-e79. [PMID: 30589745 DOI: 10.1097/jsm.0000000000000707] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Accepted: 10/13/2018] [Indexed: 02/02/2023]
Abstract
BACKGROUND Ballet dancers have a high prevalence of injuries to the lower extremity. Many studies have investigated the relationship between dance injury and risk factors. However, risk factors for lower-extremity injury comparing recreational- and elite-level ballet dancers are scarce. OBJECTIVE To systematically review available original studies to assess risk factors for lower-extremity injury in female ballet dancers between recreational and elite ballet dancers. DATA SOURCES Five online databases [Web of Science, PubMed, OVID (Medline), EBSCO, and ProQuest] were searched systematically. STUDY SELECTION Included studies had an analytic study design published in the past 11 years and investigated an association between potential risk factors and lower-extremity injury in female ballet dancers. STUDY APPRAISAL Assessed independently by 2 reviewers using the Downs and Black (DB) criteria and Oxford Centre of Evidence-Based Medicine. RESULTS Seventeen studies were included. Alignment was a risk factor for lower-extremity injury in both recreational and elite ballet dancers. In elite ballet dancers, poor lumbopelvic movement control, inappropriate transversus abdominis contraction, decreased lower-extremity strength, and poor aerobic fitness were risk factors for lower-extremity injury. In recreational ballet dancers, hypermobility of the hip and ankle and longer training hours were risk factors for lower-extremity injury. Mean DB score was 15.94 (SD 1.57). The majority of studies were retrospective cohort studies or had poor follow-up, with 7 level 2b studies, 6 level 3b studies (cross-sectional), and 4 level 1b studies (prospective cohort with good follow-up). CONCLUSIONS Alignment was identified as a common risk factor for recreational and elite ballet dancers. Other risk factors differed between recreational ballet dancers and elite ballet dancers. Future studies are warranted to use a prospective study design, identify dance level-specific risk factors, and implement evidence-based prevention strategies.
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Affiliation(s)
- Jessica L Biernacki
- Melbourne Medical School, University of Melbourne, Parkville, Victoria, Australia
| | - Andrea Stracciolini
- The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts
- Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts; and
- Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts
| | - Joana Fraser
- The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts
- Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts; and
- Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts
| | - Lyle J Micheli
- The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts
- Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts; and
- Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts
| | - Dai Sugimoto
- The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts
- Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts; and
- Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts
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Vera AM, Barrera BD, Peterson LE, Yetter TR, Dong D, Delgado DA, McCulloch PC, Varner KE, Harris JD. An Injury Prevention Program for Professional Ballet: A Randomized Controlled Investigation. Orthop J Sports Med 2020; 8:2325967120937643. [PMID: 32782904 PMCID: PMC7388110 DOI: 10.1177/2325967120937643] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Accepted: 03/09/2020] [Indexed: 12/29/2022] Open
Abstract
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 models for recurrent failures were used wherein the hazard ratio indicates the relative likelihood of injury in the control versus intervention groups. RESULTS Of the 52 eligible dancers, 75% (n = 39) participated. Of these 39 dancers, 19 (9 males, 10 females; mean age, 26.6 ± 4.0 years) were randomized to the control group and 20 (11 males, 9 females; mean age, 25.1 ± 5.1 years) to the IPP group. No significant (P > .05) difference was found in baseline demographics between groups. A total of 116 injuries were recorded for the entire study population (49 IPP; 67 control). Traumatic and chronic injuries accounted for 54% and 46% of injuries, respectively. The injury rate was 82% less (IPP hazard ratio, 0.18; z = -2.29; P = .022) in the IPP group after adjustment for confounding variables, and time between injuries was 45% longer (IPP hazard ratio, 0.55; z = -2.20; P = .028) than for controls. CONCLUSION The present study is the first prospective randomized controlled investigation of an IPP for professional ballet. The results showed an 82% decrease in injury rate for the intervention group and an extended period from previous injury to subsequent injury. REGISTRATION NCT04110002 (ClinicalTrials.gov identifier).
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Affiliation(s)
- Angelina M. Vera
- Houston Methodist Orthopedics and Sports Medicine, Houston, Texas,
USA
| | - Bene D. Barrera
- Houston Methodist Orthopedics and Sports Medicine, Houston, Texas,
USA
| | - Leif E. Peterson
- Houston Methodist Orthopedics and Sports Medicine, Houston, Texas,
USA
| | - Thomas R. Yetter
- Houston Methodist Orthopedics and Sports Medicine, Houston, Texas,
USA
| | - David Dong
- Houston Methodist Orthopedics and Sports Medicine, Houston, Texas,
USA
| | | | | | - Kevin E. Varner
- Houston Methodist Orthopedics and Sports Medicine, Houston, Texas,
USA
| | - Joshua D. Harris
- Houston Methodist Orthopedics and Sports Medicine, Houston, Texas,
USA
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13
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Rossi MK, Pasanen K, Heinonen A, Äyrämö S, Räisänen AM, Leppänen M, Myklebust G, Vasankari T, Kannus P, Parkkari J. Performance in dynamic movement tasks and occurrence of low back pain in youth floorball and basketball players. BMC Musculoskelet Disord 2020; 21:350. [PMID: 32503505 PMCID: PMC7275454 DOI: 10.1186/s12891-020-03376-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Accepted: 05/28/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Prospective studies investigating risk factors for low back pain (LBP) in youth athletes are limited. The aim of this prospective study was to investigate the association between hip-pelvic kinematics and vertical ground reaction force (vGRF) during landing tasks and LBP in youth floorball and basketball players. METHODS Three-hundred-and-eighty-three Finnish youth female and male floorball and basketball players (mean age 15.7 ± 1.8) participated and were followed up on for 3 years. At the beginning of every study year the players were tested with a single-leg vertical drop jump (SLVDJ) and a vertical drop jump (VDJ). Hip-pelvic kinematics, measured as femur-pelvic angle (FPA) during SLVDJ landing, and peak vGRF and side-to-side asymmetry of vGRF during VDJ landing were the investigated risk factors. Individual exposure time and LBP resulting in time-loss were recorded during the follow-up. Cox's proportional hazard models with mixed effects and time-varying risk factors were used for analysis. RESULTS We found an increase in the risk for LBP in players with decreased FPA during SLVDJ landing. There was a small increase in risk for LBP with a one-degree decrease in right leg FPA during SLVDJ landing (HR 1.09, 95% CI 1.02 to 1.17, per one-degree decrease of FPA). Our results showed no significant relationship between risk for LBP and left leg FPA (HR 1.04, 95% CI 0.97 to 1.11, per one-degree decrease of FPA), vGRF (HR 1.83, 95% CI 0.95 to 3.51) or vGRF side-to-side difference (HR 1.22, 95% CI 0.65 to 2.27) during landing tasks. CONCLUSIONS Our results suggest that there is an association between hip-pelvic kinematics and future LBP. However, we did not find an association between LBP and vGRF. In the future, the association between hip-pelvic kinematics and LBP occurrence should be investigated further with cohort and intervention studies to verify the results from this investigation. LEVEL OF EVIDENCE Prognosis, level 1b.
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Affiliation(s)
- M K Rossi
- Tampere Research Center of Sports Medicine, UKK Institute, 33501, Tampere, Finland.
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
| | - K Pasanen
- Tampere Research Center of Sports Medicine, UKK Institute, 33501, Tampere, Finland
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada
- Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Canada
- McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Canada
| | - A Heinonen
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - S Äyrämö
- Faculty of Information Technology, University of Jyväskylä, Jyväskylä, Finland
| | - A M Räisänen
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - M Leppänen
- Tampere Research Center of Sports Medicine, UKK Institute, 33501, Tampere, Finland
| | - G Myklebust
- Oslo Sports Trauma Research Center, Department of Sports Sciences, Norwegian School of Sport Sciences, Oslo, Norway
| | - T Vasankari
- Tampere Research Center of Sports Medicine, UKK Institute, 33501, Tampere, Finland
| | - P Kannus
- Tampere Research Center of Sports Medicine, UKK Institute, 33501, Tampere, Finland
- Department of Orthopedics & Traumatology, Tampere University Hospital, Tampere, Finland
| | - J Parkkari
- Tampere Research Center of Sports Medicine, UKK Institute, 33501, Tampere, Finland
- Tampere University Hospital, Tampere, Finland
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14
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Miyachi R, Miyazaki J. Relationship Between Lumbar Motor Control Ability and Spinal Curvature in Elderly Individuals. Healthcare (Basel) 2020; 8:healthcare8020130. [PMID: 32397367 PMCID: PMC7349748 DOI: 10.3390/healthcare8020130] [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: 04/07/2020] [Revised: 05/05/2020] [Accepted: 05/06/2020] [Indexed: 11/23/2022] Open
Abstract
This study aimed to clarify the relationship between spine curvature and the movement pattern/motor control ability of the lumbar and hip joints during prone hip extension in elderly individuals. The participants were 14 elderly people who attended a community health class. We measured the motion angle, motion ratio (movement pattern), and motor control ability of the lumbar and hip joints during prone hip extension. In addition, the lumbar lordosis angle and thoracic kyphosis angle were measured in the standing position. There was no correlation between the spinal curvature in the standing position and the lumbar/hip joint movement pattern and motor control ability during prone hip extension. When evaluating the lumbar spine, it is necessary to perform a comprehensive evaluation by interpreting static evaluations such as spinal alignment or dynamic evaluations such as movement patterns and motor control abilities.
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15
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Aasa U, Berglund L. A descriptive analysis of functional impairments and patho-anatomical findings in eight powerlifters. J Sports Med Phys Fitness 2020; 60:582-593. [DOI: 10.23736/s0022-4707.19.10201-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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16
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Risk of Injury in Physically Active Students: Associated Factors and Quality of Life Aspects. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072564. [PMID: 32276511 PMCID: PMC7177920 DOI: 10.3390/ijerph17072564] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 04/06/2020] [Accepted: 04/07/2020] [Indexed: 11/18/2022]
Abstract
Background: The aim of this study was to assess the potential factors of hypermobility and pain threshold on the risk of injury in physically active students and to verify which domains of quality of life are rated lower by young people with a history of injuries. Methods: The study included 278 students (138 women and 140 men) who regularly undertake physical activity. Anthropometric measurements, body composition, pain threshold, incidence of hypermobility syndrome, information on the history of injuries to the locomotor system, and the quality of life of the study participants were collected. Results: In the group studied, hypermobility and pain threshold had a statistically significant related on the risk of injury. Participants with a history of injuries had lower scores for an individual’s overall perception of their own health and the physical domain. There were also significant differences in the psychological domain of the quality of life between males and females with a history of injuries. Conclusion: In the studied group, the risk of injuries was related to diagnosed hypermobility and pain threshold measured on the lower limbs. The study also showed that people with a history of injuries had statistically significantly lower scores in the individual general perception of their own health and in the physical domain. Gender had a significant impact on the quality of life of people with injuries.
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Mottram S, Blandford L. Assessment of movement coordination strategies to inform health of movement and guide retraining interventions. Musculoskelet Sci Pract 2020; 45:102100. [PMID: 32056825 DOI: 10.1016/j.msksp.2019.102100] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 10/23/2019] [Accepted: 12/06/2019] [Indexed: 01/13/2023]
Abstract
INTRODUCTION Exploring characteristics of human movement has long been the focus of clinicians and researchers. Changes in movement coordination strategies have been identified in the presence of pain highlighting the need for assessment in clinical practice. A major development in the understanding of movement related disorders is recognition of individual differences in presentation and consequently the need to tailor interventions based on assessment. PURPOSE The purpose of this masterclass is to build a rationale for the clinical assessment of movement coordination strategies, exploring loss of movement choices, coordination variability, and to present a clinical framework for individualised management, including the use of cognitive movement control tests and retraining interventions. An approach for the qualitative rating of movement coordination strategies is presented. A compromised movement system may be one characterised by a lack of ability to access motor abundance and display choice in the use of movement coordination strategies. The identification of lost movement choices revealed during the assessment of movement coordination strategies is proposed as a marker of movement health. IMPLICATIONS FOR PRACTICE The health of the movement system may be informed by the ability to display choice in movement coordination strategies. There is evidence that restoring these choices has clinical utility and an influence on pain and improved function. This approach seeks to provide individuals with more flexible problem solving, enabled through a movement system that is robust to each unique challenge of function. This assessment framework sits within a bigger clinical reasoning picture for sustained quality of life.
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Affiliation(s)
- Sarah Mottram
- School of Health Sciences, Building 67, University of Southampton, Southampton, SO17 1BJ, UK; Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, Queen's Medical Centre, Nottingham, NG7 2UH, UK; Comera Movement Science Ltd, The Quorum, Bond Street South, Bristol, BS1 3AE, UK.
| | - Lincoln Blandford
- Comera Movement Science Ltd, The Quorum, Bond Street South, Bristol, BS1 3AE, UK; School of Sport, Health, and Applied Sciences, St Mary's University, Twickenham, TW1 4SX, UK.
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18
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Solana-Tramunt M, Ortegón A, Morales J, Nieto A, Nishishinya MB, Villafañe JH. Diagnostic accuracy of lumbopelvic motor control tests using pressure biofeedback unit in professional swimmers: A cross-sectional study. J Orthop 2019; 16:590-595. [PMID: 31686760 DOI: 10.1016/j.jor.2019.06.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Revised: 03/11/2019] [Accepted: 06/02/2019] [Indexed: 11/18/2022] Open
Abstract
Hypothesis To determine the effect of receiving the visual feedback of the sphygmomanometer on lumbopelvic motor control (LPMC) tests in professional swimmers. Method 31 professional swimmers to participate in the study. The outcome was maximum absolute mmHg variation in the pressure biofeedback unit's manometer with and without visual feedback on four LPMC tests. Results Test scores were significantly affected by visual feedback F = 10.07, p = 0.002, η2 p = 0.117 and the type of test F = 32.53, p < 0.001, η2 p = 0.300. Conclusion Visual feedback has a positive effect on the Active Straight Leg Raise Test (ASLR), the Knee Lift Abdominal Test (KLAT) scores completed by professional swimmers.
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Affiliation(s)
- Mònica Solana-Tramunt
- Department of Sports Sciences, Ramon Llull University, FPCEE Blanquerna, Barcelona, Spain
- Royal Spanish Swimming Federation, Barcelona, Spain
| | - Alberto Ortegón
- Department of Sports Sciences, Ramon Llull University, FPCEE Blanquerna, Barcelona, Spain
- Lecturer on NSCA Certified Personal Trainer (NSCA-CPT®), Spain
| | - José Morales
- Department of Sports Sciences, Ramon Llull University, FPCEE Blanquerna, Barcelona, Spain
| | - Ainhoa Nieto
- Department of Sports Sciences, Ramon Llull University, FPCEE Blanquerna, Barcelona, Spain
| | - María Betina Nishishinya
- Department of Sports Sciences, Ramon Llull University, FPCEE Blanquerna, Barcelona, Spain
- Instituto Traumatológico Quirón, Spain
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19
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Movement Control Impairment and Low Back Pain: State of the Art of Diagnostic Framing. ACTA ACUST UNITED AC 2019; 55:medicina55090548. [PMID: 31470684 PMCID: PMC6780849 DOI: 10.3390/medicina55090548] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 08/03/2019] [Accepted: 08/26/2019] [Indexed: 01/02/2023]
Abstract
Background and objectives: Low back pain is one of the most common health problems. In 85% of cases, it is not possible to identify a specific cause, and it is therefore called Non-Specific Low Back Pain (NSLBP). Among the various attempted classifications, the subgroup of patients with impairment of motor control of the lower back (MCI) is between the most studied. The objective of this systematic review is to summarize the results from trials about validity and reliability of clinical tests aimed to identify MCI in the NSLBP population. Materials and Methods: The MEDLINE, Cochrane Library, and MedNar databases have been searched until May 2018. The criteria for inclusion were clinical trials about evaluation methods that are affordable and applicable in a usual clinical setting and conducted on populations aged > 18 years. A single author summarized data in synoptic tables relating to the clinical property; a second reviewer intervened in case of doubts about the relevance of the studies. Results: 13 primary studies met the inclusion criteria: 10 investigated inter-rater reliability, 4 investigated intra-rater reliability, and 6 investigated validity for a total of 23 tests (including one cluster of tests). Inter-rater reliability is widely studied, and there are tests with good, consistent, and substantial values (waiter's bow, prone hip extension, sitting knee extension, and one leg stance). Intra-rater reliability has been less investigated, and no test have been studied for more than one author. The results of the few studies about validity aim to discriminate only the presence or absence of LBP in the samples. Conclusions: At the state of the art, results related to reliability support the clinical use of the identified tests. No conclusions can be drawn about validity.
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20
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Kiss G, Kovácsné VB, Tóth ÁL, Jeges S, Makai A, Szilágyi B, Ács P, Járomi M. Efficiency examination of a 6-month trunk prevention program among recruitment kayak-canoe athletes: A randomized control trial. J Back Musculoskelet Rehabil 2019; 32:367-378. [PMID: 30475752 DOI: 10.3233/bmr-181297] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Trunk prevention training, which provides the basis of several conditioning training programs, is used in sports at professional and amateur levels, taking the specifications of the given sport and the age-related characteristics of the athletes into consideration. OBJECTIVE Our aim was to examine the strength and flexibility of muscles responsible for correct posture, the lumbar motor control ability and the posture of recruitment kayak-canoe athletes. METHODS Controlled, randomized examination with 103 persons (age: 15.1 ± 3.5 years), who were divided into two groups. Fifty were in the intervention group, who took part in the 6-month trunk prevention training program (height: 162.30 cm, body weight: 49.70 ± 10.32 kg), 53 in the control group (not performing trunk prevention training) (height: 158.24 cm, body weight: 51.45 ± 11.71 kg). The strength of core muscles was measured with Kraus-Weber test, muscle flexibility with Kempf-test, lumbar motor control ability with Sitting Forward Lean and Leg Lowering test and posture with photogrammetry test before and after the program. RESULTS Static strength of abdominal muscles (p< 0.001), superficial and deep dorsal muscles (p< 0.001), flexibility of knee extensors (p< 0.001), chest muscles (p< 0.001), the lumbar motor control ability (p< 0.001) and habitual posture (p< 0.001) significantly improved in the intervention group. The post-measurements in the intervention group were significantly (p< 0.001) better than in the control group. CONCLUSIONS As a result of the trunk prevention training the strength of core stabilization muscles, the lumbar motor control ability and the posture also improved in case of recruitment athletes.
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Affiliation(s)
- Gabriella Kiss
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Viktória B Kovácsné
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Ákos L Tóth
- Faculty of Natural Sciences, Institute of Sport Sciences and Physical Education, University of Pécs, Pécs, Hungary
| | - Sára Jeges
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Alexandra Makai
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary.,Doctoral School of Health Sciences, University of Pécs, Pécs, Hungary
| | - Brigitta Szilágyi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary.,Doctoral School of Health Sciences, University of Pécs, Pécs, Hungary
| | - Pongrác Ács
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
| | - Melinda Járomi
- Faculty of Health Sciences, Institute of Physiotherapy and Sport Sciences, University of Pécs, Pécs, Hungary
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21
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Prather H, van Dillen L. Links between the Hip and the Lumbar Spine (Hip Spine Syndrome) as they Relate to Clinical Decision Making for Patients with Lumbopelvic Pain. PM R 2019; 11 Suppl 1:S64-S72. [PMID: 31074168 DOI: 10.1002/pmrj.12187] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
This narrative review focuses on the links between the hip and lumbar spine in the context of lumbopelvic pain. The literature regarding this topic is variable, found in many disciplines of care using different terminology. Collectively these inconsistencies add to the complexity of understanding the current evidence as it pertains to clinical practice. We have chosen to review studies that describe and assess overlapping pain distributions between the lumbar spine and hip, hip osteoarthritis and lumbopelvic pain, improvements in low back pain following hip arthroplasty, association of hip range of motion and lumbopelvic pain, and lumbopelvic motion and hip motion as they relate to low back pain and gender. The links between the hip and lumbar spine may provide the clinician important information to make decisions and recommendations for people presenting with the clinical symptom complex including lumbopelvic pain.
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Affiliation(s)
- Heidi Prather
- Division of Physical Medicine and Rehabilitation, Department of Orthopaedic Surgery and Neurology, Washington University School of Medicine, St. Louis, MO
| | - Linda van Dillen
- Program in Physical Therapy, Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO
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Pohjola H, Vartiainen P, Karjalainen PA, Stenroth L, Venojärvi M. Lumbopelvic movement control in contemporary dancers: A multiple case study. TRANSLATIONAL SPORTS MEDICINE 2019. [DOI: 10.1002/tsm2.81] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Hanna Pohjola
- Institute of Dentistry University of Eastern Finland Kuopio Finland
- Department of Social Sciences University of Eastern Finland Kuopio Finland
- Theatre Academy University of the Arts Helsinki Finland
| | - Paavo Vartiainen
- Department of Applied Physics University of Eastern Finland Kuopio Finland
| | | | - Lauri Stenroth
- Department of Applied Physics University of Eastern Finland Kuopio Finland
| | - Mika Venojärvi
- Institute of Biomedicine, Sport and Exercise Medicine University of Eastern Finland Kuopio Finland
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23
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Cholewicki J, Breen A, Popovich JM, Reeves NP, Sahrmann SA, van Dillen LR, Vleeming A, Hodges PW. Can Biomechanics Research Lead to More Effective Treatment of Low Back Pain? A Point-Counterpoint Debate. J Orthop Sports Phys Ther 2019; 49:425-436. [PMID: 31092123 PMCID: PMC7394249 DOI: 10.2519/jospt.2019.8825] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
SYNOPSIS Although biomechanics plays a role in the development and perhaps the persistent or recurrent nature of low back pain (LBP), whether biomechanics alone can provide the basis for intervention is debated. Biomechanics, which refers to the mechanics of the body, including its neuromuscular control, has been studied extensively in LBP. But, can gains be made in understanding LBP by research focused on this component of biology in the multifactorial biopsychosocial problem of LBP? This commentary considers whether biomechanics research has the potential to advance treatment of LBP, and how likely it is that this research will lead to better treatment strategies. A point-counterpoint format is taken to present both sides of the argument. First, the challenges faced by an approach that considers biomechanics in isolation are presented. Next, we describe 3 models that place substantial emphasis on biomechanical factors. Finally, reactions to each point are presented as a foundation for further research and clinical practice to progress understanding of the place for biomechanics in guiding treatment of LBP. J Orthop Sports Phys Ther 2019;49(6):425-436. Epub 15 May 2019. doi:10.2519/jospt.2019.8825.
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Association Between Previous Injury and Risk Factors for Future Injury in Preprofessional Ballet and Contemporary Dancers. Clin J Sport Med 2019; 29:209-217. [PMID: 31033614 DOI: 10.1097/jsm.0000000000000513] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
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 = 90, 80 females, median age 15 years (range 11-19)] and contemporary [n = 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.
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Abstract
BACKGROUND Dance is a physical pursuit that involves loading the spine through repetitive dynamic movements and lifting tasks. As such, low back pain (LBP) and low back injury (LBI) have been identified as common health problems in contemporary and classical ballet dancers. However, clarity regarding the experience of LBP and LBI in dance is lacking. OBJECTIVES To systematically review and synthesize the epidemiology of LBP and LBI in dance populations. METHODS A comprehensive search of 6 electronic databases, back catalogs of dance science-specific journals, and reference lists of relevant articles and a forward citation search were performed. RESULTS Fifty full-text articles were included in the final systematic review. There was considerable methodological heterogeneity among the included studies. The median (range) point, yearly, and lifetime prevalence of LBP was 27% (17%-39%), 73% (41%-82%), and 50% (17%-88%), respectively. The lower back contributed to 11% (4%-22%) of time loss and 11% (5%-23%) of medical-attention injuries. CONCLUSION Dancers are vulnerable to LBP and LBI. The use of definitions that are sensitive to the complexity of LBP and LBI would facilitate improved understanding of the problem within dance, inform health care strategies, and allow for monitoring LBP-specific intervention outcomes. J Orthop Sports Phys Ther 2019;49(4):239-252. Epub 18 Jan 2019. doi:10.2519/jospt.2019.8609.
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Skwiot M, Śliwiński G, Milanese S, Śliwiński Z. Hypermobility of joints in dancers. PLoS One 2019; 14:e0212188. [PMID: 30794600 PMCID: PMC6386248 DOI: 10.1371/journal.pone.0212188] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Accepted: 01/29/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The current understanding of hypermobility and its diagnostic criteria is still insufficient to create a complete and systematic clinical presentation of the disorder. The objective of this study was to assess the prevalence of joint hypermobility syndrome (JHS) amongst a cohort of jazz dancers, by analyzing its presence in accordance with a number of diagnostic criteria, and to verify potential risk factors for joint hypermobility in jazz dancers. METHODS 77 jazz dancers from the Polish Dance Theater were examined (58 female and 19 male). The prevalence of JHS was assessed using the following diagnostic tools: a structured interview, Beighton score, Grahame & Hakim questionnaire, and Sachse's criteria, in the modified version proposed by Kapandji. RESULTS The prevalence of JHS in this cohort of jazz dancers differed significantly, depending on which criteria were adopted (p = 0.001) with Beighton score, Grahame & Hakim questionnaire, and Sachse's criteria identifying 64.9%, 74% and 59.7% of the sample as JHS respectively. Hypermobility was significantly more prevalent in women than men (p < 0.05). CONCLUSIONS This study demonstrated a significant prevalence of joint hypermobility in jazz dancers and corroborates the findings of other researchers, indicating the need for unified diagnostic criteria for JHS in dancers.
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Affiliation(s)
- Marlena Skwiot
- Faculty of Medicine and Health Sciences, Jan Kochanowski University in Kielce, Kielce, Poland
- * E-mail:
| | - Grzegorz Śliwiński
- Faculty of Biomedical Engineering, Technische Universität Dresden, Dresden, Germany
| | - Steve Milanese
- School of Health Science, University of South Australia, Adelaide, Australia
| | - Zbigniew Śliwiński
- Faculty of Medicine and Health Sciences, Jan Kochanowski University in Kielce, Kielce, Poland
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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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McCormack MC, Bird H, de Medici A, Haddad F, Simmonds J. The Physical Attributes Most Required in Professional Ballet: A Delphi Study. Sports Med Int Open 2018; 3:E1-E5. [PMID: 30581984 PMCID: PMC6301851 DOI: 10.1055/a-0798-3570] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 09/30/2018] [Accepted: 11/02/2018] [Indexed: 10/27/2022] Open
Abstract
Background It is commonly accepted that dancers are undoubtedly athletes, with ballet perhaps the most demanding dance form. No previous study has sought to define the physical attributes most desired for classical ballet by professional companies and vocational schools. These are likely to include both aesthetic features and attributes that reduce the risk of injury as well as enhance performance. Method An initial survey question using the modified Delphi technique was sent using Opinio Survey Software to a selected international expert panel. This was drawn both from those involved in selection of elite professional ballet dancers, and the international medical professionals involved in the care of dancers. The first questionnaire was open-ended to scope for all the physical attributes most favoured by the professional experts. Results There were 148 responses from the panel of international experts. In total 34 physical attributes were suggested. The 2 most recommended physical criteria for selection into the profession were overall flexibility and overall strength. These results are discussed in the context of the published literature on the mechanics, anatomy and physiology of ballet. Conclusion Flexibility and strength are the 2 features most sought after in elite ballet dancers.
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Affiliation(s)
- Moira Cameron McCormack
- Institute of Sport Exercise and Health, University College London, London, United Kingdom of Great Britain and Northern Ireland.,The Royal Ballet Company, Healthcare, London, United Kingdom of Great Britain and Northern Ireland
| | - Howard Bird
- Institute of Sport Exercise and Health, University College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Akbar de Medici
- Institute of Sport Exercise and Health, University College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Fares Haddad
- Institute of Sport Exercise and Health, University College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Jane Simmonds
- Institute of Sport Exercise and Health, University College London, London, United Kingdom of Great Britain and Northern Ireland
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Armstrong R, Relph N. Screening Tools as a Predictor of Injury in Dance: Systematic Literature Review and Meta-analysis. SPORTS MEDICINE-OPEN 2018; 4:33. [PMID: 30022294 PMCID: PMC6051954 DOI: 10.1186/s40798-018-0146-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Accepted: 07/02/2018] [Indexed: 11/10/2022]
Abstract
BACKGROUND Dance involves movements of complexity and physical intensity which result in stress on the body. As a consequence, dancers are at risk of injury which can impact on their well-being. Screening tools are used for injury prevention to identify those dancers at risk of injury. The aim of this study was to investigate which screening tools can predict injury in dancers, encompassing all dance genres, levels and ages. METHODS An electronic search of seven databases from their inception to December 2017 was conducted. The databases were the Allied and Complementary Medicine Database (AMED), CINAHL, eBOOK Collection (EBSCOhost), MEDLINE, Cochrane Database of Systematic Reviews, SPORTDiscus and PEDro: the Physiotherapy Evidence Base. The following search terms were used: (i) Dance AND injury AND Screening, (ii) Screening AND dance and (iii) Musculoskeletal AND Screening AND Dance. Studies were assessed using a 20-point scoring tool, and eligible studies were included in a meta-analysis. RESULTS The mean methodological quality score was 12.2 points. Injured dancers had a significantly higher compensated turnout range of motion than non-injured dancers: pooled mean difference of compensated turnout (23.29°; 95% CI 14.85-31.73; P < 0.00001; I2 = 0%). Injured dancers had significantly greater functional turnout range of motion when compared to non-injured dancers: pooled mean difference of functional turnout (14.08°; 95% CI 7.09-21.07; P < 0.0001; I2 = 0%). There also some evidence for use of hip range of motion as a predictor of dance injury. CONCLUSIONS Some evidence exists for the potential use of dance-specific positions as a predictor of injury. A number of studies were limited by a lack of prospective injury design, injury definition and self-reporting of injury.
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Affiliation(s)
- Ross Armstrong
- Sports Injuries Research Group, Department of Sport and Physical Activity, Edge Hill University, Ormskirk, Lancashire, L39 4QP, England.
| | - Nicola Relph
- Faculty of Health and Social Care, Edge Hill University, Ormskirk, Lancashire, L39 4QP, England
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The assessment of movement health in clinical practice: A multidimensional perspective. Phys Ther Sport 2018; 32:282-292. [DOI: 10.1016/j.ptsp.2018.04.008] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 11/07/2017] [Accepted: 04/10/2018] [Indexed: 12/11/2022]
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Lanier VM, Lang CE, Van Dillen LR. Motor skill training in musculoskeletal pain: a case report in chronic low back pain. Disabil Rehabil 2018; 41:2071-2079. [PMID: 29644888 DOI: 10.1080/09638288.2018.1460627] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Purpose: Low back pain is a chronic condition that limits function. The chief reason individuals with low back pain seek care is difficulty performing functional activities. A novel approach to improving performance of painful and limited functional activities is motor skill training, defined as challenging practice of activities to learn or relearn a skill. The purpose of this report is to describe the design and application of a motor skill training intervention in a 26-year-old man with a 10-year history of low back pain. Methods: A motor skill training intervention was implemented to modify the altered alignment and movement patterns he used during the performance of his painful and limited activities. Results: The patient was seen for six visits in 12 weeks. The patient reported decreased pain and medication use, as well as improved function immediately, 3-, and 9-months post-intervention. Conclusion: Individuals with low back pain report limitation in ability to perform everyday functions and demonstrate altered patterns of movement and alignment during these activities. This case report describes an innovative motor skill training intervention that directly addresses the performance of functional activities and the application of motor learning principles. Implications for rehabilitation Low back pain is a chronic condition that limits function. The chief reason individuals with chronic low back pain seek care is difficulty performing everyday functional activities. Motor skill training is a novel approach that directly addresses the performance of painful and limited functional activities through challenging practice to improve performance and decrease pain.
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Affiliation(s)
- Vanessa M Lanier
- a Program in Physical Therapy , Washington University in St. Louis School of Medicine , St. Louis , MO , USA.,b Department of Orthopaedic Surgery , Washington University in St. Louis School of Medicine , St. Louis , MO , USA
| | - Catherine E Lang
- a Program in Physical Therapy , Washington University in St. Louis School of Medicine , St. Louis , MO , USA.,c Program in Occupational Therapy , Washington University in St. Louis School of Medicine , St. Louis , MO , USA.,d Department of Neurology , Washington University in St. Louis School of Medicine , St. Louis , MO , USA
| | - Linda R Van Dillen
- a Program in Physical Therapy , Washington University in St. Louis School of Medicine , St. Louis , MO , USA.,b Department of Orthopaedic Surgery , Washington University in St. Louis School of Medicine , St. Louis , MO , USA
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Bronner S, Bauer NG. Risk factors for musculoskeletal injury in elite pre-professional modern dancers: A prospective cohort prognostic study. Phys Ther Sport 2018; 31:42-51. [PMID: 29597115 DOI: 10.1016/j.ptsp.2018.01.008] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 12/22/2017] [Accepted: 01/23/2018] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To examine risk factors for injury in pre-professional modern dancers. DESIGN With prospectively designed screening and injury surveillance, we evaluated four risk factors as categorical predictors of injury: i) hypermobility; ii) dance technique motor-control; iii) muscle tightness; iv) previous injury. Screening and injury data of 180 students enrolled in a university modern dance program were reviewed over 4-yrs of training. Dancers were divided into 3-groups based on predictor scores. Dance exposure was based on hours of technique classes/wk. Negative binomial log-linear analyses were conducted with the four predictors, p < 0.05. RESULTS Dancers with low and high Beighton scores were 1.43 and 1.22 times more likely to sustain injury than dancers with mid-range scores (p ≤ 0.03). Dancers with better technique (low or medium scores) were 0.86 and 0.63 times less likely to sustain injury (p = 0.013 and p < 0.001) compared to those with poor technique. Dancers with one or 2-4 tight muscles were 2.7 and 4.0 times more likely to sustain injury (p ≤ 0.046). Dancers who sustained 2-4 injuries in the previous year were 1.38 times more likely to sustain subsequent injury (p < 0.001). CONCLUSIONS This contributes new information on the value of preseason screening. Dancers with these risk factors may benefit from prevention programs.
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Affiliation(s)
- Shaw Bronner
- ADAM Center, New York, NY, USA; Alvin Ailey American Dance Theater, New York, NY, USA.
| | - Naomi G Bauer
- ADAM Center, New York, NY, USA; Department of Physical and Occupational Therapy, Duke University Health System, Durham, NC, USA
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Chan C, Hopper L, Zhang F, Pacey V, Nicholson LL. The prevalence of generalized and syndromic hypermobility in elite Australian dancers. Phys Ther Sport 2018; 32:15-21. [PMID: 29655088 DOI: 10.1016/j.ptsp.2018.02.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 02/08/2018] [Accepted: 02/21/2018] [Indexed: 12/31/2022]
Abstract
OBJECTIVES To determine the prevalence of Generalized Joint Hypermobility (GJH) and Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-Hypermobility Type (JHS/EDS-HT) among dancers using established validated measures. DESIGN Observational Cohort Study. SETTING Laboratory. PARTICIPANTS 85 dancers from two dance institutions. MAIN OUTCOME MEASURES GJH was determined using the Beighton score (cut-point ≥5/9) and the Lower Limb Assessment Scale (LLAS) (cut-point ≥7/12). Presence of JHS/EDS-HT was assessed using the Brighton and Villefranche criteria. Paired sample t-test was performed to compare LLAS side-to-side scores, and percentage disagreements calculated to determine differences between the two GJH and the two JHS/EDS-HT measures. RESULTS 72% of dancers met the Beighton cut-point for GJH, while 38% and 42% met the LLAS cut-point on the left and right respectively. The proportion of dancers identified with GJH was different when assessed using the Beighton compared to the left and right LLAS (both p < 0.001), a disagreement of 48% and 46% respectively, with Beighton classifying more participants as having GJH. The Villefranche identified more dancers with JHS/EDS-HT than the Brighton (84% vs 31%, p < 0.001), with 54% disagreement. CONCLUSIONS High prevalence of generalized and syndromic hypermobility was found regardless of the criteria used. A higher Beighton cut-point, e.g. ≥6/9, to identify true GJH amongst dancers maybe warranted.
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Affiliation(s)
- Cliffton Chan
- The University of Sydney, Discipline of Biomedical Science, Sydney Medical School, New South Wales, Australia. 75 East St, Lidcombe, New South Wales, 1825, Australia.
| | - Luke Hopper
- Western Australian Academy of Performing Arts, Edith Cowan University, Perth, Australia. 1/2 Bradford St, Menora, Western Australia, 6050, Australia.
| | - Feili Zhang
- The University of Sydney, Discipline of Physiotherapy, Faculty of Health Sciences, New South Wales, Australia. 75 East St, Lidcombe, New South Wales, 1825, Australia.
| | - Verity Pacey
- Macquarie University, Department of Health Professions, Faculty of Medicine and Health Sciences, New South Wales, Australia. 75 Talavera Rd, Macquarie, New South Wales, 2109, Australia.
| | - Leslie L Nicholson
- The University of Sydney, Discipline of Biomedical Science, Sydney Medical School, New South Wales, Australia. 75 East St, Lidcombe, New South Wales, 1825, Australia.
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Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Phys Ther Sport 2018; 30:48-56. [DOI: 10.1016/j.ptsp.2017.08.076] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Revised: 05/05/2017] [Accepted: 08/18/2017] [Indexed: 11/21/2022]
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Matheve T, De Baets L, Rast F, Bauer C, Timmermans A. Within/between-session reliability and agreement of lumbopelvic kinematics in the sagittal plane during functional movement control tasks in healthy persons. Musculoskelet Sci Pract 2018; 33:90-98. [PMID: 28844565 DOI: 10.1016/j.msksp.2017.08.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Revised: 08/18/2017] [Accepted: 08/20/2017] [Indexed: 01/14/2023]
Abstract
A lack of adequate lumbopelvic movement control has been suggested as an underlying mechanism contributing to the development and persistence of low back pain and lower limb pathologies. The purpose of this study was to assess the within and between session reliability (i.e. the ability to discriminate between subjects), and the agreement (i.e. whether scores are identical on repeated measures) of lumbopelvic kinematics in the sagittal plane during functional movement control tasks. Kinematics were measured with a portable inertial measurement unit system. Twenty healthy subjects (mean age = 22 (±3.6) years, 15 females) performed four tasks on two occasions, five to seven days apart: standing bow (SB), lifting a box from the floor (LIFT), stance-to-sit-to-stance (SIT) and placing a box on an overhead shelf (OVERH). Participants were asked to keep the lumbar spine in a neutral lordosis during the tasks. The maximal deviations from the neutral starting position for the lumbar spine and hip were calculated. Intraclass correlations (ICCs), standard errors of measurement (SEM), minimal detectable changes and 95% limits of agreement were used to assess reliability and agreement. SB and LIFT were substantially reliable (ICC = 0.89-0.96), SIT was moderately to substantially reliable (ICC = 0.69-0.92) and OVERH was fairly to moderately reliable (ICC = 0.40-0.67). SEMs ranged between 1.1° and 3.1° for the lumbar spine and between 0.7° and 4.8° for the hip. Based on the substantial reliability and acceptable agreement, SB and LIFT are most appropriate to quantify lumbopelvic movement control during functional tasks.
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Affiliation(s)
- Thomas Matheve
- Hasselt University, Faculty of Medicine and Life Sciences, Agoralaan, building A, 3590 Diepenbeek, Belgium.
| | - Liesbet De Baets
- Hasselt University, Faculty of Medicine and Life Sciences, Agoralaan, building A, 3590 Diepenbeek, Belgium.
| | - Fabian Rast
- Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Technikumstrasse 71, 8400 Winterthur, Switzerland.
| | - Christoph Bauer
- Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Technikumstrasse 71, 8400 Winterthur, Switzerland.
| | - Annick Timmermans
- Hasselt University, Faculty of Medicine and Life Sciences, Agoralaan, building A, 3590 Diepenbeek, Belgium.
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Winslow JJ, Jackson M, Getzin A, Costello M. Rehabilitation of a Young Athlete With Extension-Based Low Back Pain Addressing Motor-Control Impairments and Central Sensitization. J Athl Train 2018; 53:168-173. [PMID: 29350556 DOI: 10.4085/1062-6050-238-16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To describe the conservative management of a young athlete with extension-based (EB) low back pain (LBP). BACKGROUND We present the case of a 15-year-old female high school gymnast with a 4-year history of EB LBP. Magnetic resonance imaging revealed a healed spondylolysis and significant atrophy with fatty infiltrate of the lumbar multifidi muscles (LMM). She had several courses of outpatient orthopaedic rehabilitation that focused on core muscle strengthening (improving activation and strength of the LMM and transversus abdominus muscle in a neutral pelvic position) without long-lasting improvement. She was unable to tolerate higher levels of training or compete. DIFFERENTIAL DIAGNOSIS The LMM are rich in muscle spindles and provide continuous feedback to the central nervous system about body position. Atrophy and fatty infiltrate of the LMM can compromise neuromuscular function and contribute to dysfunctional movement patterns that place a greater demand on lumbar spine structures. Ongoing motor-control impairments perpetuate nociceptive input, leading to central sensitization. TREATMENT The athlete had difficulty controlling trunk extension during sport-specific activities; she moved early and to a greater extent in the lumbar spine. The aim of the treatment was to teach the athlete how to control her tendency to overload her lumbar spine when bending backward, thus reducing nociceptive input from lumbar spine structures and desensitizing the nervous system. UNIQUENESS Treating EB LBP by addressing motor-control impairments and cognitive-affective factors as opposed to core strengthening. CONCLUSIONS Activity modification, bracing, and traditional core-strengthening exercises may not be the most appropriate treatment for athletes experiencing EB LBP. Addressing cognitive-affective factors in addition to correcting maladaptive motor behavior and moving in a pain-free range reduces nociceptive input, desensitizes the nervous system, and allows athletes to gain control over their pain.
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Twenty-Year Systematic Review of the Hip Pathology, Risk Factors, Treatment, and Clinical Outcomes in Artistic Athletes-Dancers, Figure Skaters, and Gymnasts. Clin J Sport Med 2018; 28:82-90. [PMID: 28742616 DOI: 10.1097/jsm.0000000000000440] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To identify (1) the predominant level of evidence of the clinical studies regarding the hip pathology, risk factors, treatment, and clinical outcomes in artistic athletes (dancers, figure skaters, and gymnasts) (2) the most commonly reported hip pathology, risk factors, treatments, and clinical outcomes in dancers, figure skaters, and gymnasts. METHODS To conduct this systematic review PubMed, EMBASE, and Scopus databases were searched for relevant studies and pertinent data were collected from the eligible articles. Included were studies which reported hip injuries in artistic athletes, the risk factors, treatment, and/or the clinical outcomes. We excluded case reports or irrelevant studies. No meta-analysis was performed because of study heterogeneity. The methodical index for nonrandomized studies (MINORS) criteria were used for quality control. MAIN RESULTS Thirty-eight studies were included in the analysis. The mean MINORS score was 13.6 ± 4.6 points indicating fair quality of evidence of the included articles. The predominant level of evidence was level IV. Chondrolabral pathology and muscle injuries were the most commonly reported pathologies. We found only 2 risk factor analysis studies; however, many studies reported risk correlation between artistic sports or imaging findings and hip pathology. Treatment strategies were reported in only 7 studies, clinical outcomes are significantly underreported. CONCLUSION Chondrolabral pathology was the most commonly reported hip pathology in artistic athletes, however, prospective cohort studies are necessary to really understand these injuries and their associated risk factors. The lack of clinical outcomes is significant and future data collection is required to assess the effectiveness of the various treatments.
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Cardoso AA, Reis NM, Marinho APR, Vieira MDCS, Boing L, Guimarães ACDA. INJURIES IN PROFESSIONAL DANCERS: A SYSTEMATIC REVIEW. REV BRAS MED ESPORTE 2017. [DOI: 10.1590/1517-869220172306170788] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Movement is a fundamental element of dance, and the dancer’s body is the raw material through which the art of dance is expressed; for this, it demands the utmost discipline in the pursuit of technical and artistic excellence. To meet the professional demands, dancers are subjected to strenuous training routines, which can lead to the development of injuries in this environment. The objective was to examine the etiology, main affected segments, prevalence, and instruments used to evaluate the lesions in studies with professional dancers and/or in comparison with similar populations. We selected articles published in the last decade in the databases BIREME, LILACS, MEDLINE EBSCO, WEB OF SCIENCE, SCOPUS (Elsevier), and PubMed, with cross-sectional, observational cohort and case control design published in Portuguese, English, or Spanish. Systematic reviews, case studies, dissertations, theses, book chapters, cross-referenced articles, and studies published outside of the last decade were not included. The search used combinations of the terms “dancing* and athletic injuries* and musculoskeletal* and pain*”. A principal investigator and two reviewers conducted the survey and analyzed all the potentially relevant articles, initially by the abstract and title. Twelve articles were included, with 1,149 participants (965 professional dancers of classical ballet, modern dance, contemporary dance, and breakdance, 104 amateur dancers, and 80 elite athletes). Nine studies found simultaneous lesions with emphasis on the foot and ankle (n=4), upper and lower limbs lesions (n=4) and lower and upper limb joints (n=1). Other studies have found lesions in the anterior cruciate ligament (n=3). There was no agreement regarding the instruments for detecting lesions in professional, pre-professional, and amateur dancers. There was a prevalence of studies aimed at classical ballet modality, evidencing a higher frequency of lower limb involvement in professional dancers.
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Sahrmann S, Azevedo DC, Dillen LV. Diagnosis and treatment of movement system impairment syndromes. Braz J Phys Ther 2017; 21:391-399. [PMID: 29097026 PMCID: PMC5693453 DOI: 10.1016/j.bjpt.2017.08.001] [Citation(s) in RCA: 112] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Accepted: 08/30/2017] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Diagnoses and treatments based on movement system impairment syndromes were developed to guide physical therapy treatment. OBJECTIVES This masterclass aims to describe the concepts on that are the basis of the syndromes and treatment and to provide the current research on movement system impairment syndromes. RESULTS The conceptual basis of the movement system impairment syndromes is that sustained alignment in a non-ideal position and repeated movements in a specific direction are thought to be associated with several musculoskeletal conditions. Classification into movement system impairment syndromes and treatment has been described for all body regions. The classification involves interpreting data from standardized tests of alignments and movements. Treatment is based on correcting the impaired alignment and movement patterns as well as correcting the tissue adaptations associated with the impaired alignment and movement patterns. The reliability and validity of movement system impairment syndromes have been partially tested. Although several case reports involving treatment using the movement system impairment syndromes concept have been published, efficacy of treatment based on movement system impairment syndromes has not been tested in randomized controlled trials, except in people with chronic low back pain.
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Affiliation(s)
- Shirley Sahrmann
- Washington University School of Medicine, Program in Physical Therapy, St. Louis, USA.
| | - Daniel C Azevedo
- Universidade Cidade de São Paulo (UNICID), Masters and Doctoral Programs in Physical Therapy, São Paulo, SP, Brazil; Pontifícia Universidade Católica de Minas Gerais (PUC-MG), Departamento de Fisioterapia, Belo Horizonte, MG, Brazil
| | - Linda Van Dillen
- Washington University School of Medicine, Program in Physical Therapy, St. Louis, USA
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Juul-Kristensen B, Schmedling K, Rombaut L, Lund H, Engelbert RHH. Measurement properties of clinical assessment methods for classifying generalized joint hypermobility-A systematic review. AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS 2017; 175:116-147. [PMID: 28306223 DOI: 10.1002/ajmg.c.31540] [Citation(s) in RCA: 104] [Impact Index Per Article: 14.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The purpose was to perform a systematic review of clinical assessment methods for classifying Generalized Joint Hypermobility (GJH), evaluate their clinimetric properties, and perform the best evidence synthesis of these methods. Four test assessment methods (Beighton Score [BS], Carter and Wilkinson, Hospital del Mar, Rotes-Querol) and two questionnaire assessment methods (Five-part questionnaire [5PQ], Beighton Score-self reported [BS-self]) were identified on children or adults. Using the Consensus-based Standards for selection of health Measurement Instrument (COSMIN) checklist for evaluating the methodological quality of the identified studies, all included studies were rated "fair" or "poor." Most studies were using BS, and for BS the reliability most of the studies showed limited positive to conflicting evidence, with some shortcomings on studies for the validity. The three other test assessment methods lack satisfactory information on both reliability and validity. For the questionnaire assessment methods, 5PQ was the most frequently used, and reliability showed conflicting evidence, while the validity had limited positive to conflicting evidence compared with test assessment methods. For BS-self, the validity showed unknown evidence compared with test assessment methods. In conclusion, following recommended uniformity of testing procedures, the recommendation for clinical use in adults is BS with cut-point of 5 of 9 including historical information, while in children it is BS with cut-point of at least 6 of 9. However, more studies are needed to conclude on the validity properties of these assessment methods, and before evidence-based recommendations can be made for clinical use on the "best" assessment method for classifying GJH. © 2017 Wiley Periodicals, Inc.
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Jung SH, Kwon OY, Jeon IC, Hwang UJ, Weon JH. Reliability and criterion validity of measurements using a smart phone-based measurement tool for the transverse rotation angle of the pelvis during single-leg lifting. Physiother Theory Pract 2017; 34:58-65. [DOI: 10.1080/09593985.2017.1368756] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Sung-hoon Jung
- Department of Physical Therapy, Graduate School, Yonsei University, Wonju, South Korea
| | - Oh-yun Kwon
- Department of Physical Therapy of Health Science, Yonsei University, Wonju, South Korea
| | - In-cheol Jeon
- Department of Physical Therapy, Graduate School, Yonsei University, Wonju, South Korea
| | - Ui-jae Hwang
- Department of Physical Therapy of Health Science, Yonsei University, Wonju, South Korea
| | - Jong-hyuck Weon
- Department of Physical Therapy, Graduate School, Joongboo University, Geumsan, South Korea
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SADEGHISANI MEISSAM, SHATERZADEH MOHAMMADJAFAR, KARIMI MOHAMMADTAGHI, FATOYE FRANCIS, AKBARI MARJAN, DEHGHAN MORTAZA, KABIR MAJIDMOHSENI. KINEMATIC DIFFERENCES IN LUMBOPELVIC AND HIP MOVEMENT PATTERNS DURING A LOWER LIMB MOVEMENT TEST BETWEEN TWO GROUPS OF PEOPLE WITH LOW BACK PAIN. J MECH MED BIOL 2017. [DOI: 10.1142/s0219519417500300] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Increased lumbopelvic motion during limb movements’ tests was reported in low back pain (LBP) patients with and without rotational demand activities. The aim of this study was to compare lumbopelvic movement pattern between two groups of LBP patients with and without rotational demand activity during active hip external rotation test. A total of 39 patients with non-specific chronic LBP participated in this study. Patients were allocated into two groups, in first group 15 subjects (mean [Formula: see text] years) with rotational demand activities such as tennis, squash and golf, and in second group 24 subjects (mean [Formula: see text]) without rotational demand activities participated in current study. Kinematic data from lumbopelvic-hip region during active hip external rotation test (AHER) were collected by a 3D motion analysis system. Variables including range of motion (ROM) of hip external rotation, pelvic rotation, pelvic rotation during first half of hip rotation motion and timing of pelvic-hip movement were calculated by MATLAB software for both sides and after this, independent t-test was used to compare the variables between two groups of study. The mean lumbopelvic rotation in lower extremities tests for both sides and lumbopelvic rotation in the dominant limb external rotation test in the patients with rotational demand activities were significantly more than other group ([Formula: see text]). During dominant lower limb movement test, pelvic rotation in first half of movement and in patients with rotational activities was greater than in non-rotational group but hip rotation was statistically lesser than other group ([Formula: see text]). Other variables between the two groups were not significantly different ([Formula: see text]). The result of the study suggest that LBP patients who have rotational demand sports activities may move their lumbopelvic region in a greater magnitude during the AHER test than LBP people without rotational demand activities. Therefore, Lumbopelvic movement pattern in different groups of patients with LBP and based on their specific activities is different with each other.
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Affiliation(s)
- MEISSAM SADEGHISANI
- Physical Therapy Department, Rehabilitation Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - MOHAMMAD JAFAR SHATERZADEH
- Physical Therapy Department, Rehabilitation Faculty, Ahwaz Jundishapour University of Medical Sciences, Iran
| | - MOHAMMAD TAGHI KARIMI
- Musculoskeletal Research Center, Rehabilitation Faculty, Isfahan University of Medical Sciences, Iran
| | - FRANCIS FATOYE
- Department of Health Professions, Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, UK
| | - MARJAN AKBARI
- Mechanical Engineering Department, Amirkabir University of Technology, Tehran, Iran
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The ability of athletes with long-standing groin pain to maintain a stable lumbopelvic position: A laboratory study. Phys Ther Sport 2017; 23:45-49. [DOI: 10.1016/j.ptsp.2016.06.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 05/10/2016] [Accepted: 06/24/2016] [Indexed: 11/19/2022]
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Sueyoshi T, Emoto G, Yuasa T. Generalized Joint Laxity and Ligament Injuries in High School-Aged Female Volleyball Players in Japan. Orthop J Sports Med 2016; 4:2325967116667690. [PMID: 27761474 PMCID: PMC5054354 DOI: 10.1177/2325967116667690] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background: Generalized joint laxity has been linked to ligamentous injuries such as anterior cruciate ligament tear and ankle sprain. Purpose/Hypothesis: The purpose of this study was to investigate generalized joint laxity and incidence of ligament injuries in high school–aged female volleyball players. It was hypothesized that volleyball players with a past history of sprains would have increased generalized joint laxity compared with those without any history and that athletes with multiple sprains would demonstrate with a higher generalized joint laxity score than those who had only 1 sprain. Study Design: Case-control study; Level of evidence, 3. Methods: Forty-seven subjects were tested for generalized joint laxity using the Beighton and Horan Joint Mobility Index (BHJMI). They were categorized into 2 groups based on the presence of past ligament injury: injury group (IG) and noninjury group (NG). The IG group was further divided into 2 groups based on whether they had a single ligamentous injury (IGS) or multiple injuries (IGM) in the past to study whether there was any difference in scores between the subgroups. The collected data were analyzed statistically with 1-way analysis of variance. Results: Subjects in the IG group scored significantly higher on the BHJMI than those in the NG group. The mean score for the IG group was 2.40 ± 1.42, as opposed to 1.24 ± 1.09 for the NG group (P = .006). Eleven subjects in the IG group had suffered multiple injuries or recurrent injuries (IGM) and scored significantly higher than the remaining 19 individuals in the IG group, who had only sustained a single injury (IGS). The mean BHJMI scores were 3.18 ± 1.47 and 1.95 ± 1.22 for IGM and IGS, respectively (P = .02). Conclusion: Female athletes with a high generalized joint laxity score may be more prone to ligament injury and potentially to recurrent ligament injuries.
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Affiliation(s)
- Ted Sueyoshi
- Physiotherapy Associates, Scottsdale, Arizona, USA
| | - Gen Emoto
- Emoto Knee and Sport Clinic, Fukuoka, Japan
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Monnier A, Djupsjöbacka M, Larsson H, Norman K, Äng BO. Risk factors for back pain in marines; a prospective cohort study. BMC Musculoskelet Disord 2016; 17:319. [PMID: 27474034 PMCID: PMC4966738 DOI: 10.1186/s12891-016-1172-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Accepted: 07/16/2016] [Indexed: 11/29/2022] Open
Abstract
Background It is recognised that back pain (BP) is a debilitating medical problem in the soldier community, which limits operational readiness as well as work ability. As such, identification of risk factors is a necessity for effective preventive actions, but also regarded as important from a safety perspective. The aim of this prospective cohort study was therefore to identify risk factors for back pain and BP limiting work ability in active duty marines within a 6 and 12-month period. Methods Demographic characteristics, health-related factors and occupational exposure information, as gathered from questionnaires, as well as clinical test of movement control among 137 Swedish marines were regressed with multivariable logistic regressions, and strength of associations was presented as odds ratio (OR) with 95 % confidence intervals (CI). BP within 6 and 12 months were used as primary outcomes, whereas BP limiting work ability within 6 and 12 months served as secondary outcomes. Results Previous BP and tall body height (≥1.86 m) emerged as risk factors for back pain within 6 months (OR 2.99, 95 % CI 1.22–7.30; OR 2.81, 95 % CI 1.16– 6.84, respectively), and 12 months (OR 6.75, 95 % CI 2.30–19.80; 2.75, 95 % CI 1.21–6.29, respectively). Previous BP was also identified as risk factor for BP limiting work ability within 12 months (OR 6.64, 95 % CI 1.78–24.78), and tall body height emerged as a risk within both six (OR 4.30, 95 % CI 1.31–14.13) and 12 months (OR 4.55, 95 % CI 1.53–13.57) from baseline. Conclusions Marines with a history of BP are at risk of further BP episodes, which, thus, emphasise the importance of early BP preventive actions. Tall body height also emerged as an important risk which may reflect that personal equipment and work tasks are not adapted for the tallest marines. While this should be considered when introducing new work equipment, further studies are warranted to clarify the underlying mechanism of this association. Electronic supplementary material The online version of this article (doi:10.1186/s12891-016-1172-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Andreas Monnier
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden. .,Swedish Armed Forces, Regional Medical Service Mälardalen, Berga, Sweden.
| | - Mats Djupsjöbacka
- Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, University of Gävle, Gävle, Sweden
| | - Helena Larsson
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.,Swedish Armed Forces, Headquarters, Medical Services, Stockholm, Sweden
| | - Kjell Norman
- Swedish Armed Forces, 1st Marine Regiment, 2nd Amphibious Battalion, Berga, Sweden
| | - Björn O Äng
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.,Centre for Clinical Research Dalarna, Falun, Sweden.,Karolinska University Hospital, Stockholm, Sweden
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Effects of static stretching of knee musculature on patellar alignment and knee functional disability in male patients diagnosed with knee extension syndrome: A single-group, pretest–posttest trial. ACTA ACUST UNITED AC 2016; 22:179-89. [DOI: 10.1016/j.math.2015.12.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2014] [Revised: 12/07/2015] [Accepted: 12/12/2015] [Indexed: 11/23/2022]
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Jeon IC, Kwon OY, Weon JH, Choung SD, Hwang UJ. Comparison of psoas major muscle thickness measured by sonography during active straight leg raising in subjects with and without uncontrolled lumbopelvic rotation. ACTA ACUST UNITED AC 2016; 21:165-9. [DOI: 10.1016/j.math.2015.07.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Revised: 07/08/2015] [Accepted: 07/09/2015] [Indexed: 11/15/2022]
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Grosdent S, Demoulin C, Rodriguez de La Cruz C, Giop R, Tomasella M, Crielaard JM, Vanderthommen M. Lumbopelvic motor control and low back pain in elite soccer players: a cross-sectional study. J Sports Sci 2015; 34:1021-9. [DOI: 10.1080/02640414.2015.1085077] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
Dancers require extreme ranges of motion in their hips. They require this for many styles and performances. Hip pain and hip injury in dancers can lead to lost work and performance time. There are many potential causes for hip pain in the dancer, including dysplasia, hyperlaxity, both intra- and extra-articular impingement, and soft tissue injuries. This article will review the current literature on these topics in dancers and how they can be applied to the dancer patient.
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Affiliation(s)
- Brad R Moser
- The Minnesota Dance Medicine Foundation, Minnesota Orthopedics Sports Medicine Institute at Twin Cities Orthopedics (MOSMI), Minneapolis, MN
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