Medical problems of performing artists
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Med Probl Perform Art · Mar 2022
Case ReportsQuadratus Femoris Tendinopathy as an Underreported Cause of Groin Pain: Case Report.
Groin pain is a cause of mobility impairment, and its diverse presentation can make the diagnosis difficult. Quadratus femoris muscle tendinopathy is a poorly described etiology, but its diagnosis is important for the success of the therapeutic program. The authors present the case of an 18-year-old woman who complained of chronic pain in the left inguinal region due to regular ballet practice. ⋯ Magnetic resonance imaging showed asymmetry in the signal intensity of the quadratus femoris muscle. The patient improved significantly after a rehabilitation program that included quadratus femoris muscle-specific exercises. Diagnostic accuracy and an understanding of segmental biomechanics ensure greater effectiveness in the therapeutic approach.
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Med Probl Perform Art · Mar 2022
Differences in Foot Characteristics Between Bharatanatyam Dancers and Age-Matched Non-Dancers.
The ankle-foot complex is the third most common site of pain in Indian dancers. In Bharatanatyam dance, rhythmic stamping performed barefoot at varying speeds may influence the height of the medial longitudinal arch, causing structural alteration of the ankle-foot complex. As little information is available on the ankle-foot complex of Bharatanatyam dancers, the present study was conducted to test the hypothesis that foot characteristics of Bharatanatyam dancers differ from those of non-dancers. ⋯ Greater plantar loading and an over-pronated foot during the most commonly performed weight-bearing activity of daily living (e.g., walking) explain the common prevalence of ankle and foot pain among dancers. These findings will inform clinicians and Bharatanatyam dancers on dancer's foot function and guide strategies for prevention and management of foot pain.
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Med Probl Perform Art · Mar 2022
Association Between Neck Pain, Range of Motion, and Proprioception in Elite Female International Standard Dancers: A Case-Control Study.
Neck pain is common in dancers, especially female dancers, and the injury pattern varies in different genres of dance. Among dancesport performers, intensive neck left rotation is required in female International Standard dancers, but it is unknown whether neck pain is associated with neck rotation range of motion and proprioception. ⋯ Most participants in the group with neck pain showed left side pain, associated with decreased left rotation AROM. Early screening on cervical rotation mobility may be necessary to reduce future dance-related injury after the onset of neck pain. Proprioceptive acuity of the left side neck was significantly impaired compared with that of the right, indicating future proprioceptive intervention on the left side neck.
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Med Probl Perform Art · Mar 2022
Development of the Dance Fitness Indicator©: A High-Intensity Dance Fitness Test: A Preliminary Study.
The aim of this study was to develop a contemporary dance technique-specific, high-intensity dance fitness test and carry out preliminary testing into measuring the physiological intensity and reliability. The choreography of the Dance Fitness Indicator© (DFI©) is based upon Humphrey/Limón, Graham, and Cunningham techniques and includes dance elements that relate to fitness elements, that increase in intensity over four levels designed to observe changes in heart rate (HR) and rate of perceived exertion (RPE) as the DFI© progresses. Each level lasts for 4 minutes, 16 seconds, with a 1-minute rest between each level; the full DFI lasts for 20 minutes, 12 seconds. ⋯ These preliminary results suggest that the DFI© requires a high physiological intensity demand, through movement-specific contemporary dance technique, relating to dance performance intensity, and is a reliable testing mode within a dance studio environment. It could also be used to assess dancers' physiological abilities to cope with high-intensity intermittent cardiovascular and technical demands of dance performance; however, further testing with greater numbers of subjects is recommended.
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Med Probl Perform Art · Mar 2022
Interoceptive Sensibility in Professional Dancers Living With or Without Pain: A Cross-Sectional Study.
There is a growing body of literature investigating the use of manual therapy to modulate pain through interoceptive pathways, but studies amongst the dancer population are lacking. ⋯ Results should be interpreted with caution, as major confounding variables (i.e., psychopathologies) could not be excluded from the analysis due to their high prevalence in the sample. Positive associations between adaptive subscales of the MAIA-2 and the use of manual therapy support a need for further research investigating potential clinical applications using interoceptive pathways in the specialised management of pain in dancers.