Ballet Rehabilitation: A Novel Return to Sport Protocol

Glasser, Laurie; Frey, Marie; Frias, Giulia C; Varghese, Bobby; Melendez, Justin X; Hawes, Joseph D; Escobar, Jared; Katt, Brian M.

doi:10.7759/cureus.27896

Cited by 2 publications

(1 citation statement)

References 67 publications

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“…Dance 19 and sport 20,21 also have reference standards in guidelines to ensure safe return to participation following injury. The lack of similar standards in circus arts may result in healthcare professionals providing inadequate physical preparation for return to participation, potentially reducing performance or increasing the risk of re-injury.…”

Section: Introductionmentioning

confidence: 99%

Preparation For Flight: The Physical Profile of Pre-Professional and Professional Circus Artists in the United States

Greenspan,

Stuckey

2024

International Journal of Sports Physical Therapy

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Background Established norms for fitness and performance measures are lacking in circus arts. These would assist healthcare professionals and coaches to screen for readiness to participate in training or performance, determine post-injury return to performance, and develop targeted conditioning programs. Purpose The purpose of this research was to establish norms for trunk and extremity physical exam and performance measures in circus artists by professional status, assigned sex at birth (ASAB), and age. Study Design Descriptive laboratory study Methods Circus artists (n=201; ages 13-69y; 172 females ASAB, 29 males ASAB) from 10 cities across the United States underwent a baseline physical examination including shoulder, hip and trunk measures of passive (PROM) and active (AROM) range of motion, measures of flexibility (shoulder and hip), strength (manual muscle tests, grip strength), cardiovascular fitness (3 minute-step test), balance (single limb and handstand), and performance, (pull-ups, and the closed kinetic chain upper extremity stability test [CKCUEST]). ANOVAs were used to determine between group differences by age and T-tests to discern differences by ASAB or professional status. Results Differences existed by professional status for shoulder external rotation PROM, hip PROM, hip flexibility, shoulder and abdominal strength, and cardiovascular fitness. Sex differences were seen in active scapular upward rotation, hip and shoulder PROM and flexibility, hip and grip strength, and for functional performance measures (pull-ups, CKCUEST). Differences by age were limited to active scapular upward rotation, shoulder PROM, flexibility and strength, cardiovascular fitness, and balance. Overall, professionals outperformed pre-professionals for lower abdominal strength, pull-ups, handstand balance, cardiovascular fitness, hamstring, and straddle flexibility. Generally, males ASAB demonstrated greater shoulder flexibility and upper body functional strength while females ASAB had greater hip and lumbar flexibility and hip strength. No measures showed consistent declines with increasing age, though some showed differences between adolescents and adults. Conclusion These normative values for physical characteristics and functional performance in pre-professional and professional circus artists may be used to guide screening for readiness to participate in advanced training or performance, return to performance after injury, and the development of targeted strength and conditioning programs. Level of Evidence 3

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Section: Introductionmentioning

confidence: 99%

Preparation For Flight: The Physical Profile of Pre-Professional and Professional Circus Artists in the United States

Greenspan,

Stuckey

2024

International Journal of Sports Physical Therapy

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A Review of the Most Common Injuries in Dancers and Therapeutic Options

Karnik

2024

Crit Rev Phys Rehabil Med

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Sports injuries, including those from dance, are an apparent problem across the United States and United Kingdom with millions of injuries being acquired daily. These injuries can both hinder an individual's day-to-day activities and hamper performances by extending the period of sustained injury and impacting technique. This study details injury prevalence as well as a variety of rehabilitation methods used to treat a specific highly prevalent injury within dance [flexor hallucis longus (FHL) tendinopathy]. The FHL tendon is in the posterior area of the fibula and aids one in conducting plantar flexions. When dysfunction occurs, leading to FHL tendinopathy, this can result in negatively impacting the range of motion in the foot and restricting an individual from many movements. Because FHL tendinopathy is classified as an "overuse" injury, the effects upon an individual such as inflammation and discomfort can worsen the more the tendon is used. By collecting studies detailing impacts upon ballet dancers and sports dancers from varying populations to conduct a systematic review using PubMed, the study can build upon the differences in therapies applied to improve patients’ health after contracting FHL tendinopathy. The study also brings into focus other related conditions such as plantar fasciitis which develops due to straining the plantar fascia ligament. After thoroughly conducting a systematic review, it was determined that conservative management with physical therapy, heel raises, and laser treatment are the most effective in reducing pain as well as shortening the amount of time spent injured.

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Ballet Rehabilitation: A Novel Return to Sport Protocol

Cited by 2 publications

References 67 publications

Preparation For Flight: The Physical Profile of Pre-Professional and Professional Circus Artists in the United States

Preparation For Flight: The Physical Profile of Pre-Professional and Professional Circus Artists in the United States

A Review of the Most Common Injuries in Dancers and Therapeutic Options

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