Asymmetrical gait in young female dancers of different training styles
Abstract
Background: the objective of this study is to evaluate gait symmetry in female dancers of different dance styles aged 19–21 years. The findings would enable us to understand the effects of long-term training on dancers’ gait. Material and methods: 21 dancers (8 modern dancers, 6 ballet dancers, and 7 Korean dancers) and 15 normal participants completed three validated walking tests at normal speed on a 5 m × 1 m walking track. Results: The modern dancer group showed a significant difference from the control group in terms of step length symmetry index. The right hip sagittal plane ROM was smaller in both the ballet dancer group and the Korean dancer group than in the control group. There was a significant difference in sagittal plane hip ROM in the Korean dancer group compared with the control group. The hip symmetry index in the horizontal plane was greater in all three groups of dancers than in the control group. Conclusions: Long-term training between different dance styles leads to different gait asymmetry effects in dancers.
References
1. G. Kassing, Discovering dance, Human Kinetics2024.
2. D. Krasnow, M.V. Wilmerding, Motor learning and control for dance: Principles and practices for performers and teachers, Human Kinetics2015.
3. J. Macintyre, E. Joy, Foot and ankle injuries in dance, Clinics in Sports Medicine 19(2) (2000) 351-368.
4. E. Twitchett, Physiological demands of performance in classical ballet and their relationships with injury and aesthetic components, (2009).
5. C.-W. Lung, J.-S. Chern, L.-F. Hsieh, S.-W. Yang, The differences in gait pattern between dancers and non-dancers, Journal of Mechanics 24(4) (2008) 451-457.
6. Y.-T. Liu, A.-C. Lin, S.-F. Chen, C.-J. Shih, T.-Y. Kuo, F.-C. Wang, P.-H. Lee, A.P. Lee, Superior gait performance and balance ability in Latin dancers, Frontiers in Medicine 9 (2022) 834497.
7. S. Uzunović, R. Kostić, Đ. Miletić, Motor status of competitive young sport dancers–gender differences, Acta Kinesiologica 3(1) (2009) 83-87.
8. K.F. Orishimo, I.J. Kremenic, E. Pappas, M. Hagins, M. Liederbach, Comparison of landing biomechanics between male and female professional dancers, The American journal of sports medicine 37(11) (2009) 2187-2193.
9. K.-J. Neumärker, N. Bettle, U. Neumärker, O. Bettle, Age-and gender-related psychological characteristics of adolescent ballet dancers, Psychopathology 33(3) (2000) 137-142.
10. E.M. Wanke, M. Arendt, H. Mill, D.A. Groneberg, Occupational accidents in professional dance with focus on gender differences, Journal of occupational medicine and toxicology 8 (2013) 1-7.
11. J. Premelč, G. Vučković, N. James, L. Dimitriou, A retrospective investigation on age and gender differences of injuries in DanceSport, International journal of environmental research and public health 16(21) (2019) 4164.
12. C. Leanderson, J. Leanderson, A. Wykman, L.-E. Strender, S.-E. Johansson, K. Sundquist, Musculoskeletal injuries in young ballet dancers, Knee surgery, sports traumatology, arthroscopy 19 (2011) 1531-1535.
13. J. Howse, M. McCormack, Anatomy, dance technique and injury prevention, A&C Black2009.
14. J.L. Biernacki, A. Stracciolini, J. Fraser, L.J. Micheli, D. Sugimoto, Risk factors for lower-extremity injuries in female ballet dancers: a systematic review, Clinical journal of sport medicine 31(2) (2021) e64-e79.
15. H. Daneshmandi, Hip rotation flexibility in professional athletes, The University of Manchester (United Kingdom)1999.
16. N. Steinberg, I. Siev-Ner, S. Peleg, G. Dar, Y. Masharawi, A. Zeev, I. Hershkovitz, Joint range of motion and patellofemoral pain in dancers, International journal of sports medicine 33(07) (2012) 561-566.
17. L. Chowning, J. Krzyszkowski, B. Nunley, R. Lanier, I. Gonzales, T. Calamoneri, A. Duffy, J.R. Harry, Biomechanical comparison of dominant and non-dominant limbs during leap-landings in contemporary style female dancers, Journal of Dance Medicine & Science 25(4) (2021) 231-237.
18. M.Y. Jeon, E.S. Bark, E.G. Lee, J.S. Im, B.S. Jeong, E.S. Choe, The effects of a Korean traditional dance movement program in elderly women, Journal of Korean Academy of Nursing 35(7) (2005) 1268-1276.
19. X. Tang, Y. Kim, C. Wu, S. Kim, Long-term dance trainings alter gait; mechanical work and joint kinematics, Molecular & Cellular Biomechanics 21 (2024) 242-242.
20. D.A. Winter, Biomechanics and motor control of human gait: normal, elderly and pathological, 1991.
21. E.R. Wiesler, D.M. Hunter, D.F. Martin, W.W. Curl, H. Hoen, Ankle flexibility and injury patterns in dancers, The American journal of sports medicine 24(6) (1996) 754-757.
22. H.A. Bird, Performing arts medicine in clinical practice, Springer2016.
23. M.E. Hackney, G.M. Earhart, Effects of dance on gait and balance in Parkinson’s disease: a comparison of partnered and nonpartnered dance movement, Neurorehabilitation and neural repair 24(4) (2010) 384-392.
24. K. McCarty, H. Darwin, P.L. Cornelissen, T.K. Saxton, M.J. Tovée, N. Caplan, N. Neave, Optimal asymmetry and other motion parameters that characterise high-quality female dance, Scientific Reports 7(1) (2017) 42435.
25. R. Robinson, W. Herzog, B.M. Nigg, Use of force platform variables to quantify the effects of chiropractic manipulation on gait symmetry, Journal of manipulative and physiological therapeutics 10(4) (1987) 172-176.
26. S.-P. Lee, C.M. Powers, Individuals with diminished hip abductor muscle strength exhibit altered ankle biomechanics and neuromuscular activation during unipedal balance tasks, Gait & posture 39(3) (2014) 933-938.
27. M. Kimmerle, Lateral bias, functional asymmetry, dance training and dance injuries, Journal of Dance Medicine & Science 14(2) (2010) 58-66.
28. E.M. Wanke, J. Schreiter, D.A. Groneberg, B. Weisser, Muscular imbalances and balance capability in dance, Journal of occupational medicine and toxicology 13 (2018) 1-8.
29. J. Gorwa, J. Kabaciński, M. Murawa, A. Fryzowicz, On the track of the ideal turnout: Electromyographic and kinematic analysis of the five classical ballet positions, PloS one 15(3) (2020) e0230654.
30. C.J. Main, A.C. de C Williams, Musculoskeletal pain, Bmj 325(7363) (2002) 534-537.
31. MacMillan, C., Olivier, B., Viljoen, C. et al. The Association Between Menstrual Cycle Phase, Menstrual Irregularities, Contraceptive Use and Musculoskeletal Injury Among Female Athletes: A Scoping Review. Sports Med 54, 2515–2530 (2024). https://doi.org/10.1007/s40279-024-02074-5
32. Canosa - Carro L, Bravo - Aguilar M, Abuín - Porras V, Almazán - Polo J, García - Pérez - de - Sevilla G, Rodríguez - Costa I, López - López D, Navarro - Flores E, Romero - Morales C. Current understanding of the diagnosis and management of the tendinopathy: An update from the lab to the clinical practice. Disease - a - Month. 2022;68(10):101314. ISSN 0011 - 5029. https://doi.org/10.1016/j.disamonth.2021.101314.
33. Misgeld, O., Holzapfel, A., Kallioinen, P., & Ahlbäck, S. (2021). The melodic beat: exploring asymmetry in polska performance. Journal of Mathematics and Music, 16(2), 138–159. https://doi.org/10.1080/17459737.2021.2002446
34. Chen, X., Dong, X., Feng, Y., Jiao, Y., Yu, J., Song, Y., Li, X., Zhang, L., Hou, P., & Xie, P. (2023). Muscle activation patterns and muscle synergies reflect different modes of coordination during upper extremity movement. Frontiers in Human Neuroscience, 16, 912440. https://doi.org/10.3389/fnhum.2022.912440
35. Mattiussi, A. M., Shaw, J. W., Price, P., Brown, D. D., Cohen, D. D., Lineham, J., Pedlar, C. R., Tallent, J., & Atack, A. (2024). The association of range of motion, lower limb strength, and load during jump landings in professional ballet dancers. Journal of Biomechanics, 168, 112119. https://doi.org/10.1016/j.jbiomech.2024.112119
36. Tao, D., Gao, Y., Cole, A., Baker, J. S., Gu, Y., Supriya, R., Tong, T. K., Hu, Q., & Awan-Scully, R. (2022). The Physiological and Psychological Benefits of Dance and its Effects on Children and Adolescents: A Systematic Review. Frontiers in Physiology, 13, 925958. https://doi.org/10.3389/fphys.2022.925958
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