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

# 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...

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Main Authors: Katherine L Long, Mary K Milidonis, Veronica L Wildermuth, Adam N Kruse, Uniqua T Parham
Format: Article
Language:English
Published: North American Sports Medicine Institute 2021-04-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.21150
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author Katherine L Long
Mary K Milidonis
Veronica L Wildermuth
Adam N Kruse
Uniqua T Parham
author_facet Katherine L Long
Mary K Milidonis
Veronica L Wildermuth
Adam N Kruse
Uniqua T Parham
author_sort Katherine L Long
collection DOAJ
description # 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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spelling doaj-art-b8e95dd44a4e4244a532f57a77efbc002025-02-11T20:29:51ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-04-01162The 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 StudyKatherine L LongMary K MilidonisVeronica L WildermuthAdam N KruseUniqua T Parham# 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 3bhttps://doi.org/10.26603/001c.21150
spellingShingle Katherine L Long
Mary K Milidonis
Veronica L Wildermuth
Adam N Kruse
Uniqua T Parham
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
International Journal of Sports Physical Therapy
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url https://doi.org/10.26603/001c.21150
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