PTOtherInternational journal of sports physical therapy2021

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.

Katherine L Long, Mary K Milidonis, Veronica L Wildermuth and 2 others

PMID 33842036

WHAT IT FOUND

No injuries occurred, so injury prevention could not be tested.

In six dancers, dance function, balance, single-leg hop and upper-extremity scores improved after a 5-week class, but not all tests, and some gains faded by four months.

Key findings

01No dancer reported time loss from dance or modified activity due to injury during the study period.

02Immediately following the conditioning program, dancers improved on the Dance Functional Outcome Survey, the Modified Star Excursion Balance Test on both sides, the Single Leg Hop for Distance test, and the Closed Kinetic Chain Upper Extremity Stability Test, but not on the Knee Lift Abdominal Test, Standing Bow Test, or Medial Triple Hop Test.

03At four-month follow-up, improvements remained for the Dance Functional Outcome Survey, Single Leg Hop for Distance, and left lower-extremity Modified Star Excursion Balance Test composite reach, but not for the right lower-extremity composite reach or the Closed Kinetic Chain Upper Extremity Stability Test.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only six dancers were analyzed from an initial group of eleven, so the sample was very small and the dropout difference is material. Dancers volunteered and were from one small professional contemporary ballet company, so the results may not apply to injured dancers, other companies, or other dance styles. There was no control group and the design was within-subjects, so the observed changes cannot be shown to be caused by the conditioning program. The program included warm-up, agility, plyometrics, strength training, education, and feedback, so the effect of any single component cannot be separated. No injuries occurred during the study period, so the study could not test whether the program reduced injury rate. Injury tracking relied on time-loss and modified-activity definitions, and all dancers reported average 3-6/10 pain with activity, so this method may miss dance-related problems. The follow-up was only four months and was limited by touring and company turnover, so longer-term maintenance is unknown. A power analysis was not possible, and the small sample may be underpowered. Some tests may have been too easy for these dancers, because baseline motor-control scores were high and the standing bow test showed no change.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that this conditioning class prevents dance injuries. No injuries occurred, so injury prevention could not be tested, and the study had no control group, so the improvements cannot be shown to be caused by the class.

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