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Int J Sports Med 2013; 34(02): 138-143
DOI: 10.1055/s-0032-1321722
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Motor Control and Low Back Pain in Dancers

N. Roussel
1   Faculty of Medicine, University of Antwerp, Belgium
2   Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
5   Health Care Sciences, Artesis University College, Antwerp, Belgium
,
M. De Kooning
2   Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
,
A. Schutt
3   Royal Conservatoire, Artesis University College, Antwerp, Belgium
,
S. Mottram
4   Movement Performance Solutions, Physiotherapy, Chichester, United Kingdom
,
S. Truijen
5   Health Care Sciences, Artesis University College, Antwerp, Belgium
,
J. Nijs
2   Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
,
L. Daenen
1   Faculty of Medicine, University of Antwerp, Belgium
2   Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
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accepted after revision 01. Juni 2012

Publikationsdatum:
07. September 2012 (online)

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Abstract

Professional dancers suffer a high incidence of injuries, especially to the spine and lower extremities. There is a lack of experimental research addressing low back pain (LBP) in dancers. The aim of this study is to compare lumbopelvic motor control, muscle extensibility and sacroiliac joint pain between dancers with and without a history of LBP. 40 pre-professional dancers (mean age of 20.3 years) underwent a clinical test battery, consisting of an evaluation of lumbopelvic motor control, muscle extensibility, generalized joint hypermobility, and sacroiliac joint pain provocation tests. Also self-reported measurements and standardized questionnaires were used. 41% of the dancers suffered from LBP during at least 2 consecutive days in the previous year. Only one dancer suffered from sacroiliac joint pain. Compared to dancers without a history of LBP, dancers with a history of LBP showed poorer lumbopelvic motor control (p<0.05). No differences in muscle extensibility or joint hypermobility were observed between dancers (p>0.05). Despite their young age, pre-professional dancers suffer from LBP frequently. Sacroiliac joint pain, generalized joint hypermobility or muscle extensibility appears unrelated to LBP in dancers. Motor control is decreased in those with a history of LBP. Further research should examine whether motor control is etiologically involved in LBP in dancers.

Key words

dance - injury - low back pain - health - sacroiliac pain - joint pain - hypermobility
 

  • References

  • 1 Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006; 2: S192-S300
    PubMedSuche in Google Scholar
  • 2 Bachrach RM. Team physician #3. The relationship of low back/pelvic somatic dysfunctions to dance injuries. Orthop Rev 1988; 17: 1037-1043
    PubMedSuche in Google Scholar
  • 3 Beigthon P, Grahame R, Bird HA. (eds.). Hypermobility of Joints. London: Springer Verlag; 1999
    Crossref
  • 4 Bowling A. Injuries to dancers: prevalence, treatment, and perceptions of causes. BMJ 1989; 298: 731-734
    CrossrefPubMedSuche in Google Scholar
  • 5 Bronner S, Ojofeitimi S. Pelvis and hip three-dimensional kinematics in grand battement movements. J Dance Med Sci 2011; 15: 23-30
    PubMedSuche in Google Scholar
  • 6 Capel A, Medina FS, Medina D, Gomez S. Magnetic resonance study of lumbar disks in female dancers. Am J Sports Med 2009; 37: 1208-1213
    CrossrefPubMedSuche in Google Scholar
  • 7 Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Man Ther 2001; 6: 3-14
    CrossrefPubMedSuche in Google Scholar
  • 8 DeMann LE. Sacroiliac dysfunction in dancers with low back pain. Man Ther 1997; 2: 2-10
    CrossrefPubMedSuche in Google Scholar
  • 9 Fehlandt AF, Micheli LJ. Lumbar facet stress fracture in a ballet dancer. Spine 1993; 18: 2537-2539
    CrossrefPubMedSuche in Google Scholar
  • 10 Ferrario M, Carpenter MA, Chambless LE. Reliability of body fat distribution measurements. The ARIC Study baseline cohort results. Atherosclerosis Risk in Communities Study. Int J Obes Relat Metab Disord 1995; 19: 449-457
    PubMedSuche in Google Scholar
  • 11 Garrick JG, Requa RK. Ballet injuries. An analysis of epidemiology and financial outcome. Am J Sports Med 1993; 21: 586-590
    CrossrefPubMedSuche in Google Scholar
  • 12 Gelabert R. Dancers’ spinal syndromes. J Orthop Sports Phys Ther 1986; 7: 180-191
    PubMedSuche in Google Scholar
  • 13 Gottschlich LM, Young CC. Spine injuries in dancers. Curr Sports Med Rep 2011; 10: 40-44
    CrossrefPubMedSuche in Google Scholar
  • 14 Hagins M. The use of stabilization exercises and movement reeducation to manage pain and improve function in a dancer with focal degenerative joint disease of the spine. J Dance Med Sci 2011; 15: 136-142
    PubMedSuche in Google Scholar
  • 15 Harriss DJ, Atkinson G. Update – Ethical standards in sport and exercise science research. Int J Sports Med 2011; 32: 819-821
    Thieme ConnectPubMedSuche in Google Scholar
  • 16 Hodges PW. The role of the motor system in spinal pain: implications for rehabilitation of the athlete following lower back pain. J Sci Med Sport 2000; 3: 243-253
    CrossrefPubMedSuche in Google Scholar
  • 17 Jull G, Richardson CA, Toppenberg R, Comerford M, Bui B. Towards a measurement of active muscle control for lumbar stabilisation. Aust J Physiother 1993; 39: 187-193
    PubMedSuche in Google Scholar
  • 18 Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther 2005; 10: 207-218
    CrossrefPubMedSuche in Google Scholar
  • 19 Mainwaring L, Kerr G, Krasnow D. Psychological correlates of dance injuries. Med Probl Perform Art 1993; 8: 3-6
    PubMedSuche in Google Scholar
  • 20 McMeeken J, Tully E, Stillman B, Nattrass C, Bygott IL, Story I. The experience of back pain in young Australians. Man Ther 2001; 6: 213-220
    CrossrefPubMedSuche in Google Scholar
  • 21 Milan KR. Injury in ballet: a review of relevant topics for the physical therapist. J Orthop Sports Phys Ther 1994; 19: 121-129
    CrossrefPubMedSuche in Google Scholar
  • 22 Nijs J. Generalized joint hypermobility: An issue in fibromyalgia and chronic fatigue syndrome?. J Bodyw Mov Ther 2005; 9: 310-317
    CrossrefPubMedSuche in Google Scholar
  • 23 Noh YE, Morris T, Andersen MB. Occupational stress and coping strategies of professional ballet dancers in Korea. Med Probl Perform Art 2009; 21: 124-134
    PubMedSuche in Google Scholar
  • 24 Norkin CC, White DJ. (eds.). In: Measurement of joint motion: A guide to goniometry. Philadelphia: Davis; 1995
  • 25 Ogon M, Krismer M, Söllner W, Kantner-Rumplmair W, Lampe A. Chronic low back pain measurement with visual analogue scales in different settings. Pain 1996; 64: 425-428
    CrossrefPubMedSuche in Google Scholar
  • 26 Ramel E, Moritz U. Self-reported musculoskeletal pain and discomfort in professional ballet dancers in Sweden. Scand J Rehabil Med 1994; 26: 11-16
    PubMedSuche in Google Scholar
  • 27 Richardson CA, Hodges PW, Hides J. (eds.). In: Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain. Edinburgh: Churchill Livingstone; 2004
  • 28 Richardson CA, Jull GA, Toppenberg R, Comerford M. Techniques for active stabilisation for spinal protection: a pilot study. Aust J Physiother 1992; 38: 105-112
    PubMedSuche in Google Scholar
  • 29 Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion- and pain provocation tests for the sacroiliac joint. Man Ther 2007; 12: 72-79
    CrossrefPubMedSuche in Google Scholar
  • 30 Roelofs J, Peters ML, McCracken L, Vlaeyen JW. The pain vigilance and awareness questionnaire (PVAQ): further psychometric evaluation in fibromyalgia and other chronic pain syndromes. Pain 2003; 101: 299-306
    CrossrefPubMedSuche in Google Scholar
  • 31 Roussel N, Nijs J, Truijen S, Vervecken L, Mottram S, Stassijns G. Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case-control study. Eur Spine J 2009; 18: 1066-1073
    CrossrefPubMedSuche in Google Scholar
  • 32 Roussel NA, Nijs J, Mottram S, Van Moorsel A, Truijen S, Stassijns G. Altered lumbopelvic movement control but not generalized joint hypermobility is associated with increased injury in dancers. A prospective study. Man Ther 2009; 14: 630-635
    CrossrefPubMedSuche in Google Scholar
  • 33 Smith J. Moving beyond the neutral spine: stabilizing the dancer with lumbar extension dysfunction. J Dance Med Sci 2009; 13: 73-82
    PubMedSuche in Google Scholar
  • 34 Steinberg N, Hershkovitz I, Peleg S, Dar G, Masharawi Y, Heim M, Siev-Ner I. Range of joint movement in female dancers and nondancers aged 8 to 16 years: anatomical and clinical implications. Am J Sports Med 2006; 34: 814-823
    CrossrefPubMedSuche in Google Scholar
  • 35 Stewart DR, Burden SB. Does generalised ligamentous laxity increase seasonal incidence of injuries in male first division club rugby players?. Br J Sports Med 2004; 38: 457-460
    CrossrefPubMedSuche in Google Scholar
  • 36 Tsao H, Galea MP, Hodges PW. Reorganization of the motor cortex is associated with postural control deficits in recurrent low back pain. Brain 2008; 131: 2161-2171
    CrossrefPubMedSuche in Google Scholar
  • 37 van der Heijden PG, van Buuren S, Fekkes M, Radder J, Verrips E. Unidimensionality and reliability under Mokken scaling of the Dutch language version of the SF-36. Qual Life Res 2003; 12: 189-198
    CrossrefPubMedSuche in Google Scholar
  • 38 Wang TG, Jan MH, Lin KH, Wang HK. Assessment of stretching of the iliotibial tract with Ober and modified Ober tests: an ultrasonographic study. Arch Phys Med Rehabil 2006; 87: 1407-1411
    CrossrefPubMedSuche in Google Scholar