Effectiveness of Abdominal Muscle Strengthening and Pelvic Control in the Prevention of Dance Injuries

NCT ID: NCT05771233

Last Updated: 2023-03-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-09

Study Completion Date

2023-07-20

Brief Summary

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Introduction. After observing the lack of lumbo-pelvic control and the difficulty in identifying the musculature used when performing the different dance positions, it was decided to carry out an exercise intervention to strengthen the abdominal musculature and lumbo-pelvic stabilization with dancers of the Dance Conservatory of Murcia. Approximately 40 students in the 6th year of professional dance of the 4 specialties taught will participate in this study.

Objectives. To improve abdominal musculature, lumbo-pelvic stability, dance technique and proprioception, to favor the correct integration of the dancer's body scheme and muscular synergies, to reduce the risk of injury and to avoid muscular compensations in the specific Arabesque dance position.

Methods. In order to develop the study, two individual and specific assessments of the dancer will be performed, pre and post intervention. In these, data and personal history were collected, assessing joint ranges and asymmetries in the movement of upper and lower limbs, and musculoskeletal assessment of the spine, hip and knee was performed by orthopedic tests. Flexibility of the ischiosural muscles will be evaluated by means of the toes-floor test and the popliteal angle test, and muscle strength in the abdominal and lumbar region for the muscles most involved in the Arabesque movement. In addition, core stability will be assessed by specific tests and hip and knee extension range along with the increase in lumbar curve when performing Arabesque.

The intervention will be carried out through group sessions of 4 to 6 participants, and exercises aimed at muscle strengthening and improving lumbo-pelvic stability will be taught. The intervention will be performed 1 hour per week, with each group, for 2 months and they will be instructed to work this routine two hours per week at home.

Detailed Description

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Introduction. After observing the inefficient pelvic control and the difficulty in identifying the musculature used when performing the different dance positions, it was decided to carry out a core strengthening and lumbo-pelvic stabilization exercise intervention with dancers of the Dance Conservatory of Murcia. Approximately 40 students in the 6th year of professional dance of the 4 specialties taught will participate in this study.

Objectives. To improve core musculature, lumbo-pelvic stability, dance technique and proprioception, to favor the correct integration of the dancer's body scheme and muscular synergies, to reduce the risk of injury and to avoid muscular compensations in the specific Arabesque dance position.

Methods.For the development of the study, two individual and specific evaluations of the dancer will be performed, pre and post intervention. In them, data and personal history will be collected, assessing joint ranges and asymmetries in the movement of upper and lower limbs, and a musculoskeletal assessment of the spine, hip and knee will be performed by orthopedic tests. Flexibility of the ischiosural muscles will be evaluated by means of the toes-floor test and the popliteal angle test, and muscle strength in the abdominal and lumbar region of the muscles most involved in the arabesque movement. In addition, core stability will be evaluated by specific tests and hip and knee extension range along with hyperlordosis when performing the Arabesque.

The intervention will be carried out through group sessions of 4 to 6 participants, and exercises aimed at muscle strengthening and improving lumbo-pelvic stability will be taught. The intervention will be performed 1 hour per week, with each group, for 2 months and they will be instructed to work this routine two hours per week at home.

Conditions

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Lumbar Hyperlordosis Athletic Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

The study design employed is a randomized clinical trial (RCT), analytical, longitudinal and prospective, with a 4 months follow-up.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Prevention

The group will consist of 20 participants (6 classical dancers, 4 Spanish dancers, 5 flamenco dancers and 5 contemporary dancers) who will be divided into groups according to their specialties, with a one-hour session per week for 7 weeks of physical exercise to strengthen core muscles and lumbo-pelvic stability.

Group Type EXPERIMENTAL

Prevention

Intervention Type OTHER

First, an anamnesis is performed to collect information on illnesses, previous and current injuries, medication, sports practice outside of dance, diet, sleep hours and, where appropriate, information on menstruation.

Subsequently, an individual pre-intervention assessment of each participant is carried out, where personal data is collected, motor, elasticity and flexibility, muscle strength and stability tests are performed.

After the initial assessment, group sessions are stablished, divided by classes according to the type of specialty of 6th grade dance. The first session is focused on teaching the different exercises and the importance of muscle strengthening, the subsequent sessions are focused on the correction of the exercises, the resolution of doubts and the incorporation of progressions regarding strength and stabilization.

At the end of the intervention, each participant is re-evaluated and results are compared.

Control

The experimental group will consist of 20 participants (4 classical dancers, 6 Spanish dancers, 5 flamenco dancers and 5 contemporary dancers) who will not receive any strength training. They will be evaluated at the beginning and at the end of the study to compare the physical conditions of the participants of this group with those of the experimental group.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Prevention

First, an anamnesis is performed to collect information on illnesses, previous and current injuries, medication, sports practice outside of dance, diet, sleep hours and, where appropriate, information on menstruation.

Subsequently, an individual pre-intervention assessment of each participant is carried out, where personal data is collected, motor, elasticity and flexibility, muscle strength and stability tests are performed.

After the initial assessment, group sessions are stablished, divided by classes according to the type of specialty of 6th grade dance. The first session is focused on teaching the different exercises and the importance of muscle strengthening, the subsequent sessions are focused on the correction of the exercises, the resolution of doubts and the incorporation of progressions regarding strength and stabilization.

At the end of the intervention, each participant is re-evaluated and results are compared.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Students in the 6th year of the Professional Dance Conservatory of Murcia.
* Dancers in the discipline of classical, contemporary, Spanish or flamenco dance.
* To have taken the subject 'Anatomy applied to Dance'.
* Sign the informed consent form.

Exclusion Criteria

* Have any injury that currently prevents dancing.
* Have undergone surgery within the last year.
* Not attending the center regularly.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad de Murcia

OTHER

Sponsor Role lead

Responsible Party

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CRISTINA TORRES PEREZ

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cristina Torres Pérez

Role: PRINCIPAL_INVESTIGATOR

Universidad de Murcia

Locations

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Professional Dance Conservatory of Murcia

Murcia, , Spain

Site Status

Countries

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Spain

Central Contacts

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Cristina Torres Pérez

Role: CONTACT

657724433 ext. +34

Marta Gómez Martínez

Role: CONTACT

Facility Contacts

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Marta Gómez Martínez

Role: primary

References

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Smith TO, Davies L, de Medici A, Hakim A, Haddad F, Macgregor A. Prevalence and profile of musculoskeletal injuries in ballet dancers: A systematic review and meta-analysis. Phys Ther Sport. 2016 May;19:50-6. doi: 10.1016/j.ptsp.2015.12.007. Epub 2016 Jan 5.

Reference Type BACKGROUND
PMID: 27080110 (View on PubMed)

Caine D, Goodwin BJ, Caine CG, Bergeron G. Epidemiological Review of Injury in Pre-Professional Ballet Dancers. J Dance Med Sci. 2015 Dec;19(4):140-8. doi: 10.12678/1089-313X.19.4.140.

Reference Type BACKGROUND
PMID: 26641701 (View on PubMed)

L Biernacki J, Stracciolini A, Fraser J, J Micheli L, Sugimoto D. Risk Factors for Lower-Extremity Injuries in Female Ballet Dancers: A Systematic Review. Clin J Sport Med. 2021 Mar 1;31(2):e64-e79. doi: 10.1097/JSM.0000000000000707.

Reference Type BACKGROUND
PMID: 30589745 (View on PubMed)

Ambegaonkar JP, Caswell AM, Kenworthy KL, Cortes N, Caswell SV. Lumbar lordosis in female collegiate dancers and gymnasts. Med Probl Perform Art. 2014 Dec;29(4):189-92. doi: 10.21091/mppa.2014.4039.

Reference Type BACKGROUND
PMID: 25433254 (View on PubMed)

Kruusamae H, Maasalu K, Wyon M, Jurimae T, Maestu J, Mooses M, Jurimae J. Spinal posture in different DanceSport dance styles compared with track and field athletes. Medicina (Kaunas). 2015 Nov;51(5):307-11. doi: 10.1016/j.medici.2015.08.003. Epub 2015 Nov 11.

Reference Type BACKGROUND
PMID: 26674150 (View on PubMed)

Paris-Alemany A, Torres-Palomino A, Marino L, Calvo-Lobo C, Gadea-Mateos L, La Touche R. Comparison of lumbopelvic and dynamic stability between dancers and non-dancers. Phys Ther Sport. 2018 Sep;33:33-39. doi: 10.1016/j.ptsp.2018.06.010. Epub 2018 Jul 2.

Reference Type BACKGROUND
PMID: 29982036 (View on PubMed)

Kenny SJ, Whittaker JL, Emery CA. Risk factors for musculoskeletal injury in preprofessional dancers: a systematic review. Br J Sports Med. 2016 Aug;50(16):997-1003. doi: 10.1136/bjsports-2015-095121. Epub 2015 Nov 30.

Reference Type BACKGROUND
PMID: 26626269 (View on PubMed)

Trentacosta N, Sugimoto D, Micheli LJ. Hip and Groin Injuries in Dancers: A Systematic Review. Sports Health. 2017 Sep/Oct;9(5):422-427. doi: 10.1177/1941738117724159. Epub 2017 Aug 7.

Reference Type BACKGROUND
PMID: 28783444 (View on PubMed)

Steinberg N, Siev-Ner I, Peleg S, Dar G, Masharawi Y, Zeev A, Hershkovitz I. Extrinsic and intrinsic risk factors associated with injuries in young dancers aged 8-16 years. J Sports Sci. 2012;30(5):485-95. doi: 10.1080/02640414.2011.647705. Epub 2012 Jan 30.

Reference Type BACKGROUND
PMID: 22288886 (View on PubMed)

Bowerman EA, Whatman C, Harris N, Bradshaw E. A review of the risk factors for lower extremity overuse injuries in young elite female ballet dancers. J Dance Med Sci. 2015 Jun;19(2):51-6. doi: 10.12678/1089-313X.19.2.51.

Reference Type BACKGROUND
PMID: 26045395 (View on PubMed)

Related Links

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https://www.redalyc.org/pdf/3498/349853220024.pdf

PREVENTION OF THE MAIN DANCE INJURIES AND MECHANISMS OF THEIR PRODUCTION

Other Identifiers

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4240/2022

Identifier Type: -

Identifier Source: org_study_id

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