Lumbar Conditions in Ballet Dancers
Introduction[edit | edit source]
Lumbar hyperlordosis refers to the exaggerated curvature at the lumber spine, representing a faulty posture. It is associated with
- Increased lumbar lordosis
- Increased anterior pelvic tilt
This leads to an increased hip flexion, and can hyperextend the knee joints. Increased plantarflexion at the foot then occurs due to this knee position.[1]
The mean angle of lumbar lordosis is said to be around 48-61 degrees.[2] Lumbar hyperlordosis is indicated when the angle is greater than 68 degrees.[1] (Figure 1)
The sagittal lumbar curvature in ballet dancers can alter to compensate for limited range of motion in certain joints in order to achieve the desired posture, this can result in hyperlordosis in the lumbar spine.[3][4][5][6] Movements such as turn out (or first position), and arabesque that often require dancers to be in positions that are anatomically adverse.[4][7]
Lumbar hyperlordosis in ballet dancers can lead to low back pain (LBP),[8] and joint trauma[9] such as spondylolysis, or trauma to the pars interarticularis, the intervertebral discs, and the facet joints. [7] It predisposes dancers to muscle spasm, piriformis syndrome, and other spinal conditions like spondylolisthesis.[10]
Lumbar Conditions in Ballet Dancers[edit | edit source]
Clinically Relevant Anatomy[edit | edit source]
Clinical Presentation[edit | edit source]
Epidemiology[edit | edit source]
Hyperlordosis[edit | edit source]
Spondylolysis[edit | edit source]
Spondylolisthesis[edit | edit source]
Management Recommendations[edit | edit source]
Conclusion[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Bogduk, N. (2005) Clinical Anatomy of the Lumbar Spine and Sacrum. 4th edition. Elsevier: Churchill Livingstone.
- ↑ Jentzsch, T., Geiger, J., König, M.A. & Werner, C.M.L. (2017) Hyperlordosis is Associated with Facet Joint Pathology at the Lower Lumbar Spine. Clinical Spine Surgery. 30 (3), 129–135.
- ↑ Skallerud, A., Brumbaugh, A., Fudalla, S., Parker, T., Robertson, K. & Pepin, M.-E. (2022) Comparing Lumbar Lordosis in Functional Dance Positions in Collegiate Dancers with and without Low Back Pain. J Dance Med Sci. 26 (3), 191–201.
- ↑ 4.0 4.1 Livanelioglu, A., Otman, S., Yakut, Y. & Uygur, F. (1998) The Effects of Classical Ballet Training on the Lumbar Region. Journal of Dance Medicine & Science. 2 (2), 52–55.
- ↑ Cejudo, A., Gómez-Lozano, S., de Baranda, P.S., Vargas-Macías, A. & Santonja-Medina, F. (2021) Sagittal Integral Morphotype of Female Classical Ballet Dancers and Predictors of Sciatica and Low Back Pain. International Journal of Environmental Research and Public Health. 18 (9).
- ↑ Gamboa, J.M., Robert, L.A. & Fergus, A. (2008) Injury patterns in elite preprofessional ballet dancers and the utility of screening programs to identify risk characteristics. The Journal of orthopaedic and sports physical therapy. 38 (3), 126–136.
- ↑ 7.0 7.1 Milan, K.R. (1994) Injury in Ballet: A Review of Relevant Topics for the Physical Therapist. J Orthop Sports Phys Ther. 19 (2), 121–129.
- ↑ Pinnelli, M., Pulcinelli, M., Carnevale, A., Di Tocco, J., Massaroni, C., Schena, E., Longo, U.G. & Denaro, V. (2022) A Wearable System for Detecting Lumbar Hyperlordosis in Ballet Dancers: Design, Development and Feasibility Assessment. 2022 IEEE International Workshop on Metrology for Industry 4.0 and IoT, MetroInd 4.0 and IoT 2022 - Proceedings. 277–282.
- ↑ Roussel, N.A., Nijs, J., Mottram, S., Van Moorsel, A., Truijen, S. & Stassijns, G. (2009) Altered lumbopelvic movement control but not generalized joint hypermobility is associated with increased injury in dancers. A prospective study. Manual Therapy. 14 (6), 630–635.
- ↑ Gottschlich, L.M. & Young, C.C. (2011) Spine injuries in dancers. Current Sports Medicine Reports. 10 (1), 40–44.
