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PubMed1997

Sex-linked differences in equilibrium reactions among adolescents performing complex sensorimotor tasks.

Equilibrium reactions were compared between male and female adolescents (prepuberal and puberal), classified into two groups: those who had previously learned complex motor tasks (dance or acrobatics) and those with no particular training. Subjects stood (eyes open or eyes closed) on a free seesaw platform, the displacements of which were calculated from accelerometer measures. They were instructed to maintain a vertical position with their frontal plane either parallel (to measure antero-posterior oscillations) or perpendicular to the axis of the platform (to measure lateral oscillations). Girls had a better stability than boys as shown by the smaller displacement of their center of gravity. Untrained subjects, irrespective of sex, were the least stable. Subjects trained in acrobatics were more stable than dancers. Differences related to sex can be attenuated by physical training involving equilibrium exercises which suggests that moderate sustained training could reduce the incidence of falls in aged persons and in professionally exposed workers.

Adolescent↗
PubMed1994

Musculoskeletal problems of performing artists.

We have reviewed the frequency and variety of rheumatic problems among performing artists. For instrumentalists, injuries are related to the type of instrument played, the technique used and the effort expended in the quest for excellence. For dancers, musculoskeletal problems too reflect technique and effort. We should not be surprised at the frequency of these problems. Rheumatologists, as well as orthopaedic surgeons, physiotherapists, neurologists and other physicians, encounter performing artists as patients. We should be familiar with their problems and be able to knowledgeably diagnose and manage them. This may include observing the artist during actual performances. How is the instrument being held? What is the posture of the artist? What are the comments of the coach or teacher. What type of shoes does the ballerina wear? What movements in particular cause discomfort? These and similar observations will have direct bearing on the musculoskeletal problems of these artists. Published studies have related the variety, frequency and disabling nature of performance-related musculoskeletal problems. Unfortunately few if any of these are controlled, blinded or prospective. We need more and better information. We will want clear information about prevalence of problems, better definition of the musculoskeletal ailments, classification of the relationship of problems with performance and individual biomechanical features, information about response of specific problems to interventions, and data about the long-term consequences, if any, of these rheumatic problems to the musculoskeletal system. Artists as patients are unique. Minor problems can become potentially career-ending disabilities. Making music or performing dance may provide us with delightful entertainment but represents a source of livelihood to artists. Understanding their medical needs and enabling them to continue to perform is the challenge before us.

Adult↗
PubMedDate not supplied

Osteonecrosis of the tibial and fibular sesamoids in an aerobics instructor.

Osteonecrosis of the sesamoids is a fairly uncommon clinical entity. The development of this condition involving both sesamoids has never been presented in the American literature. After extirpation of the sesamoids and interdigital fusion, the patient returned to her regular activities, including dance.

Adult↗
PubMed2000

Testing legal assumptions regarding the effects of dancer nudity and proximity to patron on erotic expression.

A field experiment was conducted in order to test the assumptions by the Supreme Court in Barnes v. Glen Theatre, Inc. (1991) and the Ninth Circuit Court of Appeals in Colacurcio v. City of Kent (1999) that government restrictions on dancer nudity and dancer-patron proximity do not affect the content of messages conveyed by erotic dancers. A field experiment was conducted in which dancer nudity (nude vs. partial clothing) and dancer-patron proximity (4 feet; 6 in.; 6 in. plus touch) were manipulated under controlled conditions in an adult night club. After male patrons viewed the dances, they completed questionnaires assessing affective states and reception of erotic, relational intimacy, and social messages. Contrary to the assumptions of the courts, the results showed that the content of messages conveyed by the dancers was significantly altered by restrictions placed on dancer nudity and dancer-patron proximity. These findings are interpreted in terms of social psychological responses to nudity and communication theories of nonverbal behavior. The legal implications of rejecting the assumptions made by the courts in light of the findings of this study are discussed. Finally, suggestions are made for future research.

Adult↗
PubMed1998

Children's decoding of emotion in expressive body movement: the development of cue attunement.

Little research has focused on children's decoding of emotional meaning in expressive body movement: none has considered which movement cues children use to detect emotional meaning. The current study investigated the general ability to decode happiness, sadness, anger, and fear in dance forms of expressive body movement and the specific ability to detect differences in the intensity of anger and happiness when the relative amount of movement cue specifying each emotion was systematically varied. Four-year-olds (n = 25), 5-year-olds (n = 25), 8-year-olds (n = 29), and adults (n = 24) completed an emotion contrast task and 2 emotion intensity tasks. Decoding ability exceeding chance levels was demonstrated for sadness by 4-year-olds; for sadness, fear, and happiness by 5-year-olds: and for all emotions by 8-year-olds and adults. Children as young as 5 years were shown to rely on emotion-specific movement cues in their decoding of anger and happiness intensity. The theoretical significance of these effects across development is discussed.

Adolescent↗
PubMed1987

Improving adherence to physical activity.

Two studies tested the efficacy of Marlatt and Gordon's relapse-prevention approach in increasing attendance during an exercise program (short-term adherence) and continuation of exercise activities for 12 weeks following termination of the formal program (longer term adherence). Participants in both studies were registrants in 10-week exercise groups (jogging, aerobic dance, and pre-ski training) sponsored by the Université de Montréal Sports Centre. The intervention, designed to increase awareness of obstacles to exercise and to develop appropriate techniques for coping with them, was delivered by group leaders within the context of the regular program. Results of both studies indicate a small but consistent superiority of adherence in the experimental condition compared to the control condition. The low cost of this intervention, however, makes even small gains cost effective. Possible methods for strengthening the treatment effect are discussed.

Adult↗
PubMed2004

Sports and performing arts medicine. 6. Issues relating to dancers.

UNLABELLED: This self-directed study module highlights biomechanics unique to dance that predispose to common injuries of the lower extremity and discusses preventative strategies. It is part of the study guide on sports and performing arts medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. OVERALL ARTICLE OBJECTIVE: To summarize lower-limb and back injuries commonly seen in dancers.

Biomechanical Phenomena↗
PubMed2001

The experience of back pain in young Australians.

The usual activity level and history of low back pain was determined by questionnaire in 614 young Australians (9-27 years); dancers (25%), gymnasts (5%) and a control group who did not participate in dance or gymnastics for > or =6 hours/week during the previous three months (70%). These groups demonstrated significantly different activity levels (dancers >gymnasts >controls). Of all respondents, 34% experienced pain of more than two days duration in the previous year, and 50% in all previous years. The incidence and magnitude of pain in the previous year was significantly greater in the dancers and gymnasts (P<0.05) compared to the controls. The incidence of pain was not linked to the average total hours of activity until this exceeded 30 hours per week. There was no significant difference in the incidence of pain in the previous year between control group respondents who did and did not undertake regular activity. The average hours of activity per incident was approximately 20 hours for the dancers and approximately 5 hours for the other groups. This study has demonstrated that back pain in active and inactive adolescents presents a significant challenge for health-care practitioners involved in the management and prevention of symptomatic spinal disorders.

Adolescent↗
PubMed2004

[Peak torque and proprioception at the ankle of dancers in professional training].

The ankle is a frequent site of injury for dancers. The aim of the controlled study was to examine the proprioceptive and sensorimotor control of the ankle in a group of dancers in professional training and to compare it with persons unused to physical training. The purpose was to investigate whether dance training influences the torque ratio of plantar flexion to dorsiflexion (PF/DF) and the proprioceptive performance compared to controls. 42 dancers (31 f, 11 m) in professional training and 40 sex- and age-matched controls performed a isokinetic peak torque test, a passive angle-reproduction test (Biodex System 3), and a single-limb-standing test. The female dancers showed a significantly higher peak torque ratio PF/DF at 30 degrees/s. The difference between male dancers and the controls did not reach a significant level. The dancers did not demonstrate lower absolute errors in passive angle-reproduction (5 degrees and 25 degrees PF) than controls. In the single-limb-standing test, the dancers achieved significantly better results than controls. Dancers could profit from special training of the dorsiflexors. In view of the balance deficits, coordinative exercises should be integrated into school and recreational sports more frequently.

Adolescent↗
PubMed1991

Organization of segmental reflexes in trained dancers.

Unilateral and conditioned Achilles tendontap reflex (ATR) characteristics were examined in a group of skilled dancers and a group of sedentary, untrained subjects (n = 7/group). For the conditioned reflex, the right ATR was conditioned by a tap to the left Achilles tendon using intervals of 10, 40, 70, 100, 130, 160 and 190 ms. Peak isometric force, contraction time and half-relaxation time were examined on each trial. The results indicated that the trained dancers exhibited less unilateral isometric force and longer half-relaxation times (p less than 0.05) than the untrained subjects. Moreover, the contralateral conditioning stimulus caused a more marked short-latency facilitation as well as a long-latency inhibition in the reflex force characteristics for the trained dancers when compared with the untrained subjects. These differences in both simple and conditioned reflexes in individuals trained for dance activities may reflect differences in muscle stiffness, tissue compliance or neural organization.

Achilles Tendon↗
PubMed1999

Postural control of ballet dancers: a specific use of visual input for artistic purposes.

Dance is a specific expression of human motor behaviour. This artistic physical activity depends upon an effective technical training with important postural components and necessitates the codification of sensory inputs to build mental representations of the action to be produced. Proprioception and vision being two fundamental sensory modalities in classical ballet, this study attempted to determine the importance of the visual input for postural control during the practice of this activity. First, this work compared the performances of 18 professional ballet dancers and 46 non-dancers on a platform of forces during static posturographic tests in open or closed eyes situation. Then, we studied how professional dancers achieve balance in postures specific of classical ballet: on demi-pointe and on pointe. The results indicate that visual inputs are important in classical ballet since dancers only performed better than controls in eyes open conditions. The similar results obtained on pointe with eyes open or closed conversely suggest that training in classical ballet develops specific modalities of balance which are not transferable to posture control in daily life situations.

Adolescent↗
PubMed1998

[Eye injuries during a laser show].

BACKGROUND: Laser injuries are usually described in case reports concerning military personnel or scientists who had an accidental exposition to a laser. Today laser injuries to un-involved persons become more frequent. The potential danger for eye injuries was discussed by Birngruber and Gabel (2) in 1984. PATIENT: A patient presented 4 days after the accident with a monocular decline in vision and a scotoma after being hit by a ray of a discotheque laser. At the time of the accident the patient was standing on the dance floor watching a laser show. From that moment he reported a scotoma on the affected eye. The examination of the patient by an ophthalmologist 3 days later revealed a monocular decline in vision to 0.3 and a scotoma. Reading problems were reported. The fluorescence angiography confirmed the biomicroscopical barely visible line shaped defect next to the foveola which was according to our clinical experience caused by the ray of a laser. The vision defect and the scotoma remained stable during the follow up period. CONCLUSIONS: Before the first use of a show-laser unit it gets approved. Every change of the unit or the change of its position requires a new technical check by authorized institutions. At present many show lasers in use are not met with this requirement. Manipulations to the lasers are easy to perform and improve the intended show effect. The missing control practice provokes eye threatening situations for an enormous number of persons who are not aware of the danger.

Adult↗
PubMed2003

Leisure activities and the risk of dementia in the elderly.

BACKGROUND: Participation in leisure activities has been associated with a lower risk of dementia. It is unclear whether increased participation in leisure activities lowers the risk of dementia or participation in leisure activities declines during the preclinical phase of dementia. METHODS: We examined the relation between leisure activities and the risk of dementia in a prospective cohort of 469 subjects older than 75 years of age who resided in the community and did not have dementia at base line. We examined the frequency of participation in leisure activities at enrollment and derived cognitive-activity and physical-activity scales in which the units of measure were activity-days per week. Cox proportional-hazards analysis was used to evaluate the risk of dementia according to the base-line level of participation in leisure activities, with adjustment for age, sex, educational level, presence or absence of chronic medical illnesses, and base-line cognitive status. RESULTS: Over a median follow-up period of 5.1 years, dementia developed in 124 subjects (Alzheimer's disease in 61 subjects, vascular dementia in 30, mixed dementia in 25, and other types of dementia in 8). Among leisure activities, reading, playing board games, playing musical instruments, and dancing were associated with a reduced risk of dementia. A one-point increment in the cognitive-activity score was significantly associated with a reduced risk of dementia (hazard ratio, 0.93 [95 percent confidence interval, 0.90 to 0.97]), but a one-point increment in the physical-activity score was not (hazard ratio, 1.00). The association with the cognitive-activity score persisted after the exclusion of the subjects with possible preclinical dementia at base line. Results were similar for Alzheimer's disease and vascular dementia. In linear mixed models, increased participation in cognitive activities at base line was associated with reduced rates of decline in memory. CONCLUSIONS: Participation in leisure activities is associated with a reduced risk of dementia, even after adjustment for base-line cognitive status and after the exclusion of subjects with possible preclinical dementia. Controlled trials are needed to assess the protective effect of cognitive leisure activities on the risk of dementia.

Aged↗
PubMed1995

Physical activity, body composition and bone density in ballet dancers.

The main purpose of the present study was to examine factors that affect bone mineral density (BMD) in female ballet dancers. Training history, Ca intake, body composition, total body BMD (TBMD) and site-specific BMD, and bone mineral content were described in twenty-four female ballet dancers (mean age 22.6 (SD 4.5) years). Training history was determined by questionnaires, Ca intake by 7 d dietary record, BMD and bone mineral content by dual-energy X-ray absorptiometry (DXA), total body water by 2H dilution, extracellular water by bromide dilution, body fat by underwater weighing (UWW; two-component model), DXA, and the four-component (4C) model. Dancers had a significantly lower body mass index (BMI 18.9 (SD 1.0) kg/m2) than controls (21.3 (SD 1.9) kg/m2), with significantly lower percentage body fat (17.4 (SD 3.9) v. 24.4 (SD 5.1)) but comparable fat-free mass. Mean TBMD (1.147 (SD 0.069) g/cm2) was significantly higher (6%) compared with that of a reference population. These high values could be attributed to the high BMD of legs and pelvis, the weight-bearing sites of the dancer's body. No relationship was found between age, start of ballet classes, period (years) of dancing, Ca intake, and BMD (total and site-specific). However, TBMD was positively related to BMI, and negatively related to the age of menarche. BMD of the legs was significantly related to BMI, and negatively related to the age of menarche. BMD of the legs was significantly related to daily period (h) of training. Depending on the method used the percentage body fat ranged from 16.4 (by DXA) to 18.3 by the 4C model. These differences were significantly related to the TBMD. Percentage body fat by the different methods was not significantly different, except for DXA and 4C model. The present study showed that, despite the factors that have a negative effect on BMD, such as low body mass and late menarche, BMD in female ballet dancers was relatively high. These high values were probably caused by high levels of weight-bearing physical activity.

Absorptiometry, Photon↗
PubMed2000

Hierarchical confirmatory factor analysis of the Flow State Scale in exercise.

In this study, we examined the factor structure and internal consistency of the Flow State Scale using responses of exercise participants. This self-report questionnaire consists of nine subscales designed to assess flow in sport and physical activity. It was administered to 1231 aerobic dance exercise participants. Confirmatory factor analyses were used to test three competing measurement models of the flow construct: a single-factor model, a nine-factor model and a hierarchical model positing a higher-order flow factor to explain the intercorrelations between the nine first-order factors. The single-factor model showed a poor fit to the data. The nine-factor model and the hierarchical model did not show an adequate fit to the data. All subscales of the Flow State Scale displayed acceptable internal consistency (alpha > 0.70), with the exception of transformation of time (alpha = 0.65). Collectively, the present results do not provide support for the tenability of the single-factor, nine-factor or hierarchical measurement models in an exercise setting.

Adolescent↗
PubMed1999

The quantification of joint laxity in dancers and gymnasts.

The aim of this study was to determine the range of movement in gymnastic and dance populations. Sixty-five participants (41 females, 24 males; mean age 21.4 years) were assessed. The sample included dancers and gymnasts ranging from novice and club standard to international and professional status. Non-specialized physical education students acted as controls. Range of movement was measured at the shoulders, hips, lumbar spine and ankles using a Loebl hydrogoniometer, and inherent joint laxity was assessed using Beighton and coworkers' adaptation of the Carter and Wilkinson 9-point scale. The right and left sides of the body were assessed and measures of active and passive motion were recorded. A graded increase in laxity was observed from controls, through novice gymnasts, to dancers and finally international gymnasts. The greater laxity of females than males was also confirmed. Dancers and gymnasts had a greater passive range of movement in all joints, which was partly inherited and partly acquired. There was a large difference between their active and passive ranges, which appeared to render the joints unstable.

Adult↗
PubMed2005

Party drugs: properties, prevalence, patterns, and problems.

This review summarizes the latest literature on "party" or "club" drugs, defined as MDMA, GHB, ketamine, and Rohypnol, as published from 2002 to early 2005. Club drugs have been categorized as being used at raves and dance parties. The literature shows that each drug has different properties, users, and settings. Each drug has different adverse effects and requires different acute care protocols. Although these drugs were identified early, scientific information about them, including the toxicological tests to identify them, is still evolving. Increasing numbers of studies on the short- and long-term effects of these drugs on humans are being published, but because of limitations on research using human subjects, they may not always be as rigorous as desired and can be cited by drug users to discredit findings of harm. The lack of research-based information on these drugs has led to the emergence of web sites that may or may not provide accurate data. Evaluated chemical dependency treatment protocols using the latest research for each of these different drugs are needed.

Adolescent↗
PubMed2005

"Partying" hard: party style, motives for and effects of MDMA use at rave parties.

This study examines motives for and consequences of MDMA use at different types of dance parties in the Netherlands (2001 and 2002). Participants were 490 visitors of three different types of rave parties, "club/mellow," "trance/mainstream," and "hardcore" (34% female, mean age 22.3 years, 76.5% MDMA users). Partygoers are motivated primarily by the energetic and euphoric effects they expect from MDMA. Quantity of MDMA use is associated with hardcore and trance/mainstream party style, with the motives of euphoria, sexiness, self-insight, and sociability/flirtatiousness (negative), and with gender, educational level (negative), and MDMA use by friends. Women report more (acute) negative effects--depression, confusion, loss of control, suspiciousness, edginess, nausea, dizziness--than men; and in particular, women who are motivated to cope with their problems by using MDMA are at risk. Men's polydrug use and notably their motivation to conform to friends by using MDMA are associated with negative effects.

Adult↗