The effectiveness of stability training of the lumbo-pelvic-hip complex in ballroom dancers with low back pain

• Authors: Jacek Małecki , Mirosław Kokosz , Edward Saulicz , Izabela Świat-Borowczyk
• Languages of publication: EN

Abstracts

EN

Background: Low back pain is a common problem in ballroom dancers. In the United States of America about 23% of all injuries in dancers is low back pain. Low back pain in dancers can be related to the extended position of the spine during dancing. The activity of the abdominal muscles, such as transverse abdominis and multifidus muscles can play significant role in the pathomechanics of the problem. These muscles are important for stability of the pelvis and the lumbar spine. The purpose of the study was to estimate the effectiveness of stability exercises of the lumbo-pelvic-hip complex in reducing low back pain among ballroom dancers. Material/Methods: 30 professional dancers (mean age of 19 years) both males and females participated in the research. Subjects were randomised into two groups. Dancers from the first group continued normal dance training with extra stability training (the experimental group). Participants from the second group continued normal dance training only, without any modifications (the control group). The pain rate was measured by the Numerical Pain Rating Scale. The stability muscles activity was estimated with the biofeedback pressure unit in supine and prone position. Results: After 6 weeks of stability trainings in dancers from experimental group low back pain significantly decreased and the stability muscles activity improved (p < 0.05).Conclusions: Results of the study show that stability exercises can be effective in reducing low back pain in ballroom dancers. However, prolonged observations and research comparing different training regimens (e.g. general exercises or Pilates) are needed.

Keywords

EN

spinal disorders; competitive dancing; core stability

• Publisher: De Gruyter Open
• Journal: Physiotherapy and Health Activity
• Year: 2015
• Volume: 23
• Issue: 1
• Pages: 17-22

Dates

published

1 - 12 - 2015

accepted

10 - 11 - 2015

online

30 - 12 - 2015

received

8 - 10 - 2015

Contributors

author

Jacek Małecki

• PhD Studies, The Jerzy Kukuczka Academy of Physical Education in Katowice
• MEDICO Rehabilitation Centre, 43-300 Bielsko-Biała, ul. Komorowicka 23, Poland, phone number: (33) 816 40 25

author

Mirosław Kokosz

• Department of Physiotherapy, The Jerzy Kukuczka Academy of Physical Education in Katowice

author

Edward Saulicz

• Department of Physiotherapy, The Jerzy Kukuczka Academy of Physical Education in Katowice

author

Izabela Świat-Borowczyk

• PhD Studies, The Jerzy Kukuczka Academy of Physical Education in Katowice

References

• 1. Beckmann-Kline J, Krauss JR, Maher SF, Qu X. Core strength training using a combination of home exercises and a dynamic sling system for the management of low back pain in pre-professional ballet dancers. J Dance Med Sci, 2013; 17(1): 24-33
• 2. Bolin D. Evaluation and management of stress fractures in dancers. J Dance Med Sci, 2001; 5(2): 37-42
• 3. Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. Clin Biomech, (Bristol, Avon). 1996; 11(1): 1-15[Crossref]
• 4. Costa LOP, Costa LdaCM, Cançado RL, Oliveira WdeM, Ferreira PH. Short report: Intra-tester reliability of two clinical tests of transversus abdominis muscle recruitment. Physiother Res Int, 2006; 11(1): 48-50[Crossref]
• 5. Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain, 2011; 152(10): 2399-404[WoS]
• 6. Fritz JM, Cleland JA, Childs JD. Subgrouping patients with low back pain: Evolution of a classification approach to physical therapy. J Orthop Sports Phys Ther, 2007; 37(6): 290-302[Crossref][WoS]
• 7. Gardner-Morse M, Stokes I, Liable J. Role of muscles in lumbar spine stability in maximum extensor efforts. J Orthop Res, 1995; 13(5): 802-8[Crossref]
• 8. Garrick J, Requa R. Ballet injuries: an analysis of epidemiology and financial outcome. Am J Sports Med, 1993; 21(4): 586-90[Crossref]
• 9. 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: 136-42
• 10. Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil, 2005; 86: 1753-62[Crossref]
• 11. Hodges PW, Richardson CA. Inefficient muscular stailization of the lumbar spine associated with low back pain: a motor control evaluation of transverse abdominis. Spine, 1996, 15; 21 (22): 2640-50[Crossref]
• 12. Hodges PW, Richardson CA. Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. J Spinal Disord, 1998; 11(1): 46-56
• 13. Holm S, Indahl A, Solomonow M. Sensorimotor control of the spine. J Electromyogr Kinesiol, 2002; 12 (3): 219-34[Crossref]
• 14. Jarmolov D, Selck B. Teach like a pro: The ultimate guide for ballroom dance instructors. Oakland: Ballroom Dance Teachers College; 2011: 96
• 15. Kokosz M, Saulicz E, Wolny T, Saulicz M, Myśliwiec A, Gębala Ł, Mokrus O, Linek P. Strength and kinesthetic differentiation of deep muscles stabilizing lumbar spine in low back pain complaints. Pol J Physiother. 2012; 2(4), vol. 12: 101-11
• 16. McGill SM. Low back stability: From formal description to issues for performance and rehabilitation. Exerc Sports Sci Rev, 2001; 29: 26-31[Crossref]
• 17. Nijs J, Daenen L, Cras P, Struyf F, Roussel N, Oostendorp RAB. Nociception affects motor output. A review on sensory-motor interaction with focus on clinical implications. Clin J Pain, 28(2); 2012: 175-81[WoS][Crossref]
• 18. Opila K, Wagner S, Schiowitz S, Chen J. Postural alignment in bare-foot and high heeled stance. Spine. 1988; 13(5): 542-7[Crossref]
• 19. O’Sullivan PB. Lumbar segmental ‘instability’: clinical presentation and specific stabilizing exercise management. Manual Ther, 2000; 5(1): 2-12[Crossref]
• 20. Panjabi M. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation and enhancement. J Spinal Disord, 1992; 5(4): 383-9; discussion 397[Crossref]
• 21. Panjabi M. Clinical instability and low back pain. J Electromyogr Kinesiol, 2003; 13: 371-9[Crossref]
• 22. Panjabi M. A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction. Eur Spine J, 2006; 15: 668-76[Crossref][WoS]
• 23. Phillips C. Stability in Dance Training. J Dance Med Sci, 2005; 9(1): 24-8
• 24. Richardson CA, Hides JA. Closed chain segmental control. In: Richardson CA, Hodges PW, Hides JA, eds. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. New York: Churchill Livingstone, 2004: 221-32
• 25. Richardson CA, Jull GA. Muscle control - pain control. What exercises would you prescribe? Manual Ther, 1995; 1: 2-10[Crossref]
• 26. Roussel N, De Kooning M, Schutt A, Mottram S, Truijen S, Nijs J, Daenen L. Motor control and low back pain in dancers. Int J Sports Med, 2013; 34: 138-43[WoS]
• 27. Shumway-Cook A, Woollacott M. Motor control - Theory and practical applications. Baltimore: Williams & Wilkins; 1995
• 28. Smith J. Moving beyond the neutral spine. Stabilizing the dancer with lumbar extension dysfunction. J Dance Med Sc,. 2009; 13(3): 73-82
• 29. Solomon R, Solomon J, Micheli L, McGray E. The ‘cost’ of injuries in a professional ballet company: a fiveyear study. Med Probl Perform Art, 1999; 164-70
• 30. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. Acad Emer Med, 2002; 8: 1153-7

Identifiers

DOI

10.1515/pha-2015-0010