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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(03): 410-416
DOI: 10.1055/s-0042-1753516
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Mobilidade e resistência muscular lombopélvica e associação com dor musculoesquelética em bailarinas

Article in several languages: português | English
Vitória Hamdan Padilha 
1   Universidade Federal do Pampa, Uruguaiana, RS, Brasil
,
Simone Lara 
1   Universidade Federal do Pampa, Uruguaiana, RS, Brasil
,
Susane Graup 
1   Universidade Federal do Pampa, Uruguaiana, RS, Brasil
,
Lilian Pinto Teixeira 
1   Universidade Federal do Pampa, Uruguaiana, RS, Brasil
,
Loreanne dos Santos Silva 
1   Universidade Federal do Pampa, Uruguaiana, RS, Brasil
,
Eduardo Timm Maciel 
1   Universidade Federal do Pampa, Uruguaiana, RS, Brasil
› Author Affiliations Suporte Financeiro Não houve suporte financeiro de fontes públicas, comerciais ou sem fins lucrativos.
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Resumo

Objetivo Analisar a mobilidade e a resistência muscular lombopélvica e mobilidade de tornozelo, assim como identificar os fatores associados com dor musculoesquelética em bailarinas jovens.

Métodos Trata-se de um estudo quantitativo, descritivo e transversal que avaliou 14 bailarinas de 12 a 16 anos. Os seguintes instrumentos foram aplicados: a) Questionário Nórdico de Sintomas Osteomusculares (QNSO) para avaliação da dor musculoesquelética; b) leg lateral reach test, lumbar lock e rotation test (avaliação da mobilidade de tronco) e lunge test (avaliação da mobilidade de tornozelo); c) ponte frontal, extensores lombares e flexores lombares para avaliação da resistência do complexo lombopélvico.

Resultados A dor lombar e em membros inferiores, especialmente no joelho (57,1%), foram as principais queixas relatadas pelas bailarinas no presente estudo. As bailarinas avaliadas com dor lombar apresentavam significativamente menor mobilidade lombar (p = 0,05) e menor mobilidade de tornozelo em ambos os lados (p ≤ 0,05). Entre as que apresentavam dores nos joelhos, a resistência muscular de extensores de tronco foi significativamente menor (p = 0,05).

Conclusões O presente estudo encontrou associações importantes entre a função do complexo lombopélvico e sintomas musculoesqueléticos e apoia a construção de estratégias preventivas neste contexto.

Palavras-chave

dança - dor musculoesquelética - dor lombar

Trabalho desenvolvido Universidade Federal do Pampa, Uruguaiana, RS, Brasil.




Publication History

Received: 07 October 2021

Accepted: 27 May 2022

Article published online:
29 June 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 Da Silva JS, De Sousa CM. Dança, corpo e movimento: formas de expressão na educação infantil. In: EDUCERE - XII Congresso Nacional de Educação, Curitiba, out 26-29 outubro; 2015
    Google Scholar
  • 2 Cezarino GF, Porto ETR. The body in classic ballet: The dancer's voicers. Rev CPAQV 2017; 9 (03) 2-9
    Google Scholar
  • 3 Puoli GG. O Ballet no Brasil e a economia criativa: evolução histórica e perspectivas para o século XXI [monografia]. São Paulo: Fundação Armando Alvares Penteado; 2010
    Google Scholar
  • 4 Cardoso A, Reis NM, Marinho APR, Vieira MCS, Boing L, Guimarães ACA. Injuries in professional dancers: a systematic review. Rev Bras Med Esporte 2017; 23 (06) 504-509
    CrossrefGoogle Scholar
  • 5 Caine D, Goodwin BJ, Caine CG, Bergeron G. Epidemiological Review of Injury in Pre-Professional Ballet Dancers. J Dance Med Sci 2015; 19 (04) 140-148
    CrossrefPubMedGoogle Scholar
  • 6 Costa MSS, Ferreira AS, Orsini M, Silva EB, Felicio LR. Characteristics and prevalence of musculoskeletal injury in professional and non-professional ballet dancers. Braz J Phys Ther 2016; 20 (02) 166-175
    CrossrefPubMedGoogle Scholar
  • 7 Ramkumar PN, Farber J, Arnouk J, Varner KE, Mcculloch PC. Injuries in a Professional Ballet Dance Company: A 10-year Retrospective Study. J Dance Med Sci 2016; 20 (01) 30-37
    CrossrefPubMedGoogle Scholar
  • 8 Vera AM, Barrera BD, Peterson LE. et al. An Injury Prevention Program for Professional Ballet: A Randomized Controlled Investigation. Orthop J Sports Med 2020; 8 (07) 2325967120937643
    CrossrefPubMedGoogle Scholar
  • 9 Smith PJ, Gerrie BJ, Varner KE, McCulloch PC, Lintner DM, Harris JD. Incidence and Prevalence of Musculoskeletal Injury in Ballet: A Systematic Review. Orthop J Sports Med 2015; 3 (07) 2325967115592621
    CrossrefPubMedGoogle Scholar
  • 10 Henn ED, Smith T, Ambegaonkar JP, Wyon M. Low back pain and injury in ballet, modern, and hip-hop dancers: a systematic review. Int J Sports Phys Ther 2020; 15 (05) 671-687
    CrossrefPubMedGoogle Scholar
  • 11 Tumonytė G, Aleksandravičienė R, Zaičenkovienė K. Effect of pilates method on 6–10-year-old dancesport dancers' physiological responses. Balt J Sport Health Sci 2018; 2 (109) 41-49
    Google Scholar
  • 12 Watson T, Graning J, McPherson S. et al. Dance, Balance and Core Muscle Performance Measures are Improved Following a 9-Week Core Stabilization Training Program Among Competitive Collegiate Dancers. Int J Sports Phys Ther 2017; 12 (01) 25-41
    PubMedGoogle Scholar
  • 13 Prati SRA, Prati ARC. Níveis de aptidão física e análise de tendências posturais em bailarinas clássicas. Rev Bras Cineantropom Desempenho Hum 2006; 8 (01) 80-87
    Google Scholar
  • 14 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; 33: 33-39
    CrossrefPubMedGoogle Scholar
  • 15 Pinheiro FA, Troccoli BT, Carvalho CV. Validação do Questionário Nórdico de Sintomas Osteomusculares como medida de morbidade. Rev Saude Publica 2002; 36 (03) 307-312
    CrossrefPubMedGoogle Scholar
  • 16 Kim SH, Kwon OY, Park KN, Hwang UJ. Leg lateral reach test: The reliability and correlation with thoraco-lumbo-pelvic rotation range. J Sci Med Sport 2017; 20 (01) 2-5
    CrossrefPubMedGoogle Scholar
  • 17 Furness J, Climstein M, Sheppard JM, Abbott A, Hing W. Clinical methods to quantify trunk mobility in an elite male surfing population. Phys Ther Sport 2016; 19: 28-35
    CrossrefPubMedGoogle Scholar
  • 18 Bennell KL, Talbot RC, Wajswelner H, Techovanich W, Kelly DH, Hall AJ. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Aust J Physiother 1998; 44 (03) 175-180
    CrossrefPubMedGoogle Scholar
  • 19 Oliveira IO. Valores de referência e confiabilidade de testes clínicos para avaliação funcional lombopélvica [Dissertação]. Ribeirão Preto: Faculdade de Medicina de Ribeirão Preto; 2016
    Google Scholar
  • 20 Hendry D, Campbell A, Ng L, Harwood A, Wild C. The Difference in Lower Limb Landing Kinematics Between Adolescent Dancers and Non-Dancers. J Dance Med Sci 2019; 23 (02) 72-79
    CrossrefPubMedGoogle Scholar
  • 21 Lampe J, Ohlendorf D, Groneberg DA, Borgetto BM, Wanke EM. [Musculoskeletal Pain in Dance: Prevalence, Localisation and Development Over Time in Amateur Dancers and Professional Dance Teachers]. Sportverletz Sportschaden 2019; 33 (04) 203-211
    PubMedGoogle Scholar
  • 22 Aquino J, Amasay T, Shapiro S, Kuo YT, Ambegaonkar JP. Lower extremity biomechanics and muscle activity differ between ‘new’ and ‘dead’ pointe shoes in professional ballet dancers. Sports Biomech 2021; 20 (04) 469-480
    CrossrefPubMedGoogle Scholar
  • 23 Bickle C, Deighan M, Theis N. The effect of pointe shoe deterioration on foot and ankle kinematics and kinetics in professional ballet dancers. Hum Mov Sci 2018; 60: 72-77
    CrossrefPubMedGoogle Scholar
  • 24 Swain CTV, Bradshaw EJ, Whyte DG, Ekegren CL. Life history and point prevalence of low back pain in pre-professional and professional dancers. Phys Ther Sport 2017; 25: 34-38
    CrossrefPubMedGoogle Scholar
  • 25 Gouridou E, Kellis E, Katartzi E, Kofotolis N. Transversus Abdominis and Lumbar Multifidus Thickness Among Three Dance Positions in Argentine Tango Dancers. Int J Exerc Sci 2021; 14 (01) 473-485
    PubMedGoogle Scholar
  • 26 Bobály VK, Makai A, Kiss G. et al. Core muscle assessment of dancers. Studia UBB Educatio Artis Gymn 2016; LXI (02) 31-47
    Google Scholar
  • 27 Mullerpatan R, Bharnuke J, Hiller C. Gait Kinematics of Bharatanatyam Dancers with and without Low Back Pain. Crit Rev Phys Rehabil Med 2019; 31 (01) 1-10
    CrossrefGoogle Scholar
  • 28 Chaudhari AMW, VAN Horn MR, Monfort SM, Pan X, Oñate JA, Best TM. Reducing Core Stability Influences Lower Extremity Biomechanics in Novice Runners. Med Sci Sports Exerc 2020; 52 (06) 1347-1353
    CrossrefPubMedGoogle Scholar
  • 29 Trompeter K, Fett D, Platen P. Prevalence of back pain in sports: a systematic review of the literature. Sports Med 2017; 47 (06) 1183-1207
    CrossrefPubMedGoogle Scholar
  • 30 Chan C, Hopper L, Zhang F, Pacey V, Nicholson LL. The prevalence of generalized and syndromic hypermobility in elite Australian dancers. Phys Ther Sport 2018; 32: 15-21
    CrossrefPubMedGoogle Scholar
  • 31 Steinberg N, Tenenbaum S, Zeev A. et al. Generalized joint hypermobility, scoliosis, patellofemoral pain, and physical abilities in young dancers. BMC Musculoskelet Disord 2021; 22 (01) 161
    CrossrefPubMedGoogle Scholar
  • 32 Steinberg N, Hershkovitz I, Zeev A, Rothschild B, Siev-Ner I. Joint Hypermobility and Joint Range of Motion in Young Dancers. J Clin Rheumatol 2016; 22 (04) 171-178
    CrossrefPubMedGoogle Scholar
  • 33 Armstrong R, Brogden CM, Greig M. Joint Hypermobility as a Predictor of Mechanical Loading in Dancers. J Sport Rehabil 2020; 29 (01) 12-22
    CrossrefPubMedGoogle Scholar