Methods used to evaluate the en dehors or turnout of dancers and classical ballet dancers: a literature review
DOI:
https://doi.org/10.1590/1809-2950/17100124042017Keywords:
Dance, Evaluation Studies, EvaluationAbstract
The classical ballet technique requires the maximum en dehors or turnout, which is the lower limbs external rotation. Considering its importance, several evaluation and measurement protocols have been proposed. This review aims to investigate systematically which methods were used to assess the classical dancers’ or classical ballet practitioners’ turnout. A systematic search was made in the Scopus, Science Direct, and PubMed databases in February 2016 for studies written in English that evaluated classical dancers or ballerinas, and the en dehors or turnout was measured. We found 593 articles, of which 25 were pre-selected for this review, featuring fifteen different methods and instruments for measuring turnout: kinemetry; inclinometer; Turnout Protractor, or protractor to measure the turnout; goniometer; dupuis tropometer; original protractor; subjects photos; rotational discs; Nicholas flexibility test; fleximeter; clinical drawing of the feet; subject standing on a piece of paper, or soil, or whiteboard; magnetic resonance; filming the subject during a sequence of dance steps; Dasco pro angle finder. This review rovides convincing evidence that there is not a method or gold-standard instrument for measuring dancers’ turnout, therefore such measurement is usually adapted and chosen according to each study objectives.Downloads
References
Negus V, Hopper D, Briffa NK. Associations between turnout
and lower extremity injuries in classical ballet dancers. J
Orthop Sports Phys Ther. 2005;35(5):307-18. doi:10.2519/
jospt.2005.35.5.307
Clippinger K. Biomechanical considerations in turnout. In:
Solomon R, Solomon J, Minton, SC, editors. Preventing
dance injuries. 2nd ed. Champaign: Human Kinetics; 2005. p.
-50.
Kravitz SR, Murgia CJ, Huber S, Saltrick K. Biomechanical
implications of dance injuries. In: Shell C, editor. Dancer as
athlete. Champaign: Human Kinetics; 1984. p. 43-51.
LiGreci-Mangini LA. Comparison of hip range of motion
between professional ballerinas and age-/sex-matched nondancers. Kinesiol Med Dance. 1993-1994;16:19-30.
Grossman G, Waninger KN, Voloshin A, Reinus WR, Ross
R, Stoltzfus J, et al. Reliability and validity of goniometric
turnout measurements compared with MRI and retroreflective markers. In: Solomon R, Solomon J, editors.
Proceedings of the 16th Annual meeting of the International
Association for J Dance Medicine & Science; 2006 Oct 19-
; West Palm Beach Marriot, West Palm Beach. West Palm
Beach: Int Assoc J Dance Med Sci. 2008;12(4):142-52.
Hamilton W, Hamilton L, Marshall P, Molnar M. A profile of
the musculoskeletal characteristics of elite professional
ballet dancers. Am J Sports Med. 1992;20(3):267-73.
doi:10.1177/036354659202000306
Grossman G. Measuring dancer’s active and passive turnout.
J Dance Med Sci. 2003;7:49-55.
Stephens RE. The etiology of ijuries in ballet. In: Ryan AJ,
Stephens RE, editors. Dance Medicine: a comprehensive
guide. Chicago: Pluribus Press; 1987. p. 16-50.
Gupta A, Fernihough B, Bailey G, Bombeck P, Clarke A,
Hopper D. An evaluation of differences in hip external
rotation strength and range of motion between female
dancers and non-dancers. Br J Sports Med. 2004;38(6):778-
doi: 10.1136/bjsm.2003.010827
Shah S, Weiss D. Survey of injuries among professional
modern dancers: prevalence, risk factors and management.
Clin J Sports Med. 2006;16(5):437-49.
Schon LC, Weinfield SB. Lower extremity musculoskeletal
problems in dance. Curr Opin Rheumatol. 1996;8(2):130-42.
Cimelli SN, Curran SA. Influence of turnout on foot posture
and its relationship to overuse musculoskeletal injury
in professional contemporary dancers: a preliminary
investigation. J Am Podiatr Med Assoc. 2012;102(1):25-33.
doi: 10.7547/1020025
Weiss DS, Shah S, Burchette RJ. A profile of the demographics
and training characteristics of professional modern dancers.
J Dance Med Sci. 2008;12(2):41-6.
Stretanski MF, Weber GJ. Medical and rehabilitation issues in
classical ballet. Am J Phys Med Rehabil. 2002;81(5):383-91.
doi: 10.1097/00002060-200205000-00013
Kushner S, Saboe L, Reid D, Penrose T, Grace M.
Relationship of turnout to hip abduction in professional
ballet dancers. Am J Sports Med. 1990;18(3):286-91. doi:
1177/036354659001800312
Thomas H, Tarr J. Dancer’s perceptions of pain and
injury: positive and negative effects. J Dance Med Sci.
;13(2):51-9.
Macintyre J, Joy E. Foot and ankle injuries in dance. Clin Sports
Med. 2000;19(2):351-68. doi: 10.1016/j.pmr.2006.06.006
Ahonen J. Biomechanics of the foot in dance: a literature
review. J Dance Med Sci. 2008;12(3):99-108.
Welsh RTM, Rodriguez M, Beare LW, Barton B, Judge T.
Assessing turnout in university dancers. J Dance Med Sci.
;12(4):136-41.
Coplan JA. Ballet dancer’s turnout and its relationship to selfreported injury. J Orthop Sports Phys Ther. 2002;32(11):579-
doi: 10.2519/jospt.2002.32.11.579
Khan K, Roberts P, Nattrass C, Bennell K, Mayes S, Way S,
et al. Hip and ankle range of motion in elite classical ballet
dancers and controls. Clin J Sport Med. 1997;7(3):174-9. doi:
1097/00042752-199707000-00004
Liederbach M, Welsh T, Hagins M. Analysis of dancer
screening forms used in the dance medicine community.
In: Solomon R, Solomon J, editors. Proceedings of the 16th
Annual Meeting of the International Association for Dance
Medicine & Science; 2006 Oct 19-21; West Palm Beach
Marriot, West Palm Beach. West Palm Beach: IADMS; 2006.
p. 146-50.
Molnar M. Dynamic evaluation of the student dancer:
enhancement of healthy functioning and movement quality.
Impulse. 1995;3(4):287-95.
Watkins A, Woodhull-McNeal AP, Clarkson PM, Ebbeling
C. Lower extremity alignment and injury in young,
preprofessional, college and professional ballet dancers: part
I. Turnout and knee-foot alignment. Med Probl Perform Art.
;4(4):148-53.
von Elm E, Altman D, Egger M, Pocock SJ, Gotzsche PC,
Vanderbroucke JP, et al. Strengthening the Reporting of
Observational Studies in Epidemiology (STROBE) statement:
guidelines for reporting observational studies. BMJ.
;335(7624):806-8. doi: 10.1016/j.jclinepi.2007.11.008
Fortin M, Stewart M, Poitras M-E, Almirall J, Maddocks H. A
systematic review of prevalence studies on multimorbidity:
toward a more uniform methodology. Ann Fam Med.
;10(2):142-51. doi: 10.1370/afm.1337
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