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Dancer Injuries

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101. An incongruent answer to the incongruence theory

that you’re sitting down and reading, but your sofa is moving, providing discordant feedback. SMI has been studied in healthy individuals [2-6] and various populations with pain, such as complex regional pain syndrome [7], fibromyalgia [7, 8], whiplash-associated disorder [9, 10] and dancers [11] and musicians [12] with musculoskeletal pain (see our review for an overview [13]). In our recently published study, we present the results of an experimental conflict between vision, proprioception and motor (...) of Pain, 2018 [Epub ahead of print] . [8] McCabe, C.S., H. Cohen, and D.R. Blake, Somaesthetic disturbances in fibromyalgia are exaggerated by sensory motor conflict: implications for chronicity of the disease? Rheumatology, 2007. 46 (10): p. 1587-92. [9] Daenen, L., et al., Altered perception of distorted visual feedback occurs soon after whiplash injury: an experimental study of central nervous system processing. Pain Physician, 2012. 15 (5): p. 405-13. [10] Daenen, L., et al., Sensorimotor

2019 Body in Mind blog

102. 2018 UPDATE: Relative Energy Deficiency in Sport (RED-S)

exercisers in Australia, half were unaware that menstrual dysfunction impacts bone health. Note that these concerning statistics relate to the female athlete triad and the lack of awareness of RED-S in is even more marked. RED-S as a condition impacting males, as well as females, was described in the initial IOC consensus statement published in 2014. However there is evidence of the occurrence of RED-S in pre-dating this. Identification Identifying an athlete/dancer with RED-S is not always straight (...) ), with a corresponding increase in energy intake. Performance effects Performance is paramount to any athlete or dancer. Apart from physical ability, being driven and determined are important characteristics to achieve success. If weight loss is perceived as achieving a performance advantage, then this can become a competitive goal in its own right: in terms of the individual and amongst teammates. This underlies the interactive effect of in the development and progression in the severity of RED-S. There is both

2018 British Journal of Sports Medicine Blog

103. Surprisingly low levels of Vitamin D in cyclists

Vitamin D is a type of steroid hormone. An discussed the synergistic action of steroid hormones, in particular vitamin D and the sex steroids. In dancers who train in studios inside, away from the sun then there is evidence that levels of vitamin D can become low, particularly during winter months. Supplementing with vitamin D in these elite female dancers reduced injuries and significantly improved . What about athletes that train outside? What about male athletes? You might think that competitive

2018 British Journal of Sports Medicine Blog

104. What is Dance Medicine?

on the ability of the dancers to forge an emotional connection with the audience. As with athletes, injuries are always an important topic for dancers: how to recognise the aetiology of injuries and thus develop prevention strategies. Dance UK have published two reports on national enquiries into the health of dancers. Dance UK has now evolved into the organisation which includes the National Institute of Dance Medicine and Science (NIDMS). One Dance provides delivery of the Healthier Dancer Programme (HDP (...) ) whose talks regularly engage 1500+ dancers and dance professionals per year and which will be a part of the One Dance UK conference at the end of November, an overarching event for the entire dance sector. One Dance holds a list of healthcare professionals with experience and expertise in dance. One Dance is an especially an important resource for independent dancers who will not have access to the provision for those working in larger dance companies. However, beyond injury management

2018 British Journal of Sports Medicine Blog

105. #BJSMCoverComp2018 – Win prizes!

. All those who take part will enter a draw for prizes which includes a free conference registration and a copy of Brukner & Khan’s Clinical Sports Medicine. Today we reveal the first set of covers which were featured between January 2017 and October 2017. Happy Voting! January 2017 – Our Issue 1 cover highlighted the injury rates at the most recent Youth Winter Olympic Games. For those interested in OPEN access to the original article ‘ Sports injuries and illnesses in the Lillehammer 2016 Youth (...) on the health of youth athletes in sport: October 2017 – suddenly we got a dose of rhythm with two dancers captured mid performance. The VSG (Vereniging voor Sportgeneeskunde/Dutch Sports Medicine Association) used the edition to highlight how Salsa and other forms of dance can impact health – September 2017 – The last cover for the ‘semi-final’ stage of this year’s cover competition featured another example from the glut of striking landscapes in Switzerland. The Swiss Sports Medicine Conference took

2018 British Journal of Sports Medicine Blog

106. Synergistic interactions of steroid hormones

this condition. However, there was an increase in soft tissue injury during the winter months that could, in part, be linked to low vitamin D levels impacting muscle strength. The novel finding of this study was that female dancers on the combined oral contraceptive pill (OCP) showed significant differences, relative to their eumenorrhoeic counterparts not on the OCP, in terms of higher levels of vitamin D and associated reductions of bone resorption markers and PTH. The potential mechanism could (...) vitamin D and had increased secretion of salivary IgA, which could improve . Muscle There is evidence that supplementing vitamin D3 at 4,000IU per day has a positive effect on in terms of repair and remodelling following a bout of eccentric exercise. In the longer term, dancers supplemented with 2,000IU over 4 months reported not only , but an increase in quadriceps isometric strength of 18% and an increase of 7% in vertical jump height. Synergistic actions of steroid hormones No hormone can

2018 British Journal of Sports Medicine Blog

107. Part 2: Health, Hormones and Human Performance take centre stage

in multiple endocrine axes. Dr Wolman discussed his recent research studies in dancers revealing an intriguing synergistic action between oestrogen and vitamin D, which is itself a steroid hormone. Evidence was presented to demonstrate how being replete in vitamin D has beneficial effects on bone, immunity and muscle function. Thus it is key in preventing injury and supporting health in athletes, with particular relevance in premenarchal and postmenopausal women, who are in relative oestrogen deficient (...) Part 2: Health, Hormones and Human Performance take centre stage Part 2: Health, Hormones and Human Performance take centre stage | BJSM blog - social media's leading SEM voice by By Dr Nicky Keay Chair of BASEM Spring Conference 2018 Endocrine and Metabolic aspects of Sports and Exercise Medicine (SEM) are crucial determinants of health and human performance, from the reluctant exerciser through to the elite athlete and the professional dancer. This is what the recent BASEM spring conference

2018 British Journal of Sports Medicine Blog

108. Naproxen impairs load-induced bone formation, reduces bone toughness, and diminishes woven bone formation following stress fracture in mice. (PubMed)

Naproxen impairs load-induced bone formation, reduces bone toughness, and diminishes woven bone formation following stress fracture in mice. Debilitating stress fractures are surprisingly common in physically active individuals, including athletes, military recruits, and dancers. These individuals are overrepresented in the 30 million daily users of non-steroidal anti-inflammatory drugs (NSAIDs). We hypothesized that regular use of NSAIDs would predispose habitually loaded bones to stress (...) fracture and delay the repair of these injuries. In this project, we used repetitive axial forelimb compression in mice as a model to test these hypotheses. First, adult mice were subjected to six bouts of forelimb compression over a period of two weeks, with aspirin, naproxen, or vehicle continuously administered through drinking water. Naproxen-treated mice had diminished load-induced bone formation as well as a significant loss in toughness in non-loaded bone, which were not observed in aspirin

2019 Bone

109. Sports Endocrinology – what does it have to do with performance?

performance and health. RED-S should certainly be considered among the potential causes of , suboptimal health and recurrent injury, with appropriate medical support being provided. Caution! Athletic hypothalamic amenorrhoea, as seen in (in female athlete triad and RED-S) is a diagnosis of exclusion. Other causes of secondary amenorrhoea (cessation of periods >6 months) should be excluded such as pregnancy, polycystic ovary syndrome (PCOS), prolactinoma, ovarian failure and primary thyroid dysfunction (...) , Blake G. Effects of dance training on development,endocrine status and bone mineral density in young girls.Current Research in Osteoporosis and bone mineral measurement 103, June 1998. Keay N, Effects of dance training on development, endocrine status and bone mineral density in young girls, Journal of Endocrinology, November 1997, vol 155, OC15. Keay N, Fogelman I, Blake G. Bone mineral density in professional female dancers. , vol 31 no2, 143-7, June 1997. Keay N. Bone mineral density

2017 British Journal of Sports Medicine Blog

110. Young athletes’ optimal health: Part 3 Consequences of Relative Energy Deficiency in sports

? There is concern that early sport specialisation, imbalances in training not covering the full range of the components of fitness, together with reduced sleep, all combine to increase injury risk. are particularly vulnerable to developing RED-S during a period of growth and development accompanied by a high training load. Sufficient energy availability and diet quality, including micronutrients, is especially important in young athletes. To investigate further I undertook a three year longitudinal study (...) such as insulin like growth factor 1 (IGF-1) and sex steroids impair bone microarchitecture and mineralisation. Thus increasing risk of injury such as stress fracture and other long term health problems. The crucial importance of attaining peak potential during childhood and puberty was described at a recent conference at the Royal Society of Medicine based on life course studies. For example, delay in puberty results in 20% reduction of bone mass. It is concerning that RED-S continues to occur in young

2017 British Journal of Sports Medicine Blog

111. Optimal health: including male athletes! Part 2 Relative Energy Deficiency in sports

is well described since 1984. The triad comprises disordered eating, amenorrhoea and reduced bone mineral density (BMD). What was uncertain was whether this was a reversible training effect. My study of professional retired pre-menopausal female dancers demonstrated that such bone loss is irreversible, despite resumption of menses. Furthermore, low body weight, independent of amenorrhoea, causes BMD loss. A few female athletes in my subsequent longitudinal study of professional dancers in the English (...) and effect of RED-S. After all in order to be a successful, especially in sport, a high level of motivation, bordering on obsession, is required. Although athletes with RED-S may not fall into a defined clinical disease state, they demonstrate a subclinical condition that impacts health. Performance implications include decreased training response with reduced endurance, muscle strength and glycogen storage, alongside an increased risk of injury, probably due to impaired adaptive response to training

2017 British Journal of Sports Medicine Blog

117. Joint Hypermobility - Identification and Management of

2013 [4a]) Note 2: Professionally trained athletes with JH have demonstrated a higher risk of injury in: o Soccer (Konopinski 2012 [3b]) o Ballet (Briggs 2009 [5a]) Note 3: In physically trained professional dancers, the presence of JH was found to be associated with: o lower muscle strength o lower submaximal exercise capacity o decreased functional walking distances o higher levels of fatigue (Scheper 2013 [4b]) 30. It is recommended that targeted interventions be the primary focus of treatment (...) Joint Hypermobility Guideline 43 Copyright © 2014 Cincinnati Children's Hospital Medical Center, all rights reserved. Page 2 of 48 variety of other patient problems such as young children with gross motor delays (Tirosh 1991 [3a], Davidovitch 1994 [4a], Bernie 2011 [4b]), coordination difficulties (Kirby 2007 [4a]), fibromyalgia (Ting 2012 [4a], Karaaslan 2000 [4a]), chronic fatigue syndrome (Barron 2002 [4a], Nijs 2006 [4b]), or frequent and recurring injuries (Briggs 2009 [5a]). Therapists

2014 Cincinnati Children's Hospital Medical Center

119. Visual Expressions of Chronic Pain on Social Media

Tarr is a medical sociologist and assistant professor of qualitative research methods in the Department of Methodology at the London School of Economics and Political Science. Her postdoctoral research examined professional dancers’ experiences of pain and injury and how they distinguish between the two. She became fascinated by the way none of her interviewees could answer the question, ‘what is pain?’ even though most of them experienced it daily. From there it was a short hop to pain as a major

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2018 Body in Mind blog

120. Arts workshops as a space for pain communication

in the Department of Methodology at the London School of Economics and Political Science. Her postdoctoral research examined professional dancers’ experiences of pain and injury and how they distinguish between the two. She became fascinated by the way none of her interviewees could answer the question, ‘what is pain?’ even though most of them experienced it daily. From there it was a short hop to pain as a major research focus, most recently as Principal Investigator of the project. She is currently writing

2018 Body in Mind blog

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