Limb Symmetry Index in Collegiate Dancers Using the Modified Star Excursion Balance Test and Single Leg Hops.

IF 1.1 Q3 SPORT SCIENCES Journal of Dance Medicine & Science Pub Date : 2024-12-10 DOI:10.1177/1089313X241304014
Kelley R Wiese, Jatin P Ambegaonkar, Jena Hansen-Honeycutt
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Abstract

Introduction: Dance is physically demanding and often involves unilateral movements performed within a small base of support. Prior authors have reported that dancers use one leg preferentially over the other (ie, lower extremity asymmetry). Increased leg asymmetry-quantified using the Limb Symmetry Index (LSI), is associated with increased injury risk. Clinicians often use LSI to make return-to-performance decisions (eg, >85% performance on injured vs non-injured limb). However, limited research has examined leg symmetry in collegiate dancers. Purpose: To examine LSI in collegiate dancers using the modified star excursion balance test (mSEBT) and single-leg hop test (SLH). Methods: 120 healthy collegiate dancers (105 females, 15 males; 18.31 ± 0.80 years; 164.18 ± 7.12 cm; 61.18 ± 8.46 kg) performed the mSEBT (normalized to % leg-length: LL) in the anterior, posteromedial, and posterolateral directions and the SLH test (normalized to % body height: BH) across both legs using previously published guidelines. mSEBT scores were averaged for all three directions per leg. SLH scores were averaged per leg. LSI was calculated as (lower value/higher value) × 100 to obtain a percentage. Results: Mean mSEBT scores were 95.7 ± 14.2%LL (lower score) and 96.6 ± 14.3%LL (higher score). Dancers LSI for mSEBT was 99.1 ± 0.9%. Mean SLH scores were 82.8 ± 13.3%BH (lower score) and 86.4 ± 13.5%BH (higher score). Dancers LSI for SLH was 95.9 ± 3.5%. Conclusions: Dancers' LSI% was greater than 90% for mSEBT and SLH, concurrent with the normal values of LSI > 90% in healthy, physically active adults. Dancers displayed lower leg symmetry. Practitioners can thus use the contralateral leg as a reference for return-to-performance decisions following injury in dancers. LSI should be integrated into a comprehensive screening process to identify large (>85%) asymmetries and guide training programs post-injury to assist educators and practitioners' evidence-based return-to-performance decisions. Future researchers should examine LSI in other dance genres and across levels.Level of Evidence: 2C.

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利用修正星偏移平衡测试和单腿跳测定大学生舞者肢体对称指数。
舞蹈对身体的要求很高,通常需要在一个小的支撑基础上进行单方面的动作。先前的作者曾报道,舞者优先使用一条腿而不是另一条腿(即下肢不对称)。使用肢体对称指数(LSI)量化的腿部不对称增加与受伤风险增加有关。临床医生经常使用LSI来做出恢复性能的决定(例如,受伤肢体与未受伤肢体的性能对比为bb0 - 85%)。然而,对大学舞者腿部对称性的研究有限。目的:采用改进的星形偏移平衡测试(mSEBT)和单腿跳测试(SLH)检测大学生舞者的LSI。方法:120名健康大学生舞蹈演员(女105名,男15名;18.31±0.80岁;164.18±7.12 cm;61.18±8.46 kg)在前、后内侧和后外侧方向进行mSEBT(归一化为%腿长:LL),并根据先前发表的指南在两条腿上进行SLH测试(归一化为%身高:BH)。每条腿的三个方向的mSEBT得分均为平均值。平均每条腿的SLH评分。LSI按(低值/高值)× 100计算得到百分比。结果:mSEBT平均评分为95.7±14.2%(低分)和96.6±14.3%(高分)。舞者对mSEBT的LSI为99.1±0.9%。平均SLH评分为82.8±13.3%BH(低分)和86.4±13.5%BH(高分)。SLH患者的LSI为95.9±3.5%。结论:舞蹈者mSEBT和SLH的LSI%大于90%,同时健康、体力活动的成年人的LSI%大于90%。舞者展示了小腿对称。因此,从业者可以使用对侧腿作为舞者受伤后恢复表演决策的参考。LSI应该整合到一个全面的筛选过程中,以识别大的(bb0 - 85%)不对称,并指导受伤后的培训计划,以帮助教育者和从业者基于证据的恢复性能决策。未来的研究人员应该研究LSI在其他舞蹈类型和跨水平。证据等级:2C。
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CiteScore
1.80
自引率
11.10%
发文量
33
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