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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Dance involves the culturally mediated body, emotion, and mind. So do illness and pain. Dance may promote wellness by strengthening the immune system through muscular action and physiological processes. Dance conditions an individual to moderate, eliminate, or avoid tension, chronic fatigue, and other disabling conditions that result from the effects of stress. Dance may help the healing process as a person gains a sense of control through (1) possession by the spiritual in dance, (2) mastery of movement, (3) escape or diversion from stress and pain through a change in emotion, states of consciousness, and/or physical capability, and (4) confronting stressors to work through ways of handling their effects.
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PMID:The power of dance: health and healing. 939 27

Most ballet dancers will suffer at least one injury a year. There are numerous causes of injury in dance, and while many investigators have documented risk factors such as anatomical characteristics, past medical history, menstrual history, dance experience, length of dance training, fatigue, and stress, risk factors related to body characteristics and nutrient intake, levels of conditioning, or physical fitness parameters have only recently received the same amount of attention. The aim of the present study was, therefore, to investigate correlations between ballet injury and body fat percentage, active and passive flexibility, lower limb power, upper body and core endurance, and aerobic capacity. Low levels of aerobic fitness were significantly associated with many of the injuries sustained over a 15-week period (r=.590, p=0.034), and body fat percentage was significantly associated with the length of time a dancer was forced to modify activity due to injury (r=-.614, p=0.026). This information may be of benefit to dancers, teachers, physical therapists and physicians in dance schools and companies when formulating strategies to prevent injury.
J Dance Med Sci 2010
PMID:Does physical fitness affect injury occurrence and time loss due to injury in elite vocational ballet students? 2021 52

Professional classical ballet dancers typically face long working days, and many complain of fatigue, particularly as a possible cause of injury. However, little information exists regarding the true physiological demands on dancers. The aim of the present study was therefore to ascertain the daily workload of professional female ballet dancers in terms of work intensity and rest data. Information regarding a single "work day" was obtained from 51 female dancers in one company using a multiple accelerometer. Data were examined for the amount of time spent at work intensities measured in metabolic equivalents (METS)deemed sedentary, low, moderate, and high, and the length of each period at rest. Results indicated significant differences between dancer rankings (corps de ballet, first artist, soloist, and principal) for mean exercise intensity and the percentage of time spent at sedentary intensity (< 3 METS), moderate intensity (3-6 METS) (p < 0.005), and vigorous intensity (6-9 METS) (p < 0.05). The ratios of time spent below 1.5 METS versus time spent above 1.5 METS ("rest" vs. "work") were also significantly different (p < 0.001) between rankings. When rest periods throughout the working day were analyzed, 90% of dancers were found to spend less than 60 consecutive minutes resting at any one time; for 33.3% of dancers this was less than 20 minutes. Results also revealed significant differences (p < 0.05) between dancer rankings for the greatest amount of rest at any one time during the day. It was concluded that female professional classical ballet dancers' ranking in their companies should be considered in devising work-rest schedules to help them to avoid fatigue and resultant injuries.
J Dance Med Sci 2010
PMID:The demands of a working day among female professional ballet dancers. 2170 83

The objective of this study was to assemble and synthesize the best available literature from 2004 to 2008 on musculoskeletal injury and pain in dancers. MEDLINE and CINAHL were the primary sources of data. Indexed terms such as dance, dancer, dancing, athletic injuries, occupational injuries, sprains and strains, musculoskeletal diseases, bone density, menstruation disturbances, and eating disorders were used to search the databases. Citations were screened for relevance using a priori criteria, and relevant studies were critically reviewed for scientific merit by the best-evidence synthesis method. After screening, 19 articles were found to be scientifically admissible. Data from accepted studies were abstracted into evidence tables relating to: prevalence and associated factors; incidence and risk factors; intervention; and injury characteristics and prognosis of musculoskeletal injury and pain in dancers. Principal findings included: a high prevalence and incidence of lower extremity, hip and back injuries; preliminary evidence that psychosocial and psychological issues such as stress and coping strategies affect injury frequency and duration; history of a previous lateral ankle sprain is associated with an increased risk of ankle sprain in the contralateral ankle in dance students; fatigue may play a role in ACL injury in dancers; acute hamstring strains in dancers affect tendon more than muscle tissue, often resulting in prolonged absence from dance. It is concluded that, while there are positive developments in the literature on the epidemiology, diagnosis, prognosis, treatment, and prevention of MSK injuries and pain in dancers, much room for improvement remains. Suggestions for future research are offered.
J Dance Med Sci 2012
PMID:Musculoskeletal injuries and pain in dancers: a systematic review update. 2268 21

The complex interplay between cortical and subcortical networks essential to motor performance is altered when muscles fatigue. The construct of exercise-induced human muscle fatigue has been attributed largely to the loss of a peripheral muscle's ability to produce force. Far less understood is "central fatigue," the result of alterations in central nervous system function. Central fatigue manifests as inadequate motor drive to the muscles and can occur even at sub-maximal levels of voluntary force. This study reviews the literature on exercise-induced central fatigue and its impact on motor performance. In reviewing conditions that may contributed to central fatigue, it addresses perceived exertion and repetitive strain and their relationship to central fatigue. Evidence supporting possible training protocols designed to offset central fatigue, while speculative, will be cited as potential areas of investigation for dance scientists.
J Dance Med Sci 2013
PMID:Exercise-induced central fatigue: a review of the literature with implications for dance science research. 2375 79

Muscular fatigue can be defined as the failure to maintain an expected power output. It is a multifaceted phenomenon that incorporates metabolic, neural and neuromuscular components, among others. Metabolic causes of fatigue are associated with the ability to maintain energy supply during exercise, the speed at which homeostasis is achieved post-exercise, and the effects of high intensity exercise by-products on the peripheral neuromuscular system. Research has indicated that the central nervous system plays a protective role in preventing catastrophic muscle damage by reducing the intensity and frequency of propagation founded on biofeedback from the muscle cells. The duration and particularly the type of physical activity play a role in the development of muscle fatigue, with impact or weightbearing exercises, such as dance, producing increased symptoms compared to non-impact or non-weightbearing equivalents. The effects of prolonged exercise and the associated increased levels of muscle fatigue that may lead to compromises in neuromuscular propagation need to be considered in dance.
J Dance Med Sci 2013
PMID:Muscular fatigue: considerations for dance. 2375 80

Dancers are expected to maintain consistently high levels of performance capability and to perform on demand. To meet these expectations, they subject their bodies to long hours of intensive physical training. Such training regimens are often combined with tight rehearsal and performance schedules, which over time can lead to persistent fatigue, psychological distress, performance decrements, and injury. A similar process has been observed as a consequence of high-intensity training in many different sports, and considerable sport-related research has been devoted to identifying the antecedents, the symptoms that are experienced, and the most cost-effective ways of monitoring symptom development. This paper presents a general heuristic framework for understanding this "training distress process" and discusses the framework with specific reference to dance.
J Dance Med Sci 2013
PMID:Stressors, recovery processes, and manifestations of training distress in dance. 2375 81

Research has provided abundant evidence that overtraining is associated with fatigue and subsequent injury. For many years, it has been axiomatic that the vast majority of dance injuries are the result of overuse, and that dancers frequently persist in movement activities in the presence of microscopic injury--i.e., "dance through" injuries. While it is well-established fact that rest and adequate nutrition are vital components of training and conditioning, for various reasons it remains problematic for dancers to assimilate these requirements into their daily regimen. This review article provides some physiologically and biomechanically based information about the causes, inter-relationships, and consequences of these fundamental premises in dance science.
J Dance Med Sci 2013 Sep
PMID:Overuse, tissue fatigue, and injuries. 2406 43

Fatigue is often thought of as any transient exercise-induced reduction of work capacity. In fact, it is a complex phenomenon caused by overlapping and interacting peripheral and central mechanisms. There is a known relationship between fatigue, diminished performance, and injury. This paper reviews what is currently known about fatigue in the current literature.
J Dance Med Sci 2013 Sep
PMID:What is known about the effect of fatigue on injury occurrence among dancers? 2406 44

Fatigue may reduce a dancer's ability to maintain the muscle synergies required for stable human movement. Therefore, fatigue presents as a potential risk factor for injury in dancers. Activation patterns of the quadriceps and hamstrings muscle groups in athletic populations have been consistently reported to alter in response to fatigue during landing tasks. It is unknown whether dancers demonstrate similar muscle activation patterns, nor if dancers respond to fatiguing protocols, with regard to muscle activation, in the same manner as their athletic counter-parts. The purpose of this study was to assess quadriceps and hamstrings activation levels in a cohort of dancers performing drop landings before and after completion of a dance-specific fatigue protocol, the High Intensity Dance Performance Fitness Test. Quadriceps and hamstrings co-contraction ratios significantly increased between pre- and post-fatigue conditions in a similar fashion to that reported in the literature. Therefore, the neuromuscular activation of the knee extensors and flexors in dancers changed in response to the dance-specific fatiguing protocol. Furthermore, quadriceps and hamstrings co-contraction ratios were substantially greater than previously reported in other athletic populations, due to low hamstrings activation levels. Future investigation of dancer biomechanical adaptations to fatigue would be beneficial to further examine the potential implications for injury risk.
J Dance Med Sci 2013 Sep
PMID:Fatigue effects on quadriceps and hamstrings activation in dancers performing drop landings. 2406 45


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