COMMON DANCE INJURIES AND TREATMENTS OF THE HIP AND LOW BACK

66 Pages·2010·0.71 MB·English

COMMON DANCE INJURIES AND TREATMENTS OF THE HIP AND LOW
BACK: INTERVIEWS WITH PHYSICAL THERAPISTS
SPECIALIZING IN DANCE
by
TIFFANY ALEXANDRA TAYLOR
A THESIS
Presentedto the Department ofDance
and the Graduate School ofthe University ofOregon
inpartial fulfillment ofthe requirements
for the degree of
Master afFine Arts
June 2010
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"Common Dance Injuries and Treatments ofthe Hip and LowBack: Interviews with
Physical Therapists Specializing inDance," a thesis preparedby Tiffany Alexandra
Taylor in partial fulfillment ofthe requirements for the Master afFine Arts degree in
the Department ofDance. This thesis has been approved and accepted by:
xamining Committee
Committee in Charge: StevenJ. Chatfield, Ph.D., Chair
BradT. Gamer
Jane T. Baas
Accepted by:
Dean ofthe Graduate School
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© 2010 Tiffany AlexandraTaylor
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An Abstract ofthe Thesis of
Tiffany AlexandraTaylor for the degree of MasterofFineArts
in the Department ofDance to betaken June 2010
Title: COMMON DANCE INJURIES AND TREATMENTS OF THE HIP AND LOW
BACK: INTERVIEWS WITH PHYSICAL THERAPISTS SPECIALIZING IN
DANCE
Approved:
Through a review ofliterature and interviews with physical therapists specializing
indance, hip and low back injuries commonto dancers are described and options for
treatmentare discussed. Injuries include internal and external snappinghip, non-specific
hipand low back pain, IT bandproblems, labral tears, hip impingement, and
spondylolisthesis. Depending on the site and severity ofthe injuries, commontreatments
range from surgical to conservative (e.g.- manual therapy, exercise, Functional
Electronic Stimulation, iontophoresis). Itis reported that most dancer injuries result from
overuse and are related to poortechnique. All three PTs interviewed also note that
injuries are oftena result ofchoreographicdemands onthe dancerandrecommend
breathingtechniques and neuromuscularre-patterning for rehabilitation.
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CURRICULUMVITAE
NAME OF AUTHOR: Tiffany Alexandra Taylor
PLACE OF BIRTH: Oklahoma City, OK
DATE OF BIRTH: March 7, 1985
GRADUATE AND UNDERGRADUATE SCHOOLS ATTENDED:
University ofOregon, Eugene
WesternMichiganUniversity, Kalamazoo
DEGREES AWARDED:
Master ofFine Arts, Dance, 2010, University ofOregon
BachelorofFine Arts, Dance, 2007, WesternMichiganUniversity
AREAS OF SPECIAL INTEREST:
Dance Medicine and Science
Dance Pedagogy, Choreography and Collaboration
PROFESSIONAL EXPERIENCE:
Graduate Teaching Fellow, University ofOregon, September2007-June 2010
GRANTS, AWARDS AND HONORS:
Summer Study Research Grant, University ofOregon, 2009
SeibertWMU Undergraduate Research and Creative Activities Award, Western
MichiganUniversity, 2008
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ACKNOWLEDGMENTS
Many thanks are due to the DepartmentofDance for allowing me the opportunity
to learn and grow as a dancer, choreographer, teacherandscholar. I wish to express
sincere appreciationto mymentorand committee chair, Dr. Steven1. Chatfield. To my
committee members, ProfessorBradT. Gamerand ProfessorJane T. Baas, for their
assistance in the preparationofthis thesis. Inaddition, specialthanks are due to Gayanne
Grossman, Amy Humphreyand Marika Molnarfortheirparticipationandinfluence in
this project. Lastly, thankyou to my friends and family fortheirunwavering support and
guidancethroughoutmy time here atthe University ofOregon.
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This work is dedicated to my motherand father for encouragingme everyday to
go for my dreams, try somethingnew, and to nevergiveup.
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TABLE OF CONTENTS
Chapter Page
I. INTRODUCTION .
Purpose................................................................................................................... 5
Significance ofStudy 5
Definition ofTerms 5
Interviewees........................................................................................................... 8
Methods 9
II. INTERVIEWS 11
Most Common Injuries.......................................................................................... 11
Treatment Options................................................................................................. 15
III. INTEGRATION OF PUBLISHED MATERIALS AND INTERVIEWS 19
Injuries to the Hip.............................. 19
Anterior and Lateral Snapping Hip Syndrome 19
Symptoms and Anatomy............................................................................ 19
Diagnostic Testing 20
Treatment Options..................................................................................... 21
IX
Chapter Page
Acetabular Labrum Tears. 22
Symptoms andAnatomy............................................................................ 22
Diagnostic Testing 24
Treatment Options 24
Injuries to the Back. 26
Non-Specific LowBackPain 26
Symptoms andAnatomy....... 26
Diagnostic Testing 27
Treatment Options 28
Stress Fractures 29
Symptoms andAnatomy..... 29
D' . T .
lagnostlc estIng . 30
Treatment Options . 31
Conclusion . 32
IV. OVERVIEW FORDANCERS AND TEACHERS . 34
Common Dance Injuries . 34
Anterior and Lateral Snapping Hip Syndrome . 35
Tearing ofthe Cartilage in the Hip Socket . 36
Non-Specific Low BackPain . 37
Stress Fractures . 37
x
Chapter Page
CommonTreatment Options 39
Recommendations............. 41
Preventive Measures 43
APPENDICES
A. MICHELI AND SOLOMON (1997): DIAGNOSIS OF ILIOPSOAS
TENDINITIS 46
B. SPINA (2007): DIAGNOSIS OF ILIOTIBIAL TENDONITIS 47
C. GEORGE AND DELITTO (2002): SUMMARY OF TREATMENT-BASED
CLASSIFICATION SYSTEM FOR BACKPAIN 48
D. INTERVIEWEE BIOGRAPHIES 49
E. EMAIL MESSAGE........................................................................................... 51
F. INFORMED CONSENT 52
G. INTERVIEW QUESTIONS AND TOPICS..................................................... 53
REFERENCES 54