An analysis of the foot in turnout using a dance specific 3D multi-segment foot model

Abstract Introduction Recent three-dimensional (3D) kinematic research has revealed foot abduction is the strongest predictor of standing functional and forced turnout postures. However, it is still unknown how the internal foot joints enable a large degree of foot abduction in turnout. The primary...

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Main Authors: Sarah L. Carter, Alan R. Bryant, Luke S. Hopper
Format: Article
Language:English
Published: Wiley 2019-02-01
Series:Journal of Foot and Ankle Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13047-019-0318-1
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author Sarah L. Carter
Alan R. Bryant
Luke S. Hopper
author_facet Sarah L. Carter
Alan R. Bryant
Luke S. Hopper
author_sort Sarah L. Carter
collection DOAJ
description Abstract Introduction Recent three-dimensional (3D) kinematic research has revealed foot abduction is the strongest predictor of standing functional and forced turnout postures. However, it is still unknown how the internal foot joints enable a large degree of foot abduction in turnout. The primary purpose of this study was to use a dance specific multi-segment foot model to determine the lower leg and foot contributions to turnout that female university-level ballets use to accentuate their turnout. Methods Eighteen female dance students (mean age, 18.8 ± 1.6 years) volunteered for this study. Retro-reflective markers were attached to the dancers’ dominant foot. Each dancer performed three repetitions of functional turnout, forced turnout and ten consecutive sautés in first position. Repeated measures ANOVA with Bonferroni adjustments for the multiple comparisons were used to determine the kinematic adjustments, hindfoot eversion, midfoot and forefoot abduction, navicular drop (i.e. lowering of the medial longitudinal arch) and first metatarsophalangeal joint abduction between natural double leg up-right posture and the first position conditions. Results Hindfoot eversion (4.6°, p < 0.001) and midfoot abduction (2.8°, p < 0.001) significantly increased in functional turnout compared to the natural double leg up-right posture. Thirteen dancers demonstrated increased first metatarsophalangeal joint (MTPJ) abduction in forced turnout, however no statistically significant increase was found. Navicular drop during sautés in first position significantly increased by 11 mm (p < 0.001) compared to the natural double leg up-right posture. Conclusion Our findings suggest dancers do pronate, via hindfoot eversion and midfoot abduction in both functional and forced turnout, however, no immediate association was found between forced turnout and first MTPJ abduction. Foot pronation does play a role in achieving turnout. Further prospective research on in situ measures of the lower limb in turnout and injury surveillance is required to improve our understanding of the normal and abnormal dance biomechanics.
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spelling doaj.art-964dd12e07ee4c28a511fa63dda109c12024-04-03T08:57:21ZengWileyJournal of Foot and Ankle Research1757-11462019-02-0112111110.1186/s13047-019-0318-1An analysis of the foot in turnout using a dance specific 3D multi-segment foot modelSarah L. Carter0Alan R. Bryant1Luke S. Hopper2Podiatric Medicine and Surgery Division, School of Allied Health, The University of Western AustraliaPodiatric Medicine and Surgery Division, School of Allied Health, The University of Western AustraliaWestern Australian Academy of Performing Arts, Edith Cowan UniversityAbstract Introduction Recent three-dimensional (3D) kinematic research has revealed foot abduction is the strongest predictor of standing functional and forced turnout postures. However, it is still unknown how the internal foot joints enable a large degree of foot abduction in turnout. The primary purpose of this study was to use a dance specific multi-segment foot model to determine the lower leg and foot contributions to turnout that female university-level ballets use to accentuate their turnout. Methods Eighteen female dance students (mean age, 18.8 ± 1.6 years) volunteered for this study. Retro-reflective markers were attached to the dancers’ dominant foot. Each dancer performed three repetitions of functional turnout, forced turnout and ten consecutive sautés in first position. Repeated measures ANOVA with Bonferroni adjustments for the multiple comparisons were used to determine the kinematic adjustments, hindfoot eversion, midfoot and forefoot abduction, navicular drop (i.e. lowering of the medial longitudinal arch) and first metatarsophalangeal joint abduction between natural double leg up-right posture and the first position conditions. Results Hindfoot eversion (4.6°, p < 0.001) and midfoot abduction (2.8°, p < 0.001) significantly increased in functional turnout compared to the natural double leg up-right posture. Thirteen dancers demonstrated increased first metatarsophalangeal joint (MTPJ) abduction in forced turnout, however no statistically significant increase was found. Navicular drop during sautés in first position significantly increased by 11 mm (p < 0.001) compared to the natural double leg up-right posture. Conclusion Our findings suggest dancers do pronate, via hindfoot eversion and midfoot abduction in both functional and forced turnout, however, no immediate association was found between forced turnout and first MTPJ abduction. Foot pronation does play a role in achieving turnout. Further prospective research on in situ measures of the lower limb in turnout and injury surveillance is required to improve our understanding of the normal and abnormal dance biomechanics.http://link.springer.com/article/10.1186/s13047-019-0318-1BalletThree-dimensionalHallux valgusKinematicsSautés
spellingShingle Sarah L. Carter
Alan R. Bryant
Luke S. Hopper
An analysis of the foot in turnout using a dance specific 3D multi-segment foot model
Journal of Foot and Ankle Research
Ballet
Three-dimensional
Hallux valgus
Kinematics
Sautés
title An analysis of the foot in turnout using a dance specific 3D multi-segment foot model
title_full An analysis of the foot in turnout using a dance specific 3D multi-segment foot model
title_fullStr An analysis of the foot in turnout using a dance specific 3D multi-segment foot model
title_full_unstemmed An analysis of the foot in turnout using a dance specific 3D multi-segment foot model
title_short An analysis of the foot in turnout using a dance specific 3D multi-segment foot model
title_sort analysis of the foot in turnout using a dance specific 3d multi segment foot model
topic Ballet
Three-dimensional
Hallux valgus
Kinematics
Sautés
url http://link.springer.com/article/10.1186/s13047-019-0318-1
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