RESEARCH PAPER
Selected lower extremity flexibility tests as an element of functional assessment for ballet school students – Preliminary observation
 
More details
Hide details
1
State School of Higher Vocational Education, Department of Public Health in Pila, Poland
 
2
Department of Mathematical and Statistical Methods, Poznan University of Life Sciences, Poland
 
 
Submission date: 2013-12-28
 
 
Acceptance date: 2014-02-14
 
 
Online publication date: 2014-04-18
 
 
Publication date: 2020-03-26
 
 
Corresponding author
Małgorzata Wójcik   

Department of Public Health, State School of Higher Vocational Education, Podchorążych 10, 64-920 Piła, Poland. Tel.: +48 67 3522695.
 
 
Pol. Ann. Med. 2014;21(1):20-23
 
KEYWORDS
ABSTRACT
Introduction:
Muscles are a part of the human neuromusculoskeletal system, stabilizing the skeleton and allowing joint movements. Muscle characteristics include flexibility and contractility. Assessment of muscle flexibility includes flexibility tests. Dance teachers put special emphasis on their students' flexibility enhancement, applying muscle stretching techniques. Soft tissue injuries are very common in dancers. One of the elements of functional assessment of the musculoskeletal system are muscle flexibility tests.

Aim:
The aims of this study are: (1) flexibility assessment of rectus femoris and hamstring muscles of both lower extremities; (2) evaluation of pain in the lumbar spine. The following research hypotheses are verified: (1) in ballet school students (elementary school) rectus femoris and hamstring flexibility tests results are within normal range; (2) there are no complaints of low back pain.

Material and methods:
The study included 52 ballet school students, aged 11.64 ± 0.53 (mean ± standard deviation). Flexibility tests of rectus femoris muscle and hamstrings of both lower extremities were conducted and a numeric pain rating scale was used to assess low back pain.

Results and discussion:
Shortening of rectus femoris muscle in both lower extremities, together with increased lumbar lordosis, were found in all subjects. It was observed that hamstrings of both lower extremities were stretched.

Conclusions:
(1) Flexibility tests proved to be a simple tool for the assessment of flexibility of thigh muscles of both lower extremities. The results of these tests confirm muscle imbalance and relative flexibility in the lumbar spine. (2) Numeric scale is a simple tool for the assessment of low back pain. Among 52 students, 31 declared moderate pain sensations.

CONFLICT OF INTEREST
None declared.
REFERENCES (19)
1.
Kuszewski M, Saulicz E, Gnat R. Potencjalny paradoks: sztywność mięśni — niezbędna czy niepożądana? [The potential paradox: Muscle stiffness — essential or undesirable?]. Fizjoterapia. 2008;16(1):92–98. http://dx.doi.org/10.2478/v101....
 
2.
Plaatsman G, Saulicz E, Żmudzka-Wilczek E. Test SLR – jego wartość w diagnostyce różnicowej oraz w wyborze sposobu terapii [The straight leg raising test: its value in differential diagnosis and choice of therapy]. Fizjoter Pol. 2001;1(4):414–417.
 
3.
Pietruszka Sz., Śliwiński Z. Ocena statyki miednicy i równowagi mięśniowej u dzieci w wieku szkolnym 7–9 lat [Assessment of the pelvis statics and muscle balance in school children aged 7–9 years]. Kwart Ortop. 2012;1:91–106.
 
4.
Byhring S, Bø K. Musculoskeletal injuries in the Norwegian National Ballet: a prospective cohort study. Scand J Med Sci Sports. 2002;12(6):365–370.
 
5.
Wójcik M, Owczarski T, Wierusz-Kozłowska M, et al. Proposal for physicotherapeutic treatment in III grade lateral compartment ligament injuries of talocrural joint. Now Lek. 2010;79(3):220–227 http://www.nowinylekarskie.ump....
 
6.
Krebs E, Carey T, Weinberger M. Accuracy of the pain numeric rating scale as a screening test in primary care. J Gen Intern Med. 2007;22(10):1453–1458. http://dx.doi.org/10.1007/s116....
 
7.
Gajdosik R. Passive extensibility of skeletal muscle: revive of the literature with clinical implications. Clin Biomech. 2001;16(2):87–101.
 
8.
Herbert RD, Balnave RJ. The effect of position of immobilisation on resting length, resting stiffness and weight of the soleus muscle of rabbit. J Orthop Res. 1993;11(3):358–366.
 
9.
Schleip R, Naylor IL, Ursu D, et al. Passive muscle stiffness may be influenced by active contractility of intramuscular connective tissue. Med Hypotheses. 2006;66(1):66–71.
 
10.
Comerford M. Screening to identify injury and performance risk: movement control testing-the missing piece of the puzzle. SportEx Med. 2006;29:21–26.
 
11.
Briggs J, McCormack M, Hakim AJ, et al. Injury and joint hypermobility syndrome in ballet dancers – a 5-year followup. Rheumatology. 2009;48(12):1613–1614.
 
12.
Page P. Sensorimotor training A ‘‘global’’ approach for balance training. J Bodyw Mov Ther. 2006;10:77–84. http://dx.doi.org/10.1016/j.jb....
 
13.
Kuszewski M, Saulicz E, Knapik A, et al. Czy uprawianie sportu może być czynnikiem zmniejszającym ryzyko wystąpienia funkcjonalnych skróceń mięśni kulszowogoleniowych u młodzieży? [Could sport training be a factor reducing the risk of hamstring shortening in children?]. Probl Hig Epidemiol. 2008;89(1):47–50 [in Polish].
 
14.
Witvrouw E, Danneels L, Asselman P, et al. Muscle flexibility as a risk factor for developing muscle injuries in male professional soccer players. A prospective study. Am J Sports Med. 2003;31(1):41–46.
 
15.
Szuba Ł, Krzemińska A. Hamstring injuries – current literature review. Polish J Sport Med. 2011;27(1):11–18.
 
16.
Nadler SF, Malanga LA, Feinberg JH, et al. Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med Sci Sports Exerc. 2002;34(1):9–16.
 
17.
Wiśniewska T, Protasiewicz-Fałdowska T, Pliszka M. The effect of comprehensive rehabilitation on correcting muscle imbalance in rural children from the Warmia and Mazury region. Pol Ann Med. 2012;19(1):27–31.
 
18.
Ely's Test. http://www.exrx.net/Testing/Fl... [accessed 25.12.2013].
 
19.
Johnson Ch. Are you stretching your hamstrings properly? http://bjsm.bmj.com/content/40... [accessed 28.12.2013].
 
Journals System - logo
Scroll to top