Dance And Health
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Dance is a healthy
physical activity Physical activity is defined as any voluntary bodily movement produced by skeletal muscles that requires energy expenditure.Global Recommendations on Physical Activity for Health, 2009. World Health Organization. Geneva, Switzerland. Accessed 13/ ...
, with many far reaching physical, and psychological benefits. Dancing can be enjoyed in many forms, and is for every age and ability. This physical activity appeals to some who may not typically be active and therefore may be another alternative of exercise. Dance for health has become an important factor in the prevention, treatment and management in several health circumstances. It can benefit both
physical Physical may refer to: *Physical examination In a physical examination, medical examination, or clinical examination, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally co ...
and
mental health Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental hea ...
and subsidizes
social communication Communication (from la, communicare, meaning "to share" or "to be in relation with") is usually defined as the transmission of information. The term may also refer to the message communicated through such transmissions or the field of inquir ...
Dance is an art which is learned in and shared between many
culture Culture () is an umbrella term which encompasses the social behavior, institutions, and norms found in human societies, as well as the knowledge, beliefs, arts, laws, customs, capabilities, and habits of the individuals in these groups ...
s. Types of dance can entail body movements, expression and collaboration. The correlation between dance and health has been subject of a number of research studies that show dance to be a largely healthy exercise. However, there are a number of health risks that require attention.


Uses of dance


Physical health and fitness

Dancing can be a way to stay fit for people of all ages, shapes and sizes, having a wide range of physical, and mental benefits including improved condition of the
heart The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide to t ...
and lungs, increased
muscular strength Physical strength is the measure of a human's exertion of force on physical objects. Increasing physical strength is the goal of strength training. Overview An individual's physical strength is determined by two factors: the cross-sectional are ...
,
endurance Endurance (also related to sufferance, resilience, constitution, fortitude, and hardiness) is the ability of an organism to exert itself and remain active for a long period of time, as well as its ability to resist, withstand, recover from an ...
and motor fitness, increased aerobic fitness, improved muscle tone and
strength Strength may refer to: Physical strength *Physical strength, as in people or animals * Hysterical strength, extreme strength occurring when people are in life-and-death situations *Superhuman strength, great physical strength far above human c ...
, weight management, stronger bones and reduced risk of osteoporosis, better coordination, agility and flexibility, improved balance and spatial awareness, increased physical confidence, improved mental functioning, improved general and psychological well-being, greater
self-confidence Confidence is a state of being clear-headed either that a hypothesis or prediction is correct or that a chosen course of action is the best or most effective. Confidence comes from a Latin word 'fidere' which means "to trust"; therefore, having ...
and self-esteem, and better social skills. Most forms of dance may be considered
aerobic exercise Aerobic exercise (also known as endurance activities, cardio or cardio-respiratory exercise) is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process. "Aerobic" is defined as "relating to, inv ...
and as such can also reduce the risk of cardiovascular disease, help
weight control Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's w ...
, stress reduction, and bring about other benefits commonly associated with physical fitness. In addition, studies have demonstrated a considerable correlation between dancing and psychological well-being. A large amount of governmental, health and educational information is available extolling the benefits of dance for health. Benefits of Cultural dance Physical activity has many physical and mental health outcomes; however, physical inactivity continues to be common. Dance, specifically cultural dance, is a type of physical activity that may appeal to some who are not otherwise active and can be a form of activity that is more acceptable than others in certain cultures. A 2008 report by Professor Tim Watson and Dr. Andrew Garrett of the
University of Hertfordshire The University of Hertfordshire (UH) is a public university in Hertfordshire, United Kingdom. The university is based largely in Hatfield, Hertfordshire. Its antecedent institution, Hatfield Technical College, was founded in 1948 and was ident ...
compared members of the
Royal Ballet The Royal Ballet is a British internationally renowned classical ballet company, based at the Royal Opera House in Covent Garden, London, England. The largest of the five major ballet companies in Great Britain, the Royal Ballet was founded in ...
with a squad of British national and international swimmers. The dancers scored higher than the swimmers in seven out of ten areas of fitness. For those with
hypercholesterolemia Hypercholesterolemia, also called high cholesterol, is the presence of high levels of cholesterol in the blood. It is a form of hyperlipidemia (high levels of lipids in the blood), hyperlipoproteinemia (high levels of lipoproteins in the blood), ...
, dancing - in conjunction with diet and medication such as
statin Statins, also known as HMG-CoA reductase inhibitors, are a class of lipid-lowering medications that reduce illness and mortality in those who are at high risk of cardiovascular disease. They are the most common cholesterol-lowering drugs. Low ...
s - can provide positive health benefits. As an
aerobic exercise Aerobic exercise (also known as endurance activities, cardio or cardio-respiratory exercise) is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process. "Aerobic" is defined as "relating to, inv ...
abridged levels of total blood cholesterol, especially in
LDL cholesterol Low-density lipoprotein (LDL) is one of the five major groups of lipoprotein that transport all fat molecules around the body in extracellular water. These groups, from least dense to most dense, are chylomicrons (aka ULDL by the overall dens ...
, acknowledged as bad and helps boost levels of
HDL cholesterol High-density lipoprotein (HDL) is one of the five major groups of lipoproteins. Lipoproteins are complex particles composed of multiple proteins which transport all fat molecules (lipids) around the body within the water outside cells. They are t ...
. Dancing in general increases muscle strength and flexibility, which in turn, improves overall range of motion. Dance also increases core strength which can improve balance, coordination, and posture (which can, in turn, reduce mechanical back pain). Dance therapy is suggested for patients today as a treatment for emotional and therapeutic support, as dance allows individuals to connect with their inner-self.


Damage of dance

As with any physical activity, there is always a risk of injury. Dancers are athletes and require many hours of training - which can put a strain on the body. As a result,
sports injuries Sports injuries are injuries that occur during sport, athletic activities, or exercising. In the United States, there are approximately 30 million teenagers and children who participate in some form of organized sport. Of those, about three mi ...
,
repetitive strain injury A repetitive strain injury (RSI) is an injury to part of the musculoskeletal or nervous system caused by repetitive use, vibrations, compression or long periods in a fixed position. Other common names include repetitive stress disorders, cumula ...
, and chronic
workplace stress Occupational stress is psychological stress related to one's job. Occupational stress refers to a chronic condition. Occupational stress can be managed by understanding what the stressful conditions at work are and taking steps to remediate thos ...
can be common. Dancers risk injury within the course of their career, many retiring from active performance in their mid to late 30s. Since dance is a
performance art Performance art is an artwork or art exhibition created through actions executed by the artist or other participants. It may be witnessed live or through documentation, spontaneously developed or written, and is traditionally presented to a pu ...
with emphasis on
aesthetics Aesthetics, or esthetics, is a branch of philosophy that deals with the nature of beauty and taste, as well as the philosophy of art (its own area of philosophy that comes out of aesthetics). It examines aesthetic values, often expressed t ...
, dancers are also at a higher risk of body image problems and eating disorders such as
anorexia nervosa Anorexia nervosa, often referred to simply as anorexia, is an eating disorder characterized by low weight, food restriction, body image disturbance, fear of gaining weight, and an overpowering desire to be thin. ''Anorexia'' is a term of Gr ...
or
bulimia Bulimia nervosa, also known as simply bulimia, is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The aim of this activity is to expel the body of calories eaten ...
. Some dances, such as ballet, are very strenuous on the body. Research shows that dancers in elite pre-professional companies have 1.38 injuries per 1000 hours of dancing, with dancers averaging about 30.3 hours per week. The most common injury was to the lower extremities, with ankle being the most common. The injuries on average took about 7 days to heal with foot injuries taking the longest at 14 days and thigh injuries being the lowest at 2 days. Another risk dancers face are eating disorders. They are constantly judged based on their looks and expected to have toned, slim bodies. This can lead to a lot of health risks.


Injuries

Many dance
movements Movement may refer to: Common uses * Movement (clockwork), the internal mechanism of a timepiece * Motion, commonly referred to as movement Arts, entertainment, and media Literature * "Movement" (short story), a short story by Nancy Fu ...
, and particularly ballet techniques, such as the turnout of the hips and rising on the toes (
en pointe Pointe technique ( ) is the part of classical ballet technique that concerns ''pointe work'', in which a ballet dancer supports all body weight on the tips of fully extended feet within pointe shoes. A dancer is said to be ''en pointe'' () wh ...
), test the limits of the range of movement of the human body. Dance movements can place stress on the body when not performed correctly; even if perfect form is used, over-repetition can cause
repetitive strain injury A repetitive strain injury (RSI) is an injury to part of the musculoskeletal or nervous system caused by repetitive use, vibrations, compression or long periods in a fixed position. Other common names include repetitive stress disorders, cumula ...
. The most common injuries for ballet dancers is snapping hip syndrome and foot and ankle injuries. Foot and ankle injuries are vulnerable to a wide range of injuries including, stress fractures, tendon injuries, sprains and strains. Much of this is due to not only the emphasis of footwork in dance but also the foot wear. Dancers either wear pointe shoes, bare feet, a soft shoe of some kind or heels, all of which offer no support. Shoulder injuries can be common in male dancers due to lifting, partnering and floor work that is commonly seen in modern dance. The periscapular muscles assist in keeping the shoulder still and steady, these muscles are at greater risk for injuries among dancers. Examined in the ''Journal of Dance Medicine and Science'', dancers often put off consultation from doctors or physical therapists in the effort to stay employed by a dance company or to stay in rehearsals. When in fact those dancers that "work through" their pain more often than not end up worsening their symptoms and prolonging their recovery. Eighty percent of professional dancers will be injured in some way during their careers; 50 percent of dancers from large ballet companies and 40 percent from small companies will miss performances due to injury. Overwork and poor
occupational health and safety Occupational safety and health (OSH), also commonly referred to as occupational health and safety (OHS), occupational health, or occupational safety, is a multidisciplinary field concerned with the safety, health, and welfare of people at wor ...
conditions, a (non- sprung) hard floor, a cold studio or theater, or dancing without sufficient
warm up 'Warming up' is a part of stretching and preparation for physical exertion or a performance by exercising or practicing gently beforehand, usually undertaken before a performance or practice. Athletes, singers, actors and others warm up before s ...
also increases risk of injury. To minimize injury, dance training emphasizes strength building and forming appropriate
habit A habit (or wont as a humorous and formal term) is a routine of behavior that is repeated regularly and tends to occur subconsciously.
s. Choreographers and dance instructors will often put certain demands on their students and dancers without taking into consideration that each dancer is faced with different anatomical limitations. Dancers will strive to achieve the ideal aesthetic in their respective dance technique by over compensating for their limitations and thus presenting themselves with a higher risk for injury. Damage may also result from having a student perform movements for which they are not prepared, care must be taken that the student is not "pushed" inappropriately. A dancer put
en pointe Pointe technique ( ) is the part of classical ballet technique that concerns ''pointe work'', in which a ballet dancer supports all body weight on the tips of fully extended feet within pointe shoes. A dancer is said to be ''en pointe'' () wh ...
at an age where his or her bones have not completely
ossified Ossification (also called osteogenesis or bone mineralization) in bone remodeling is the process of laying down new bone material by cells named osteoblasts. It is synonymous with bone tissue formation. There are two processes resulting in t ...
may develop permanent damage; even past the point of ossification, ankle injuries can result if a dancer goes en pointe without sufficient strength. According to a study conducted by Rachele Quested and Anna Brodrick, the lower extremities are the most vulnerable to injury. The most common injury is to the ankle, then leg, foot, knee, hip and finally the thigh. Dancers are trained from a very young age to avoid injury by using plie, turn out, and other means to protect their bodies.


Avoiding injury

Keeping dancers free of injury is a crucial aspect and will help a lifetime of healthy
physical activity Physical activity is defined as any voluntary bodily movement produced by skeletal muscles that requires energy expenditure.Global Recommendations on Physical Activity for Health, 2009. World Health Organization. Geneva, Switzerland. Accessed 13/ ...
and can prevent injuries in the future. By being taught a few simple techniques by parents, teachers, and medical professionals can avert injuries from occurring. Following are a few advice's on preventing injuries. Wearing properly fitting clothing and shoes, drink plenty of fluids to stay hydrated, don't dance through pain, rest and then start back up again and listen to your teachers for correct technique. For social dance the use of a
sprung floor A sprung floor is a floor that absorbs shocks, giving it a softer feel. Such floors are considered the best kind for dance and indoor sports and physical education, and can enhance performance and greatly reduce injuries. Modern sprung floors are ...
is highly recommended.Harkness Centre for Dance Injuries
Common Dance Injuries
Because a dance injury can ruin a career professional dancers are increasingly refusing to dance on anything else. In
ballet Ballet () is a type of performance dance that originated during the Italian Renaissance in the fifteenth century and later developed into a concert dance form in France and Russia. It has since become a widespread and highly technical form of ...
, good pliés (bending the knees) on landing helps protect against knee injuries and
shin splint A shin splint, also known as medial tibial stress syndrome, is pain along the inside edge of the shinbone (tibia) due to inflammation of tissue in the area. Generally this is between the middle of the lower leg and the ankle. The pain may be dull ...
s. Many types of dance, especially folk dances, have hops in the steps where the impact of landing can be reduced by slightly bending the knee.
Warming up 'Warming up' is a part of stretching and preparation for physical exertion or a performance by exercising or practicing gently beforehand, usually undertaken before a performance or practice. Athletes, singers, actors and others warm up before s ...
and
cooling down Cooling down (also known as limbering down or warming down) is an important transition, done after intense activity, to allow the body to gradually return to resting or near-resting state. Depending on the intensity of the exercise, cooling down a ...
exercises are recommended before and after exercises to avoid strain, muscle pains, and possible injury. Conditioning is a good way to prevent dance injuries.


Treatment of injuries

RICE Rice is the seed of the grass species '' Oryza sativa'' (Asian rice) or less commonly ''Oryza glaberrima'' (African rice). The name wild rice is usually used for species of the genera '' Zizania'' and '' Porteresia'', both wild and domesticat ...
(Rest, Ice, Compression, Elevation) is generally regarded as a good first aid therapy for most dance injuries before the ambulance comes, or even for what may be thought of as minor injuries. Pain and inflammation can be reduced using a
non-steroidal anti-inflammatory drug Non-steroidal anti-inflammatory drugs (NSAID) are members of a therapeutic drug class which reduces pain, decreases inflammation, decreases fever, and prevents blood clots. Side effects depend on the specific drug, its dose and duration of ...
(NSAID) in a gel applied to the affected area (not on broken skin). Note, however, that masking pain to continue dancing is dangerous as it can easily make an injury worse.


Stress

Professional dancers may experience chronic
workplace stress Occupational stress is psychological stress related to one's job. Occupational stress refers to a chronic condition. Occupational stress can be managed by understanding what the stressful conditions at work are and taking steps to remediate thos ...
due to uncertain work security and shifting work environments. The average income for a ballet dancer is low, and competition for jobs is very high. The median hourly wage for dancers was estimated at $17.49 in May 2019. In addition to the stress that may be caused by this, dancers also may experience the psychological distress from technical and physical perfectionism. In a survey of 300 professional dancers, 40% were
tobacco smokers Tobacco smoking is the practice of burning tobacco and ingesting the resulting tobacco smoke, smoke. The smoke may be inhaled, as is done with cigarettes, or simply released from the mouth, as is generally done with tobacco pipes, pipes and cig ...
in contrast with the
Center for Disease Control The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...
average of 24% of American women and 29% of American men aged 18–34.


Body image and disordered eating

As with other activities (such as horse jockeying) where weight is a factor, dancers are at a higher risk for developing eating disorders such as anorexia and bulimia. According to research, about 12% of dancers have eating disorders and 16.4% of ballet dancers have eating disorders.Arcelus, Jon; Witcomb, Gemma; Mitchell, Alex (2014): Prevalence of eating disorders amongst dancers: a systemic review and meta-analysis. Loughborough University. Journal contribution

/ref> Many young dancers, believing that the ideal dancer must be thin, may begin controlling their diets, sometimes obsessively. There are deep roots and traditions in dance, especially ballet. There are high standards, one of which being the idea of perfectionism and having the ideal body shape. Many dancers feel pressure to achieve this goal. Because of this, dancers are three times as likely to develop eating disorders, more particularly anorexia nervosa and EDNOS. Such dancers may be unaware of or may choose to ignore the fact that an emaciation, emaciated dancer will not have the strength required for ballet. Inadequate nutrition in adolescent females has been linked to development of scoliosis, due to decreased oestrogen production and subsequent reduced bone density. A dancer with poor nutrition is at a higher risk for injuries and long-term health problems. A malnourished dancer's performance will be altered and weaken as his or her body starts to break down muscle and bone in order to fuel itself. This puts the dancer at risk for injury and slows healing.


Scientific study of dance

Dance science Dance science is the scientific study of dance and dancers, as well as the practical application of scientific principles to dance. Its aims are the enhancement of performance, the reduction of injury, and the improvement of well-being and health. ...
is the scientific study of dance and dancers, as well as the practical application of scientific principles to dance. Its aims are the enhancement of performance, the reduction of injury, and the improvement of well-being and health. Dance requires a high degree of interpersonal and motor skills, and yet seems built into humans. It has therefore increasingly become the subject of
neurological Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal c ...
studies. The July 2008 edition of Scientific American contains a summary of recent studies and further questions. An article in Nature 'Dance reveals symmetry especially in young men' shows that dance in Jamaica seems to show evidence of sexual selection and to reveal important information about the dancer. Professor Lee Cronk at Rutgers: "More symmetrical men put on a better show, and women notice." Symmetry is a strong indicator of fitness as it shows developmental stability.


Related occupations

Dance therapy Dance/movement therapy (DMT) in USA/ Australia or dance movement psychotherapy (DMP) in the UK is the psychotherapeutic use of movement and dance to support intellectual, emotional, and motor functions of the body. As a modality of the creativ ...
or dance movement therapy is a form of
expressive therapy The expressive therapies are the use of the creative arts as a form of therapy, including the distinct disciplines expressive arts therapy and the creative arts therapies (art therapy, dance/movement therapy, drama therapy, music therapy, writin ...
, the
psychotherapeutic Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome prob ...
use of movement (and dance) for treating emotional, cognitive,
social Social organisms, including human(s), live collectively in interacting populations. This interaction is considered social whether they are aware of it or not, and whether the exchange is voluntary or not. Etymology The word "social" derives from ...
, behavioral and
physical Physical may refer to: *Physical examination In a physical examination, medical examination, or clinical examination, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally co ...
conditions. Many professionals specialize in dancer's health such as in providing complementary or remedial training or improving mental discipline. Londondance.com: Dancers Health


References


Further reading

* *


External links


Harkness Centre for Dance InjuriesOverview of Ballet InjuriesOuch! Five common dance injuries & how to treat them
{{DEFAULTSORT:Dance And Health Health research