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Dance is a healthy physical activity, 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. [1] Dance for health has become an important factor in the prevention, treatment, and management in several health circumstances. It can benefit both physical and mental health and subsidizes social communication [2] Dance is an art which is learned in and shared between many cultures. Types of dance can entail body movements, expression and collaboration. [1] 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. [2]
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 and lungs, increased muscular strength, endurance and motor fitness, increased aerobic fitness, improved muscle tone and strength, 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 and self-esteem, and better social skills. [3] Most forms of dance may be considered aerobic exercise, and as such can also reduce the risk of cardiovascular disease, help weight control, 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. [4]
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. [5]
A 2008 report by Professor Tim Watson and Dr. Andrew Garrett of the University of Hertfordshire compared members of the Royal Ballet with a squad of British national and international swimmers. The dancers scored higher than the swimmers in seven out of ten areas of fitness. [6]
For those with hypercholesterolemia, dancing – in conjunction with diet and medication such as statins – can provide positive health benefits. As an aerobic exercise, abridged levels of total blood cholesterol, especially in LDL cholesterol, are acknowledged as bad and helps boost levels of HDL cholesterol. [7] 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). [8]
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. [9]
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, repetitive strain injury, and chronic workplace stress can be common.[ citation needed ]
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 with emphasis on aesthetics, dancers are also at a higher risk of body image problems and eating disorders such as anorexia nervosa or bulimia. [10] 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. [11] 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. [12]
...compared to the 61 common sports, only professional [American] football is more physically demanding than ballet. [13]
Many dance movements, and particularly ballet techniques, such as the turnout of the hips and rising on the toes (en pointe), 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. The most common injuries for ballet dancers are snapping hip syndrome and foot and ankle injuries. [14] A dancer's feet and ankles 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 footwear. 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. [15]
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. [16]
Overwork and poor occupational health and safety conditions, a (non-sprung) hard floor, a cold studio or theater, or dancing without sufficient warm up also increases risk of injury. To minimize injury, dance training emphasizes strength building and forming appropriate habits. 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. [17]
A dancer put en pointe at an age where his or her bones have not completely ossified 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. [11]
Keeping dancers free of injury is a crucial aspect and will help a lifetime of healthy physical activity 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. [19] Wearing properly fitting clothing and shoes, drink plenty of fluids to stay hydrated, do not dance through pain, rest and then start back up again and listen to your teachers for correct technique. [19] For social dance the use of a sprung floor is highly recommended. [20] Because a dance injury can ruin a career professional dancers are increasingly refusing to dance on anything else. In ballet, good pliés (bending the knees) on landing helps protect against knee injuries and shin splints. 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 and cooling down exercises are recommended before and after exercises to avoid strain, muscle pains, and possible injury. [21] Conditioning is a good way to prevent dance injuries. [22]
RICE (Rest, Ice, Compression, Elevation) is generally regarded as a good first aid therapy for most dance injuries before an ambulance arrives, or even for what may be thought of as minor injuries. [23] Pain and inflammation can be reduced using a non-steroidal anti-inflammatory drug (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. [20]
Professional dancers may experience chronic workplace stress due to uncertain work security and shifting work environments. The average income for a ballet dancer is low, [24] and competition for jobs is very high. The median hourly wage for dancers was estimated at $17.49 in May 2019. [25] In addition to the stress that may be caused by this, dancers also may experience the psychological distress from technical and physical perfectionism. [26] In a survey of 300 professional dancers, 40% were tobacco smokers in contrast with the Center for Disease Control average of 24% of American women and 29% of American men aged 18–34. [27]
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. [28] According to research, about 12% of dancers have eating disorders and 16.4% of ballet dancers have eating disorders. [29] Many young dancers, believing that the ideal dancer must be thin, may begin controlling their diets, sometimes obsessively. [30] 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. [31] Because of this, dancers are three times as likely to develop eating disorders, more particularly anorexia nervosa and EDNOS. [29] Such dancers may be unaware of or may choose to ignore the fact that an 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. [32]
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. 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 studies. The July 2008 edition of Scientific American contains a summary of recent studies and further questions. [33]
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. [34] [35] Professor Lee Cronk at Rutgers: "More symmetrical men put on a better show, and women notice."
Dance therapy or dance movement therapy is a form of expressive therapy, the psychotherapeutic use of movement (and dance) for treating emotional, cognitive, social, behavioral and physical conditions. Many professionals specialize in dancer's health such as in providing complementary or remedial training or improving mental discipline. [36]
An eating disorder is a mental disorder defined by abnormal eating behaviors that adversely affect a person's physical or mental health. Types of eating disorders include binge eating disorder, where the patient eats a large amount in a short period of time; anorexia nervosa, where the person has an intense fear of gaining weight and restricts food or overexercises to manage this fear; bulimia nervosa, where individuals eat a large quantity (binging) then try to rid themselves of the food (purging); pica, where the patient eats non-food items; rumination syndrome, where the patient regurgitates undigested or minimally digested food; avoidant/restrictive food intake disorder (ARFID), where people have a reduced or selective food intake due to some psychological reasons; and a group of other specified feeding or eating disorders. Anxiety disorders, depression and substance abuse are common among people with eating disorders. These disorders do not include obesity. People often experience comorbidity between an eating disorder and OCD. It is estimated 20–60% of patients with an ED have a history of OCD.
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 million athletes age 14 years and under experience a sports injury annually. According to a study performed at Stanford University, 21 percent of the injuries observed in elite college athletes caused the athlete to miss at least one day of sport, and approximately 77 percent of these injuries involved the knee, lower leg, ankle, or foot. In addition to those sport injuries, the leading cause of death related to sports injuries is traumatic head or neck occurrences.
Health has a variety of definitions, which have been used for different purposes over time. Health can be promoted by encouraging healthful activities, such as regular physical exercise and adequate sleep, and by reducing or avoiding unhealthful activities or situations, such as smoking or excessive stress. Some factors affecting health are due to individual choices, such as whether to engage in a high-risk behavior, while others are due to structural causes, such as whether the society is arranged in a way that makes it easier or harder for people to get necessary healthcare services. Still, other factors are beyond both individual and group choices, such as genetic disorders.
Physical fitness is a state of health and well-being and, more specifically, the ability to perform aspects of sports, occupations, and daily activities. Physical fitness is generally achieved through proper nutrition, moderate-vigorous physical exercise, and sufficient rest along with a formal recovery plan.
Pointe technique is part of classical ballet involving a technique that concerns pointe work, in which a ballet dancer supports all body weight on the tips of fully extended feet when wearing pointe shoes. A dancer is said to be en pointe when the body is supported in this manner, and a fully extended vertical foot is said to be en pointe when touching the floor, even when not bearing weight.
A ballet dancer is a person who practices the art of classical ballet. Both females and males can practice ballet. They rely on years of extensive training and proper technique to become a part of a professional ballet company. Ballet dancers are at a high risk of injury due to the demanding technique of ballet.
Achilles tendinitis, also known as achilles tendinopathy, occurs when the Achilles tendon, found at the back of the ankle, becomes sore. Achilles tendinopathy is accompanied by alterations in the tendon's structure and mechanical properties. The most common symptoms are pain and swelling around the affected tendon. The pain is typically worse at the start of exercise and decreases thereafter. Stiffness of the ankle may also be present. Onset is generally gradual.
Muscle dysmorphia is a subtype of the obsessive mental disorder body dysmorphic disorder, but is often also grouped with eating disorders. In muscle dysmorphia, which is sometimes called "bigorexia", "megarexia", or "reverse anorexia", the delusional or exaggerated belief is that one's own body is too small, too skinny, insufficiently muscular, or insufficiently lean, although in most cases, the individual's build is normal or even exceptionally large and muscular already.
An underweight person is a person whose body weight is considered too low to be healthy. A person who is underweight is malnourished.
Relative energy deficiency in sport (RED-S) is a syndrome in which disordered eating, amenorrhoea/oligomenorrhoea, and decreased bone mineral density are present. It is caused by eating too little food to support the amount of energy being expended by an athlete, often at the urging of a coach or other authority figure who believes that athletes are more likely to win competitions when they have an extremely lean body type. RED-S is a serious illness with lifelong health consequences and can potentially be fatal.
College health is a desired outcome created by a constellation of services, programs and policies directed at advancing the health and wellbeing of individuals enrolled in an institution of higher education, while also addressing and improving both population health and community health. Many colleges and universities worldwide apply both health promotion and health care as processes to achieve key performance indicators in college health. The variety of healthcare services provided by any one institution range from first aid stations employing a single nurse to large, accredited, multi-specialty ambulatory healthcare clinics with hundreds of employees. These services, programs and policies require a multidisciplinary team, the healthcare services alone include physicians, physician assistants, administrators, nurses, nurse practitioners, mental health professionals, health educators, athletic trainers, dietitians and nutritionists, and pharmacists. Some of the healthcare services extend to include massage therapists and other holistic health care professionals. While currently changing, the vast majority of college health services are set up as cost centers or service units rather than as parts of academic departments or health care delivery enterprises.
Equine-assisted therapy (EAT) encompasses a range of treatments that involve activities with horses and other equines to promote human physical and mental health. Modern use of horses for mental health treatment dates to the 1990s. Systematic review of studies of EAT as applied to physical health date only to about 2007, and a lack of common terminology and standardization has caused problems with meta-analysis. Due to a lack of high-quality studies assessing the efficacy of equine-assisted therapies for mental health treatment, concerns have been raised that these therapies should not replace or divert resources from other evidence-based mental health therapies. The existing body of evidence does not justify the promotion and use of equine-related treatments for mental disorders.
Anorexia nervosa (AN), often referred to simply as anorexia, is an eating disorder characterized by food restriction, body image disturbance, fear of gaining weight, and an overpowering desire to be thin.
In psychology, relaxation is the emotional state of low tension, in which there is an absence of arousal, particularly from negative sources such as anger, anxiety, or fear.
Exercise addiction is a state characterized by a compulsive engagement in any form of physical exercise, despite negative consequences. While regular exercise is generally a healthy activity, exercise addiction generally involves performing excessive amounts of exercise to the detriment of physical health, spending too much time exercising to the detriment of personal and professional life, and exercising regardless of physical injury. It may also involve a state of dependence upon regular exercise which involves the occurrence of severe withdrawal symptoms when the individual is unable to exercise. Differentiating between addictive and healthy exercise behaviors is difficult but there are key factors in determining which category a person may fall into. Exercise addiction shows a high comorbidity with eating disorders.
Health issues of athletics concern the health and well-being of athletes who participate in an organized sport. If athletes are physically and mentally underdeveloped, they are susceptible to mental or physical problems. Athletes trying to improve their performance in sports can harm themselves by overtraining, adopting eating habits that damage them physically or psychologically, and using steroids or supplements.
Barre is a form of physical exercise, usually conducted in group classes in gyms or specialty studios. It is distinguished from other group fitness activities by its use of the ballet barre and its incorporation of movements derived from ballet. These classical dance movements and positions are combined with those drawn from yoga and pilates, and other equipment is sometimes used in addition to the barre, such as resistance bands, yoga straps, exercise balls and hand weights. Barre classes typically focus on small, pulsing movements with emphasis on form, alignment and core engagement. Participants hold their bodies still while contracting specific, targeted sets of muscles in isometric exercises. Repetitions tend to be high, range-of-motion small, and weights, when used, light. Barre classes focus on the lower body and core, developing strength and flexibility from the ankles up though the calves, knees, thighs, glutes and abdominals. Holding muscles in contraction for extended periods frequently leads to them shaking as they fatigue. This is particularly true of thighs, as the quadriceps tire.
Hydrogymnastics is a water-based therapeutic exercise. As its name suggests, this form of aquatic therapy or aquatic rehabilitation is performed in water, and it can take place in swimming pools at aquatic leisure centres and/or in home pools. Being a form of aquatic therapy, hydrogymnastics aims to improve the physical and psychological health and well-being of an individual. Hydrogymnastics can be performed by anyone, including youths, middle-aged people, the elderly, athletes and those with disabilities. Hydrogymnastics is often assisted by a qualified aquatic therapist and/or exercise physiologist. Although the effects of hydrogymnastics may vary between individuals belonging to different age groups and genders, hydrogymnastics mainly improves one's cardiovascular fitness, strength, balance and mobility.
The science of yoga is the scientific basis of modern yoga as physical exercise in human sciences such as anatomy, physiology, and psychology. Yoga's effects are to some extent shared with other forms of exercise, though it differs in the amount of stretching involved, and because of its frequent use of long holds and relaxation, in its ability to reduce stress. Yoga is here treated separately from meditation, which has effects of its own, though yoga and meditation are combined in some schools of yoga.
Scuba diving therapy is a type of treatment that consists of different scuba diving techniques and exercises. Essential elements are increased body awareness, social bonding, and breathing techniques. The goal is to improve physical and psychological well-being.