In a study by American scientists, it was noted that most of the injuries of ballet dancers occur on the lower limbs, as they are subjected to increased loads. Ankle joints injury with ligament injuries is the most frequent and complication-prone type of injury. Insufficient attention is paid to the accidents prevention and replenishment of the sensorimotor deficit in the process of recovering from this injury. According to a focused literature review by Mackenzie M.H. et al. on the epidemiology of acute sprain of the ankle ligaments, chronic instability of the ankle joint develops in 40% of patients who have experienced such an injury for the first time, characterized by repeated sprains and sensations of instability of the ankle joint. Aim. To analyze the process of rehabilitation of ballet dancers with the ankle joint injury, identify the shortcomings of rehabilitation programs, to study the effect of proprioceptive training programs in reducing the incidence of repetitive ankle sprains in athletes and ballet dancers with a history of ankle injuries. Conclusion. Suspension systems exercises can provide training not only for individual muscle groups, but also for proprioceptive sensitivity training, correction of postural disorders due to trauma, and most importantly, sensorimotor training under controlled conditions, which reduces the risk of possible re-traumatization.
ballet, trauma, rehabilitation, exercise, proprioceptive training, sensorimotor deficit, injury prevention, suspension system, anti-gravity therapy, sling system, neuromuscular control, myofascial bands, functional stability
1. Yau R.K., Golightly Y.M., Richardson D.B., Runfola C.D., Waller A.E., Marshall S.W. Potential Predictors of Injury Among Pre-Professional Ballet and Con- temporary Dancers. Journal of Dance Medicine & Science. 2017; 21(2): 53-63. https://doi.org/10.12678/1089-313X.21.2.53
2. Michelle S.S. Costa, Arthur S. Ferreira, Marco Orsini, Elirez B. Silva, Lilian R. Felicio, Characteristics and prevalence of musculoskeletal injury in professional and non-professional ballet dancers. Brazilian Journal of Physical Therapy. 2016; 20(2): 166-175. https://doi.org/10.1590/bjpt-rbf.2014.0142
3. Ochkurenko A.A., Shirmazanyan A.G., Macakyan A.M. Modificirovannaya artroskopicheskaya stabilizaciya golenostopnogo sustava pri hronicheskoy nestabil'nosti. Vestnik vosstanovitel'noy mediciny. 2017; (80): 53-57.
4. Yoo J.,Yang E. J. Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace. Journal of Orthopaedics and Traumatology. 2016: 17(4): 353-360. https://doi.org/10.1007/s10195-016-0406-y
5. Smith T.O., Davies L., de Medici A., Hakim A., Haddad F., Macgregor A. Prevalence and profile of musculoskeletal injuries in ballet dancers: A systematic review and meta-analysis. Physical Therapy in Sport. 2016; (19): 50-6. https://doi.org/10.1016/j.ptsp.2015.12.007
6. Vosseller J.T., Dennis E.R., Bronner S. Ankle Injuries in Dancers. The Journal of the American Academy of Orthopaedic Surgeons. 2019; 27(16): 582- 589. https://doi.org/10.5435/JAAOS-D-18-00596
7. Doherty C., Bleakley C., Delahunt E., Holden S. Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis. British Journal of Sports Medicine. 2017: (51): 113-125. https://doi.org/10.1136/bjsports-2016-096178
8. Mironov S.P., Cykunov M.B., Buylova T.V. Reabilitaciya pri povrezhdenii kapsul'no-svyazochnyh struktur golenostopnogo sustava. Federal'nye klinicheskie rekomendacii. Vestnik vosstanovitel'noy mediciny. 2017; (80): 66-71.
9. Ivleva L.D. Anatomiya i biomehanika v horeografii. Ucheb. posobie dlya studentov. Chelyabinsk. 2017: 83 s.
10. Kotel'nikova E.G. Biomehanika horeograficheskih uprazhneniy. Ucheb. posobie. Sankt-Peterburg. 1980: 95 s.
11. Vuurberg G., Hoorntje A., Wink L.M., Doelen B.F. et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. British Journal of Sports Medicine. 2018; 52(15): 956 p. https://doi.org/10.1136/bjsports-2017-098106
12. Hertel J., Corbett R. An updated model of chronic ankle instability. Journal of Athletic Training. 2019; 54(6): 572-588. https://doi.org/10.4085/1062-6050-344-18
13. Herzog M.M., Kerr Z.Y., Marshall SW., Wikstrom E. A. Epidemiology of Ankle Sprains and Chronic Ankle Instability. Journal of Athletic Training. 2019; 54(6): 603-610. https://doi.org/10.4085/1062-6050-447-17
14. Friden T., Roberts D., Ageberg E., Walden M., Zatterstrom R. Review of knee proprioception and the reletion to extremity function after an anterior cruciate ligament rupture. The Journal of Orthopaedic and Sports Physical Therapy. 2001; 31(10): 567-76. https://doi.org/10.2519/jospt.2001.31.10.567
15. Eremushkin M.A., Stuzhina V.T., Savinyh T.O., Kusova F.U., Murav'eva N.V. Proprioceptivnye trenirovki pri povrezhdeniyah kapsul'no-svyazochnogo apparata golenostopnogo sustava u detey i podrostkov. Lechebnaya fizkul'tura i sportivnaya medicina. 2014; 121(1): 16-20.
16. Rivera M.J, Winkelmann Z.K., Powden C.J., Games K.E. Proprioceptive Training for the Prevention of Ankle Sprains: An Evidence-Based Review. Journal of Athletic Training. 2017; 52(11): 1065-1067. https://doi.org/10.4085/1062-6050-52.11.16
17. Mironov S.P., Cykunov M.B. Osnovy reabilitacii sportsmenov i artistov baleta pri povrezhdeniyah i zabolevaniyah oporno-dvigatel'nogo apparata. Moskva. 1998: 99 s.
18. Shevchenko E.P. Anatomiya, fiziologiya, biomehanika i osnovy mediciny v horeografii. Metodicheskie rekomendacii. Moskva. 2016: 20 s.
19. Luk'yanova E.A. Dyhanie v horeografii. Uchebnoe posobie. Sankt-Peterburg. 2017: 183 s.
20. Klimenko N.A. Podgotovitel'nye uprazhneniya v baletnom ekzersise: ponyatiyno-klassifikacionnyy aspekt. Penza. 2019: 144 s.
21. Mironov S.P., Cykunov M.B., Burmakova G.M., Andreev S.V. Poyasnichno-krestcovye boli u sportsmenov i artistov baleta: spondiloliz i spondilolistez. Konservativnoe lechenie. Vestnik travmatologii i ortopedii im. N.N. Priorova. 2020; (27): 11-18.