dance wellness

Dance Medicine & Science In the UK

August 8, 2017 by 4dancers

Aloha to all!

Erin Sanchez is our guest contributor for the article below, and we are so pleased to post the information she has to offer. Erin is one of the strong voices in the current younger generation of dance medicine and science (DM&S) leaders. A US dancer who received her undergraduate degree in dance at the University of New Mexico, she then went to London to pursue her MsC in Dance Science at Trinity Laban Conservatoire of Music and Dance. She has remained in the UK, and currently is the Healthier Dancer Programme Manager at One Dance UK, and is also affiliated with the National Institute of Dance Medicine and Science (NIDMS). It has been my pleasure to get to know her, and her work, over the last five years.

The UK has become a leader in the dance medicine field internationally, and organizations such as One Dance UK and NIDMS have greatly advanced the efforts to bring DM&S information to the nationwide dance community. I know you will enjoy reading what they have accomplished in a relatively short amount of time…….Pass it on!!

(And a side note — you may see a few unfamiliar spellings of familiar words — that is British English, a slightly different version than what we use here in the US !)

Aloha -Jan

Jan Dunn, MS – Dance Wellness Editor

Healthier Dance Program Staff and NIDMS Staff — ***NIDMS/HDP Road Trip!***

by Erin Sanchez, MSc

One Dance UK’s Healthier Dancer Programme and the National Institute of Dance Medicine and Science

What is the Healthier Dancer Programme?

The Healthier Dancer Programme (HDP) was launched by One Dance UK in 1993 and is dedicated to improving the performance and physical and psychological health and wellbeing of dancers. We connect with dancers, teachers, choreographers, directors, administrators, healthcare practitioners (both medical and complimentary therapists), fitness professionals, researchers, academics, policy makers, (and anyone else who will listen!) in order to encourage open dialogue and collaborative working.

The National Institute of Dance Medicine and Science and a brief history of the HDP

The Healthier Dancer Programme is a part of the National Institute of Dance Medicine and Science (NIDMS). NIDMS was launched in 2012, and works to provide three key resources for the dance sector in the UK:

Affordable access for all dancers to high quality, evidence-based, dance-specific health care and dance science support services.
Research in dance to provide an evidence base for training, rehabilitation and healthcare in dance.
Education for dance, healthcare and research professionals.

NIDMS has successfully opened three free dance injury clinics within the UK’s National Health Service in London, Birmingham, and Bath. Research undertaken by NIDMS partners ranges across many subject areas including psychology, talent development, physiology, biomechanics, and strength and conditioning.

NIDMS Partners

NIDMS is a consortium of seven partners: The Royal Ballet, Birmingham Royal Ballet, One Dance UK, the Royal National Orthopaedic Hospital, Trinity Laban Conservatoire of Music and Dance, University of Birmingham, and University of Wolverhampton. It was conceived by Helen Laws, who began her work with One Dance UK’s HDP in 1997. Helen undertook the second national enquiry into dancers’ health and injury in the UK, and published the findings in Fit to Dance 2. Based on the findings regarding the rates and causes of injury and access to injury care, she then began a programme of educational ‘road shows,’ information sheets and books, all aimed at providing information for professional and student dancers and teachers which could hopefully reduce preventable injuries. Helen also initiated an online listing of qualified, dance-specific healthcare practitioners across the UK, our Healthcare Practitioners Directory.

Advisory groups of expert medical practitioners and physiotherapists working in dance companies and professional training programmes were assembled to inform the work of the HDP, and now form our Dance Medicine and Science Expert Panel. Partnerships were developed with dance teacher training organisations, medical and research institutions, and dance companies and schools, to help disseminate key research in dance medicine and science.

However, during this time the lack of affordable options for dance-specific health services became more and more obvious. Ms. Laws began fundraising for NIDMS in response to this need in 2007. Since 2012, NIDMS has successfully opened three free dance injury clinics within the UK’s National Health Service in London, Birmingham, and Bath. Research underpinning both training and healthcare undertaken by NIDMS partners ranges across many subject areas including psychology, talent development, physiology, biomechanics, and strength and conditioning.

Key moments in the development of the HDP

The HDP has become the education and dance sector advocacy arm of NIDMS’ work. Specifically, the HDP provides dissemination of advice and information, delivery of workshops, and talks and conferences aimed at those working in the training and professional dance sector. Our work exists solely to educate and empower dancers and those working with dancers at every level. Further education work is carried out in partnership with Trinity Laban Conservatoire for Music and Dance (London), and the Universities of Wolverhampton and Birmingham, who provide master’s and PhD level studies in dance science.

The Team

Dance Medicine Staff UK

The current team in the HDP is overseen by Helen Laws, the Head of Industry and Artist Support / NIDMS, and includes 3 team members: Claire Farmer and Stephanie De’ath, who are the Managers of NIDMS, and Erin Sanchez, the Manager of the Healthier Dancer Programme. There are also two emeritus team members, Dr Sarah Needham-Beck, who has just moved on to pursue a new position as a Research Fellow in the Occupational Performance Research Group at the University of Chichester, and Niamh Morrin, who is currently undertaking her PhD at Bucks New University.

Resources and information

NIDMS provides clinical care and strengthens the evidence base of dance medicine and science through research activities, as well as by taking a leadership role on postgraduate education in dance science. Dancers in the UK can access specialist dance injury clinics, which are entirely free, and provide for dancers’ medical needs throughout their injuries – this includes physiotherapy, MRI and bone scans and surgery, if necessary. NIDMS also provides preventative musculoskeletal and fitness screening and a health cash plan that provides up to £800 of injury care treatments, dental and optical cover, and GP, medical, counselling and legal helplines. Details on these services are available here.

One of the key activities of the HDP is Healthier Dancer Talks. These are educational workshops delivered to professional dancers, students, teachers and artistic and support professionals, and cover a broad range of topics – for example:

Nutrition and hydration
Rest
Overtraining
Psychology of injury
Dance specific conditioning
Interval and circuit training
Safe dance practice for teachers

In particular, the HDP has partnered with Safe in Dance International (SIDI) as a Registered Provider of courses leading to their Certificates for dancers and dance leaders. In addition, they have partnered with the University of Birmingham to provide training in developing healthy motivational climates, through the Empowering Dance training. To learn more about all our talks, visit this page.

Healthier Dancer Conferences

Another of our focused activities is an annual conference on a particular topic in dancers’ health. Our healthier dancer conferences are filmed and highlights, clips, interviews, and more are available via our YouTube channel. Our next conference in November 2017 will be a part of a conference season; 3 conferences, 2 days, 1 venue, and will feature specialist days for teachers, choreographers and health. The focus will be on mental health and the psychological and social aspects of injury.

Erin Sanchez is the Healthier Dancer Programme Manager at One Dance UK in London, and with her colleagues within the National Institute of Dance Medicine and Science, organises dance science and medicine focused conferences and workshops for dance professional and students, as well as researchers and healthcare practitioners; advocates to government, employers and stakeholders in the dance sector; and develops resources to support dancers’ knowledge of physical and psychological strategies for health, wellbeing and performance enhancement.

Erin’s main interests in dance medicine and science are psychology, talent development and mental health. She pursued a BA (Hons) in Dance and Sociology from the University of New Mexico while training as a dancer. She moved from the US to the UK in 2009 to pursue an MSc in Dance Science from Trinity Laban Conservatoire of Music and Dance in London.

She is a registered provider for Safe in Dance International (www.safeindance.com), a member of the International Association for Dance Medicine and Science (www.iadms.org), and holds the qualification in Safe and Effective Dance Practice. She also manages the Dance Psychology Network.

Should Dancers Run?

October 6, 2016 by 4dancers

Dancer Running

Aloha! Today we have another excellent post from Matt Wyon, PhD, President of IADMS / Professor of Dance Science at Wolverhampton University (UK) — this one is on running!

I was always told never to run, as a dancer –
Unless you can run in good leg alignment! So many dancers end up running in turn-out (because of the muscle imbalance in the leg and hip), and that isn’t so good for you. But Matt has some excellent current thoughts on the subject…

Enjoy, and Pass It On !!
Jan Dunn, MS, Dance Wellness Editor
[Read more…]

Stretching After You Dance

September 30, 2016 by 4dancers

By Mikael Häggström (w:Gray's muscle pictures) [Public domain or Public domain], via Wikimedia Commons — By Mikael Häggström (w:Gray’s muscle pictures) [Public domain or Public domain], via Wikimedia Commons

Aloha! We are pleased to bring you several short posts from one of our Dance Wellness Panel members, Matt Wyon, PhD, who is current President of IADMS (International Association for Dance Medicine and Science), Professor of Dance Science at University of Wolverhampton (UK), and Visiting Professor at Division of Surgery and Intervention – Institute of Orthopaedics and Musculoskeletal Science – University College London, and ArtEZ Institute of the Arts, The Netherlands.

Matt has been extensively involved in research in the dance medicine and science field for many years, so it’s always fun to see what new nuggets of information he has to pass on.

This first post is about stretching and how important it is to stretch properly AFTER you dance, and not do the kind of static stretching (such as sitting on the floor in 2nd and holding it) beforehand that has actually been shown to be detrimental for dancers.
Enjoy – happy stretching (after class / rehearsal!) and pass it on-
Aloha, Jan Dunn, MS, Dance Wellness Editor

by Matt Wyon, PhD

Stretching is a way of life for dancers but interestingly there has been very little research into the best ways to stretch. Holding static stretches (where you take the stretch and hold it) for a long time during a warm up has been shown to negatively affect a muscle’s explosive ability – whereas a study in sport showed that incorporating dynamic stretching (active movements of the muscle that brings forth a stretch, but are not held in the end position) into a warm up helped prevent injuries during the subsequent activity.

But what about afterwards?

What sort of stretches should you do after dance has finished? A recent study by one of my doctoral students at the University of Wolverhampton (Nikos Apostolopoulos) has shown that a gentle stretch is better than a high intensity stretch in helping the muscle recover and maintaining flexibility. In fact, not stretching at all (the control group) was better than a high intensity stretch.

So how do you figure out the intensity of a stretch?

If you stretch a muscle until it hurts and it starts to wobble (this is a protective reflex trying to protect the muscle) then that is a 10/10 intensity. A gentle stretch is around 4-6/10 and you should only feel a lengthening in the muscle being stretched.

But dancers may say “But a high intensity stretch feels like I am doing something.”

Yes it might – but it is also causing micro-damage to the muscle. If you have just had a hard days dancing then your muscle is already damaged and needs to recover; a high intensity stretch actually delays this healing process whilst a gentle or low intensity stretch actually promotes the muscle’s repair.

Dance Wellness Contributor Matt Wyon — Matt Wyon, PhD

Matthew Wyon, PhD, is a Professor in Dance Science at the University of Wolverhampton, UK and a Visiting Professor at the ArtEZ, Institute of the Arts, The Netherlands.

At Wolverhampton he is the course leader for the MSc in Dance Science and Director of Studies for a number of dance science and medicine doctoral candidates. He is a founding partner of the National Institute of Dance Medicine and Science, UK.

Prof. Wyon is President of the International Association for Dance Medicine & Science and a past chair of the Research Committee. He has worked with numerous dancers and companies within the UK and Europe as an applied physiologist and strength and conditioning coach.

He has published over 80 peer-reviewed articles in dance medicine and science.

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Evaluating Dance Medicine Information On The Web

September 2, 2016 by 4dancers

Aloha! The following is a post from all of us on the 4dancers.org Dance Wellness Panel…it’s something we have been wanting to bring you for some time. It represents the combined thoughts of all of us, on the current plethora of dance medicine information available online for dancers.

For those who may be new to 4dancers.org-our Dance Wellness Panel is a group of internationally recognized experts in the field of dance medicine and science (DM&S) / aka Dance Wellness,
who consult with and write articles for our site. If you don’t already know who they are, here’s the list:

Gigi Berardi, Phd
Jim Garrick, MD
Robin Kish, MS, MFA
Moira McCormack, MS, PT
Janice Plastino, Phd
Emma Redding, PhD
Erin Sanchez, MS
Selina Shah, MD, FACP
Nancy Wozny
Matt Wyon, Phd

We had recently been discussing our shared concern over the many websites and blogs online that are “dance medicine” oriented. These are sites that are offering information / services (often charging money) in the dance medicine / dance wellness area / sports medicine or fitness areas.

Some of these are good sites, with valid science and credentials backing them – but others are questionable.

In our discussions, the Panel came up with some key points for online readers to consider when looking at a particular site and trying to determine if what they are presenting (and often charging for) is valid and worthwhile.

download-1002802_640 We are sharing 4 key points with you to help you evaluate websites in this regard. Please consider them carefully, and pass them on to others:

1) Is the author a dancer / former dancer / or at the very least, have they spent years learning about the art, even if not a dancer themselves? Ditto for a sports-oriented site.

2) Do they provide a clear bio of their qualifications / degrees (such as MD, PhD, MS, MSc, PT, or ATC in a related field) / experience / and qualifications in the field?

3) Do they provide clear references and sources for their information, indicating that they are current with the latest dance medicine and science or sports medicine research, and are not claiming to be the sole expert on the topic being discussed?

4) If a program or something else is being sold on the site, is it supported with external resources and credentials?

For example, if someone is promoting a strength-training program for dancers, do they have credentials in that field, such as a Pilates certification or an ASCM program (American College of Sports Medicine)?

And again – ditto for a sports-oriented site.

Please pass on these thoughts, to all your dance (or sports!) colleagues, whether they are dancers / teachers / students / or choreographers.

There is sooo much out there online. It’s good to be informed, but don’t automatically take in everything you read as fact. Filter the information through key factors such as the ones mentioned above, and then use the site (or not!) accordingly.

Please pass this post on — it’s so important!

Mahalo Nui (many thanks)
Jan

Editor Jan Dunn is a dance medicine specialist currently based on the island of Kauai, Hawaii, where she is owner of Pilates Plus Kauai Wellness Center and co-founder of Kauai Dance Medicine. She is also a Pilates rehabilitation specialist and Franklin Educator. A lifelong dancer / choreographer, she spent many years as university dance faculty, most recently as Adjunct Faculty, University of Colorado Dept. of Theatre and Dance. Her 28 year background in dance medicine includes 23 years with the International Association of Dance Medicine and Science (IADMS) – as Board member / President / Executive Director – founding Denver Dance Medicine Associates, and establishing two university Dance Wellness Programs

Jan served as organizer and Co-Chair, International Dance Medicine Conference, Taiwan 2004, and was founding chair of the National Dance Association’s (USA) Committee on Dance Science and Medicine, 1989-1993. She originated The Dance Medicine/Science Resource Guide; and was co-founder of the Journal of Dance Medicine & Science. She has taught dance medicine, Pilates, and Franklin workshops for medical / dance and academic institutions in the USA / Europe / Middle East / and Asia, authored numerous articles in the field, and presented at many national and international conferences.

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What Makes A Dance? The Brain As Choreographer, Dancer And Spectator

July 5, 2016 by 4dancers

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Aloha to All –

We are very pleased to have as our next Dance Wellness guest contributor Judith Lynne Hanna, PhD. Dr. Hanna is a longtime dancer and anthropologist whose work spans many years. Reading reviews of her recently published book, “Learning to Dance: The Brain’s Cognition, Emotion, and Movement”, spurred me to contact her to see if she would write an article for us concerning the new research on dancers’ brains, and how growing up in dance really does change us. The new science of Neuroplasticity (also called brain plasticity, is the process in which your brain’s neural synapses and pathways are altered as an effect of environmental, behavioral, and neural changes) is fascinating – and there are now more than 400 studies related to interdisciplinary neuroscience that reveal the hidden value of dance.

Many of us in the dance world have grown up feeling / knowing that we were somehow “different” from non-dancers, but only recently has science been learning how and why. I found Dr. Hanna’s article to be a clear explanation of all this new research, and am so pleased to share it with you.
Enjoy! (and don’t stop dancing–ever!)

Jan Dunn, MS, Dance Wellness Editor

by Judith Lynne Hanna, PhD

At times during their careers, dancers may want to explain what dance is about to family, friends, students, schools, spectators, and the media. After all, knowledge about dance is new and limited compared to the other arts.

My journey toward understanding dance began as a child in 1946, and the odyssey hasn’t stopped. A pediatrician told my parents that ballet would make my feet strong. So I studied ballet. Dancing didn’t do much for my feet, but dancing has made me stronger physically and mentally. Alicia Markova’s experience with flat feet was different than mine. Critic Clement Crisp reports, “The sublime artist Alicia Markova was taken to ballet as a child because her flat little feet left sad imprints in the sand during a seaside holiday. Ballet, said a doctor, would cure that. And it did. She grew into an astounding artist whose ‘intelligent’ feet and legs were the envy of the ballet world.”

Fascination with dance led me beyond ballet to explore other dance genres (e.g., modern, Afro-Caribbean, Latin American, African, flamenco, Middle East, jazz, hip-hop, swing, ballroom, and folk). Curiosity led me to conduct dance research in villages and cities in Africa and then in theaters, school playgrounds and classrooms, and cabarets in the United States.

As an applied anthropologist I study human behavior, including many forms of dance and culture, past and present, and draw upon the work of different disciplines. I was surprised that at the 2008 annual meeting of the Society for Neuroscience annual meeting, more than 6,800 attendees paid rapt attention to renowned choreographer Mark Morris as he answered questions about the relationship between creativity and dance. Neuroscientists interested in dance? I wanted to know why.

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The Attraction of Dance

Scientists are turning to dance because it is a multifaceted activity that can help them demystify how the brain coordinates the body to perform complex, precise movements that express emotion and convey meaning. Dancers possess an extraordinary skill set—coordination of limbs, posture, balance, gesture, facial expression, perception, and action in sequences that create meaning in time and space and with effort. Dancers deal with the relationship between experience and observation.

The brain hides from our sight the wondrously complex operations that underlie the feat of dance. Although there are many secrets to unravel about the power of the brain and dance, advances in technology—29 at my last count, such as brain scanning techniques and the experiments using dancers, dance makers, and dance viewers–reveal to us the unexpected.

Misconceptions that dancers shouldn’t think, just dance, or that dance is merely physical or emotional expression, are challenged by reality. Research shows that dance activity also strongly registers in regions of the brain responsible for cognition. Hidden processes reveal that the brain is choreographer, dancer, and spectator. Dance is what the brain does.

The Choreographing Brain

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