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Kinematic repeatability of a multi-segment foot model for dance*
Authors:Sarah L Carter  Nahoko Sato  Luke S Hopper
Institution:1. Podiatric Medicine and Surgery Division, Faculty of Health &2. Medical Sciences, School of Allied Health, The University of Western Australia, Perth, Australia;3. Western Australian Academy of Performing Arts, Edith Cowan University, Perth, Australia;4. Department of Physical Therapy, Faculty of Rehabilitation Science, Nagoya Gakuin University, Seto, Aichi, Japan;5. Western Australian Academy of Performing Arts, Edith Cowan University, Perth, Australia
Abstract:The purpose of this study was to determine the intra and inter-assessor repeatability of a modified Rizzoli Foot Model for analysing the foot kinematics of ballet dancers. Six university-level ballet dancers performed the movements; parallel stance, turnout plié, turnout stance, turnout rise and flex-point-flex. The three-dimensional (3D) position of individual reflective markers and marker triads was used to model the movement of the dancers’ tibia, entire foot, hindfoot, midfoot, forefoot and hallux. Intra and inter-assessor reliability demonstrated excellent (ICC ≥ 0.75) repeatability for the first metatarsophalangeal joint in the sagittal plane. Intra-assessor reliability demonstrated excellent (ICC ≥ 0.75) repeatability during flex-point-flex across all inter-segmental angles except for the tibia-hindfoot and hindfoot-midfoot frontal planes. Inter-assessor repeatability ranged from poor to excellent (0.5 > ICC ≥ 0.75) for the 3D segment rotations. The most repeatable measure was the tibia-foot dorsiflexion/plantar flexion articulation whereas the least repeatable measure was the hindfoot-midfoot adduction/abduction articulation. The variation found in the inter-assessor results is likely due to inconsistencies in marker placement. This 3D dance specific multi-segment foot model provides insight into which kinematic measures can be reliably used to ascertain in vivo technical errors and/or biomechanical abnormalities in a dancer’s foot motion.
Keywords:Biomechanics  en pointe  ballet  joint rotation
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