journal article·2024-03-22Open access

Quantifying the External Joint Workload and Safety of Latin Dance in Older Adults: Potential Benefits for Musculoskeletal Health

Tyrone M. Loría-Calderón, Carlos D. Gómez-Carmona, Keven G. Santamaría-Guzmán, Mynor Rodríguez-Hernández, José Pino-Ortega

Applied Sciences· Volume 14· Issue 7

Abstract

As global aging rises, identifying strategies to mitigate age-related physical decline has become an urgent priority. Dance represents a promising exercise modality for older adults, yet few studies have quantified the external loads older dancers experience. This study aimed to characterize the impacts accumulated across lower limb and spinal locations in older adults during Latin dance. Thirty older Latin dancers (age = 66.56 ± 6.38 years; female = 93.3%) wore inertial sensors on the scapulae, lumbar spine, knees, and ankles during a 1 h class. A distal-to-proximal gradient emerged in the total impacts (F = 429.29; p < 0.01; ωp2 = 0.43) and per intensities (F = 103.94-to-665.55; p < 0.01; ωp2 = 0.07-to-0.54), with the highest impacts sustained in the ankles (≈9000 total impacts) from 2 g to >10 g (p < 0.01; d = 1.03-to-4.95; ankles > knees > lower back > scapulae) and knees (≈12,000 total impacts) when <2 g (p < 0.01, d = 2.73-to-3.25; knees > ankles > lower back > scapulae). The majority of the impacts remained below 6 g across all anatomical locations (>94%). The impacts also increased in lower limb locations with faster tempos (r = 0.10-to-0.52; p < 0.01), while subtly accumulating over successive songs rather than indicating fatigue (r = 0.11-to-0.35; p < 0.01). The mild ankle and knee loads could strengthen the dancers’ lower extremity bones and muscles in a population vulnerable to sarcopenia, osteoporosis, and falls. Quantifying the workload via accelerometry enables creating personalized dance programs to empower healthy aging. With global aging rising, this work addresses a timely public health need regarding sustainable lifelong exercise for older people. Ranging from low to moderate, the measured impact magnitudes suggest that dance lessons may provide enough osteogenic stimulus without overloading structures.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Balance, Gait, and Falls Prevention · Sports injuries and prevention · Diversity and Impact of Dance

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Education Sciences, Western Campus, University of Costa Rica, San Ramon 20201, Costa Rica

Optimization of Training and Sports Performance Research Group, Department of Didactics of Music, Plastic and Body Expression, Faculty of Sport Sciences, University of Extremadura, 10003 Caceres, Spain

Biovetmed & Sportsci Research Group, Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia, 30720 San Javier, Spain

Locomotor and Movement Control Laboratory, Kinesiology School, Auburn University, Auburn, AL 36849, USA

References (48)

Show source-provided references
1. Desa, U.N. (2019). World Population Prospects 2019: Highlights, United Nations Department of Economic and Social Affairs.
2. Sarcopenic Obesity and Risk of Disability in Community-Dwelling Japanese Older Adults: A 5-Year Longitudinal Study10.1016/j.jamda.2023.03.008 ↗
3. Risk Factors for Incident Fracture in Older Adults with Type 2 Diabetes: The Framingham Heart Study10.2337/dc20-3150 ↗
4. Clinical Risk Factors and Prognostic Impact of Osteoporosis in Patients with Chronic Heart Failure10.1253/circj.CJ-20-0593 ↗
5. Interventions for Treating Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies10.1016/j.jamda.2017.03.019 ↗
6. Strength Training Decreases Inflammation and Increases Cognition and Physical Fitness in Older Women with Cognitive Impairment10.3389/fphys.2017.00377 ↗
7. Effects of Three Types of Exercise Interventions on Healthy Old Adults’ Gait Speed: A Systematic Review and Meta-Analysis10.1007/s40279-015-0375-y ↗
8. Dose-Response Relationships of Balance Training in Healthy Young Adults: A Systematic Review and Meta-Analysis10.1007/s40279-014-0284-5 ↗
9. Effect of Music-Based Multitask Training on Gait, Balance, and Fall Risk in Elderly People: A Randomized Controlled Trial10.1001/archinternmed.2010.446 ↗
10. Palumbo, F., Ciaccioni, S., Guidotti, F., Forte, R., Sacripanti, A., Capranica, L., and Tessitore, A. (2023). Risks and Benefits of Judo Training for Middle-Aged and Older People: A Systematic Review. Sports, 11.10.3390/sports11030068 ↗
11. Effects of Judo Training on Bones: A Systematic Literature Review10.1519/JSC.0000000000002340 ↗
12. Effect of Sport on Health in People Aged 60 Years and Older: A Systematic Review with Meta-Analysis10.1136/bjsports-2022-105820 ↗
13. Merom, D., Mathieu, E., Cerin, E., Morton, R.L., Simpson, J.M., Rissel, C., Anstey, K.J., Sherrington, C., Lord, S.R., and Cumming, R.G. (2016). Social Dancing and Incidence of Falls in Older Adults: A Cluster Randomised Controlled Trial. PLoS Med., 13.10.1371/journal.pmed.1002112 ↗
14. Physical Benefits of Dancing for Healthy Older Adults: A Review10.1123/japa.17.4.479 ↗
15. Postural Balance and Falls in Elderly Nursing Home Residents Enrolled in a Ballroom Dancing Program10.1016/j.archger.2014.03.013 ↗
16. A Qualitative Review of Balance and Strength Performance in Healthy Older Adults: Impact for Testing and Training10.1155/2012/708905 ↗
17. Exploring the Effects of Dance-Based Therapy on Balance and Mobility in Older Adults10.1177/0193945911423266 ↗
18. Gómez-Carmona, C.D., Bastida-Castillo, A., Ibáñez, S.J., and Pino-Ortega, J. (2020). Accelerometry as a Method for External Workload Monitoring in Invasion Team Sports. A Systematic Review. PLoS ONE, 15.10.1371/journal.pone.0236643 ↗
19. Hume, P.A., Bradshaw, E.J., and Brueggemann, G.-P. (2013). Gymnastics, John Wiley & Sons, Ltd.
20. A Novel Dance Dance Revolution (DDR) System for in-Home Training of Stepping Ability: Basic Parameters of System Use by Older Adults10.1136/bjsm.2009.066845 ↗
21. A guide for naming research studies in Psychology
22. Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses10.3758/BRM.41.4.1149 ↗
23. What Is the Most Suitable Sampling Frequency to Register Accelerometry-Based Workload? A Case Study in Soccer
24. Static and Dynamic Reliability of WIMU PROTM Accelerometers According to Anatomical Placement
25. Using an Inertial Device (WIMU PROTM) to Quantify Neuromuscular Load in Running: Reliability, Convergent Validity and the Influence of Type of Surface and Device Location10.1519/JSC.0000000000003106 ↗
26. Reliability and Validity of a Wireless Accelerometer for the Assessment of Postural Sway10.1123/jab.2014-0232 ↗
27. Quantitative Assessment of Balance Impairment for Fall-Risk Estimation Using Wearable Triaxial Accelerometer10.1109/JSEN.2017.2749446 ↗
28. Definition of the Proper Placement Point for Balance Assessment with Accelerometers in Older Women
29. Wang, J., Liu, Y., and Fan, W. (2006, January 25–28). Design and Calibration for a Smart Inertial Measurement Unit for Autonomous Helicopters Using MEMS Sensors. Proceedings of the 2006 International Conference on Mechatronics and Automation, Luoyang, China.10.1109/ICMA.2006.257754 ↗
30. Dancing at Home During Quarantine: Considerations for Session Structure, Aerobic Fitness, and Safety10.1080/07303084.2021.1894272 ↗
31. Field, A. (2013). SAGE. [4th ed.].
32. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Routledge Academic. Chapter 8.
33. Progressive Statistics for Studies in Sports Medicine and Exercise Science10.1249/MSS.0b013e31818cb278 ↗
34. Judo, Better than Dance, Develops Sensorimotor Adaptabilities Involved in Balance Control10.1016/S0966-6362(01)00149-7 ↗
35. Characterization and Sex-related Differences in the Multi-location External Workload Profile of Semiprofessional Basketball Players. A Cross-sectional Study10.1080/17461391.2021.2009040 ↗
36. Exploring the Potential Utility of a Wearable Accelerometer for Estimating Impact Forces in Ballet Dancers10.1080/02640414.2019.1692413 ↗
37. Injuries in a Modern Dance Company Effect of Comprehensive Management on Injury Incidence and Cost
38. Differential Shock Transmission Response of the Human Body to Impact Severity and Lower Limb Posture10.1016/S0021-9290(96)80004-2 ↗
39. Classification of Team Sport Activities Using a Single Wearable Tracking Device10.1016/j.jbiomech.2015.09.015 ↗
40. The BASES Expert Statement on Use of Music in Exercise10.1080/02640414.2012.676665 ↗
41. Effects of Music in Exercise and Sport: A Meta-Analytic Review10.1037/bul0000216 ↗
42. Monitoring Training Load to Understand Fatigue in Athletes10.1007/s40279-014-0253-z ↗
43. The Association Between Training Load and Performance in Team Sports: A Systematic Review10.1007/s40279-018-0982-5 ↗
44. Muscle Activation in the Main Muscle Groups of the Lower Limbs in High-Level Dancesport Athletes10.21091/mppa.2018.4034 ↗
45. Warm Up II: Performance Changes Following Active Warm Up and How to Structure the Warm Up10.2165/00007256-200333070-00002 ↗
46. Use of a Tibial Accelerometer to Measure Ground Reaction Force in Running: A Reliability and Validity Comparison with Force Plates10.1016/j.jsams.2017.06.010 ↗
47. Brailey, G., Metcalf, B., Price, L., Cumming, S., and Stiles, V. (2023). Raw Acceleration from Wrist- and Hip-Worn Accelerometers Corresponds with Mechanical Loading in Children and Adolescents. Sensors, 23.10.3390/s23156943 ↗
48. Do Accelerometers Mounted on the Back Provide a Good Estimate of Impact Loads in Jumping and Landing Tasks?10.1080/14763141.2015.1123765 ↗