Oklahoma City University, Oklahoma City, Oklahoma, USA; kpveirs@okcu. edu.
University of Oklahoma, Norman, Oklahoma, USA.
J Dance Med Sci. 2022 Jun 15;26(2):69-86. doi: 10.12678/1089-313X.061522a. Epub 2022 Mar 15.
Dance movement requires excessive, repetitive range of motion (ROM) at the foot-ankle complex, possibly contributing to the high rate of injury among dancers. However, we know little about foot biomechanics during dance movements. Researchers are using three-dimensional (3D) motion capture systems to study the in vivo kinematics of joint segments more frequently in dance-medicine research, warranting a literature review and quality assessment evaluation. The purpose of this literature review was to identify and evaluate studies that used 3D motion capture to analyze in vivo biomechanics of the foot and ankle for a cohort of dancers during dance-specific movement. Three databases (PubMed, Ovid MEDLINE, CINAHL) were accessed along with hand searches of dance-specific journals to identify relevant articles through March 2020. Using specific selection criteria, 25 studies were identified. Fifteen studies used single-segment biomechanical foot models originally created to study gait, four used a novel two-segment model, and six utilized a multi-seg- ment foot model. Nine of the studies referenced common and frequently published gait marker sets and four used a dance-specific biomechanical model with purposefully designed foot segments to analyze the dancers' foot and ankle. Description of the biomechanical models varied, reducing the reproducibility of the models and protocols. Investigators concluded that there is little evidence that the extreme total, segmental, and inter-segmental foot and ankle ROM exerted by dancers are being evaluated during dance-specific movements using 3D motion capture. Findings suggest that 3D motion capture is a robust measurement tool that has the capability to assist researchers in evaluating the in vivo, inter-segmental motion of the foot and ankle to potentially discover many of the remaining significant factors predisposing dancers to injury. The literature review synthesis is presented with recommendations for consideration when evaluating results from studies that utilized a 3D biomechanical foot model to evaluate dance-specific movement.
舞蹈动作需要脚部和踝关节过度、重复的活动范围（ROM），这可能是导致舞者受伤率高的原因之一。然而，我们对舞蹈动作中的脚部生物力学知之甚少。研究人员正越来越多地使用三维（3D）运动捕捉系统来研究舞蹈医学研究中的关节节段的活体运动学，因此需要进行文献综述和质量评估。本文献综述的目的是识别和评估使用 3D 运动捕捉技术分析舞蹈特有的运动中舞者脚部和踝关节的活体生物力学的研究，并对其进行评价。通过 3 个数据库（PubMed、Ovid MEDLINE、CINAHL）以及对舞蹈专业期刊的手工搜索，检索到了截至 2020 年 3 月的相关文章。使用特定的选择标准，确定了 25 项研究。其中 15 项研究使用了最初用于研究步态的单节段生物力学足部模型，4 项研究使用了新型的双节段模型，6 项研究使用了多节段足部模型。其中 9 项研究参考了常见且经常发表的步态标记集，4 项研究使用了特定设计的足部节段的舞蹈特有的生物力学模型来分析舞者的足部和踝关节。生物力学模型的描述存在差异，降低了模型和方案的可重复性。研究人员的结论是，很少有证据表明在进行舞蹈特有的运动时，使用 3D 运动捕捉技术评估舞者脚部和踝关节的总、节段和节间 ROM。研究结果表明，3D 运动捕捉是一种强大的测量工具，它有能力帮助研究人员评估足部和踝关节的活体、节段间运动，从而可能发现许多导致舞者受伤的潜在重要因素。本文献综述综合了使用 3D 生物力学足部模型评估舞蹈特有的运动的研究的建议，供参考。
