Evaluation of the Effects of Corrective Exercises on the Posture of Ballet Dancers Using the Photogrammetric Measurement Technique

Year 2025, Volume: 15 Issue: 1, 86 - 92, 16.04.2025

Zekiye Gizem Caner , Bülent Bayraktar

https://doi.org/10.26650/experimed.1642791

Abstract

Objective: This study investigated the effects of individualized corrective exercises on posture based on postural assessments conducted by a physiotherapist.

Materials and Methods: The study included 47 ballet students (39 females, 8 males) aged 11–19 years. Participants underwent one photogrammetric assessment at the beginning of the study and another after completing an 8-week personalized corrective exercise program. Servidor de Apontadores Portugueses Online (SAPO) postural assessment software was used for postural evaluation.

Results: In the anterior view, when pre- and post-intervention measurements were compared to reference values, statistically significant improvements were observed in the horizontal alignment of the head, acromions, and anterior superior iliac spines, tibial tuberosities (p<0.05). Significant improvement was noted in the horizontal asymmetry of the scapula relative to the T3 vertebra. Lateral views and vertical alignment of the head improved significantly. To the best of our knowledge, no studies have assessed the effects of corrective exercises on posture using SAPO software.

Conclusion: This study quantitatively showed that individualized corrective exercise programs by physio therapists improve posture in ballet students, potentially reducing injury rates and enhancing physical performance. It lays the groundwork for future research on the efficacy of corrective exercises.

Keywords

Posture , Corrective exercise , Ballet , Physiotherapist , Injury prevention , Physical performance

References

• 1. Ye J, Jiang Z, CHen S, CHeng R, Xu L, Tsai TY. ReHabilitation practitioners' perceptions of optimal sitting and standing posture in men witH normal weigHt and obesity. Bioengineering (Basel) 2023; 10(2): 210. google scholar
• 2. Lippert LS. Clinical Kinesiology and Anatomy 5tH ed. Oregon: F.A. Davis Company; 2011. google scholar
• 3. Öznur A, Postür Analizinde Symmetrigraf ile OrtHoröntgenogram Sonuçlarının Değerlendirilmesi. T.C. Sağlık Bakanlığı Okmeydanı E.H.A. Fizik Tedavi ve ReHabilitasyon. Uzmanlık Tezi, 2006. google scholar
• 4. Vieira ER, Kumar S. Working postures: a literature review. J Occup ReHabil 2004; 14(2): 143-59. google scholar
• 5. Legaye J, Duval-Beaupere G. Sagittal plane alignment of tHe spine and gravity: a radiological and clinical evaluation. Acta OrtHop Belg 2005; 71(2): 213-20. google scholar
• 6. Cromie JE, Robertson VJ, Best MO. Occupational HealtH and safety in pHysiotHerapy: guidelines for practice. Aust J PHysiotHer 2001; 47(1): 43-51. google scholar
• 7. Fortin C, Feldman DE, CHeriet F, Labelle H. Clinical metHods for quantifying body segment posture: a literature review. Disabil ReHabil 2011; 33(5): 367-83. google scholar
• 8. Robertson JA, Kendall FP, McCreary EK. Muscles, testing and function” (tHird edition). Br J Sports Med 1984; 18(1): 25. google scholar
• 9. Macedo Ribeiro AF, Bergmann A, Lemos T, PacHeco AG, Mello Russo M, Santos de Oliveira LA, et al. Reference values for Human posture measurements based on computerized pHotogrammetry: a systematic review. J Manipulative PHysiol THer 2017; 40(3): 156-68. google scholar
• 10. Grimmer K, Dansie B, Milanese S, Pirunsan U, Trott P. Adolescent standing postural response to backpack loads: a randomised controlled experimental study. BMC Musculoskelet Disord 2002; 17: 3-10. google scholar
• 11. Ferreira EA, Duarte M, Maldonado EP, Bersanetti AA, Marques AP. Quantitative assessment of postural alignment in young adults based on pHotograpHs of anterior, posterior, and lateral views. J Manipulative PHysiol THer 2011; 34(6): 371-80. google scholar
• 12. Niaradi FDSL, Niaradi MFDSL, Gasparetto MERF. Effect of eutonia, Holistic gymnastics, and pilates on body posture for pre-adolescent girls: randomized clinical trial. J Bodyw Mov THer 2022; 30: 226-36. google scholar
• 13. Harrison AL, Barry-Greb T, Wojtowicz G. Clinical measurement of Head and sHoulder posture variables. J OrtHop Sports PHys THer 1996; 23(6): 353-61. google scholar
• 14. Roggio F, Di Grande S, Cavalieri S, Falla D, Musumeci G. Biomechanical posture analysis in healthy adults with machine learning: applicability and reliability. Sensors (Basel) 2024; 24(9): 2929. google scholar
• 15. Elpeze G, Usgu G. The effect of a comprehensive corrective exercise program on kyphosis angle and balance in kyphotic adolescents. Healthcare (Basel) 2022; 10(12): 2478. google scholar
• 16. Kouchi D, Sahebozamani M, Daneshjoo A, Amatachaya S, Alimoradi M, Iranmanesh M. Effects of an 8-week corrective dance exercises intervention on thoracic hyperkyphosis, scapular position, respiratory function, and happiness in girls aged 10-12 years. Pediatr Exerc Sci 2024; 22: 1-8. google scholar
• 17. Marta S, Karpowicz K, Bartkowiak S, Strzelczyk R. The impact of the corrective and stability exercises program on the quality of basic movement patterns among dance students. Trends Sports Sci 2017; 24: 31-8. google scholar
• 18. Jordan CL, Sydney DR. Correcting forward head posture and rounded shoulders in collegiate dancers: strengthening versus manual release. Kinesiology, Dance Science, Texas A&M University, Undergraduate Research Scholars Thesis, 2022. google scholar
• 19. Porto AB, Nascimento Guimaraes A,AIvos Okazaki VH.The effect of exercise on postural alignment: A systematic review. J Bodyw Mov Ther 2024; 40: 99-108. google scholar
• 20. Raine S, Twomey LT. Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehabil 1997; 78(11): 1215-23. google scholar
• 21. Normand MC, Descarreaux M, Harrison DD, Harrison DE, Perron DL, Ferrantelli JR, et al. Three dimensional evaluation of posture in standing with the PosturePrint: an intra- and inter-examiner reliability study. Chiropr Osteopat 2007; 24:15: 15. google scholar