{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:28:51Z","timestamp":1777552131439,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,4,14]],"date-time":"2024-04-14T00:00:00Z","timestamp":1713052800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dance Medicine &amp; Science"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Introduction: The demipointe dance position puts the ankle at high risk of overuse injury and posteromedial ankle pain due to increased ankle valgus forces. Previous work has shown that creating lower limb external rotation intrinsic to demipointe with hip external rotation reduces foot pronation that causes ankle valgus stress. Therefore, the purpose of this work was to examine long axis rotation kinematics of the hip, knee, and ankle as well as the ankle joint contact forces in demipointe to better understand the biomechanical impact(s) of the specific cue to increase hip external rotation in this position. Methods: Three-dimensional motion capture and force plate data were collected from 23 contemporary or ballet pre-professional dancers (age: 19.94\u2009\u00b1\u20091.34\u2009years) who each performed 3 dancer-selected (DS) demipointe positions and 3 demipointes with the cue to \u201cexternally rotate from the hips.\u201d Results: The cue to increase hip external rotation resulted in significantly increased hip external rotation angle [DS: 37.5; 9.42\u00b0 (median; interquartile range), Cued: 39.9; 10.8\u00b0, P\u2009&lt;\u2009.0001)] and significantly reduced ankle eversion angle (DS: 8.13; 11.4\u00b0, Cued: 7.77; 10.3\u00b0, P\u2009=\u2009.023). However, total turnout angle was also significantly decreased (DS: 75.8; 7.91\u00b0, Cued: 75.4; 7.73\u00b0, P\u2009&lt;\u2009.0001), which is undesirable for proper esthetic performance of demipointe. Total ankle joint force remained unchanged, but ankle eversion force was significantly reduced (DS: 15.3; 4.18 %bodyweight (BW), Cued: 14.7; 4.99 %BW, P\u2009&lt;\u2009.0001) with use of the cue. Discussion\/Conclusion: Utilization of a cue to increase hip external rotation was successful in increasing hip contribution to turnout angle and reducing injurious ankle eversion force. Further coaching using this cue may allow dancers to produce these advantageous mechanics while maintaining turnout angle.<\/jats:p>","DOI":"10.1177\/1089313x241246601","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T02:21:20Z","timestamp":1713147680000},"page":"211-218","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cueing Dancers to \u201cExternally Rotate From the Hips\u201d Improves Potentially Injurious Ankle Joint Angles and Contact Forces During a Demipointe Ballet Position"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7036-4334","authenticated-orcid":false,"given":"Tessa","family":"Hulburt","sequence":"first","affiliation":[{"name":"Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA"},{"name":"School of Biomedical Engineering and Sciences, Virginia Tech \u2013 Wake Forest University, Blacksburg, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3237-4762","authenticated-orcid":false,"given":"Laura","family":"Santos","sequence":"additional","affiliation":[{"name":"University of North Carolina School of the Arts, Health Services, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Moos","sequence":"additional","affiliation":[{"name":"University of North Carolina School of the Arts, Health Services, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Popoli","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA"},{"name":"School of Biomedical 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