{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:16:48Z","timestamp":1782433008322,"version":"3.54.5"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:00:00Z","timestamp":1735171200000},"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":[[2025,12]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    As demanding as dancing en pointe is, no universal standard exists to determine when a ballet dancer is ready to advance to this next level. The goal of this study was to provide preliminarily tested and reliable guidelines for a screening tool that can be used to determine (1) if a dancer is ready for pointe, (2) reasons why a dancer may not be ready, and (3) areas for improvement to guide training and preparation.\n                    <jats:bold>Methods:<\/jats:bold>\n                    <jats:italic toggle=\"yes\">Participants:<\/jats:italic>\n                    Seventeen dancers aged 9 to 17\u2009years with a minimum 4\u2009years of ballet and who were either possibly ready for pointe or had been in pointe class less than 3\u2009months participated in this study.\n                    <jats:italic toggle=\"yes\">Study Design:<\/jats:italic>\n                    Dancers were prospectively assessed by two physicians using the Pointe Assessment Screening Shah Edison (PASS\u00c9) tool for assessing pointe readiness. Interrater reliability and the relationship of individual tests to overall pointe readiness were evaluated using descriptive statistics, kappa, diagnostic metrics, and logistic regression.\n                    <jats:italic toggle=\"yes\">Setting:<\/jats:italic>\n                    Private practice office; ballet studios.\n                    <jats:bold>Results:<\/jats:bold>\n                    There was 94% agreement among raters in determining overall pointe readiness, and individual tests all had significant interrater agreement ranging from 62% to 97% (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009\u2264\u2009.04). Ankle plantarflexion &gt;90\u00b0 (100%), stability in grand pli\u00e9 (100%), and holding relev\u00e9 (96%) had the highest sensitivity for overall readiness, indicating their necessity to advance to pointe. The tests with greatest specificity for identifying lack of readiness were relev\u00e9 pass\u00e9 (72%), saut\u00e9 (72%), and airplane (69%).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This study provides preliminary testing of a reliable screening tool, the PASS\u00c9 screen, which can be utilized to determine pointe readiness with excellent interrater agreement for the overall pass\/fail and significant agreement for tests that contribute to readiness. At minimum, dancers must be able to pass the grand pli\u00e9, ankle plantar flexion, and relev\u00e9 tests. Also passing the saut\u00e9, relev\u00e9 pass\u00e9, and airplane tests indicates high likelihood of readiness.\n                  <\/jats:p>","DOI":"10.1177\/1089313x241307736","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T05:16:31Z","timestamp":1735190191000},"page":"219-226","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pointe Assessment Screen Shah Edison (PASSE) for Pointe Readiness: A Pilot Study"],"prefix":"10.1177","volume":"29","author":[{"given":"Selina","family":"Shah","sequence":"first","affiliation":[{"name":"Selina Shah Dance and Sports Medicine, Walnut Creek, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2181-1371","authenticated-orcid":false,"given":"Jacquelyn","family":"Valenzuela-Moss","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Los Angeles, Keck School of Medicine of USC, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Sheng","sequence":"additional","affiliation":[{"name":"Dignity Health, Greater Sacramento, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1032-1767","authenticated-orcid":false,"given":"Tishya A. L.","family":"Wren","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Los Angeles, Keck School of Medicine of USC, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Zaslow","sequence":"additional","affiliation":[{"name":"Cedars Sinai Kerlan-Jobe Institute, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3181-5758","authenticated-orcid":false,"given":"Bianca","family":"Edison","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Los Angeles, Keck School of Medicine of USC, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,26]]},"reference":[{"issue":"2","key":"e_1_3_3_2_2","first-page":"67","article-title":"Dance medicine. An orthopaedist\u2019s view","volume":"54","author":"Hardaker WT","year":"1993","unstructured":"Hardaker WTJr, Vander Woude LM. Dance medicine. An orthopaedist\u2019s view. N C Med J. 1993;54(2):67-72.","journal-title":"N C Med J"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.2011.10599769"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181c1ddf1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1089313x9700100402"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2020.09.004"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501600307"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1089313X0400800201"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(89)90176-0"},{"key":"e_1_3_3_10_2","first-page":"721","volume-title":"Netter\u2019s Sports Medicine","author":"Young C, SS","unstructured":"Young C, SS, Gottschlich L. Dance. In: Madden C, Putukian M, Young C, eds. Netter\u2019s Sports Medicine. 3rd ed. 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