Dance aerobic instructors’ injuries in relation to external risk factors, part II


  • Paraskevi Malliou Democritus University of Thrace, Komotini, Greece
  • Stella Rokka Democritus University of Thrace, Greece
  • Georgios Tsiganos University of Athens, Greece
  • Savvas Mavromoustakos Alexander Technological Institute of Thessaloniki, Greece
  • Georgios Godolias Democritus University of Thrace, Greece



Hours a day, Intensity, Dance style, Equipment, Dance aerobic instructors


Dance aerobic instructors guide, organize and entertain all aerobics classes suffering, thus, from a number of frequently appearing injuries. The purpose of this study was to examine the musculoskeletal injuries in professional female dance aerobic instructors in relation to external factors such as frequency of participation per day or week, intensity of exercise, the type of aerobic dance, the footwear or the equipment used generally. The sample constituted of 273 female aerobic instructors who were educated in public and state colleges of physical education and sports in Greece. The most important external factors that influence injury appearance were the excessive working hours per day and per week, the mixed and high intensity classes, the different dance aerobic styles, the resilient floor and the inadequate shoes. In conclusion, the present study, in order to eliminate the external injury factors, suggests that dance aerobic instructor should not work for more than three hours a day or more than six hours a week, not participate in a variety of different dance styles, use proper footwear and work on a wooden floor. Finally, further research is needed to monitor all these innovations and the incidence and nature of injuries that are associated with them and to inform instructors of injury prevention developments.


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Baitch, S.P. (1987). Aerobic dance injuries: A Biomechanical Approach. JOPERD, May / June, 57- 58.

Byhring, S., & Bo, K. (2002). Muscular skeletal injuries in the Norwegian National Ballet, Scand J. Med. Sci Sports, 12, 365-370.

Cheung, R., Gabriel, Y., Chen, B. (2006). Review Article: Association of Footwear with Patellofemoral Pain Syndrome in Runners. Sports Medicine, 36 (3), 199-205.

Du Toit, V., & Smith, R. (2001). Survey of Aerobic Dance injuries to the lower extremity in aerobic instructors. Journal of the American Podiatry Medicine Association, 91(10), 528-532.

Du Toit, V., Gilleard, W., & Smith, R. (1999). Lower extremity injuries in aerobic dance: Is low impact less harmful than high impact? (Abstract). 5th 10C World Congress on Sport Sciences with the Annual Conference of Science and Medicine in Sport, Sidney.

Douglas, R., Kelso, S., & Bellvei, P. (1985). Aerobic dance injuries: A retrospective study of instructors and participants. Physical Sports Medicine, 13(2), 130-140.

Dragoo, J.L., Braun, H.J. (2010). The Effect of Playing Surface on Injury Rate: A Review of the Current Literature [Review]. Sports Medicine, November 40(11), 981-990.

Farrington, T., & Dyson, R.J. (1995). Ground reaction forces during step aerobics. Journal of Human movement Studies, 29, 89-98.

Garrick, J.G., & Requa, R.K. (1988). Aerobic Dance: A Review. Sports Medicine, 6, 169-179.

Harnischfeger, H., Raymond, C., Hagerman, C. (1988). Incidence of injury following high and low impact aerobics versus running. Medicine Sciences in Sports and Exercise, 20(2 Suppl.): 88S.

Janis, L.R. (1990). Aerobic Dance Survey: a study of high-impact versus low-impact injuries. Journal of the American Podiatric Medical Association, 80(8), 419- 423.

Komura, Y., Inaba, R., Fujita, S., Mirbod, S.M., Yoshida, H., Nagata, C. (1992). Health condition of female aerobic dance instructors: Subjective symptoms and related factors. Japanese Journal of Industrial Health, 34(4), 326- 334.

Koszuta, L.F. (1986). Low - impact aerobics: better than traditional aerobics dance? The Physician and Sports Medicine, 14, 156-161.

Kravitz, L., Wilmerding, V., Stolarczyk, L. and Heyward, V. (1994). Physiological Profile of Step aerobic Instructors. Journal of Strength and Conditioning Research, 8(4), 255-258.

Ramanathan, A.K., John, M.C., Arnold, G.P., Cochrane, L.A., Abboud, R.J. (2008). Off-the-shelf in-shoe heel inserts: does cost matter? Br J Sports Med, 42, 750-752.

Rowson, S., McNally, C., Duma, S. (2010). Can Footwear Affect Achilles tendon loading? Clinical Journal of Sport Medicine, 20 (5), 344-349.

Scarff-Olson, M.R., Williford, H.N., Brown, J.A. (1999). Injuries associated with dance - exercise practices. Journal of Dance Medicine and Science, 3(4), 144-150.

Potter, H. (1996). Lower limb injuries in aerobics participants in Western Australia: An incidence study. Australian Journal of Physiotherapy, 42, 111-119.


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How to Cite

Malliou, P., Rokka, S., Tsiganos, G., Mavromoustakos, S., & Godolias, G. (2013). Dance aerobic instructors’ injuries in relation to external risk factors, part II. Journal of Human Sport and Exercise, 8(3), 813–819.



Sport Medicine, Nutrition & Health

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