Within- and between-day loading response to ballet choreography

Overuse pathologies are prevalent in ballet injury. Ten amateur ballet dancers (age: 23.20 ± 3.08 years) completed a progressive 5-stage choreographed routine on two consecutive days. Tri-axial accelerometers positioned at C7 and the dominant and non-dominant lower-limb were used to calculate accumulated PlayerLoad^TM (PL_TOTAL) and uni-axial contributions of the anterior-posterior (PL_AP), medial-lateral (PL_ML), and vertical (PL_V) planes. PL_TOTAL increased significantly (p = 0.001) as a function of exercise duration within-trial, however there was no significant change between trials (p = 0.18). PL_TOTAL at C7 was significantly (p = 0.001) lower than both lower-limbs, with no bilateral asymmetry evident (p = 0.97). Planar contributions to PL_TOTAL were significantly greater in PL_V than PL_AP and PL_ML (p = 0.001). PlayerLoad^TM demonstrated within-trial sensitivity to the progressive routine, however no residual fatigue effect was observed between trials. The results of this study suggest that accelerometers have efficacy in athlete monitoring and injury screening protocols, however unit placement should be considered for practical interpretation.