Aloha! Nancy Wozny, our Somatics specialist on the 4dancers Dance Wellness Panel recently gave us Part I of “Flash Feldenkrais for the Busy Dancer” – here is Part II. This one is focused on what to do after a trauma, like a fall, or a disorienting movement experience (like a hectic, packed rehearsal day!). Thanks again to Nancy, and Happy Holidays to All! – Jan Dunn, Dance Wellness Editor
by Nancy Wozny
I scampered to the edge of my seat to watch Cassandre Joseph fall from a great height as part of the kinetic pyrotechnics of STREB FORCES. She falls (or flies) and crash lands unharmed, as all of the STREB’s super action heroes do during their recent show at Miller Outdoor Theatre in Houston. Part of Elizabeth Streb’s brilliance is her meticulous methodology of falling, flying and crash landing in a way that we feel the visceral excitement of the motion.
Falling, jumping, unusual landings and the like, are all part of the contemporary dance landscape now, as dancers need to be fluid movers on the ground and in the air. Even partnering has evolved to include fabulous eye candy lifts and maneuvers. But there are times when dancers take a tumble when it wasn’t in the choreography. Most often, you stand up without any apparent injury, just feeling little stunned. Whether one sustains injury or not, unintentional forces have entered our systems, and we may feel discombobulated for a while. We’ve taken a blow, and that has an impact whether or not there are any visible scars.
All of this leads us to the continuation of my Flash Feldenkrais for the Busy Dancer. During Part I, we focused on coming back to neutral in the joints. This next lesson addresses how we organize ourselves for action, and is especially aimed to help us regain a neutral organization after a tumble or trauma. Even a minor trip can have somatic repercussions and lead to unnecessary holding patterns. The lesson is also great at just calming us down, and who doesn’t need a little bit of that now and then in the dance biz?
Flash Feldenkrais Lesson #2: Organizing the Spine in Side Lying
When to do this lesson: After any form of trauma or disorientating movement experience.
Why do this lesson: The lesson will help you return to a more neutral organization, calm down, and improve well being, if you feel a bit shaken up from a minor fall or a hectic day of rehearsal. If post injury, check with your doctor first.
What you need to do this lesson: You will need about 20 minutes of uninterrupted time, a soft mat or blanket and a towel to support your head during this lesson.
Remember: Rest between each step and before you fatigue. Do each instruction just a few times. Make the movement as easy as possible.
Rest on your back and notice your contact. Determine your favorite side. You will be lying on that side during the lesson. Turn to the preferred side so that your arms and legs are at a right angle to your torso. Your knees are bent at right angles but your arms will be straight and not bent at the elbows. Your palms rest on top of each other.
Move your top arm forward in the direction of your fingers passed the lower hand and then back to your starting place, remembering to keep the top arm straight. Notice the shape of your back changing and your head rolling toward the floor in front of you. Rest on your side.
Now move your top shoulder backwards in the direction of the floor behind you. Your top hand will glide toward the elbow of your lower arm. Your top shoulder blade moves behind you toward the floor. Turn your head toward the ceiling as you roll backward. Rest on your side.
Combine both movements, so that your top hand is moving forward and back. Feel the movement go through your spine. Your head will also be rolling toward the floor in front of you and toward the ceiling. Rest on your back and notice the contact of the working side.
Return to your preferred side. Move your top knee further forward, so that it passes the lower knee. You should feel the top ribs articulating. It’s a small movement. Make sure to move the knee directly forward in the direction it is already pointing. Think of your knee as a headlight so keep the light going the same direction as you glide the knee forward in space. Rest.
Now move the knee backwards so that the top hip moves toward the floor behind you. Put both of these movements together so that the knee moves forward and backward in space. Rest on your back. Notice how the contact of the working side.
Return to your side. Move the hand and hip forward and backward. Notice the movement of your head. Make the movement as fluid as possible. Rest on your back and notice the difference between your sides.
Repeat the entire lesson on the other side.
Rest on your back and notice your contact. Come to standing and notice your posture.
Remember you can do these lessons any time, whether you’ve taken a tumble or just want to come back to a calm place. Enjoy the lesson and stay tuned for Flash Feldenkrais Part III.
Nancy Wozny is editor in chief of Arts + Culture Texas, reviews editor at Dance Source Houston and a contributor to Pointe Magazine, Dance Teacher and Dance Magazine, where she is also an contributing editor. She has taught and written about Feldenkrais and somatics in dance for two decades.
The web and social media can be wonderful places to get information – facts and news are able to be shared shared quickly and easily. Unfortunately, the same things that make these areas great for spreading information can also have a drawback. Too often something can get passed along without context, which can change the entire meaning…or information can be widely shared that may not have a solid foundation underneath it.
In the coming months our Dance Wellness team will be putting together some solid guidelines for readers on how to go about evaluating dance medicine and dance wellness information on the Internet. They will share specifics on what to look for when searching for, and reading dance wellness info on the web.
We’ll also be compiling and sharing a list of reputable sites that you can go to for information in this field.
In the meantime, our Dance Wellness editor, Jan Dunn, wanted to address some recent information that has been circulating around on social media about the use of ice for dance injuries to make sure that dancers know that indeed, the ice pack is still a useful tool!
This post is in response to discussions I recently became aware of online (primarily on Facebook) regarding the use of ice in treating injuries. Respected dance educators were advocating throwing away the ice pack, despite the many years where RICE (Rest / Ice / Compression / Elevation) has been advised, or more recently PRICE (Protection / Rest / Ice / Compression / Elevation).
I was not aware of any discussions, presentations, or articles on this topic in the dance wellness field – and so was cautious / skeptical, since some of what is seen or posted online is not necessarily true – or is not in line with current scientific / medical protocols. I started doing some research, and checking with various experts in dance medicine – including members of the 4dancers.org Dance Wellness Panel: James Garrick, MD; Moira McCormack, PT; Selina Shah, MD; Matt Wyon, PhD; Janice Plastino, PhD; Robin Kish, MA; Gigi Berardi, PhD; Emma Redding, PhD; Erin Sanchez, MS; and Nancy Wozny.
And what I learned is — well, please don’t jump on this particular bandwagon and throw away your ice packs!
Ice can clearly be overused, and when it is, it’s not good. It can damage the tissue it’s meant to be helping if it’s kept on too long. It is usually advised the first 48-72 hours after an acute injury (like an ankle sprain). Some of the sites online are advising not using ice at all are saying that because inflammation is the body’s way of healing, and they imply that to use ice is to stop inflammation. But ice treats the symptoms of inflammation, it doesn’t get rid of it. Ice and compression (more on that in a moment) can reduce the amount of initial swelling –which speeds the healing process– and this is the whole point of post-injury care.
Why Ice Can Be Helpful
Ice is also very useful for helping decrease pain levels –another major symptom of inflammation. So another good reason not to throw away that ice pack.
There is also the issue of “secondary hypoxic injury” – this refers to tissue not damaged by the primary injury (such as the ligaments directly affected by an ankle sprain), but nearby, which can become damaged as a direct consequence of the physiologic response to the primary injury. Ice can slow down these metabolic processes and therefore save some tissue.
How to Use Ice
When you do use ice, go for at least 10 – 15 min. on a new injury (or until the area is numb, which vary slightly depending on how muscular or bony the area is), allowing at least 20 min. before re-applying. Try to go for at least 5 min. minimum on not-so-new areas, if you can’t do the full 10-15.* You have to also always be sure you have something between you and the ice itself – most icepacks come with a fabric covering, and that works fine. You just don’t want to put ice directly on the skin, without something to protect it (think “freezer burn”!). Never use heat on a new injury.
Now, let’s briefly go over Compression. Most people interpret this as (for example) wrapping an Ace bandage around a sprained ankle. Yes, all well and good – but, as Dr. James Garrick, MD (one of the founders of both the sports medicine and dance medicine fields) points out:
“The ‘hollowed out’ areas posterior (behind) the malleoli (ankle bones, on both inside and outside of the joint) and anterior (in front of) will have NO compression at all (with an Ace bandage), and those structures (the ligaments that were actually injured) will actually be encouraged to swell more.”
What is needed instead is focal compression (directly on those “hollowed out” areas)—which moves the bleeding away from the areas injured. Dr. Garrick gave the example of a dancer whose sprained ankle was treated with this protocol, and “the ankle actually looks like an ankle, not the polish sausage one sees if just an elastic wrap is used.” He noted that this dancer was able to walk with nearly full ankle motion 24 hours after the injury.
Some of the dance medicine medical and scientific colleagues (and non-dance as well) whom I contacted on this Ice / No Ice question, gave some pertinent thoughts that are worth passing on:
“There is no research that counters the practice of using ice to reduce swelling. On the contrary, there are studies that do show the benefits of ice as well as NSAIDS. Not using ice is not standard of care in sports medicine, and I don’t know of any research in dance medicine.” (orthopedic MD who specializes in sports and dance medicine).
“The articles being referenced (in some online sites advocating no ice) need to be referenced to determine their quality – most research in this area is pretty poor. I am also a great believer in using our years of clinical experience (on the beneficial aspects of using ice)”. ( PhD researcher in Sports Physiotherapy).
“Until I see some really solid physiological studies, over time, that ice is detrimental and actually damages the tissues, I will continue to use it as part of my treatment protocols.” (long-time sports medicine physical therapist).
So in conclusion – I hope this article / advice from dance (and sports) medicine experts (who keep up with the latest research) will help clarify this for you, and as I said at beginning – please don’t throw away your ice packs!
Happy Nutcracker and Holiday Season! – Jan Dunn, MS, Dance Wellness Editor
*Please note that this time has been adjusted from the recommendation of 5 minutes, along with a clarification to make it more applicable to a variety of injuries
Editor Jan Dunn is a dance medicine specialist currently based on the island of Kauai, Hawaii, where she is owner of Pilates Plus Kauai Wellness Center and co-founder of Kauai Dance Medicine. She is also a Pilates rehabilitation specialist and Franklin Educator. A lifelong dancer / choreographer, she spent many years as university dance faculty, most recently as Adjunct Faculty, University of Colorado Dept. of Theatre and Dance. Her 28 year background in dance medicine includes 23 years with the International Association of Dance Medicine and Science (IADMS) – as Board member / President / Executive Director – founding Denver Dance Medicine Associates, and establishing two university Dance Wellness Programs
Jan served as organizer and Co-Chair, International Dance Medicine Conference, Taiwan 2004, and was founding chair of the National Dance Association’s (USA) Committee on Dance Science and Medicine, 1989-1993. She originated The Dance Medicine/Science Resource Guide; and was co-founder of the Journal of Dance Medicine & Science. She has taught dance medicine, Pilates, and Franklin workshops for medical / dance and academic institutions in the USA / Europe / Middle East / and Asia, authored numerous articles in the field, and presented at many national and international conferences.
Ms. Dunn writes about dance wellness for 4dancers and also brings in voices from the dance wellness/dance medicine field to share their expertise with readers.4
Aloha! I would like to share with you a new book in the Dance Wellness field, “Dance Science: Anatomy, Movement Analysis, Conditioning” by Gayanne Grossman, PT. Specific Information on the book is below.
Gayanne has a long background in dance medicine and science, working with injured dancers and teaching anatomy / kinesiology at Muhlenberg College in Allentown, PA, as well as heading up the Performing Arts Wellness Program for Lehigh Valley Health Network. The book is aimed at high school / college-level dancers, and is a terrific resource for those looking to dig deep into the scientific arena, and to stretch their knowledge about the body and safe dance training / technique. It can also serve as an excellent scientific reference manual to keep on hand. Please pass it on! Take care – Jan Dunn, MS, Dance Wellness Editor
For students of human movement, kinesiology, dance science, and dancers, Dance Science takes a positive approach to what a dancer can do to dance better through an understanding of anatomy and an analysis of movement which, in turn, will decrease injury rates. It presents anatomy and motion in a dance-specific way that teaches readers to appreciate and take ownership of their bodies through hands-on experiential activities.The book concludes with an approach to exercise design for enhanced performance integrating the principles of dance science. Accompanied by 90 anatomical illustrations, 30 photographs, and 3 graphs.
320 pages, 7″ x 10″, Paperbound, ISBN 978-087127-388-8 $49.95
Hardbound ISBN 978–087127-387-1 $39.95
Order from: Princeton Book Company, Publishers
Here is an excerpt from the text:
Training Efficiently and Safely for Needed Stability
Start strength training using isometrics. Use varied positions and joint angles. They will facilitate motor learning in many positions.
For example, your hip joint hyperextends; the femoral head abuts the Y ligament well past normal hip extension. You do not gain stability from it soon enough. Your pelvis may be in posterior tilt before your femoral head stops moving forward. Compare with a dancer whose femoral head stops at the Y ligament with minimal hip hyperextension: this dancer feels stable because the lumbopelvic and hip alignment are closer to neutral at end range hip extension. The hypermobile dancer needs extra training to know how to feel where that position is located. Begin with isometric holds, focusing on femoral head placement. (See Stork Stand and Weight Shift exercises later in this chapter.)
Strength train hypermobile dancers with isotonics, too. Use in the inner ranges (smaller movements) at first then increase the range of motion. Here is an example:
Begin standing at the barre and resist the first few inches of hip flex–ion, then repeat for hip abduction, adduction, and extension. When improvement is noted, increase the range of motion another inch or two. Tie one end of a light-weight exercise band to the barre and the other end to your ankle. Because hypermobile people may gain strength at a slower rate, increase the resistance when you are able to.
Include proprioception training in standing, sitting, or pushing up on stable, then unstable, surfaces to increase the awareness of joint position. Include slower combinations to facilitate correct postural control. Should hypermobile dancers stretch? Not too much. Dancers love to stretch so this behavioral change can be a challenge. Hypermobile people have a lot of stretch and they have decreased proprioception. They have to stretch quite far to feel end-range motion, sometimes into an extreme range of motion that may not be safe. These dancers are looking for feedback from the joint receptors and an enormous ROM may be necessary to stimulate these receptors in a hypermobile person.0
We’re pleased to offer you “Flash Feldenkrais for Dancers” — by Nancy Wozny. Nancy is the Somatics expert on our Dance Wellness Panel — she wrote the article introducing Somatic work, and why it matters for dancers, “A Somatic Update for Dancers” in August of 2014. Nancy is a Feldenkrais practitioner herself, and is sharing her expertise with you in this series of “Flash Feldenkrais” postings — here is the first one. Try it – I think you will like it. Enjoy! – Jan
Note: This is the first in a series of Feldenkrais Awareness Through Movement Lessons that have been streamlined for dancers.
by Nancy Wozny
Watching Liz Gerring’s dancers in glacier this summer at Jacob’s Pillow navigate their way through a glorious feast of highly nuanced movement reminded me of how somatically rich some contemporary dancers’ lives are these days. Because Gerring’s vocabulary is so mind bogglingly detailed, her dancers are neurally nourished with novelty on a daily basis. Gerring’s dancers also move as if each step is a question, embracing an exploratory process, so that each movement feels like an act of discovery. The sheer abundance of specificity not only makes for compelling choreography, but has an added benefit to the dancers, and possibly the viewers as well. Just watching these deft movers made me feel as if I was getting a month-long Feldenkrais retreat thanks to those handy mirror neurons at work.
Sometimes, we forget just how diverse a dancer’s life is when considering the role of Somatics for today’s dancer. Somatics, defined by philosopher Thomas Hanna, is the study of the body as a lived experience. In my first piece for 4dancers, A Somatics Update, I outlined the characteristics of the field, which include cultivating an accurate sense of awareness, the use of non-habitual movement, resting between actions and attention to our habits, to name a few. The Feldenkrais Method, one of many somatic practices, is particularly useful for performing artists, especially dancers because of their complicated movement lives, which includes both repetition and novelty.
Contemporary choreographers and educators regularly look to change the status quo in what they are asking dancers to do. The movement in today’s dance classes and choreography is considerably more varied than it was say 20 years ago. What does all this have to do with Somatics?
You are busy, and all of us dance health folk are always trying to make you busier. Do this! Do that! The list of what a dancer needs to do besides daily technique class to stay healthy seems to grow each year.
I understand the demands of today’s dancer enough to know that anything can be streamlined to fit an artist’s schedule, even the prolific work of Moshe Feldenkrais, who created over 3,000 brilliant Awareness Through Movement lessons. And trust me, each one is a gem. Although it’s always beneficial to do longer and more complicated lessons, especially when you are in recovery mode, it’s possible to receive a benefit from shorter lessons.
Feldenkrais could very well be the father of cross training as well as somatics, as he addressed expanding our habits head on by introducing the role of novelty in movement as a neural refresher.
We also need to keep in mind that Feldenkrais Method and dance share some of the same domain, which includes inventive movement. The average dancer has no shortage of novelty in their lives, as they regularly meet the demands of today’s choreographers who tirelessly look for new ways to put the human body into action.
Maintenance mode doesn’t quite need the same time commitment, especially when you are getting a good amount of somatic diversity in your daily classes and rehearsals. However, a dancer’s time and energy budget is tight, so perhaps a need-to-know approach may be more doable when it comes to maintaining your somatic health.
With all of this in mind, I offer Flash Feldenkrais for the Busy Dancer, streamlined lessons that address common conditions in a dancers’ working life, which sometimes involves an abundance of novelty. That can be discombobulating in its own right. Sometimes, we need to scale back, look to more central organizations, and simply calm the whole system down. And because it’s Feldenkrais, a tiny bit of novelty pops in at the end because we always need a little post Feldenkrais play time.
Flash Feldenkrais Lesson #1: Returning to Neutral
When to do this lesson: When you have been doing a lot of performing or traveling, or both at the same time. Anytime something has thrown you off from your center, this lesson will help reel you in. I find it to be a somatic palate cleanser, and a “returning to your baseline” lesson.
Why do this lesson: You will find a wonderful ease in your limbs afterward. It’s the Feldenkrais equivalent of straightening out your holiday lights when they get all in a jumble.
What do you need to do this lesson: A soft mat or blanket and 15-20 uninterrupted minutes in a quiet room.
Remember: Rest between each step and before you fatigue. Do each instruction just a few times. Make the movement as easy as possible.
Lie on your back with your legs long and your arms by your side. Sense your contact against the ground. Bring your right arm up so that your fingers point to the ceiling and your palm faces your midline. Notice the effort it takes to do this movement.
Bend up your knees and bring your feet to standing. Bring your right arm up again and move your right arm slightly toward and away from your midline. Notice the “sweet spot” when you pass through neutral.
Bring your right arm up again and move it slightly toward your head and then toward your feet. Notice when you pass through neutral.
Bring your right arm up again and move it toward the midline and away, then toward your head, then your feet, always returning to neutral between each movement.
Repeat steps 1-5 with the left arm.
Repeat steps 1-5 steps with both arms at once.
Repeat steps 1-5 with the right leg in the air.
Repeat steps 1-5 with the left leg in the air.
Bring all limbs into the air and spend some time improvising. Play with the limbs moving toward and away from each other in various configurations. This is where the imagination can slip in while you find some new and fun ways of moving your limbs in space.
Rest on your back again. Lift your right arm into the air and notice how easy it is now. Come to sitting, then standing. Walk around and notice your sense of ease and grace.
NEXT UP: Stay tuned for the second installation of Flash Feldenkrais for the Busy Dancer, which will focus on organizing oneself for a shift and cleansing the kinesthetic palate.
Nancy Wozny is editor in chief of Arts + Culture Texas, reviews editor at Dance Source Houston and a contributor to Pointe Magazine, Dance Teacher and Dance Magazine, where she is also an contributing editor. She has taught and written about Feldenkrais and somatics in dance for two decades.1
The International Association for Dance Medicine and Science held their 25th annual meeting in October at the Marriott City Center in downtown Pittsburgh, PA. Starting off with a day for teachers, the gathering spanned a four-day period that offered networking opportunities, information-sharing, and an overall sense of purpose that was clear and heartfelt.
As a first-time attendee, I thought I’d share some thoughts on the meeting with those who may be interested, and those who might want to consider going in the future. After all, next year’s meeting is in Hong Kong, which would make a lovely trip!
I have to say that I really enjoyed my time with this unique group of professionals, and felt the experience was definitely worthwhile. As most of you are already aware, I’m very passionate about the topic of dance wellness, and I’d love nothing more than to see IADMS continue to grow and connect with dancers and dance teachers everywhere.
So…here are some thoughts on the experience from my perspective, along with a few photos that should give a little context to my narrative.
Without question the single largest benefit to attending this meeting is the networking. The IADMS gathering brings professionals together from all over the world, giving them a chance to compare notes, talk dance medicine, and, perhaps most importantly, get to know one another.
Even with the magic of connecting via the web, there is just no substitute for face-to-face interaction. To that end, I enjoyed having the chance to meet the members of our own Dance Wellness Panel in person for the first time, and I couldn’t have been more pleased with the planning time we had to solidify topics we’ll share with readers throughout the year (stay tuned!).
Although IADMS is smaller gathering of professionals than conferences such as Dance USA and the Dance Teacher Summit, it actually works to the advantage of the organization in this case. It simply felt much easier to connect with people here. Faces became familiar after a day or two, and because of that, it made approaching people less intimidating–even for a somewhat introverted person, such as myself.
Several events were incorporated into the meeting’s overall framework that allowed participants the chance to just relax and mingle a bit. Among these were the welcome reception Friday evening, and the “dance party” on Saturday night.
The information presented at the IADMS meeting fell into three primary formats: lectures, movement sessions, and poster presentations. There were also a number of tables on-hand from various supporters and exhibitors. To try and summarize everything offered is quite an impossibility, so an overview of the main categories is offered here instead…each with a few examples…
Throughout the event there were numerous lectures available for attendees to take in — from “Nutritional concerns in vegetarian and vegan dancers“ to “The science of motor learning: creating a model for dance training” to “Anterior hip pain in a dancer – an alternative diagnosis.”
Injury prevention/treatment, teaching strategies, metabolism, and dancer fitness were just some of the topics addressed by professionals from the podium. Lecture sessions were typically brief and specific, with accompanying slides. Following each lecture there was an opportunity for questions/comments.
Poster presentations offered another approach in terms of information sharing and engagement. Posters were displayed in a room where attendees could peruse them and discuss ideas with one another at a leisurely pace. These sessions were lively, and many people took advantage of the opportunity to join in the conversation.
There were two poster presentation slots during the span of the meeting, and a wide range of topics were covered, such as, “Differences in sway area observed in ballerinas en demi pointe and en pointe,” “Can textured insoles improve ankle proprioception and performance in dancers?” and “Building a safe environment for private dance sectors: a business model to provide healthcare for dancers.”
In addition to the posters and lectures, the IADMS meeting also provides numerous “movement sessions” where participants have the chance to explore thoughts and ideas in a more “hands-on,” active environment.
Some of the movement sessions included: “Using technology for movement analysis in the dance studio,” “Incorporating conditioning into a modern dance technique class,” and “Gaga, Ohad Naharin’s movement language,” among many others.
Unlike the lecture sessions which are generally rather short in length, the movement sessions typically run about 50 minutes, giving attendees the chance to dig in a bit and try some things out for themselves.
In my time at the meeting I met a wide range of educators, students and dance medicine professionals — from seasoned, founding members of the field — to brand new faces just joining the ranks after graduation.
It was wonderful to see such a large span of ages and experience levels in attendance, and exciting to think about the possibilities that bringing this group of people together offers to the dance community throughout the world.
For more information on IADMS, please visit their website, and be sure to keep an eye on their blog. Those hoping to attend the 26th annual meeting in Hong Kong can keep an eye out for details on the site, and membership information is there as well.
Disclosure: 4dancers attended the 25th annual meeting on a press pass granted by IADMS, but no monetary compensation was received for coverage of the event. All transportation, lodging, and meals were paid for by 4dancers.6
by Jessika Anspach McEliece
Her deafening scream reverberated through the studio.
Remembering it and my stomach still curdles. One moment she was doing petit allegro, the next writhing on the Marley floor in animalistic agony.
There are just some moments you never forget.
Moments you wish you could.
And yet these terrifying incidents are ones rarely thought of, let alone mentioned. It must be human nature to sweep the scary under the rug. Like those cheesy ceramic monkeys I often see in vintage shops, we choose to “see no evil, hear no evil, speak no evil,” superstitiously (and aren’t we dancers the worst?) believing that if we don’t speak it, acknowledge it, then it doesn’t exist. Injury won’t happen to us. We keep the lights on and those monsters “safely” under the bed.
But sometimes, no matter our diligence – how often we ice, how much we stretch or see the P.T., no matter how many “Zzz’s” we get, the monsters rear their frightening faces. And sometimes we end up on the Marley floor.
My “Marley moment” came May 15th, 2015. And I actually was on the floor.4