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[(greatest risk. )17.7 (The subsequent drop in the prevalence of)]TJ
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(professional development. Dancers without the defining)Tj
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(skin abnormalities might also be classified with BJHS if, for)Tj
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(example, they presented with recurrent dislocation, multiple)Tj
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(nation why senior dancers in the Company did not appear to)Tj
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(20,21)Tj
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(factors, including presence of amenorrhea, were not taken)Tj
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[(into account in our study)64.8 (, but might have had some influ-)]TJ
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[(ence in determining the phenotype of hypermobility)64.8 (.)]TJ
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(Having BJHS is clearly not a contraindication to entering)Tj
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[(a career in ballet, or in achieving great success. )17.6 (While the)]TJ
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(findings of this study should not influence selection)Tj
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(methods of students to professional ballet schools, knowl-)Tj
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(edge and understanding of body type and the presence of)Tj
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(BJHS ought to be taken into account as they may have)Tj
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[(important implications for prevention of injury)64.8 (. It is also)]TJ
0.0565 Tw T*
(possible that dancers with BJHS develop strategies to cope)Tj
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[(with the demands of their profession. Ef)17.7 (fective propriocep-)]TJ
0.1927 Tw T*
[(tion, correct biomechanics, and slow)64.8 (, disciplined training)]TJ
0.3743 Tw T*
(may be examples of such strategies. Identifying these)Tj
0.0782 Tw T*
(dancers and the techniques they use could be an important)Tj
0.02499 Tw T*
(advance in helping other people with BJHS.)Tj
0.0905 Tw 1.2 -1.2 Td
[(W)39.9 (ith the members of the corps de ballet and the Upper)]TJ
0.1644 Tw -1.2 -1.2 Td
(and Lower School ballet students we now have a unique)Tj
-0.03059 Tw T*
[(opportunity to observe, longitudinally)64.8 (, the ef)17.7 (fect of BJHS on)]TJ
0.02499 Tw T*
(training and a career in dance.)Tj
/T1_1 1 Tf
0 Tw 0 -2.4 TD
(ACKNOWLEDGMENT)Tj
/T1_0 1 Tf
-0.0069 Tw 8 0 0 8 54 115.1616 Tm
[(W)79.9 (e acknowledge the assistance of the Principal of the Royal Ballet School\
,)]TJ
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[(the Head )17.7 (T)69.9 (eacher of )54.8 (Alleyns School, the Royal Ballet Company and staf)17.7 (f)]TJ
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(of the Royal Opera House, Covent Garden, London, and the Research)Tj
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[(Ethics Committee of the Hammersmith, Queen Charlotte\325)54.8 (s and Chelsea and)]TJ
0.02499 Tw T*
(Acton Hospitals, London.)Tj
/T1_1 1 Tf
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(REFERENCES)Tj
/T1_0 1 Tf
0.02499 Tw 8 0 0 8 325 703.5616 Tm
[(1.)-875.1 (Grahame R, Jenkins JM. Joint hypermobility \321 asset or liability? )54.8 (A)]TJ
1.675 -1.2 Td
[(study of joint mobility in ballet dancers. )54.8 (Ann Rheum Dis)]TJ
0 Tc 0 Tw 0 -1.2 TD
[(1972;31:109-1)36.9 (1.)]TJ
-0.00011 Tc 0.02499 Tw -1.675 -1.2 Td
[(2.)-875.1 (Klemp P)110.7 (, Stevens J, Isaacs S. Joint hypermobility study in ballet)]TJ
1.675 -1.2 Td
[(dancers. J Rheumatol 1984;1)36.8 (1:692-6.)]TJ
-1.675 -1.2 Td
[(3.)-875.1 (Mishra MB, R)39.7 (yan P)110.7 (,)-0.1 ( )54.8 (Atkinson P)110.8 (, et al. Extra-articular features of)]TJ
1.675 -1.2 Td
(benign joint hypermobility syndrome. Br J Rheumatol)Tj
0 Tc 0 Tw T*
(1996;35:861-6.)Tj
-0.00011 Tc 0.02499 Tw -1.675 -1.2 Td
[(4.)-875.1 (Grahame R. Joint hypermobility and genetic collagen disorders.)]TJ
1.675 -1.2 Td
(Arch Dis Child 1999;80:188-91.)Tj
-1.675 -1.2 Td
[(5.)-875.1 (Grahame R, Bird HA, Child )54.8 (A, et al. )17.7 (The revised \(Brighton 1998\))]TJ
1.675 -1.2 Td
(criteria for the diagnosis of benign joint hypermobility syndrome. )Tj
T*
(J Rheumatol 2000;27:1777-9.)Tj
-1.675 -1.2 Td
[(6.)-875.1 (Beighton PH, Solomon L, Soskolne CL. )54.8 (Articular mobility in an)]TJ
0 Tc 1.675 -1.2 Td
[(African population. )54.8 (Ann Rheum Dis 1973;32:413-7.)]TJ
-0.00011 Tc -1.675 -1.2 Td
[(7.)-875.1 (McNerney JE, Johnston )17.7 (WB. Generalized ligamentous laxity)64.8 (,)]TJ
1.675 -1.2 Td
[(hallux abducto valgus and the first metatarsocuneiform joint. J )54.8 (Am)]TJ
-0.0298 Tw T*
[(Podiatry Assoc )-54.9 (1979;69:69-82.)]TJ
0.02499 Tw -1.675 -1.2 Td
[(8.)-875.1 (T)69.9 (anner JM, )17.7 (Whitehouse HH. )17.7 (The Harpenden skinfold caliper)54.8 (. )54.8 (Am )]TJ
0 Tc 1.675 -1.2 Td
[(J Phys )54.9 (Anthropol 1955;13:743.)]TJ
-0.00011 Tc -1.675 -1.2 Td
[(9.)-875.1 (Grahame R. )54.8 (A)-220.1 (method of measuring human skin elasticity in vivo)]TJ
1.675 -1.2 Td
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0 Tc 0 Tw T*
(1970;39:223-8.)Tj
-0.00011 Tc 0.02499 Tw -2.175 -1.2 Td
[(10.)-875.1 (Larsson LG, Baum J, Mudholkar GS, Kollia GD. Hypermobility:)]TJ
2.175 -1.2 Td
[(features and dif)17.7 (ferential incidence between the sexes. )54.8 (Arthritis)]TJ
0 Tc T*
(Rheum 1987;30:1426-30.)Tj
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[(1)36.8 (1)-0.1 (.)-875.1 (Larsson LG, Mudholkar GS, Baum J, Srivastava DK.)]TJ
2.1381 -1.2 Td
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T*
[(J Rheumatol 1993;32:1)36.8 (16-9.)]TJ
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[(12.)-875.1 (V)110.8 (erhoeven JJ, )17.7 (T)35 (uinman M, van Dongan PW)91.7 (. Joint hypermobility in)]TJ
2.175 -1.2 Td
(African non-pregnant nulliparous women. Eur J Obstet Gynecol)Tj
T*
(Reprod Biol 1999;82:69-72.)Tj
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[(13.)-875.1 (Klemp P)110.7 (,)-0.1 ( )17.7 (W)39.8 (illiams SM, Stansfield SA. )54.8 (Articular mobility in Maori)]TJ
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[(14.)-875.1 (Klemp P)110.7 (,)-0.1 ( )17.7 (W)39.8 (illiams SM. )54.8 (Articular mobility in Maori and European)]TJ
2.175 -1.2 Td
(New Zealanders. Rheumatology Oxford 2003;42:491-2.)Tj
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[(15.)-875.1 (Bowling )54.8 (A. Injuries to dancers: prevalence, treatment and )]TJ
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[(16.)-875.1 (T)69.9 (ajet-Foxel B, Rose FD. Pain and tolerance in professional ballet)]TJ
2.175 -1.175 Td
(dancers. Br J Sports Med 1995;29:33-4.)Tj
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[(17.)-875.1 (Deie M, Sakamaki )36.8 (Y)128.9 (, Sumen )36.8 (Y)128.9 (, Urabe )36.8 (Y)128.9 (, Ikuta )36.8 (Y)128.9 (.)-0.1 ( )54.8 (Anterior knee)]TJ
2.175 -1.175 Td
(laxity in young women varies with their menstrual cycle. Int)Tj
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(Orthop 2002;26:154-6.)Tj
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2.175 -1.175 Td
(Association between the menstrual cycle and anterior cruciate )Tj
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[(ligament injuries in female athletes. )54.8 (Am J Sports Med )]TJ
0 Tc 0 Tw T*
(2000;26:614-9.)Tj
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[(19.)-875.1 (Charlton )17.7 (WP)110.7 (, Coslett-Charlton LM, Ciccotti MG. Correlation of)]TJ
2.175 -1.175 Td
[(estradiol in pregnancy and anterior cruciate ligament laxity)64.8 (. Clin)]TJ
0 Tc T*
(Orthop 2001;387:165-70.)Tj
-0.00011 Tc -2.175 -1.175 Td
[(20.)-875.1 (Karageanes SJ, Blackburn K, )17.7 (V)110.8 (angelos ZA. )17.7 (The association of)]TJ
2.175 -1.175 Td
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T*
(adolescent female athletes. Clin J Sport Med 2000;10:162-8.)Tj
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[(21.)-875.1 (Arnold C, )17.7 (V)110.8 (an Bell C, Rogers )17.7 (V)128.9 (,)-0.1 ( Cooney )17.7 (T)74 (.)-0.1 ( )17.7 (The relationship)]TJ
2.175 -1.175 Td
(between serum relaxin and knee joint laxity in female athletes.)Tj
T*
(Orthopedics 2002;25:669-73.)Tj
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[(22.)-875.1 (Manarch ML, Ramin KD, Ramsey PS, Song SW)91.7 (, Stensland JJ, )54.8 (An)]TJ
2.175 -1.2 Td
(K. Characterization of the relationship between joint laxity and)Tj
0 -1.2 TD
[(maternal hormones in pregnancy)64.8 (. Obstet Gynecol 2003;101:331-5.)]TJ
-2.175 -1.2 Td
[(23.)-875.1 (Schauber)17.7 (ger CW)91.7 (, Rooney BL, Goldsmith L, Shenton D, Silva PD,)]TJ
2.175 -1.2 Td
[(Schaper )54.8 (A. Peripheral joint laxity increases in pregnancy but does)]TJ
T*
[(not correlate with serum relaxin levels. )54.8 (Am J Obstet Gynecol)]TJ
0 Tc 0 Tw T*
(1996;174:667-71.)Tj
-0.00011 Tc 0.02499 Tw -2.175 -1.2 Td
[(24.)-875.1 (Pokorny MJ, Smith )17.7 (TD, Calcus SA, Dennison EA. Self-reported)]TJ
2.175 -1.2 Td
[(oral contraceptive use and peropheral joint laxity)64.8 (. J Orthop Sports)]TJ
0.00729 Tw T*
[(Phys Ther )-17.7 (2000;30:683-92.)]TJ
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