Current Pedorthics | January-February 2019 | Vol.51, Issue 1 | Page 51

Athletes or Artists? ground” at the expense of cushioning the foot. In the past decade however, shock-absorbing materials such as Poron®, EVA and Sorbothane® have been incorporated into dance footwear from athletic shoe designs. Street shoes, with the exception of full leather soles, are not acceptable on the dance floor and should be avoided, along with sandals and flip-flops. Most street shoes will not slide properly on a wooden dance floor and open shoes offer little to no protection. Athletic footwear is not a good choice for ballroom and traditional forms of dancing, although for unstructured dancing such as jive, break dancing and all the derivations under the Rock ‘n Roll umbrella – athletic shoes work. To the pointe The category of dance that requires the most athleticism and engenders the most injuries by far is pointe in ballet. From the beginning of their extensive training, ballerinas are schooled in an increasingly challenging physical vocabulary, including multiple pirouettes, jumps and leaps. In the modern pointe shoe, the foot is supported from underneath the longitudinal arch by a stiff insole or shank. The box of the shoe tightly encases the toes, so that the dancer’s weight rests on an oval-shaped platform. The shank has varying degrees of flexibility and the toe box may have different configurations. The outer material is usually satin and lined with cotton (or a thin denier nylon lining) for added strength. Surprisingly, until broken in, pointe shoes will fit either foot; there is usually no left or right. Except in rare cases, pointe shoes are worn only by women. Although it is the shoe that enables the dancer to poise indefinitely on tiptoe, it is her strength and technique that bring her from the normal standing position in the sagittal plane through mid-position or ‘demi-pointe,’ to the full-pointe position, where the foot is at an extreme angle of plantar-flexion. Once en pointe is achieved, a contraction of the muscles of the feet, ankles, legs and torso are required to pull the dancer up out of the shoe. Without proper technique and practice an attempt at toe-dancing can cause injury to the foot and ankle. Children with growing feet should not be encouraged to dance en pointe, nor should anyone lacking adequate strength and training. We all understand the importance in fitting normal footwear correctly, however, fit is even more critical in pointe shoes due to the choices available and the extreme foot and ankle movements required in this discipline. Options in fitting a pointe shoe 4In the overall length, in pointe shoes sizes usually run ½ to a full size larger than American street shoe sizing. A small ¼ inch pinch at the highest part of the heel, up by the drawstring is desirable. The shoe should not fit too tightly. 4To avoid bruising, subungual hematoma and ingrown toenails select the correct toe box configuration and midfoot width selection. 4The correct amount of shank support depends of the dancer’s level or competency. Gaynor Minden, for example offers six levels of stiffness from flexible to hard. 4Vamp depth may vary from shallow to deep and fit at the heel (the rake) may vary in angle and width. Pointe shoes have come a long way from their humble beginnings using such materials as burlap, paper saturated with glue, and lamb’s wool. Amongst the most progressive makers of ballet shoes today is Gaynor Minden. Using modern materials throughout Current Pedorthics | January/February 2019 49