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Madonna, with red pom poms in hand, is giving it her all while performing in Rome for her MDNA tour.

Be careful, Madge! Looks like the 53-year-old performer is straining a bit too much. Yikes!

The mother of four, rockin' a sexy majorette outfit, must be getting youthful inspiration from her 24-year-old beau Brahim Zaibat.

Drumrole, please!