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损伤发生率、舞蹈训练量以及运用运动能力筛查(MCS)来识别与全职职业前舞者损伤相关的变量

INJURY INCIDENCE, DANCE EXPOSURE AND THE USE OF THE MOVEMENT COMPETENCY SCREEN (MCS) TO IDENTIFY VARIABLES ASSOCIATED WITH INJURY IN FULL-TIME PRE-PROFESSIONAL DANCERS.

作者信息

Lee Linda, Reid Duncan, Cadwell Jill, Palmer Priya

机构信息

Sandringham, Auckland, New Zealand.

Auckland University of Technology, Auckland, New Zealand.

出版信息

Int J Sports Phys Ther. 2017 Jun;12(3):352-370.

Abstract

BACKGROUND/PURPOSES: Prospective studies utilizing standardized injury and exposure measures are needed to consolidate our knowledge of injury incidence and associated risk factors for musculoskeletal injury amongst pre-professional dancers. The purpose of this study was to investigate the injury incidence amongst pre-professional dancers attending a fulltime training school in New Zealand. The secondary purposes of this study were to investigate the relationship between dance exposure and injury risk, and the relationship between risk factors (specifically the MCS outcome scores) and injury risk.

METHODS

A prospective cohort study of 66 full-time pre-professional dancers was undertaken over one full academic year (38 weeks), included 40 females (mean age 17.78 yrs, SD 1.18) and 26 males (mean age 18.57yrs, SD 1.72). Injury surveillance included both reported and self reported injury data. Dancers were screened using the MCS in the first week of term one.

RESULTS

Eighty-six per cent of dancers sustained one or more injuries. Fifty-nine per cent of all injuries were time-loss. The injury incidence rate was 2.27 per 1000 hours of dance exposure (DEhr) and 3.35 per 1000 dance exposures (DE). There was a significant association between the total number of injuries and total DE per month (B=0.003, 95% CI 0.001 - 0.006, p=0.016). Dancers who had a MCS score < 23 were more likely to be injured than those who scored ≥23 (B = -0.702, 95% CI = -1.354 - -0.050, p=0.035).

CONCLUSION

Injury prevalence and incidence was comparable with other international cohorts. The number of dance exposures was more highly associated with injury risk than the hours of dance exposure. The MCS may be a useful tool to help identify dancers at risk of injury.

LEVEL OF EVIDENCE

Level 3b, Prospective Longitudinal Cohort Study.

摘要

背景/目的:需要开展采用标准化损伤和暴露测量方法的前瞻性研究,以巩固我们对职业前舞者肌肉骨骼损伤的发病率及相关危险因素的认识。本研究的目的是调查在新西兰一所全日制培训学校就读的职业前舞者的损伤发生率。本研究的次要目的是调查舞蹈暴露与损伤风险之间的关系,以及危险因素(特别是MCS结果评分)与损伤风险之间的关系。

方法

在一整个学年(38周)内,对66名全日制职业前舞者进行了前瞻性队列研究,其中包括40名女性(平均年龄17.78岁,标准差1.18)和26名男性(平均年龄18.57岁,标准差1.72)。损伤监测包括报告的和自我报告的损伤数据。在第一学期的第一周,使用MCS对舞者进行筛查。

结果

86%的舞者遭受了一次或多次损伤。所有损伤中有59%导致了误工。损伤发生率为每1000小时舞蹈暴露(DEhr)2.27次,每1000次舞蹈暴露(DE)3.35次。每月损伤总数与总DE之间存在显著关联(B = 0.003,95%置信区间0.001 - 0.006,p = 0.016)。MCS评分<23的舞者比评分≥23的舞者更易受伤(B = -0.702,95%置信区间 = -1.354 - -0.050,p = 0.035)。

结论

损伤患病率和发生率与其他国际队列相当。舞蹈暴露次数比舞蹈暴露小时数与损伤风险的关联更强。MCS可能是帮助识别有损伤风险舞者的有用工具。

证据水平

3b级,前瞻性纵向队列研究。

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