White Hayley M, Hoch Johanna M, Hoch Matthew C
College of William and Mary, Williamsburg, VA, USA.
Div. of Athletic Training, Dep. of Rehabilitation Sciences, University of Kentucky College of Health Sciences, 206A Chas. T. Wethington Jr. Bldg., Lexington, KY 40536-0200, USA. Tel 859-323-7070.
Med Probl Perform Art. 2018 Mar;33(1):14-19. doi: 10.21091/mppa.2018.1004.
Injuries are common among dancers and may negatively affect health-related quality of life (HRQL). The modified Disablement in the Physically Active Scale (mDPA) is a generic patient-reported outcome instrument that could be used when providing care to patients participating in performing arts. The objective of this pilot study was to examine the internal consistency of the mDPA and assess overall HRQL using the mDPA in university dance students. Thirty-one female university dance students completed the mDPA during one data collection session. Higher scores on the Physical Summary Component (mDPA-PSC), the Mental Summary Component (mDPAMSC), and mDPA-Total indicated increased disablement. The internal consistency was determined using Cronbachs alpha. The mDPA-Total, mDPA-PSC, and mDPAMSC scores were examined descriptively using mean and standard deviations. Individual item responses were also examined. The proportion of university dance students with clinically relevant levels of disablement on the mDPA-Total was examined using a previously established minimally clinically important difference value. The internal consistency for the mDPA-MSC (a=0.91) and mDPATotal (a=0.90) was excellent and good for the mDPA-PSC (a=0.88). A large proportion (71%) of university dance students demonstrated clinically relevant levels of disablement despite fully participating in dance-related activities. Pain, impaired motion, and stress were the greatest contributors to increased disablement in these individuals. The mDPA scores observed in this pilot study indicate that many dance students experience levels of disablement and decreased HRQL which may warrant physical and mental intervention. Clinicians providing healthcare services to performing artists should consider using the mDPA to provide patient-centered care.
损伤在舞者中很常见，可能会对健康相关生活质量（HRQL）产生负面影响。改良的身体活动障碍量表（mDPA）是一种通用的患者报告结局工具，可用于为参与表演艺术的患者提供护理时。这项初步研究的目的是检验mDPA的内部一致性，并使用mDPA评估大学舞蹈学生的总体HRQL。31名大学女舞蹈学生在一次数据收集期间完成了mDPA。身体总结部分（mDPA - PSC）、心理总结部分（mDPA - MSC）和mDPA总分得分越高表明残疾程度越高。使用克朗巴赫α系数确定内部一致性。使用均值和标准差对mDPA总分、mDPA - PSC和mDPA - MSC得分进行描述性检验。还对各个项目的回答进行了检查。使用先前确定的最小临床重要差异值检查mDPA总分上具有临床相关残疾水平的大学舞蹈学生比例。mDPA - MSC（α = 0.91）和mDPA总分（α = 0.90）的内部一致性极佳，mDPA - PSC的内部一致性良好（α = 0.88）。尽管充分参与了与舞蹈相关的活动，但很大一部分（71%）大学舞蹈学生表现出临床相关的残疾水平。疼痛、运动障碍和压力是这些个体残疾增加的最大因素。在这项初步研究中观察到的mDPA得分表明，许多舞蹈学生经历了残疾水平和HRQL下降，这可能需要进行身心干预。为表演艺术家提供医疗服务的临床医生应考虑使用mDPA来提供以患者为中心的护理。
