Institute of Occupational, Social and Environmental Medicine, Goethe-University Frankfurt am Main, Frankfurt am Main, Germany.
Faculty of Social Work and Health, HAWK-University of Applied Sciences and Arts, Hildesheim, Germany.
Scand J Pain. 2021 Feb 19;21(2):308-316. doi: 10.1515/sjpain-2020-0122. Print 2021 Apr 27.
Dance teachers are strongly dependent on their functional body in their professional practice. As yet, it has largely been unclear whether the musculoskeletal system is endangered by a dance teaching activity. Pain can be a warning signal for a health hazard. The aims of the study were (a) to determine the pain prevalence, location and assessment of dance teachers and (b) to identify determinants of pain occurrence over a 3-month period prior to the survey.
The quantitative, retrospective cohort study was conducted with n=166 dance teachers by an anonymous online survey. The data on the study sample, professional practice and pain prevalence, location and assessment were presented descriptively. A binary logistic regression was used to identify determinants of pain occurrence in the last 3 months from the sample parameters and the data of professional practice.
In the 3-month period n=143 (86.1%) of dance teachers had been in pain, often localized in the lower back and lower extremities. In the binary logistic regression model, the Body mass index (BMI) (odds ratio (OR)=1.15, 95% CI: 0.93-1.42, p=0.18), age (OR=1.03, 95% CI: 0.99-1.08, p=0.11) and the presence of disease (OR=2.81, 95% CI: 0.78-10.15, p=0.12) were identified as determinants of pain occurrence (LR-Chi=7.8, p<0.05, pseudo R=0.06, n=160).
Pain occurs in dance teachers under multifactorial conditions. Pain occurrence seems to be favored by context factors, such as the BMI, age and the presence of diseases. However, none of these factors could be identified as a significant, clear risk factor for the occurrence of pain in this sample. Education and preventive measures, that consider pain as a warning signal, should take effect early in the dance career.
舞蹈教师在其专业实践中强烈依赖其功能身体。然而，舞蹈教学活动是否会对骨骼肌肉系统造成危害，在很大程度上仍不清楚。疼痛可能是健康危害的警告信号。本研究的目的是：(a)确定舞蹈教师的疼痛发生率、部位和评估；(b)确定调查前 3 个月内疼痛发生的决定因素。
采用 n=166 名舞蹈教师的定量、回顾性队列研究，通过匿名在线调查进行。研究样本、专业实践和疼痛发生率、部位和评估的数据以描述性方式呈现。使用二元逻辑回归分析从样本参数和专业实践数据中确定过去 3 个月内疼痛发生的决定因素。
在 3 个月期间，n=143(86.1%)的舞蹈教师出现疼痛，疼痛常局限于下背部和下肢。在二元逻辑回归模型中，体重指数（BMI）（比值比（OR）=1.15，95%置信区间：0.93-1.42，p=0.18）、年龄（OR=1.03，95%置信区间：0.99-1.08，p=0.11）和疾病存在（OR=2.81，95%置信区间：0.78-10.15，p=0.12）被确定为疼痛发生的决定因素（LR-chi=7.8，p<0.05，伪 R=0.06，n=160）。
舞蹈教师在多种因素条件下出现疼痛。疼痛的发生似乎受到 BMI、年龄和疾病存在等环境因素的影响。然而，在本样本中，没有一个因素可以被确定为疼痛发生的显著明确危险因素。应尽早在舞蹈生涯中实施考虑疼痛作为警告信号的教育和预防措施。
