College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, 279 Zhouzhu Highway, Pudong New Area, Shanghai 201318, China. Tel +8618521777440.
Med Probl Perform Art. 2022 Mar;37(1):30-36. doi: 10.21091/mppa.2022.1004.
Neck pain is common in dancers, especially female dancers, and the injury pattern varies in different genres of dance. Among dancesport performers, intensive neck left rotation is required in female International Standard dancers, but it is unknown whether neck pain is associated with neck rotation range of motion and proprioception.
To explore the associations between neck pain, cervical rotation range of motion, and proprioception in female International Standard dancers.
Twelve dancers with dance-related neck pain (age 19.9±1.9 yrs) volunteered, matched with 12 not reporting neck pain (age 22.2±2.4 yrs). A 100-mm visual analog scale (VAS) was used to record neck pain. Active rotation range of motion (AROM) of the cervical spine was measured using a tape measure. A cervical rotation reposition test that used a head-mounted laser projector on a linear scale was employed to measure the cervical spine proprioception, and the absolute error (AE) and variable error (VE) were calculated as proprioceptive acuity scores.
Nine of 12 participants in the group with neck pain declared left side pain, with 2 reporting pain on both sides. The group with neck pain had significantly lower left rotation AROM (p<0.05). For proprioceptive acuity, mixed model ANOVA only showed that repositioning of the right side of the neck is more accurate and consistent than that of the left (both AE and VE p<0.05). Linear regression analysis indicated that left rotation AROM was significantly influenced by left neck pain (t=3.061, p=0.006, adjusted R2 = 0.267, and Durbin-Watson value = 1.776).
Most participants in the group with neck pain showed left side pain, associated with decreased left rotation AROM. Early screening on cervical rotation mobility may be necessary to reduce future dance-related injury after the onset of neck pain. Proprioceptive acuity of the left side neck was significantly impaired compared with that of the right, indicating future proprioceptive intervention on the left side neck.
颈部疼痛在舞者中很常见，尤其是女性舞者，不同舞种的损伤模式也不同。在舞蹈运动员中，女性国际标准舞需要进行高强度的颈部左旋，但目前尚不清楚颈部疼痛是否与颈部旋转活动范围和本体感觉有关。
探讨女性国际标准舞舞者颈部疼痛与颈椎旋转活动范围和本体感觉之间的关系。
12 名有舞蹈相关颈部疼痛的舞者（年龄 19.9±1.9 岁）自愿参与，与 12 名无颈部疼痛报告的舞者（年龄 22.2±2.4 岁）相匹配。使用 100mm 视觉模拟量表（VAS）记录颈部疼痛。使用卷尺测量颈椎主动旋转活动范围（AROM）。使用头部安装的激光投影仪和线性标尺测量颈椎本体感觉，计算颈椎旋转重定位测试的绝对误差（AE）和可变误差（VE）作为本体感觉敏锐度评分。
12 名有颈部疼痛的参与者中，有 9 名报告左侧疼痛，有 2 名报告双侧疼痛。有颈部疼痛的组的左侧旋转 AROM 明显较低（p<0.05）。对于本体感觉敏锐度，混合模型方差分析仅表明右侧颈部的重定位比左侧更准确和一致（AE 和 VE 均 p<0.05）。线性回归分析表明，左侧旋转 AROM 明显受左侧颈部疼痛影响（t=3.061，p=0.006，调整后的 R2=0.267，杜宾-沃森值=1.776）。
大多数有颈部疼痛的参与者表现为左侧疼痛，与左侧旋转 AROM 减少有关。在颈部疼痛发作后，可能需要对颈椎旋转活动度进行早期筛查，以减少未来与舞蹈相关的损伤。与右侧相比，左侧颈部的本体感觉敏锐度明显受损，提示未来需要对左侧颈部进行本体感觉干预。
