University of Calgary, Calgary, Alberta, Canada.
University of Calgary, Calgary, Alberta, Canada; Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada; O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada.
J Dance Med Sci. 2022 Jun 15;26(2):87-105. doi: 10.12678/1089-313X.061522b. Epub 2022 Mar 15.
Several studies and recent systematic reviews have investigated injury in dance settings and have largely focused on specific concert dance genres (i.e., ballet, contemporary) and elite levels (i.e., pre-professional, professional) of dance. Less is known about the health of those who participate in dance education settings, namely teachers and students from private dance studios. Given that these individuals constitute a large proportion of the dance community, greater clarity of risks in the dance training environment could benefit an underserved majority by informing the development of effective injury prevention strategies.
Objective: The primary objective was to describe injury rates and characteristics associated with participation in organized dance education settings.
Methods: Six electronic databases were searched to April 2021 (Medline, EMBASE, SportDiscus, CINAHL, SCOPUS, Cochrane). Selected studies met a priori inclusion criteria that required original data from dance teacher and student samples within formal dance education settings. All genres of dance were eligible. Studies were excluded if no injury outcomes or estimates of dance exposure were reported, if injuries occurred during rehearsal and performance, or if dance was used as a therapeutic intervention or exercise. Two reviewers independently assessed each paper for inclusion at abstract and full text screening stages. The quality of included studies was assessed using the Joanna Briggs Institute Level of Evidence tool.
Results: The initial database search identified 1,424 potentially relevant records, 26 were included and scored. Most studies (n = 22) focused on dance students only, three included only dance teachers, and one study included both. Among both dance students and teachers, the majority of injuries reported were overuse or chronic and involved the lower limb. For studies that reported injury rates (n = 14), estimates ranged from 0.8 to 4.7 injuries per 1,000 dance hours, 4.86 per 1,000 dancer-days, and 0.21 to 0.34 per 1,000 dance exposures.
Conclusions: Based on the current research, dance students and teachers experience a similar rate of injury to concert and professional dancers, and their injuries are most commonly overuse injuries involving the lower extremity. There have been few high-quality investigations of injury specific to the dance training environment. Therefore, consensus around the burden of injury in the dance education settings remains difficult. Future dance epidemiological investigations that examine the burden of injury among dance teachers and students, include operational injury and exposure definitions, and utilize prospective designs are warranted.
有几项研究和最近的系统评价调查了舞蹈环境中的伤害情况，这些研究主要集中在特定的舞台舞蹈类型（即芭蕾舞、现代舞）和精英水平（即专业前、专业）的舞蹈上。对于那些参加舞蹈教育环境的人的健康状况，了解得就较少了，例如私人舞蹈工作室的教师和学生。鉴于这些人构成了舞蹈界的很大一部分，更清楚地了解舞蹈训练环境中的风险可以通过为制定有效的伤害预防策略提供信息，使服务不足的大多数人受益。
目的：主要目的是描述与参与有组织的舞蹈教育环境相关的伤害发生率和特征。
方法：从 2021 年 4 月起，对六个电子数据库（Medline、EMBASE、SportDiscus、CINAHL、SCOPUS 和 Cochrane）进行了搜索。选择的研究符合预先设定的纳入标准，这些标准要求在正规舞蹈教育环境中从舞蹈教师和学生样本中获得原始数据。所有类型的舞蹈都符合条件。如果没有报告伤害结果或舞蹈接触估计值，如果伤害发生在排练和表演期间，或者如果舞蹈被用作治疗干预或运动，则将研究排除在外。两名评审员分别在摘要和全文筛选阶段独立评估每篇论文是否符合纳入标准。使用 Joanna Briggs 研究所证据水平工具评估纳入研究的质量。
结果：初步数据库搜索确定了 1424 条潜在相关记录，其中 26 条被纳入并进行了评分。大多数研究（n=22）仅关注舞蹈学生，3 项研究仅包括舞蹈教师，1 项研究同时包括舞蹈学生和教师。在舞蹈学生和教师中，报告的大多数伤害是过度使用或慢性的，涉及下肢。对于报告伤害率的研究（n=14），估计值范围为每 1000 小时舞蹈 0.8 至 4.7 例，每 1000 名舞蹈者日 4.86 例，每 1000 次舞蹈暴露 0.21 至 0.34 例。
结论：根据目前的研究，舞蹈学生和教师与舞台和专业舞者的受伤率相似，他们的受伤最常见的是过度使用的下肢损伤。很少有高质量的研究专门针对舞蹈训练环境中的伤害。因此，舞蹈教育环境中受伤的负担仍然难以达成共识。未来的舞蹈流行病学研究，检查舞蹈教师和学生的受伤负担，包括操作伤害和暴露定义，并采用前瞻性设计，是必要的。
