慢性踝关节不稳及南非职业芭蕾舞演员相关的自我报告功能。

Chronic Ankle Instability and Associated Self-Reported Function in South African Professional Ballet Dancers.

机构信息

Department of Physiotherapy: School of Health and Rehabilitation Sciences, University of the Free State, Bloemfontein, South Africa.

Clinical Skills Unit, School of Health and Rehabilitation Sciences, University of the Free State, Bloemfontein, South Africa.

出版信息

J Dance Med Sci. 2023 Mar;27(1):20-26. doi: 10.1177/1089313X231176607.

DOI:10.1177/1089313X231176607

PMID:37218636

Abstract

INTRODUCTION

Ankle sprains are the most common acute injury among dancers and may result in the development of chronic ankle instability (CAI). Chronic ankle instability is characterized by recurrent ankle sprains, incidents of the ankle "giving way," and sensations of instability and has been reported to negatively impact functioning and psychosocial status. The large number of ankle sprains in addition to contextual factors relating to professional dancing, suggests that CAI may be a significant problem in professional ballet dancers. This study aimed to determine the prevalence of CAI and describe the ankle injury history and level of self-reported function in South African ballet dancers.

METHODS

This descriptive, cross-sectional study included all professional ballet dancers employed by three professional South African ballet companies (n = 65). The Identification of Functional Ankle Instability Questionnaire (IdFAI), Foot and Ankle Ability Measure (FAAM), Dance Functional Outcome Survey (DFOS), and a researcher-developed injury history questionnaire were completed by consenting participants. Descriptive statistics were calculated.

RESULTS

A CAI prevalence of 73.3% CI [55.6%, 85.8%] was calculated among 30 participants. Twenty-five (83.3%) participants reported sustaining at least one significant ankle sprain with 88% (n = 22) indicating dance related activities as the cause. Dancers with CAI demonstrated a tendency to have less control over their ankles giving way and tended to take longer to recover from their ankles giving way than those dancers not affected. Eight participants (36.4%) with CAI were identified as having a significant level of disability on the FAAM activities of daily living (ADL) subscale and six participants (27.3%) on the sport subscale. Participants with CAI had a median total score of 83.5; IQR [80 - 90] on the DFOS.

CONCLUSION

The self-reported function of South African professional ballet dancers is not severely affected, however, the high prevalence of CAI and reported symptoms is concerning. Education on CAI symptoms, prevention, and evidence-based management is recommended.

摘要

简介

踝关节扭伤是舞者中最常见的急性损伤，可能导致慢性踝关节不稳定（CAI）的发展。慢性踝关节不稳定的特征是反复踝关节扭伤、踝关节“失控”事件以及不稳定感，并已被报道对功能和心理社会状态产生负面影响。除了与专业舞蹈相关的背景因素外，大量的踝关节扭伤表明 CAI 可能是专业芭蕾舞演员的一个重大问题。本研究旨在确定 CAI 的患病率，并描述南非芭蕾舞演员的踝关节损伤史和自我报告功能水平。

方法

这项描述性、横断面研究包括所有受雇于三家南非专业芭蕾舞公司的专业芭蕾舞演员（n = 65）。通过同意参与的参与者完成了功能性踝关节不稳定识别问卷（IdFAI）、足踝能力测量（FAAM）、舞蹈功能结果调查（DFOS）和研究人员开发的损伤史问卷。计算了描述性统计数据。

结果

在 30 名参与者中，计算出 CAI 的患病率为 73.3%CI [55.6%，85.8%]。25 名（83.3%）参与者报告至少有一次严重的踝关节扭伤，其中 88%（n = 22）表示与舞蹈相关的活动是造成扭伤的原因。患有 CAI 的舞者在控制踝关节失控方面表现出较差的倾向，并且从踝关节失控中恢复的时间也比未受影响的舞者长。8 名（36.4%）患有 CAI 的参与者在 FAAM 日常生活活动（ADL）子量表上表现出显著的残疾程度，6 名（27.3%）参与者在运动子量表上表现出显著的残疾程度。患有 CAI 的参与者在 DFOS 上的总分为 83.5；IQR [80-90]。