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专业舞者的下背痛认知和应对策略:一项定性研究。

Low Back Pain Perceptions and Coping Strategies in Pre-Professional Dancers: A Qualitative Study.

机构信息

Kato Everaert, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium.

出版信息

Med Probl Perform Art. 2023 Sep;38(3):137-146. doi: 10.21091/mppa.2023.3017.

Abstract

AIMS

Low back pain (LBP) is a common health problem in pre-professional dancers which could hamper the dancers' professional career. However, pre-professional dancers are not often studied, although they may have their own pain perceptions and coping strategies towards LBP. Considering the biopsychosocial nature of LBP, it is important to increase the understanding of these perceptions and coping strategies. The aim of this qualitative research study was to explore the dancers' perceptions about LBP and their coping strategies when they suffered from LBP.

METHODS

Eighteen pre-professional dancers with and without LBP from different dance schools in Belgium were included in this study. Participants were invited for an in-depth online video interview. These in-depth interviews were based on a topic list. Afterwards, the interview transcripts were analyzed thematically.

RESULTS

Two primary themes emerged from the data: 1) perceptions of LBP and 2) coping strategies which dancers applied when they suffered from LBP. The perceptions about LBP were related to two different themes: "it's all about the body" and "it's all about the psychosocial and contextual factors." In addition, the coping strategies were divided into "active coping strategies" and "passive coping strategies," whereas the most popular coping strategies were stretching exercises and passive coping strategies such as massages or heating cream.

CONCLUSION

Although LBP has clearly been shown to be a biopsychosocial phenomenon, this qualitative study showed that dancers mainly considered biomedical factors as contributing factors to LBP. Additionally, instead of relying on coping strategies aimed at directly improving pain or trying to treat LBP on the basis of a single-cause diagnosis, it is important to consider the biopsychosocial origin of LBP in the management plans.

摘要

目的

下腰痛(LBP)是职业前舞者中常见的健康问题,可能会妨碍舞者的职业生涯。然而,职业前舞者并没有经常被研究,尽管他们可能对 LBP 有自己的疼痛感知和应对策略。考虑到 LBP 的生物心理社会性质,了解这些感知和应对策略非常重要。本定性研究的目的是探讨舞者对 LBP 的感知以及他们在遭受 LBP 时的应对策略。

方法

本研究纳入了来自比利时不同舞蹈学校的 18 名有和无 LBP 的职业前舞者。邀请参与者进行深入的在线视频访谈。这些深入访谈基于一个主题列表。之后,对访谈记录进行主题分析。

结果

从数据中出现了两个主要主题:1)对 LBP 的感知和 2)舞者在遭受 LBP 时应用的应对策略。对 LBP 的感知与两个不同的主题有关:“这都是关于身体的”和“这都是关于心理社会和环境因素的”。此外,应对策略分为“积极应对策略”和“消极应对策略”,而最受欢迎的应对策略是伸展运动和被动应对策略,如按摩或热霜。

结论

尽管 LBP 显然是一种生物心理社会现象,但这项定性研究表明,舞者主要将生物医学因素视为导致 LBP 的因素。此外,在管理计划中,重要的是考虑到 LBP 的生物心理社会起源,而不是依赖于旨在直接改善疼痛或试图根据单一病因诊断来治疗 LBP 的应对策略。

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