Callahan Evyn, Mangum L Colby
REhabilitation, Athletic assessment, & DYnamic imaging (READY) Laboratory, Institute of Exercise Physiology and Rehabilitation Sciences, University of Central Florida, Orlando, FL, USA.
J Sport Rehabil. 2024 Dec 10;34(4):456-462. doi: 10.1123/jsr.2024-0194. Print 2025 May 1.
Ballet dancers exhibit a high risk of musculoskeletal injuries with around 75% of all injuries attributed to overuse injuries. The high prevalence of chronic injuries suggests contributions caused by abnormal biomechanics in combination with repetitive stress common to ballet. Traditional sports settings implement movement screening tools including the Movement Competency Screen (MCS) and functional movement screen (FMS) to identify factors predisposing athletes to injury. However, unique training demands and movement patterns of ballet and contemporary pose challenges for fundamental movement screenings. Identifying relationships between movement screening scores and injury incidence in dancers may allow for early injury risk factors detection and injury prevention programs implementation to reduce overall injury rate.
Does implementation of the MCS improve prediction of injury incidence compared with use of the FMS™ in collegiate, preprofessional, and professional ballet, and contemporary dancers?
Three studies met the inclusion criteria for critical appraisal. One study utilized the MCS while the other 2 implemented the FMS™ to assess ballet and modern dancers. These studies concluded the MCS may predict injury when implemented as a preseason screening in ballet and contemporary. The FMS™ did not demonstrate predictive capability for injuries in ballet and contemporary dancers.
While the MCS shows injury prediction potential, a dance-specific movement screening more accurately representing dance-related movement patterns may improve validity in this population. Continuation and standardization of dance injury research is imperative to understand movement compensations predisposing individuals to injury and injury prevention measures.
Grade B evidence suggests potential predictive ability of the MCS in identifying dance-related injury, while no association exists between the FMS™ and dance injuries. Additional research regarding dance-specific movement application to functional screenings shows potential for accurate and reliable injury prediction methods for ballet and modern dancers.
芭蕾舞演员肌肉骨骼损伤风险很高，所有损伤中约75%归因于过度使用损伤。慢性损伤的高患病率表明，异常生物力学与芭蕾舞常见的重复性压力共同导致了损伤。传统体育环境中采用运动筛查工具，包括运动能力筛查（MCS）和功能性运动筛查（FMS），以识别使运动员易受伤的因素。然而，芭蕾舞独特的训练要求和运动模式以及现代舞 pose 对基本运动筛查构成挑战。确定舞蹈演员运动筛查分数与损伤发生率之间的关系，可能有助于早期发现损伤风险因素并实施损伤预防计划，以降低总体损伤率。
与在大学、准专业和专业芭蕾舞演员及现代舞演员中使用FMS™相比，实施MCS是否能改善对损伤发生率的预测？
三项研究符合关键评估的纳入标准。一项研究使用了MCS，另外两项实施了FMS™来评估芭蕾舞演员和现代舞演员。这些研究得出结论，在芭蕾舞和现代舞季前筛查中实施MCS可能预测损伤。FMS™在芭蕾舞和现代舞演员中未显示出对损伤的预测能力。
虽然MCS显示出损伤预测潜力，但一种更准确代表舞蹈相关运动模式的特定舞蹈运动筛查可能会提高该人群中的有效性。必须持续并标准化舞蹈损伤研究，以了解使个体易受伤的运动代偿情况和损伤预防措施。
B级证据表明MCS在识别舞蹈相关损伤方面具有潜在预测能力，而FMS™与舞蹈损伤之间不存在关联。关于特定舞蹈运动应用于功能筛查的更多研究表明，有可能为芭蕾舞演员和现代舞演员开发准确可靠的损伤预测方法。
