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Risk factors for musculoskeletal injury in preprofessional dancers: a systematic review
  1. Sarah J Kenny1,
  2. Jackie L Whittaker2,3,
  3. Carolyn A Emery1,4,5
  1. 1Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Alberta, Canada
  2. 2Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
  3. 3Glen Sather Sports Medicine Clinic, University of Alberta, Edmonton, Canada
  4. 4Department of Pediatrics, Cumming School of Medicine, Alberta Children's Hospital Research Institute for Child and Maternal Health, University of Calgary, Calgary, Canada
  5. 5Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada
  1. Correspondence to Sarah J Kenny, Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Canada T2N 1N4; kennys{at}ucalgary.ca

Abstract

Background Preprofessional dancers partake in rigorous training and have high injury prevalence. Attempts to identify risk factors for dance injuries have focused on a diversity of intrinsic and extrinsic factors.

Objective To identify and evaluate the evidence examining risk factors for musculoskeletal injury in preprofessional ballet and modern dancers.

Methods Fifteen electronic databases were systematically searched to October 2015. Studies selected met a priori inclusion criteria and investigated musculoskeletal injury risk factors in preprofessional (elite adolescent, student, young adult) ballet and modern dancers. Two reviewers independently assessed the quality and level of evidence using the Downs and Black (DB) criteria and a modified Oxford Centre of Evidence-Based Medicine 2009 model, respectively.

Results Of 1364 potentially relevant studies, 47 were included and scored. Inconsistent injury definition and methodology precluded meta-analysis. The most common modifiable risk factors investigated were anthropometrics (ie, body mass index, adiposity), joint range of motion (ie, lower extremity), dance exposure (ie, years training, exposure hours) and age. The median DB score across studies was 8/33 (range 2–16). The majority of studies were classified as level 3 evidence and few considered risk factor inter-relationships. There is some level 2 evidence that previous injury and poor psychological coping skills are associated with increased injury risk.

Conclusions Because of the lack of high-quality studies, consensus regarding risk factors for musculoskeletal injury in preprofessional dancers remains difficult. There is a need for injury definition consensus and high-quality prospective studies examining the multifactorial relationship between risk factors and injury in preprofessional dance.

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