Umbrella review of musculoskeletal injury burden in dancers: implication for practice and research.

IF 1.9 4区 医学 Q2 ORTHOPEDICS Physician and Sportsmedicine Pub Date : 2024-02-01 Epub Date: 2023-02-20 DOI:10.1080/00913847.2023.2179329
Akilesh Anand Prakash, Mahesh K, Vinitha Akilesh
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Abstract

Background: Dancers are susceptible to injury. Nevertheless, injury epidemiology research in dancers is inconsistent. Furthermore, ballet dancing has dominated the huge body of reviews analyzing the epidemiology of musculoskeletal injuries in a variety of artistic dance forms, making it challenging to acquire a thorough, comprehensive, and understandable reporting of the available data.

Purpose: The overview and reanalysis of dancers' musculoskeletal pain and injury load across artistic dance forms.

Study design: Systematic review of systematic reviews and meta-analysis.

Methods: A search was conducted online for literature written in English using PubMed and Google Scholar (2012-2021). The data gathered was then analyzed using predetermined qualifying criteria.

Results: 12 reviews were determined to be qualified, the majority of which had moderate to low confidence and raised concerns about bias based on JBI-URARI and ROBIS. The prevalence of dance-related musculoskeletal injuries ranged from 26% to 84% in any artistic dancers and 42% to 343% in ballet dancers. The incidence was less than 5 per 1000 dance hours in both groups, with lower extremities and back being the commonly reported sites. Reviews themselves stated that the quality of the reviews was often poor. Due to the study's heterogeneity and methodological inconsistency, data pooling and meta-analysis were not possible.

Conclusion: The current review emphasizes the gaps and restrictions in the dance epidemiology literature that make it challenging to quantify and report a single overall injury rate for dancers. These results underline the need for better primary investigations and evidence synthesis. As injury epidemiology is a critical component of the overall injury-prevention puzzle, there is a need for standardization in future research, particularly with active and prospective injury surveillance, injury classification, injury evaluation, and injury reporting.

Level of evidence: Systematic Review, Level III.

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舞蹈演员肌肉骨骼损伤负担综述:对实践和研究的影响。
背景介绍舞蹈演员很容易受伤。然而,针对舞者的损伤流行病学研究并不一致。此外,在分析各种艺术舞蹈形式的肌肉骨骼损伤流行病学的大量综述中,芭蕾舞一直占据着主导地位,这使得对现有数据进行透彻、全面和易懂的报告具有挑战性:研究设计:系统综述和荟萃分析:使用 PubMed 和 Google Scholar 在线搜索英文文献(2012-2021 年)。然后使用预先确定的合格标准对收集到的数据进行分析:根据 JBI-URARI 和 ROBIS,12 篇综述被确定为合格,其中大部分综述的置信度为中低,并引发了对偏倚的担忧。与舞蹈相关的肌肉骨骼损伤在所有艺术舞蹈演员中的发生率为 26% 至 84%,在芭蕾舞演员中的发生率为 42% 至 343%。两组的发病率均低于每 1000 个舞蹈小时 5 例,下肢和背部是报告的常见部位。评论本身指出,评论的质量往往很差。由于研究的异质性和方法的不一致性,无法进行数据汇总和荟萃分析:本综述强调了舞蹈流行病学文献中的空白和限制,这使得量化和报告单一的舞蹈演员总体受伤率具有挑战性。这些结果表明,有必要进行更好的初步调查和证据综合。由于损伤流行病学是整个损伤预防难题的重要组成部分,因此未来的研究需要标准化,特别是在主动和前瞻性损伤监测、损伤分类、损伤评估和损伤报告方面:系统综述,III 级。
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来源期刊
Physician and Sportsmedicine
Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS
CiteScore
4.90
自引率
4.30%
发文量
60
审稿时长
>12 weeks
期刊介绍: The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.
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