TY - JOUR
T1 - The epidemiology of low back pain and injury in dance
T2 - A systematic review
AU - Swain, Christopher T.V.
AU - Bradshaw, Elizabeth J.
AU - Ekegren, Christina L.
AU - Whyte, Douglas G.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - BACKGROUND: Dance is a physical pursuit that involves loading the spine through repetitive dynamic movements and lifting tasks. As such, low back pain (LBP) and low back injury (LBI) have been identified as common health problems in contemporary and classical ballet dancers. However, clarity regarding the experience of LBP and LBI in dance is lacking. OBJECTIVES: To systematically review and synthesize the epidemiology of LBP and LBI in dance populations. U METHODS: A comprehensive search of 6 electronic databases, back catalogs of dance science-specific journals, and reference lists of relevant articles and a forward citation search were performed. RESULTS: Fifty full-text articles were included in the final systematic review. There was considerable methodological heterogeneity among the included studies. The median (range) point, yearly, and lifetime prevalence of LBP was 27% (17%-39%), 73% (41%-82%), and 50% (17%-88%), respectively. The lower back contributed to 11% (4%-22%) of time loss and 11% (5%-23%) of medical-attention injuries. CONCLUSION: Dancers are vulnerable to LBP and LBI. The use of definitions that are sensitive to the complexity of LBP and LBI would facilitate improved understanding of the problem within dance, inform health care strategies, and allow for monitoring LBP-specific intervention outcomes.
AB - BACKGROUND: Dance is a physical pursuit that involves loading the spine through repetitive dynamic movements and lifting tasks. As such, low back pain (LBP) and low back injury (LBI) have been identified as common health problems in contemporary and classical ballet dancers. However, clarity regarding the experience of LBP and LBI in dance is lacking. OBJECTIVES: To systematically review and synthesize the epidemiology of LBP and LBI in dance populations. U METHODS: A comprehensive search of 6 electronic databases, back catalogs of dance science-specific journals, and reference lists of relevant articles and a forward citation search were performed. RESULTS: Fifty full-text articles were included in the final systematic review. There was considerable methodological heterogeneity among the included studies. The median (range) point, yearly, and lifetime prevalence of LBP was 27% (17%-39%), 73% (41%-82%), and 50% (17%-88%), respectively. The lower back contributed to 11% (4%-22%) of time loss and 11% (5%-23%) of medical-attention injuries. CONCLUSION: Dancers are vulnerable to LBP and LBI. The use of definitions that are sensitive to the complexity of LBP and LBI would facilitate improved understanding of the problem within dance, inform health care strategies, and allow for monitoring LBP-specific intervention outcomes.
KW - Ballet
KW - Contemporary dance
KW - Incidence prevalence riskfactors
UR - http://www.scopus.com/inward/record.url?scp=85062157668&partnerID=8YFLogxK
U2 - 10.2519/jospt.2019.8609
DO - 10.2519/jospt.2019.8609
M3 - Review Article
C2 - 30658051
AN - SCOPUS:85062157668
VL - 49
SP - 239
EP - 252
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
SN - 0190-6011
IS - 4
ER -