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Injury Occurrence in Modern and Hip-Hop Dancers: A Systematic Literature Review


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Figure 1

PRISMA diagram (flowchart of the search process).
PRISMA diagram (flowchart of the search process).

Summary of the main results of the studies included in the systematic literature review.

AuthorsDance styleReporting injury periodMain results
Bronner and Bauer, 2018 (14)Modern4 yearsInjuries/dancer: 2.32 (any I), 0.40 (TLI)Injuries/inj. dancer: 3.34 (any I), 1.59 (TLI)Injuries/1000-h: 3.28 (any I), 0.57 (TLI)Traumatic inj./1000-h: 0.49 (any I), 0.19 (TLI)Overuse inj./1000-h: 2.8 (any I), 0.37 (TLI)
Lee et al., 2017 (15)Modern1 yearTotal injuries: 125 (86.2% dancers injured)Acute injuries: 51 (40.8%)Overuse injuries: 74 (59.2%)Number of injuries: 58 (Ba), 67 (Mo), 74 (TLI), 51 (NTLI)Injuries/1000-h: 2.27 (1.3 TLI, 0.92 NTLI, 2.11 Ba, 2.17 Mo)
Bronner and Wood, 2017 (17)Modern1 yearNumber of injuries: 20 (any I), 10 (TLI), 11 (traumatic I), 9 (overuse I)Injuries/1000-h: 0.44 (any I), 0.22 (TLI), 0.24 (traumatic I), 0.2 (overuse I)
Ojofeitimi and Bronner, 2011 (19)Modern8 yearsNumber of injuries: 217Injuries/inj. dancer: 2.9Cumulative incidence: 65%Injuries/1000-h: 0.41Injury mechanism: 71% overuse, 28% traumatic, 1% other
Jacobs et al., 2017 (16)Ballet, modern6 monthsPoint prevalence of self-reported injury:- Ba: 54.8% (47.7–62.1), Mo: 46.3% (35.5–57.1)Injured: - Ba: 17 (9.6%), Mo: 9 (11.0%)Recovering from an injury: - Ba: 38 (21.5%), Mo: 11 (13.4%)Persistent injury: - Ba: 44 (24.9%), Mo: 19 (23.2%)Not injured: - Ba: 78 (44.1%), Mo: 43 (52.4%)
Shah et al., 2012 (18)Modern1 yearInjured: 150 (82%)Injuries/dancer: 1.2±1.0 (M), 1.7±1.3 (F)Mechanism of injury: 57% overuse, 43% traumaticInjuries/1000-h: 0.59
Ojofeitimi et al., 2012 (22)Hip-hop1 yearInjuries: 738 (232 injured dancers)Time-loss injuries: 506 (205 injured dancers)Annual incidence: 237% (162% TLI)- BD: 278% (194%TLI), PL 152% (95% TLI), NS 144% (92% TLI)Injuries/inj. dancer: - BD 3.5 (2.8 TLI), PL 2.3 (1.7 TLI), NS 2.3 (1.6 TLI)Injury mechanism: 50% overuse, 42% landing, 36% twisting, 31% slipping
Kauther et al., 2009 (20)Break danceAll careerNumber of acute injuries: 1,665 (1021 amateur BD, 644 professional BD)Injuries/dancer: 11.6 (9.8 amateur BD, 16.1 professional BD)Overuse syndromes: 206 (123 amateur BD, 83 professional BD)Overuse syn./dancer: 1.4 (1.2 amateur BD, 2.1 professional BD)
Cho et al., 2009 (21)Break danceAll careerInjuries: 193 (133 professional BD, 60 amateur BD)Injured dancers: 40 (95.2%)Injuries/dancer: 4.6 (5.78 professional BD, 3.16 amateur BD)

Summary of prospective studies included in the systematic literature review.

ParameterResearch designParticipantsMain outcome measuresConclusions
Bronner and Bauer, 2018 (14)Prospective cohort prognostic studyPre-professional modern dance students (n=180, F=140, M=40)

Number of injuries (traumatic/overuse, medical attention and time-loss, body region, tissue category, side)

Beighton score

Technique score

Muscle tightness

Previous injuries

Hypermobility and hypomobility, previous injuries and inferior technique/motor control were more likely to lead to injury.
Lee et al., 2017 (15)Prospective cohort studyPre-professional dance students (n=66, F=40, M=26)

Injury prevalence

Injury characteristics (time-loss/non time-loss, acute/overuse, new/recurrent)

Injury severity

Injury incidence

Relationship between dance exposure and injury

Relationship between reported injuries and risk factors

The number of dance exposures was more significantly associated with injury risk than hours of dance exposure.
Bronner and Wood, 2017 (17)Prospective cohort studyProfessional modern dance company dancers (n=35, F=18, M=17)

Reported injury (RI):diagnosis, traumatic/overuse, body region, activity

Time-loss injury (TLI)

Complaints

Muscle and tendon complaints affecting the neck, lower leg and low back/pelvic regions were common.
Ojofeitimi and Bronner, 2011 (19)Retrospective-prospective cohort studyProfessional modern dancers in two dance companies (n1=30, n2=12)

Demographics

Injury incidence

Exposure

Injury location and diagnostic category

Injury mechanism (traumatic/overuse) and severity

Injury-related costs

An injury prevention programme is effective in reducing injury-related costs and promoting dancers’ health and well-being in a modern dance company.

Summary of retrospective studies included in the systematic literature review.

ParameterResearch designParticipantsMain outcome measuresConclusions
Jacobs et al., 2017 (16)Cross-sectional studyDancers from nine professional ballet and modern dance companies (n=260, Ba=178, Mo=82)

Self-reported injury (SRI)

Self-estimated functional inability because of pain

The prevalence of injury is high in professional dancers. The number of years dancing and the dancer’s rank are associated with injury in professional ballet dancers.
Shah et al., 2012 (18)Self-reported retrospective studyProfessional modern dancers (n=184, F=135, M=49)Anonymous survey (demographics, forms of dance, modern dance techniques, other forms of exercise, health insurance, number of musculoskeletal injuries in the last year)Professional modern dancers suffer from a rate of injury similar to other groups of professional dancers. No significant difference between gender and age and incidence of injury.
Ojofeitimi et al., 2012 (22)Self-reported retrospective studyIntermediate, advanced, and expert hip-hop dancers (n=312, F=169, M=143, BD=68%, PL=21%, NS=11%)Online survey:

Demographics

Injuries over previous five years (locations, categories, severity, mechanism)

Break dancers had a higher injury incidence compared with popping/locking and New School dancers. Hip-hop dancers report injury rates higher than other dance forms, but similar to gymnastics.
Kauther et al., 2009 (20)Descriptive retrospective epidemiological studyProfessional (n=40) and amateur (n=104) break dancersSelf-reported questionnaire:

General part (demographics, up and stretching time, other training time, length of warm-sporting activities, extent of medical treatment)

Information about injuries (50 injuries in nine anatomical regions), severity (loss of training time), overuse/traumatic injury

Break dancing must be considered a potentially high-risk dancing sport. Even when suffering from severe injuries, dancers interrupt training only for limited periods of time.
Cho et al., 2009 (21)Descriptive retrospective epidemiological studyProfessional (n=23) and amateur (n=19) break dancers

Self-reported questionnaire

Question about injuries (ten different body parts)

Radiographs of cervical spine, lumbar spine, shoulder, elbow, wrist, hip, knee and ankle

CT and MRI if needed

Clinicians must enquire thoroughly into the nature of the activities that result in both unusual and common injuries in break dancers, and must educate them about safety. Careful screening, instruction and supervised training of break dancers will help to prevent injury.
eISSN:
1854-2476
Language:
English
Publication timeframe:
4 times per year
Journal Subjects:
Medicine, Clinical Medicine, Hygiene and Environmental Medicine