In your shoes: A qualitative study on the perspectives of professional dancers and staff regarding dance injury and its prevention

Bolling, Caroline; Rijn, Rogier M van; Pasman, H. Roeline W.; Mechelen, Willem van; Stubbe, Janine

doi:10.1002/tsm2.226

Cited by 17 publications

(23 citation statements)

References 44 publications

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“…It has been reported that athletes prefer that their healthcare providers understand and share their sport culture [ 46 ]. Athletes report that practitioners with experience in their sport, as a former athlete or as a practitioner, are considered to better relate and empathize with their situation [ 47 , 48 ]. It is possible that the appreciation for the athlete’s sport and their athletic culture may be a defining feature between sports chiropractors and general chiropractors.…”

Section: Discussionmentioning

confidence: 99%

I expected to be pain free: a qualitative study exploring athletes’ expectations and experiences of care received by sports chiropractors

et al. 2022

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Background Knowledge about patient satisfaction and experience with care they receive can guide practitioners in establishing doctor-patient relationships and improve health outcomes. Although evidence suggests high patient satisfaction with chiropractic care in general, there is limited understanding of the expectations and experiences of athletes receiving sports chiropractic care. Objective To explore the athletes’ expectations and experiences with care received from sports chiropractors, and their perceptions of relevant areas of future research. Methods A qualitative study was conducted through an interpretivist lens exploring the perspectives of elite and competitive athletes receiving care from sports chiropractors in Canada. Participants were purposively recruited and interviewed until saturation was reached. Two research team members independently analyzed the interview transcripts using a conventional approach to content analysis. Content was inductively coded and discussed by the research team to generate categories. Results We interviewed 18 participants between December 2018 and March 2020, 14 were national level athletes participating in sports ranging from paddling to combat sports. Reported reasons for seeking care included acute care, injury prevention, enhancing performance and maintenance care. Generated categories were organized under topics of experience with care, expectations of care, and research agenda. Participants experienced a variety of interventions, reassurance, varying treatment times, and reported positive impact on their athletic performance. They expected musculoskeletal assessment and treatment including at and beyond the injury site, symptom improvement, good communication and expertise from the chiropractor. Some participants suggested interpersonal and interprofessional communication can be improved, in particular the level of collaboration with other members of their health care team. Overall, participants reported a high level of trust and satisfaction with care received from sports chiropractors. From our participants’ perspective, suggested areas of research should focus on injury mechanics and prevention, impact of care on performance, and interprofessional collaboration. Conclusions In general, participants were very satisfied with care. Overall, participants’ expectations and experiences aligned but changed over time. Addressing the findings of this study can be used to enhance the quality of care provided to athletes from sports chiropractors, as well as inform future research agendas. Further work assessing if athletes in other competitive levels have similar experiences and expectations is needed.

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Section: Discussionmentioning

confidence: 99%

I expected to be pain free: a qualitative study exploring athletes’ expectations and experiences of care received by sports chiropractors

et al. 2022

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“…The higher incidence rates observed at the end of the season may be influenced by dancers who have been managing medical issues during the season. 15 However, it should be noted that mixed bill productions, which demonstrate an additional 2.3 medical attention injuries and 0.8 and time-loss injuries per 1000 hours compared to full-length stand-alone productions, are more common later in the season. While inter-season differences in medical attention injury incidence rates were seen, no clear pattern was observed across the five seasons, potentially due to inter-season variation in repertoire.…”

Section: Incidence Ratementioning

confidence: 99%

“…The severity of time-loss injuries within the present study is almost two-fold greater than the severity previously published in professional ballet, 1 similar to football, 33 and lower than rugby union, 28,30 and volleyball. 34 Professional ballet has previously been described as a culture that normalises pain, 15,35,36 which may result in dancers not reporting medical issues and dancing through discomfort. We observed that 56% of all days lost to time-loss injury were classified as 'restricted' as opposed to 'off', suggesting that dancers may still have been participating in some form of dance activity while injured.…”

Section: Severitymentioning

confidence: 99%

“…[1][2][3][4][5][6][7] Specific injury risk factors, such as sex, company rank, and intra-and inter-season variation, have been identified in professional ballet. 14,15 However, only one study has reported statistical differences in injury incidence rates across sex and rank, 1 and although several studies have reported longitudinal injury incidence rates in professional ballet dancers, 2,3,[5][6][7] none of these conduct statistical analyses.…”

Section: Introductionmentioning

confidence: 99%

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Injury epidemiology in professional ballet: a five-season prospective study of 1596 medical attention injuries and 543 time-loss injuries

et al. 2021

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ObjectivesTo describe the incidence rate, severity, burden and aetiology of medical attention and time-loss injuries across five consecutive seasons at a professional ballet company.MethodsMedical attention injuries, time-loss injuries and dance exposure hours of 123 professional ballet dancers (women: n=66, age: 28.0±8.3 years; men: n=57, age: 27.9±8.5 years) were prospectively recorded between the 2015/2016 and 2019/2020 seasons.ResultsThe incidence rate (per 1000 hours) of medical attention injury was 3.9 (95% CI 3.3 to 4.4) for women and 3.1 (95% CI 2.6 to 3.5) for men. The incidence rate (per 1000 hours) of time-loss injury was 1.2 (95% CI 1.0 to 1.5) for women and 1.1 (95% CI 0.9 to 1.3) for men. First Soloists and Principals experienced between 2.0–2.2 additional medical attention injuries per 1000 hours and 0.9–1.1 additional time-loss injuries per 1000 hours compared with Apprentices (p≤0.025). Further, intraseason differences were observed in medical attention, but not time-loss, injury incidence rates with the highest incidence rates in early (August and September) and late (June) season months. Thirty-five per cent of time-loss injuries resulted in over 28 days of modified dance training. A greater percentage of time-loss injuries were classified as overuse (women: 50%; men: 51%) compared with traumatic (women: 40%; men: 41%).ConclusionThis is the first study to report the incidence rate of medical attention and time-loss injuries in professional ballet dancers. Incidence rates differed across company ranks and months, which may inform targeted injury prevention strategies.

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“… 18 Findings from qualitative research indicate that coaches, health professionals and athletes acknowledge the importance of injury prevention as a means to achieve the best performance, taking into consideration their elite sport context. 19–21 However, the preventive measures described in such studies are related with open and effective communication, teamwork and empowering athletes rather than the exercise-based interventions widely documented in our literature. 22 23 Qualitative research methods 4 24 provide insight into the meaning and understanding of the contextual factors and can help us understand how and why injury prevention is adopted (or not) in the context of elite sports.…”

Section: Introductionmentioning

confidence: 99%

‘I always considered I needed injury prevention to become an elite athlete’: the road to the Olympics from the athlete and staff perspective

Monsonís

Verhagen

Kaux

et al. 2021

BMJ Open Sport Exerc Med

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In this study, we explored the perspectives about sports injury prevention of Belgium Olympic level athletes, coaches, managers and healthcare providers from various Olympic sports. We conducted a qualitative study, including 17 semistructured interviews. All interviews were transcribed verbatim and analysed by two independent coders through constant comparative data analysis based on Grounded Theory principles. Our findings overview the athlete’s journey to becoming an elite athlete, and how an elite sports context influences and modulates injury prevention practice at this level. Participants described an elite athletic career as a continuous and adaptive evolving process. According to athletes and all stakeholders, sports injury prevention is a learning process shaped by individual experiences. This embodiment provides athletes with insight into the importance of ownership of their bodies and self-awareness. Thus, experience, communication, empowerment, knowledge, education, the elite athlete context and sports culture, all play a fundamental role in sports injury prevention. Our findings support the importance of contextual factors in sports injury prevention in an elite sports context. These results also bring practical implications on how we should approach injury prevention differently along an athlete’s journey to becoming an elite athlete. Considering specific contextual factors and influencing the process through awareness, communication and a shared responsibility is essential to develop a healthy and successful athlete.

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In your shoes: A qualitative study on the perspectives of professional dancers and staff regarding dance injury and its prevention

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 17 publications

References 44 publications

I expected to be pain free: a qualitative study exploring athletes’ expectations and experiences of care received by sports chiropractors

I expected to be pain free: a qualitative study exploring athletes’ expectations and experiences of care received by sports chiropractors

Injury epidemiology in professional ballet: a five-season prospective study of 1596 medical attention injuries and 543 time-loss injuries

‘I always considered I needed injury prevention to become an elite athlete’: the road to the Olympics from the athlete and staff perspective

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