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Training Load, Pain Intensity, and Functioning Can Explain Injuries in Dancers: A Classification and Regression Tree
Ana Cl Nunes1, Luanna A Mendes, Lívia A Mota
1Dep. of Physical Therapy, Universidade Federal do Ceará, Major Weyne Street, 1440, 60430-450 Fortaleza, Brazil. Tel +55 85 98851 3833. aclnunes@gmail.com.
High training load and pain intensity are key factors for dancer injuries. Reduced training load and better functioning protect dancers from injury, highlighting the importance of a patient-centered approach.
Area of Science:
- Dance science
- Sports medicine
- Biopsychosocial health
Background:
- Dancer injuries pose significant challenges to artistic careers and well-being.
- Understanding the multifactorial nature of these injuries is crucial for effective prevention and management.
Purpose of the Study:
- To identify biopsychosocial factors contributing to injuries in dancers.
- To utilize Classification and Regression Tree (CART) analysis for injury prediction.
Main Methods:
- A cross-sectional study involving 61 dancers across various genres.
- Assessment of sociodemographic data, pain intensity (NPRS), anxiety (BAI), and functioning (WHODAS 2.0).
- CART analysis to determine injury predictors, adjusted for BMI.
Main Results:
- Training load emerged as the primary injury predictor, explaining 52.4% of injuries at >11.5 hrs/wk.
- Combined high training load and pain intensity (NPRS > 6.5) explained 100% of injuries.
- Lower training load (<11.5 hrs/wk) and better functioning (WHODAS < 68.0) were associated with no injury.
Conclusions:
- Training load, functioning, and pain intensity are significant factors associated with dancer injuries.
- Established cutoff points for these factors aid in injury risk assessment.
- Incorporating functioning (structure, activity, social participation) emphasizes patient-centered care in dance medicine.
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