Clinical trial NCT06220916: The Greek Acute Dance Injuries Registry
Official title: Systematic Registration and Longitudinal Monitoring of Predisposing Factors and Acute/Emergent Events of Higher Vocational Schools' Students.
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Emergencies
Keywords: Dance
Emergent events
Predisposing risk factors
Dance medicine
Lead sponsor: National and Kapodistrian University of Athens
Sponsor class: OTHER
First posted: 2024-01-24
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All the undergraduate students of the eight higher vocational dance schools in Athens-Greece, that participate in the study, they are going to be informed that they could be indorsed in the study according to the aforementioned inclusion and exclusion criteria.

Brief summary: Dance is a highly demanded physical activity with a high rate of acute and emergent events (AEE). No systematic prospective study has been conducted in any Greek population of dance students for the registration of the AEE and their possible predisposing factors. This is a prospective cohort study, the purpose of which is to register the AEE risk factors, their long-term follow-up, and the potential AEE during an academic year in adult dance students in Athens, Greece.

Detailed description: Dance, as a physical activity, is considered as one of the most demanding activities at a young age with a high rate of acute and emergent events (AEE). Although dancers perform movement combinations that require high athletic ability, often their physical fitness levels appear to be unexpectedly low and the majority of them will experience at least one injury a year. Determination of the AEE predisposing factors in dancers is necessary to reduce their percentage rates, and until now no systematic prospective study has been conducted in a Greek population of vocational dance schools' students to register both the AEE themselves and their possible predisposing factors.

The primary objective of the study is to register the risk factors for the AEE occurrence in students at Higher Vocational Schools of Dance in Athens and their long-term follow-up. Secondary objectives are to register potential AEE during an academic year and to investigate possible correlations of the above parameters, both among themselves and with socio-demographic, anthropometric, psychometric and medical characteristics of the sample. Finally, a translation and cross-cultural adaptation to a Greek population of the Dance Functional Outcome Survey (DFOS) scale will be carried out.

This is a prospective cohort study with the study population being adult students of 8 Higher Vocational Schools of Dance in Athens. A registration of socio-demographic, anthropometric and medical characteristics, as well as an electrocardiogram, will be carried out at the beginning of the academic year. Core stabilization, balance, body composition, aerobic capacity, dance motor control, dance functional ability, quality of life, fatigue, depressive symptoms, anxiety, stress, performance satisfaction, risk for developing eating disorders, athletic burnout, and predisposition to psychological flow will be registered at the beginning and at the end of the academic year.

Eligibility criteria: Inclusion Criteria:

* Undergraduate student in one of the eight Higher Vocational Dance Schools of the study
* Age ≥18 years
* Ability to understand, write and speak Greek
* Written consent for participating into the study

Exclusion Criteria:

* Student listener who is not officially participating to the whole educational program
* Pregnancy
* Deny to participate and/or give a written consent for participating into the study

Primary outcomes:
measure: Registration of Possible Acute/Emergent Events (AEE)
timeFrame: Weekly during one 8-month academic year.
measure: Acute/Emergent Events (AEE) Incidence Rates
timeFrame: AEE incidence rates will be calculated over the 8-month prospective follow-up.
Secondary outcomes:
measure: Prevalence of Anatomical Variations (AV)
timeFrame: Baseline
measure: Registration of subscales score of Medical Outcome Study 36-Item Short-Form Health Survey (SF-36)
timeFrame: Baseline, after 8 weeks, and over the 8-month prospective follow-up.
measure: Beighton hypermobility score
timeFrame: Baseline
measure: Thomas Test (TT)
timeFrame: Baseline
measure: Active Straight Leg Raise (SLR)
timeFrame: Baseline
measure: Ober Test (OT)
timeFrame: Baseline
measure: Electrocardiogram (ECG)
timeFrame: Baseline
measure: Dance-related Flexibility Assessment
timeFrame: Baseline
measure: Prone Plank Test
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Side Plank Test
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Stork Balance Stand Test
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Bioelectrical Impedance (BI) assessment
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Accelerated Step Test (AST)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Dance Technique Screening Instrument (DTSI)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Dance Functional Outcome Survey (DFOS)
timeFrame: Baseline, after 8 weeks, and over the 8-month prospective follow-up.
measure: Multidimensional Fatigue Inventory (MFI)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Depression Score in Depression, Anxiety and Stress Scale 21 (DASS-21)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Anxiety Score in Depression, Anxiety and Stress Scale 21 (DASS-21)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Stress Score in Depression, Anxiety and Stress Scale 21 (DASS-21)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Performance Satisfaction Scale (PSS)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Eating Attitudes Test (EAT-26)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Athlete Burnout Questionnaire (ABQ)
timeFrame: Baseline and over the 8-month prospective follow-up.
measure: Dispositional Flow Scale-2 (DFS-2)
timeFrame: Baseline and over the 8-month prospective follow-up.
Other outcomes:
Locations:
city: Chaïdári
country: Greece
facility: Michail Elpidoforou
state: Attiki
Study officials:
affiliation: Department of Emergency Medicine, Attikon University Hospital
name: Michail Elpidoforou, MSc
role: PRINCIPAL_INVESTIGATOR
References:
citation: Contri A, Breda G, Vanti C, Pillastrini P, Bronner S. The Dance Functional Outcome Survey: Cultural Adaptation and Psychometric Validation in Italian (DFOS-IT). Med Probl Perform Art. 2021 Sep;36(3):150-162. doi: 10.21091/mppa.2021.3018.
citation: Bronner S, Chodock E, Urbano IER, Smith T. Psychometric Properties of the Dance Functional Outcome Survey (DFOS): Reliability, Validity, and Responsiveness. J Orthop Sports Phys Ther. 2019 Feb;49(2):64-79. doi: 10.2519/jospt.2019.8247. Epub 2018 Jul 27.
citation: Bronner S, Urbano IR. Dance Functional Outcome Survey: Development and Preliminary Analyses. Sports Med Int Open. 2018 Nov 28;2(6):E191-E199. doi: 10.1055/a-0729-3000. eCollection 2018 Nov.
citation: de-la-Cruz-Torres B, Barrera-Garcia-Martin I, Romero-Morales C, Bronner S. Cross-Cultural Adaptation of the Dance Functional Outcome Survey (DFOS) for Spanish Dancers. Diagnostics (Basel). 2020 Mar 20;10(3):169. doi: 10.3390/diagnostics10030169.
citation: Dotti A, Lazzari R. Validation and reliability of the Italian EAT-26. Eat Weight Disord. 1998 Dec;3(4):188-94. doi: 10.1007/BF03340009.
citation: Yannakoulia M, Matalas AL, Yiannakouris N, Papoutsakis C, Passos M, Klimis-Zacas D. Disordered eating attitudes: an emerging health problem among Mediterranean adolescents. Eat Weight Disord. 2004 Jun;9(2):126-33. doi: 10.1007/BF03325056.
citation: Dang Y, Koutedakis Y, Wyon M. Fit to Dance Survey: Elements of Lifestyle and Injury Incidence in Chinese Dancers. Med Probl Perform Art. 2020 Mar;35(1):10-18. doi: 10.21091/mppa.2020.1002.
citation: Gamboa JM, Roberts LA, Maring J, Fergus A. Injury patterns in elite preprofessional ballet dancers and the utility of screening programs to identify risk characteristics. J Orthop Sports Phys Ther. 2008 Mar;38(3):126-36. doi: 10.2519/jospt.2008.2390.
citation: Steinberg N, Siev-Ner I, Peleg S, Dar G, Masharawi Y, Zeev A, Hershkovitz I. Extrinsic and intrinsic risk factors associated with injuries in young dancers aged 8-16 years. J Sports Sci. 2012;30(5):485-95. doi: 10.1080/02640414.2011.647705. Epub 2012 Jan 30.
citation: Yin AX, Geminiani E, Quinn B, Owen M, Kinney S, McCrystal T, Stracciolini A. The Evaluation of Strength, Flexibility, and Functional Performance in the Adolescent Ballet Dancer During Intensive Dance Training. PM R. 2019 Jul;11(7):722-730. doi: 10.1002/pmrj.12011. Epub 2019 Feb 13.
citation: Darr KC, Bassett DR, Morgan BJ, Thomas DP. Effects of age and training status on heart rate recovery after peak exercise. Am J Physiol. 1988 Feb;254(2 Pt 2):H340-3. doi: 10.1152/ajpheart.1988.254.2.H340.