Prevalence, localization, perception and management of pain in dance: an overview.

Background and aims Pain is a highly complex bio-psychosocial phenomenon that may present a (potential) health risk and either occurs as a warning sign or a symptom of injury. It cannot be ruled out that these rising or changing requirements in dance of all styles, are reflected in health-related outcomes such as pain. The aim of this narrative review article is to outline an overview of prevalence and localization, concepts of performance pain and injury pain, pain perception and pain management in dance. At that consequences of pain and influencing factors focusing on different dance styles or forms of professionalism are discussed. Methods The databases CINAHL, Cochrane, Google Scholar, Medline, MeSH and Web of Science were screened for relevant articles. Results Pain prevalence in dance is very high. Pain localizations can be related to high dance-specific mechanical stress on the musculoskeletal system. Depending on the pain characteristics, dancers perceive pain as "positive" (performance pain) or "negative" (injury pain). Concerning pain attitudes and management, dancers show an increasing pain tolerance. Pain seems to be accepted as a necessity, often ignored and dancing is continued despite pain. Conclusions The findings of this article suggest that occurrence of pain, pain perception, coping with pain and pain history appear to be connected to dance-specific mechanical stress as well as to socialization in dance culture. In dance, effects of pain on health seem to be associated with characteristics of pain and pain behavior. Implications The results highlight the high relevance of pain in dance and the need to take into account preventive as well as rehabilitative measures.