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Farmer C, De'Ath S, Brouner J. Strength Training Perceptions Amongst Vocational Circus and Dance Students. J Dance Med Sci 2024; 28:37-42. [PMID: 37818831 DOI: 10.1177/1089313x231204164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
Introduction: The aim of this study was to analyze perceptions of strength training in vocational circus and dance students. It was hypothesized that due to the higher relative strength demands and associated risks of working at height in some aerial and acrobatic disciplines that circus students would be more open to strength training than dancers. Methods: Eighty students completed the Training Information Survey (TIS) (Mean age = 20.74 ± 2.71); 39 circus students and 41 dance students. 97% of circus students and 69% of dance participants reported that strength training was a required part of their training with students participating in strength training 4.24 ± 0.98 and 3.05 ± 1.42 day per week respectively. Results: Perceptions of strength training amongst vocational circus and dance students appear to be favorable, with both sets of students strongly agreeing with the statements "Strength training is essential to my overall development as a dancer/circus artist" (5.00 (IQR 1.00) and 5.00 (IQR 1.00) respectively). Following Bonferonni correction only one statement returned statistically significant results with dance students agreeing more strongly with the statement "Strength training increases muscle size," U = 473.00, P = .001. Students also agreed that strength training helped them to feel better mentally and physically, that strength training is beneficial for both men and women and that it should not be designated as specific to either sex. Conclusion: Results support earlier studies that suggest a cultural shift in perceptions of strength training and ideal esthetic in dance, particularly amongst students and that they are keen to incorporate strength training into their practice. Educational establishments should note students' interest in participating in strength training, reviewing how to embed effective strength training education, more coaching and time allowance for these activities within their timetable. Further research with a greater sample size is recommended to further substantiate these indications of a shift in perceptions.
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Affiliation(s)
| | - Stephanie De'Ath
- Student Welfare, London Studio Centre, UK
- Dance Science, London Contemporary Dance School, UK
| | - James Brouner
- Sport and Exercise Science, Kingston University London, UK
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Rossini B, Anstruther M, Fortin M. Comparing assessment methods of low back pain related disability in student circus artists: A cross-sectional study. J Back Musculoskelet Rehabil 2024; 37:1141-1150. [PMID: 38848166 DOI: 10.3233/bmr-230213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2024]
Abstract
BACKGROUND Student circus artists put constant stress on their back. However, the presence of low back pain (LBP) and related disability in this population remains unclear. OBJECTIVES To 1) examine LBP history in circus artists and compare related disability scores using the Oswestry Disability Index (ODI) and the Athlete Disability Index (ADI), and 2) examine the correlation between LBP-related disability scores, pain intensity and pain catastrophizing. METHODS Thirty-three circus students completed an online survey on demographics, training history, and LBP. Participants reporting LBP filled the ODI, ADI, numerical pain rating scale (NPRS), and Pain Catastrophizing Scale (PCS). Descriptive statistics and Pearson's correlation coefficients were used to assess the correlations between the ODI, ADI, NPRS, and PCS. RESULTS There was a significant positive correlation between the ODI and ADI (r= 0.77, p< 0.001) and between the NPRS and ADI (r= 0.52, p= 0.03), but no correlation between NPRS and ODI. While the PCS scores were significantly correlated with the NPRS ((r= 0.71; p< 0.001) and the ADI (r= 0.51; p= 0.032), no correlation was observed between the PCS and ODI scores (p= 0.088). Based on the ODI scores, 94.44% of the artists reporting LBP were classified with mild disability, 5.56% moderate, and 0% severe disability as compared to 66.67%, 27.78% and 5.55% with the ADI, respectively. CONCLUSION Our study highlights the potential of the ADI as an effective tool for assessing LBP-related disability in circus artists, supported by a strong correlation with the NPRS.
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Affiliation(s)
- Bianca Rossini
- Department of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC, Canada
| | - Meagan Anstruther
- Department of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC, Canada
| | - Maryse Fortin
- Department of Health, Kinesiology and Applied Physiology, Concordia University, Montreal, QC, Canada
- School of Health, Concordia University, Montreal, QC, Canada
- Centre de Recherche Interdisciplinaire en Réadaptation (CRIR), Montreal, QC, Canada
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3
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Greenspan S, Stuckey MI. Untangling risk factors including discipline-specific exposure for injuries in preprofessional and professional circus artists in the USA. BMJ Open Sport Exerc Med 2023; 9:e001551. [PMID: 37216051 PMCID: PMC10193055 DOI: 10.1136/bmjsem-2023-001551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2023] [Indexed: 05/24/2023] Open
Abstract
Objective This prospective cohort study quantified injury patterns related to specific circus discipline exposure in preprofessional and professional circus artists. Methods Circus artists (n=201; ages 13-69; 172 female, 29 male assigned sex at birth) were enrolled in 10 cities across the USA. Participants were followed for 1 year from enrolment, completing a weekly training log and undergoing a physical therapist evaluation for injuries. The circus-specific extension of the International Olympic Committee 2020 consensus on recording injury and illness in sports was used to analyse injury patterns. Results The study completion rate was 77% (n=155). Data were analysed by participant subgroup (age, professional status, sex at birth). The highest injury rates in participant subgroups were for males (5.69/1000 exposures) and related to discipline subgroups, were in aerial with ground elements (5.93/1000 exposures) and aerial (4.26/1000 exposures). Adults had more injuries related to aerial, whereas adolescents had more related to ground disciplines (χ2 (2)=10.62, p=0.005) and non-time loss injuries (χ2 (1)=5.45, p=0.02). Females had a higher proportion of repetitive injuries (70% vs 55%) than males (χ2 (1) = 4.43, p=0.035). Individuals with an eating disorder history had more (p<0.004) injuries (mean 2.27±2.29) than those without (mean=1.48±0.96). Conclusions This study showed that intrinsic factors (age, sex at birth and history of eating disorder) and extrinsic factors (circus discipline exposure) affect injury risk. We need to account for the intersectionality of these factors to address risk management at an individual and group level.
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Affiliation(s)
- Stephanie Greenspan
- Physical Therapy, Samuel Merritt University, Oakland, CA, USA
- Artletic Science, Oakland, CA, USA
| | - Melanie I Stuckey
- Centre de recherche, d'innovation et de transfert en arts du cirque, École nationale de cirque, Montréal, Quebec, Canada
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Rossini B, Anstruther M, Wolfe D, Fortin M. Ultrasonography of the multifidus muscle in student circus artists with and without low back pain: a cross-sectional study. BMC Sports Sci Med Rehabil 2023; 15:53. [PMID: 37029443 PMCID: PMC10080176 DOI: 10.1186/s13102-023-00661-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 03/27/2023] [Indexed: 04/09/2023]
Abstract
BACKGROUND Degenerative structural changes and functional deficits of the lumbar multifidus (LM) muscle were observed in athletes with low back pain. While spinal injuries are common in circus artists, there is no information on LM characteristics in this population. The aims of this study were to investigate LM morphology and function and explore the relationship between LM characteristics and low back pain in male and female circus artists. METHODS 31 college circus students were recruited. Participants completed an online survey to acquire demographic data and low back pain history. Body composition was measured using multi-frequency bio-impedance analysis. Ultrasound examinations at the fifth lumbar vertebrae in prone and standing positions were performed to assess LM cross-sectional area, echo-intensity, thickness. Independent and dependent t-test assessed the difference between sex and side, respectively. The relationships between measures were assessed with Pearson's correlations. The LM characteristics' difference between artists with and without low back pain (group binary variable) was assessed with Analysis of covariance using lean body mass, height and % body fat as continuous covariates. RESULTS Males had significantly larger LM cross-sectional area, lower echo-intensity and greater thickness change from rest to contracted than females. LM cross-sectional area asymmetry in prone was greater in artists reporting low back pain in the previous 4-weeks (p = 0.029) and 3-months (p = 0.009). LM measures were correlated with lean body mass, height, and weight (r = 0.40-0.77, p ≤ 0.05). CONCLUSION This study provided novel insights into LM characteristics in circus artists. Greater LM asymmetry was observed in artists with a history of low back pain. In accordance with previous studies in athletes, LM morphology and function were highly correlated with body composition measurements.
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Affiliation(s)
- Bianca Rossini
- Department of Health, Kinesiology and Applied Physiology, Concordia University, 7141 Sherbrooke Street W, SP-165.29, Montreal, QC, H4B 1R6, Canada
| | - Meagan Anstruther
- Department of Health, Kinesiology and Applied Physiology, Concordia University, 7141 Sherbrooke Street W, SP-165.29, Montreal, QC, H4B 1R6, Canada
| | - Daniel Wolfe
- Department of Health, Kinesiology and Applied Physiology, Concordia University, 7141 Sherbrooke Street W, SP-165.29, Montreal, QC, H4B 1R6, Canada
| | - Maryse Fortin
- Department of Health, Kinesiology and Applied Physiology, Concordia University, 7141 Sherbrooke Street W, SP-165.29, Montreal, QC, H4B 1R6, Canada.
- PERFORM Centre, Concordia University, Montreal, QC, Canada.
- Centre de Recherche Interdisciplinaire en Réadaptation (CRIR), Montreal, QC, Canada.
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Observed Injury Rates Did Not Follow Theoretically Predicted Injury Risk Patterns in Professional Human Circus Artists. Clin J Sport Med 2022; 32:e627-e634. [PMID: 36315828 DOI: 10.1097/jsm.0000000000001045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 02/14/2022] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Identifying which types of athletes have increased injury risk (ie, predictive risk factors) should help develop cost-effective selective injury prevention strategies. Our objective was to compare a theoretical injury risk classification system developed by coaches and rehabilitation therapists, with observed injury rates in human circus acts across dimensions of physical stressors, acrobatic complexity, qualifications, and residual risks. DESIGN Descriptive epidemiological study. SETTING professional circus company. PATIENTS OR OTHER PARTICIPANTS Human circus artists performing in routine roles between 2007 and 2017. ASSESSMENT OF RISK FACTORS Characteristics of circus acts categorized according to 4 different dimensions. MAIN OUTCOME MEASURES Medical attention injury rates (injury requiring a visit to the therapist), time-loss injury rates (TL-1; injury resulting in at least one missed performance), and time-loss 15 injury rates (TL-15; injury resulting in at least 15 missed performances). RESULTS Among 962 artists with 1 373 572 performances, 89.4% (860/962) incurred at least one medical attention injury, 74.2% (714/962) incurred at least one TL-1 injury, and 50.8% (489/962) incurred at least one TL-15 injury. There were important inconsistencies between theoretical and observed injury risk patterns in each of the 4 dimensions for all injury definitions (medical attention, TL-1, and TL-15). CONCLUSIONS Although theoretical classifications are the only option when no data are available, observed risk patterns based on injury surveillance programs can help identify artists who have a high (or low) theoretical risk but are nonetheless actually at low (or high) risk of injury, given their current roles. This will help develop more cost-effective selective injury prevention programs.
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Greenspan S, Munro D, Nicholas J, Stubbe J, Stuckey MI, Van Rijn RM. Circus-specific extension of the International Olympic Committee 2020 consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport. BMJ Open Sport Exerc Med 2022; 8:e001394. [PMID: 36120108 PMCID: PMC9472167 DOI: 10.1136/bmjsem-2022-001394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2022] [Indexed: 11/28/2022] Open
Abstract
Indepth knowledge of injury and illness epidemiology in circus arts is lacking. Comparing results across studies is difficult due to inconsistent methods and definitions. In 2020, the International Olympic Committee (IOC) consensus group proposed a standard method for recording and reporting epidemiological data on injuries and illnesses in sports and stated that sport-specific extension statements are needed to capture the context of each sport. This is the circus-specific extension to be used with the IOC consensus statement. International circus arts researchers in injury and illness epidemiology and performing arts medicine formed a consensus working group. Consensus statement development included a review of literature, creation of an initial draft by the working group, feedback from external reviewers, integration of feedback into the second draft and a consensus on the final document. This consensus statement contains circus-specific information on (1) injury definitions and characteristics; (2) measures of severity and exposure, with recommendations for calculating the incidence and prevalence; (3) a healthcare practitioner report form; (4) a self-report form capturing health complaints with training and performance exposure; and (5) a demographic, health history and circus experience intake questionnaire. This guideline facilitates comparing results across studies and enables combining data sets on injuries in circus arts. This guideline informs circus-specific injury prevention, rehabilitation, and risk management to improve the performance and health of circus artists.
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Affiliation(s)
- Stephanie Greenspan
- Department of Physical Therapy, Samuel Merritt University, Oakland, California, USA.,Artletic Science, Oakland, California, USA
| | - David Munro
- National Institute of Circus Arts, Swinburne University of Technology - Prahran Campus, Hawthorn, Victoria, Australia.,Absolute Physiotherapy, Prahran, Victoria, Australia
| | - Joanna Nicholas
- Western Australian Academy of Performing Arts, Edith Cowan University, Mount Lawley, Western Australia, Australia
| | - Janine Stubbe
- Codarts Rotterdam, University of the Arts, Rotterdam, The Netherlands.,Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands.,Department of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.,Rotterdam Arts & Sciences Lab (RASL), Rotterdam, The Netherlands
| | - Melanie I Stuckey
- Centre de recherche, d'innovation et de transfert en arts du cirque, École nationale de cirque, Montréal, Québec, Canada
| | - Rogier M Van Rijn
- Codarts Rotterdam, University of the Arts, Rotterdam, The Netherlands.,Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
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Rehabilitation for atraumatic shoulder instability in circus arts performers: delivery via telehealth. J Shoulder Elbow Surg 2022; 31:e246-e257. [PMID: 34861406 DOI: 10.1016/j.jse.2021.10.033] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 10/18/2021] [Accepted: 10/23/2021] [Indexed: 02/01/2023]
Abstract
BACKGROUND The Watson Instability Program (WIP1) is current best evidence for conservative management of atraumatic shoulder instability, but it is unknown if this program can be effectively delivered via tele-consultation. The purpose of this longitudinal pre-post intervention study was to determine the effects of the WIP1 on patient-reported outcome measures, scapular position, shoulder strength, and handstand stability in student circus performers with atraumatic shoulder instability when delivered via tele-consultation. METHODS Student circus performers aged between 15 and 35 years from the National Institute of Circus Arts were recruited. A 12-week shoulder exercise program was delivered via tele-consultation during the Melbourne, Australia COVID-19 (coronavirus disease 2019) lockdown. The primary outcome measures were the Western Ontario Shoulder Instability Index score and the Melbourne Instability Shoulder Scale score. Secondary outcomes measures included the Orebro Musculoskeletal Pain Questionnaire, the Tampa Scale for Kinesiophobia, and physical assessment measures including strength via handheld dynamometry, scapular position using an inclinometer, and handstand stability via center-of-pressure fluctuation. Patient-reported outcomes were collected at baseline and 6-week, 12-week, 6-month, and 9-month time points, and physical outcomes were measured at baseline and 9-month time points. A repeated-measures mixed model (with effect sizes [ESs] and 95% confidence intervals [CIs]) was used to analyze patient-reported outcomes, handstand data, strength, and scapular measures. Significance was set at P < .05. RESULTS Twenty-three student circus arts performers completed the study. Significant improvements were found in both Western Ontario Shoulder Instability Index scores (effect size [ES], 0.79 [95% CI, 0.31-1.33] at 6 weeks; ES, 1.08 [95% CI, 0.55-1.6] at 12 weeks; ES, 1.17 [95% CI, 0.62-1.78] at 6 months; and ES, 1.31 [95% CI, 0.74-1.95] at 9 months; P < .001) and Melbourne Instability Shoulder Scale scores (ES, 0.70 [95% CI, 0.22-1.22] at 6 weeks; ES, 0.83 [95% CI, 0.34-1.37] at 3 months; ES, 0.98 [95% CI, 0.46-1.54] at 6 months; and ES, 0.98 [95% CI, 0.43-1.50] at 9 months; P < .001), as well as Orebro Musculoskeletal Pain Questionnaire scores at all follow-up time points. The Tampa Scale for Kinesiophobia scores reached significance at 6 weeks and 12 weeks. Following rehabilitation, we found statistically significant increases in shoulder strength in all positions tested and increased scapular upward rotation measured at end-of-range abduction, as well as during loaded external rotation. The affected arm showed greater instability than the unaffected arm with a significant intervention effect on the affected arm showing a greater consistent anterior-posterior movement pattern. CONCLUSION In a group of circus performers with atraumatic shoulder instability, treatment with the WIP1 via telehealth resulted in clinically and statistically significant improvements in shoulder symptoms and function.
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8
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van Winden D, van Rijn RM, Savelsbergh GJP, Oudejans RRD, Stubbe JH. The Association Between Stress and Injury: A Prospective Cohort Study Among 186 First-Year Contemporary Dance Students. Front Psychol 2021; 12:770494. [PMID: 34803856 PMCID: PMC8602075 DOI: 10.3389/fpsyg.2021.770494] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 10/15/2021] [Indexed: 11/13/2022] Open
Abstract
The demanding environment that contemporary dance students are exposed to could result in high stress levels, which can influence injury susceptibility. Therefore, this study aims to investigate the association between stress and injuries. In the period between September 2016 and March 2020, four cohorts of first-year dance students (N = 186; mean age 19.21 ± 1.35 years) were followed for one academic year. Each month, general stress was assessed on a 0-100 visual analogous scale. The Oslo Sports Trauma Research Center Questionnaire on Health Problems was used on a monthly basis to monitor injuries. Injuries were defined as "all injuries" (i.e., any physical complaint irrespective of the need for medical attention or time-loss from dance) and "substantial injuries" (i.e., leading to moderate/severe/complete reductions in training volume or performance). Mann-Whitney tests were performed to measure differences in general stress levels between injured and injury-free students, while repeated-measures ANOVA were performed to investigate whether general stress scores increased before and during injury occurrence. The overall average monthly general stress score over all cohorts for all students was 39.81. The monthly general stress scores ranged from 31.75 to 49.16. Overall, injured and substantially injured students reported higher stress scores than injury-free students, with significant differences in 3 out of the 9 months for all injuries (September, October, March, p < 0.05), and in 5 months for substantial injuries (September, October, November, December, April, p < 0.05). Within the 3-month period before and during injury occurrence, a (marginally) significant linear effect of general stress across the time periods was found for all injuries [F(1.87,216.49) = 3.10, p = 0.051] and substantial injuries [F(2,138) = 4.16, p = 0.018]. The results indicate an association between general stress and injuries. Future research should focus on effects of varying stress levels on injury risk using higher sampling frequency, for instance by measuring weekly since stress levels are likely to fluctuate daily. Practically, strategies aiming at stress reduction might have the potential to reduce the burden of dance injuries and may have positive outcomes for dancers, teachers, schools, and companies.
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Affiliation(s)
- Diana van Winden
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Rogier M van Rijn
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Geert J P Savelsbergh
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands.,Institute of Brain and Behavior, Amsterdam, Netherlands.,Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, Netherlands
| | - Raôul R D Oudejans
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands.,Institute of Brain and Behavior, Amsterdam, Netherlands.,Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, Netherlands
| | - Janine H Stubbe
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands.,Rotterdam Arts and Sciences Lab (RASL), Rotterdam, Netherlands.,Department of General Practice, Erasmus University Medical Center, Rotterdam, Netherlands
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9
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Stubbe JH, Tiemens A, Keizer-Hulsebosch SC, Steemers S, van Winden D, Buiten M, Richardson A, van Rijn RM. Prevalence of Mental Health Complaints Among Performing Arts Students Is Associated With COVID-19 Preventive Measures. Front Psychol 2021; 12:676587. [PMID: 34211426 PMCID: PMC8239520 DOI: 10.3389/fpsyg.2021.676587] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 05/19/2021] [Indexed: 12/11/2022] Open
Abstract
The aim of this study was to investigate the effect of COVID-19 preventive measures on the mental health of performing arts students. In a prospective cohort study, performing arts students (N = 213) from Codarts Rotterdam, University of the Arts, were invited to monitor their health during one academic year (September 2019–May 2020). Every month, students completed items on mental health complaints, stress, and sleep quality. Chi-square tests and repeated-measures ANOVA with deviation contrasts were performed to investigate whether COVID-19 preventive measures were associated with changes in mental health complaints, stress scores, and sleep quality. During the COVID-19 lockdown, subjective mental health, Mental Health Inventory-5 (MHI-5), and items on loneliness were additionally completed by the respondents. A total of 98 students (46.0%) were included in the analyses. The 3-month prevalence of mental health complaints was significantly higher during the COVID-19 lockdown compared to the two pre-COVID-19 periods (p < 0.001). Mean stress scores were significantly lower for February (35.20) and March (36.41) when compared to the overall mean (40.38). Sleep quality scores (mean) were significantly higher for April (6.90), and May (6.89) when compared to overall mean (6.58). Furthermore, at least 75.5% of the participants dealt with moderate to very severe loneliness in all 3 months during the COVID-19 lockdown. During lockdown, performing arts students perceived less stress and their sleep quality increased. However, the prevalence of mental health complaints increased. Besides, 3 out 4 students dealt with moderate to very severe loneliness.
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Affiliation(s)
- Janine H Stubbe
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands.,Department of General Practice, Erasmus MC University Medical Centre Rotterdam, Rotterdam, Netherlands.,Rotterdam Arts and Sciences Lab (RASL), Rotterdam, Netherlands
| | - Annemiek Tiemens
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Stephanie C Keizer-Hulsebosch
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Suze Steemers
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands.,Department of General Practice, Erasmus MC University Medical Centre Rotterdam, Rotterdam, Netherlands
| | - Diana van Winden
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands.,Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands
| | - Maurice Buiten
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Angelo Richardson
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Rogier M van Rijn
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
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10
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Mailuhu AKE, van Rijn RM, Stubbe JH, Bierma-Zeinstra SMA, van Middelkoop M. Incidence and prediction of ankle injury risk: a prospective cohort study on 91 contemporary preprofessional dancers. BMJ Open Sport Exerc Med 2021; 7:e001060. [PMID: 34178374 PMCID: PMC8190045 DOI: 10.1136/bmjsem-2021-001060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2021] [Indexed: 11/03/2022] Open
Abstract
Objectives This study examines the incidence of ankle injuries and identifies ankle injury risk among contemporary preprofessional dancers. Methods A total of 91 first-year contemporary preprofessional dancers were prospectively followed during one academic year. Self-reported ankle injuries, assessed with the Oslo Sports Trauma Research Centre questionnaire, were categorised as all complaint ankle injuries, substantial ankle injuries or time-loss ankle injuries. In addition, ankle injuries leading to medical attention were included. Regression analyses were used to determine the association between potential risk factors (dancer characteristics, history of ankle injury in the previous year, ankle range of motion and dorsiflexion) and ankle injuries. Results The 1-year ankle injury incidence proportion was 18.7% (n=17), 8.8% (n=8), 15.4% (n=14) and 7.7% (n=7), respectively, for all complaint ankle injuries, ankle injuries requiring medical attention, time-loss injuries and substantial injuries. Being male (OR=0.27; 95% CI 0.09 to 0.75) and being a student of the Bachelors in Dance and Education (OR=0.27; 95% CI 0.08 to 0.97) were univariately associated with a lower risk of an ankle injury. Conclusion Almost 20% of first-year preprofessional dancers reported an ankle injury, with more than 80% of the dancers reporting that their injury leads to dance time loss. Males and students of the bachelors in dance and education were at lower risk of ankle injuries. As ankle injuries are common among dancers, studies with larger sample sizes, a more heterogeneous population (eg, different dance styles) and longer follow-up periods are necessary to evaluate the impact of ankle injuries in further detail.
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Affiliation(s)
- Adinda K E Mailuhu
- Department of General Practice, Erasmus MC University Medical Center, Rotterdam, the Netherlands
| | - Rogier M van Rijn
- Codarts Rotterdam, University of the Arts, Rotterdam, the Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, the Netherlands
| | - Janine H Stubbe
- Department of General Practice, Erasmus MC University Medical Center, Rotterdam, the Netherlands.,Codarts Rotterdam, University of the Arts, Rotterdam, the Netherlands.,PErforming Artist and Athlete Research Lab (PEARL), Rotterdam, the Netherlands.,Rotterdam Arts and Sciences Lab (RASL), Rotterdam, the Netherlands
| | - Sita M A Bierma-Zeinstra
- Department of General Practice, Erasmus MC University Medical Center, Rotterdam, the Netherlands
| | - Marienke van Middelkoop
- Department of General Practice, Erasmus MC University Medical Center, Rotterdam, the Netherlands
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11
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Generalized Joint Hypermobility and Injuries: A Prospective Cohort Study of 185 Pre-Professional Contemporary Dancers. J Clin Med 2021; 10:jcm10051007. [PMID: 33801305 PMCID: PMC7958324 DOI: 10.3390/jcm10051007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 02/22/2021] [Accepted: 02/23/2021] [Indexed: 12/27/2022] Open
Abstract
Generalized joint hypermobility (GJH) has been mentioned as one of the factors associated with dance injuries, but the findings are inconclusive. This study aims to investigate whether GJH, based on different Beighton score cut-off points, is a potential risk factor for injuries in pre-professional dancers. Four cohorts of first-year pre-professional dancers (N = 185), mean age 19.1 ± 1.3 years, were screened on musculoskeletal functioning at the start of their academic year. The Beighton score was used to measure GJH. During the academic year, the dancers completed monthly questionnaires about their physical and mental health. Based on the Oslo Sports Trauma Research Centre Questionnaire on Health Problems (OSTRC), three injury definitions were used (i.e., all complaints, substantial injury, and time-loss injury). To examine potential risk factors for injuries, univariate and multivariate regression models were applied. The response rate of monthly completed questionnaires was 90%. The overall mean (SD) Beighton score was 2.8. The 1-year injury incidence proportion was 67.6% (n = 125), 43.2% (n = 80), and 54.6% (n = 101) for all complaint injuries, substantial injuries, and time-loss injuries, respectively. The multivariate analyses showed a significant association between a previous long lasting injury in the past year and the three injury definitions (p < 0.05). Pre-professional contemporary dancers are at high risk for injuries and hypermobility. However, these two variables are not associated with each other. Health professionals should take injury history into account when assessing dance students, because this variable is associated with increased injury risk.
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Steemers S, van Middelkoop M, de Boks GG, van Rijn RM, Bierma-Zeinstra SMA, Stubbe JH. The impact of injury definitions on measures of injury occurrence in classical music students: a prospective cohort study. BMC Musculoskelet Disord 2020; 21:534. [PMID: 32781988 PMCID: PMC7418301 DOI: 10.1186/s12891-020-03490-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 07/07/2020] [Indexed: 11/10/2022] Open
Abstract
Background Multiple definitions are used to investigate injuries in musicians, resulting in a wide range of prevalence rates. The aim of this study is to establish the impact of different injury definitions on the prevalence of injuries and disability in classical music students. Moreover, the practical implications of using different injury definitions are considered. Methods A prospective cohort study among first-year classical music students was performed using bi-monthly questionnaires focusing on injuries. Three injury definitions were used: 1) all MSK complaints injury (any MSK complaint resulting in a VAS pain score > 0 in the past eight weeks), 2) medical attention injury (any MSK complaint that resulted in a student consulting a health provider in the past eight weeks), 3) time-loss injury (any MSK complaint that resulted in partly/completely missing music classes or activities in the past eight weeks). For all injury definitions prevalences were calculated and compared. Furthermore, the Disabilities of the Arm, Shoulder and Hand performing arts module (DASH-pa) was used to calculate disability scores for all three injury definitions. Results Twenty-nine classical music students participated in the current study. The total response rate over one academic year was 85.3%. One year prevalences of all MSK complaints, medical attention and time-loss were 96.6, 17.2 and 13.8% respectively. The bi-monthly prevalences ranged from 74.1 to 96.0% for all MSK complaints, from 5.6 to 11.5% for medical attention injuries and from 0 to 11.5% for time loss injuries. Scores on the DASH-pa ranged from 15.6 to 26.9 for MSK complaints, 33.3 to 50 for medical attention and 47.9 to 62.5 for time-loss injuries. Conclusion The choice of injury definition is a critical factor affecting the outcome of music injury surveillance studies. To reach a consensus, it is therefore important to consider the different injury definitions depending on the goal of the injury surveillance and the practical implications.
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Affiliation(s)
- Suze Steemers
- Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands. .,Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands. .,Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands.
| | - Marienke van Middelkoop
- Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands
| | - Gideon G de Boks
- Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands
| | - Rogier M van Rijn
- Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands
| | - Sita M A Bierma-Zeinstra
- Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands
| | - Janine H Stubbe
- Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands.,Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands.,Rotterdam Arts and Sciences Lab (RASL), Nieuwemarkt 1A, 3011, HP, Rotterdam, The Netherlands
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van Winden D, van Rijn RM, Savelsbergh GJP, Oudejans RRD, Stubbe JH. Limited Coping Skills, Young Age, and High BMI Are Risk Factors for Injuries in Contemporary Dance: A 1-Year Prospective Study. Front Psychol 2020; 11:1452. [PMID: 32754083 PMCID: PMC7365861 DOI: 10.3389/fpsyg.2020.01452] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 05/29/2020] [Indexed: 11/13/2022] Open
Abstract
This study investigated potential risk factors (coping, perfectionism, and self-regulation) for substantial injuries in contemporary dance students using a prospective cohort design, as high-quality studies focusing on mental risk factors for dance injuries are lacking. Student characteristics (age, sex, BMI, educational program, and history of injury) and psychological constructs (coping, perfectionism, and self-regulation) were assessed using the Performing artist and Athlete Health Monitor (PAHM), a web-based system. Substantial injuries were measured with the Oslo Sports Trauma Research Center (OSTRC) Questionnaire on Health Problems and recorded on a monthly basis as part of the PAHM system. Univariate and multivariate logistic regression analyses were conducted to test the associations between potential risk factors (i.e., student characteristics and psychological constructs) and substantial injuries. Ninety-nine students were included in the analyses. During the academic year 2016/2017, 48 students (48.5%) reported at least one substantial injury. Of all factors included, coping skills (OR: 0.91; 95% CI: 0.84-0.98), age (OR: 0.67; 95% CI: 0.46-0.98), and BMI (OR: 1.38; 95% CI: 1.05-1.80) were identified as significant risk factors in the multivariate analysis. The model explained 24% of the variance in the substantial injury group. Further prospective research into mental risk factors for dance injuries with larger sample sizes is needed to develop preventive strategies. Yet, dance schools could consider including coping skills training as part of injury prevention programs and, perhaps, providing special attention to younger dancers and those with a higher BMI through transitional programs to assist them in managing the stress they experience throughout their (academic) career.
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Affiliation(s)
- Diana van Winden
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands
- Performing Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Rogier M. van Rijn
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands
- Performing Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
| | - Geert J. P. Savelsbergh
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands
- Institute of Brain and Behavior, Amsterdam, Netherlands
- Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, Netherlands
| | - Raôul R. D. Oudejans
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands
- Institute of Brain and Behavior, Amsterdam, Netherlands
- Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, Netherlands
| | - Janine H. Stubbe
- Codarts Rotterdam, University of the Arts, Rotterdam, Netherlands
- Performing Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
- Rotterdam Arts and Sciences Lab (RASL), Rotterdam, Netherlands
- Department of General Practice, Erasmus University Medical Center, Rotterdam, Netherlands
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Realizing, Adapting, and Thriving in Career Transitions From Gymnastics to Contemporary Circus Arts. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2020. [DOI: 10.1123/jcsp.2018-0075] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The purpose of this study was to explore the career transition experiences of elite gymnasts who became professional circus artists. Eight (inter)national level gymnasts who worked as circus artists were interviewed. Using a constructionist approach to thematic data analysis, we identified a three-phase career transition process. High levels of psychological resilience characteristics were required in the first, “realizing” phase (i.e., motivation, hard work, social support, and optimism). The second, “adapting” phase involved balancing context-specific demands which included general stress, a loss of competence, social adjustment, taking calculated risks, and physical recovery. The third, “thriving” phase involved experiences of freedom, personal development, and social connectedness. During the career transition, changes from an athletic to circus artist identity were experienced. Practitioners are encouraged to support the psychological resilience and experiences of autonomy among circus artists during their career transitions. This is expected to facilitate circus artists’ wellbeing, safety, and career longevity.
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Karreman DE, Keizer-Hulsebosch SC, Stubbe JH. Performing artist and Athlete Health Monitor: user experience, content and conditions for use of an online dance-health surveillance system in a professional ballet company. BMJ Open Sport Exerc Med 2019; 5:e000566. [PMID: 31798946 PMCID: PMC6863663 DOI: 10.1136/bmjsem-2019-000566] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2019] [Indexed: 11/13/2022] Open
Abstract
Objectives The user experience, content and conditions for use of an online dance-health surveillance system (Performing artist and Athlete Health Monitor, PAHM) was examined through a focus group interview with professional ballet dancers. Methods Nine professional dancers (56% female (n=5), average age=27.56± 5.17) completed biweekly questionnaires using the PAHM, including questions on health problems, injuries, mental complaints and illnesses. After 6 weeks, nine dancers participated in a focus group interview to investigate the user experience, content and conditions for use of the PAHM. Data were analysed using thematic analysis. Results 25 of the 27 questionnaires were completed (response rate of 93%). Dancers were positive about using the PAHM. They recommend to clarifying the questions about pain and injury, expanding items on mental health, including items on workload, sleep, rest and nutrition, and receiving feedback regarding their own results. Dancers were reluctant regarding sharing their personal data with others. Data on an aggregated level can be shared because this might gain insight into the association between scheduling, workload and injury risk. Conclusion The user experience of the monitor contributes to the willingness of dancers to keep using the PAHM. Dancers recommended adjusting the content in the PAHM to match their dance activities and health problems. The conditions for using the PAHM effectively within a company are a safe and trusting culture. Even though the PAHM alone cannot change the culture in a ballet company, it can play a role in the communication between staff and dancers.
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Affiliation(s)
- Daphne E Karreman
- Codarts, University of the Arts, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
| | - Stephanie C Keizer-Hulsebosch
- Codarts, University of the Arts, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
| | - Janine H Stubbe
- Codarts, University of the Arts, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands.,Department of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.,Rotterdam Arts and Sciences Lab (RASL), Rotterdam, The Netherlands
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van Winden DPAM, Van Rijn RM, Richardson A, Savelsbergh GJP, Oudejans RRD, Stubbe JH. Detailed injury epidemiology in contemporary dance: a 1-year prospective study of 134 students. BMJ Open Sport Exerc Med 2019; 5:e000453. [PMID: 30899545 PMCID: PMC6407557 DOI: 10.1136/bmjsem-2018-000453] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2019] [Indexed: 11/12/2022] Open
Abstract
Aim We investigated the extent and characteristics of injuries in contemporary dance students. Methods During one academic year, 134 students of Bachelor dance and Bachelor dance teacher from Codarts University of the Arts (Rotterdam, the Netherlands) were prospectively monitored monthly, using the Performing Artist and Athlete Health Monitor which includes the Oslo Sports Trauma Research Centre Questionnaire on Health Problems. Results 130 students were included in the analyses. The response rate of monthly completed questionnaires was 80%. During the academic year, 97% of students reported at least one injury, mental complaint or other health problem. The 1-year injury incidence proportion was 81%. Of these injured students, 58% were substantially injured (ie, problems leading to moderate or severe reductions in training volume or performance or complete inability to participate in activities). The monthly injury proportion (all injuries) ranged from 23% to 43% and for substantial injuries from 6% to 17%. The injury incidence rate per 1000 hours dance exposure was 1.9 (95% CI 1.7 to 2.2). Ankle/foot (30%), lower back (17%) and knee (15%) were the most common sites of injury. Conclusion Contemporary dance students are at high risk for injuries. Injury prevention programmes among contemporary dance students should focus on the ankle/foot, lower back and knee.
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Affiliation(s)
- Diana P A M van Winden
- Department of Performing Arts Medicine, Codarts University of the Arts, Rotterdam, The Netherlands.,Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
| | - Rogier M Van Rijn
- Department of Performing Arts Medicine, Codarts University of the Arts, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
| | - Angelo Richardson
- Department of Performing Arts Medicine, Codarts University of the Arts, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
| | - Geert J P Savelsbergh
- Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.,Institute of Brain and Behavior, Amsterdam, The Netherlands.,Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Raôul R D Oudejans
- Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.,Institute of Brain and Behavior, Amsterdam, The Netherlands.,Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Janine H Stubbe
- Department of Performing Arts Medicine, Codarts University of the Arts, Rotterdam, The Netherlands.,Performing artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands.,Rotterdam Arts and Science Lab (RASL), Rotterdam, The Netherlands
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