Generalized Joint Hypermobility and Anxiety Are Serious Risk Factors for Dysfunctioning in Dance Students: A One-Year Follow-Up Study

Janneke van Die-de Vries, Jeanine Verbunt, Stephan Ramaekers, Patrick Calders and Raoul Engelbert
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Janneke van Die-de Vries: School of Physiotherapie, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands
Jeanine Verbunt: Department of Rehabilitation Medicine, CAPHRI, Functioning and Rehabilitation, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands
Stephan Ramaekers: School of Physiotherapie, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands
Patrick Calders: Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium
Raoul Engelbert: Department of Rehabilitation, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam Movement Sciences, 1105 AZ Amsterdam, The Netherlands

IJERPH, 2022, vol. 19, issue 5, 1-10

Abstract: Young professional dancers find themselves in a demanding environment. GJH within dancers is often seen as aesthetically beneficial and a sign of talent but was found to be potentially disabling. Moreover, high-performing adolescents and young adults (HPAA), in this specific lifespan, might be even more vulnerable to anxiety-related disability. Therefore, we examined the development of the association between the presence of Generalized Joint Hypermobility (GJH) and anxiety within HPAA with a one-year follow-up. In 52.3% of the HPAA, anxiety did not change significantly over time, whereas GJH was present in 28.7%. Fatigue increased significantly in all HPAA at one year follow-up (respectively, females MD (SD) 18(19), p < 0.001 and males MD (SD) 9(19), p < 0.05). A significantly lower odds ratio (ß (95% CI) 0.4 (0.2–0.9); p -value 0.039) for participating in the second assessment was present in HPAA with GJH and anxiety with a 55% dropout rate after one year. This confirms the segregation between GJH combined with anxiety and GJH alone. The fatigue levels of all HPAA increased significantly over time to a serious risk for sick leave and work disability. This study confirms the association between GJH and anxiety but especially emphasizes the disabling role of anxiety. Screening for anxiety is relevant in HPAA with GJH and might influence tailored interventions.

Keywords: physical performance; joint hypermobility; anxiety; high performing adolescents (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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