title: The effect of a comprehensive injury audit program on injury incidence in ballet: a 3-year prospective study.
abstract: OBJECTIVE
  The aim of this study was to determine whether an intervention with individualized conditioning program based on injury history and functional movement screening would be effective in reducing ballet injury incidence.
  
  
  METHODS
  Prospective 3-year epidemiological study.
  
  
  METHODS
  Professional ballet company and its in-house medical facility.
  
  
  METHODS
  Dancers from a professional ballet company over the 3-year study period. Participant numbers ranged from 52 to 58 (year 1: 52; year 2: 58; year 3: 53).
  
  
  METHODS
  The intervention consisted of individual conditioning programs developed using injury history and functional movement screening. Analysis was undertaken of the all dancers who were present in the company during the study period. The significance of change in injuries over a 3-year period was determined using a Poisson distribution model.
  
  
  METHODS
  To determine whether individual conditioning programs resulted in a decrease in injury incidence over the study period.
  
  
  RESULTS
  The injury count reduced significantly in years 2 and 3 (P < 0.001). Injury incidence for male dancers declined from year 1 (in year/1000 h) (4.76/1000 h) to year 2 (2.40/1000 h) and year 3 (2.22/1000 h). For women, a reduction in the injury incidence was observed from year 1 (4.14/1000 h) to year 2 (1.71/1000 h) and year 3 (1.81/1000 h).
  
  
  CONCLUSIONS
  Through prospective injury surveillance, we were able to demonstrate the benefit of individualized conditioning programs based on injury history and functional movement screening in reducing injuries in ballet.
  
  
  CONCLUSIONS
  The implementation of well-structured injury surveillance programs can impact on injury incidence through its influence on intervention programs.
authors.affiliation: The Jerwood Centre, Birmingham Royal Ballet Company, Birmingham, United Kingdom. nickallen@brb.org.uk
authors.forename: Nick
authors.initials: N
authors.lastname: Allen
authors.forename: Alan M
authors.initials: AM
authors.lastname: Nevill
authors.forename: John H M
authors.initials: JH
authors.lastname: Brooks
authors.forename: Yiannis
authors.initials: Y
authors.lastname: Koutedakis
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Wyon
mesh_terms: D001265:Athletic Injuries / Q000453:epidemiology* / Q000517:prevention & control*; D003615:Dancing / Q000293:injuries*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D064797:Physical Conditioning, Human; D011446:Prospective Studies; D006113:United Kingdom / Q000453:epidemiology