Dance-related concussion: a case series.
Sport-related concussion is a topic of increasing public and media attention; the medical literature on this topic is growing rapidly. However, to our knowledge no published papers have described concussion specifically in the dancer. This case series involved a retrospective chart review at a large teaching hospital over a 5.5-year period. Eleven dancers (10 female, 1 male) were identified who experienced concussions while in dance class, rehearsal, or performance: 2 in classical ballet, 2 in modern dance, 2 in acro dance, 1 in hip hop, 1 in musical theater, and 3 were unspecified. Dancers were between 12 and 20 years old at the time of presentation. Three concussions occurred during stunting, diving, or flipping. Three resulted from unintentional drops while partnering. Two followed slips and falls. Two were due to direct blows to the head, and one dancer developed symptoms after repeatedly whipping her head and neck in a choreographed movement. Time to presentation in the sports medicine clinic ranged from the day of injury to 3 months. Duration of symptoms ranged from less than 3 weeks to greater than 2 years at last documented follow-up appointment. It is concluded that dancers do suffer dance-related concussions that can result in severe symptoms, limitations in dance participation, and difficulty with activities of daily living. Future studies are needed to evaluate dancers' recognition of concussion symptoms and care-seeking behaviors. Additional work is also necessary to tailor existing guidelines for gradual, progressive, safe return to dance.
Micheli Center for Sports Injury Prevention and in the Division of Sports Medicine, Boston Children's Hospital, Boston Massachusetts, 319 Longwood Avenue, Boston, Massachusetts 02115, USA. cynthia.stein@childrens.harvard.edu.
Cynthia J
CJ
Stein
The Boston Conservatory, the Boston Ballet School, and Walnut Hill School for the Arts, Boston Massachusetts, USA.
Susan A
SA
Kinney
The Boston Conservatory and with the Boston Ballet, Boston Massachusetts, USA.
Tara
T
McCrystal
Division of Sports Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Elizabeth A
EA
Carew
Division of Sports Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Nicole M
NM
Bottino
Micheli Center for Sports Injury Prevention and in the Division of Sports Medicine, Boston Children's Hospital, Boston Massachusetts, USA.
William P
WP
Meehan Iii
Micheli Center for Sports Injury Prevention and in the Division of Sports Medicine, Boston Children's Hospital, Boston Massachusetts, USA.
Lyle J
LJ
Micheli
D000293:Adolescent; D001924:Brain Concussion / Q000175:diagnosis* / Q000628:therapy; D002648:Child; D003615:Dancing / Q000293:injuries*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D055815:Young Adult