Evidence map›Paper›PMID 42373104›Full record

ReviewRMD open2026

Dance as a double-edged sword: physiological adaptations, injury risks and therapeutic potential.

Andrea Hinojosa-Azaola, Emma Renoult, Lise Lam-Briand, Jasmine Pochart, Brice Lodde, Alain Saraux

Abstract readReview
In one paragraph

Review in RMD open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrea Hinojosa-AzaolaDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Emma RenoultUniversité de Bretagne Occidentale (Brest University), Department of Rheumatology and PHARES Unit (Pharmacy, Research, Epidemiology, Public Health, Occupational Health), CHU Brest, INSERM LBAI (U1227), LabEx IGO, Brest, France.
Lise Lam-BriandUniversité de Bretagne Occidentale (Brest University), Department of Rheumatology and PHARES Unit (Pharmacy, Research, Epidemiology, Public Health, Occupational Health), CHU Brest, INSERM LBAI (U1227), LabEx IGO, Brest, France.
Jasmine PochartUniversité de Bretagne Occidentale (Brest University), Department of Rheumatology and PHARES Unit (Pharmacy, Research, Epidemiology, Public Health, Occupational Health), CHU Brest, INSERM LBAI (U1227), LabEx IGO, Brest, France.
Brice LoddeOccupational Diseases Center, pole PHARES (Pharmacie, recherche, épidémiologie, santé au travail), CHU Brest, and ORPHY Laboratory, EA 4324, Brest University (UBO), Brest, France.
Alain SarauxUniversité de Bretagne Occidentale (Brest University), Department of Rheumatology and PHARES Unit (Pharmacy, Research, Epidemiology, Public Health, Occupational Health), CHU Brest, INSERM LBAI (U1227), LabEx IGO, Brest, France alain.saraux@chu-brest.fr.ORCID http://orcid.org/0000-0002-8454-7067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dance is a complex physical activity with high biomechanical and artistic demands that cause repetitive stress on the musculoskeletal, neuromuscular, metabolic and cardiorespiratory systems. Dance induces physiological adaptations in children and adults, including bone remodelling, improved muscle strength and neuromuscular control, enhanced balance and flexibility, lower limb morphological adaptations and changes in body composition. However, it is also associated with a high incidence of musculoskeletal injuries, predominantly affecting the lower limbs, owing to overuse mechanisms such as sprains, muscle injuries, fractures, stress fractures and soft tissue damage. Growth periods, cumulative training load, technical constraints (eg, pointe shoes, specific footwear, hard surfaces) and individual factors such as joint hypermobility, low energy availability and low body mass index may increase injury risk, potentially affecting performance and quality of life. Acute injuries during professional performances are often recognised as work-related, whereas those sustained during training or rehearsals and chronic conditions related to prolonged practice lack occupational recognition. Emerging observations suggest that dance therapy may offer benefits for certain chronic musculoskeletal conditions, particularly fibromyalgia, although evidence remains limited. This narrative review synthesises the physiological adaptations to dance, the spectrum of dance-related musculoskeletal injuries, associated risk factors and the available data supporting dance as a non-pharmacological intervention. The findings reported herein should be interpreted in light of several limitations, including the narrative design, heterogeneity across studies, small observational samples, inconsistent definitions, potential publication bias and regional variability in practice conditions.

Indexed as

Adaptation, PhysiologicalDancingHumansMuscle StrengthQuality of LifeRisk FactorsOccupational therapyOsteoporosisPainRehabilitationTendinopathy

Identifiers

PMID42373104
PMCPMC13331235

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.