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Cited by 3Diversity and Impact of DanceConnective tissue disorders researchMusicians’ Health and Performance

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

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van Die-de Vries, Janneke, Verbunt, Jeanine, Ramaekers, Stephan, Calders, Patrick, Engelbert, Raoul·2022·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph19052662PMC PMC8910411
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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.

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  • Pain is significantly increased over time in high-performing adolescents with asymptomatic GJH without anxiety.

    “Pain was found to be significantly increased over time in high-performing adolescents with asymptomatic GJH without anxiety.56”

    From Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review (2025) · cites this paper as [56]

    In Results §3.2 (page unavailable), the paper reports that pain complaints significantly decreased between baseline and one-year follow-up in the GJH subgroup; it does not report the claimed increase. The study describes its population as high-performing adolescents and young adults. (LLM, conf=0.91)

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  • High-performing adolescents with asymptomatic GJH and anxiety have reduced physical abilities and more pain/fatigue or other complaints over time than their peers without GJH and/or anxiety.

    “High-performing adolescents with asymptomatic GJH and anxiety had fewer physical abilities and more pain and fatigue complaints than their peers without GJH and/or anxiety.56”

    From Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review (2025) · cites this paper as [56]

    The Results report lower baseline muscle strength in dancers with both GJH and anxiety than in peers with neither condition. The Introduction describes increased fatigue and pain catastrophizing in an earlier cross-sectional study, but not more pain complaints. In this study, fatigue increased in all groups, and the Discussion says follow-up physical and psychosocial measures were comparable across groups; it does not establish greater pain or fatigue complaints over time in the combined group. Page numbers are unavailable in our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Anxiety levels remained high and stable over time in high-performing adolescents with asymptomatic GJH and anxiety.

    “Additionally, anxiety levels remained high and stable over time.56”

    From Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review (2025) · cites this paper as [56]

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References 39 · Cited by 3

Research works printed but not linked: 33

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Authors
van Die-de Vries, J., Verbunt, J., Ramaekers, S., Calders, P., & Engelbert, R.
Affiliations
  • School of Physiotherapie, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands
  • Maastricht University Medical Centre (NL)
  • Amsterdam University of Applied Sciences (NL)
  • Ghent University (BE)
  • Emma Kinderziekenhuis (NL)
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2022-02-25
Volume
19
Issue
5
Pages
2662
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph19052662
PMC
PMC8910411
OpenAlex
W4214755053
Cited by
3
References
39
Citations by year
2025: 3
FWCI
0.69
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, cc-by)
  • Pure Amsterdam UMC (acceptedVersion, cc-by)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Research Publications (Maastricht University) (submittedVersion, cc-by)
Funders
Dutch Research Council (0.23.003.138)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Diversity and Impact of Dance
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
  • Health Sciences › Medicine › Rehabilitation › Musicians’ Health and Performance
Keywords
generalized joint hypermobility, anxiety, dance students, professional dancers, fatigue, work disability, sick leave, dropout, anxiety screening, disability risk factors
MeSH terms
Adolescent, Anxiety, Dancing, Fatigue, Female, Follow-Up Studies, Humans, Joint Instability, Male, Risk Factors, Students, Young Adult

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