Dance for Chronic Pain Conditions: A Systematic Review

Benjamin Hickman, Fereshteh Pourkazemi, Roxanna N Pebdani, Claire E Hiller, Alycia Fong Yan, Benjamin Hickman, Fereshteh Pourkazemi, Roxanna N Pebdani, Claire E Hiller, Alycia Fong Yan

Abstract

Objectives: Globally, 20-25% of people will experience chronic pain in their lifetimes. Dance is a physical activity with psychosocial benefits that might positively impact pain. This review aimed to investigate the effect of dance interventions on the experience of pain by quantitative measures and qualitative themes.

Methods: Seven major databases were searched from inception to January 2021. Two independent reviewers screened articles at each stage. Qualitative and quantitative studies were included if the dance interventions lasted more than 6 weeks, participants reported pain of duration longer than 3 months, and pain was an outcome of the study. All articles were critically appraised with appropriate Joanna Briggs Institute tools, and data were collated through the use of results-based convergent synthesis.

Results: From 23,628 articles, 34 full papers were included, with a total of 1,254 participants (75.2% female). Studies predominantly investigated individuals with fibromyalgia (26%) and generalized chronic pain (14%), with aerobic dance (20.7%) and Biodanza (20.7%) being the most common dance genres investigated. Overall, 74% of studies noted either reduced pain through quantitative pain measures or qualitative themes of improved pain experience (88% for chronic primary pain and 80% for chronic secondary musculoskeletal pain).

Discussion: There were positive effects of dance on chronic primary and secondary musculoskeletal pain across diverse populations. A variety of study designs and interventions noted improved pain measures and themes around pain coping and acceptance, with all dance therapies showing improvements, particularly when performed for 60-150 minutes' duration weekly. Dance should be considered as an effective adjunct in the management of chronic pain.

Keywords: Dance Therapy; Dance for Health; Fibromyalgia; Pain Experience; Pain Management.

© The Author(s) 2022. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.

Figures

Figure 1.
Figure 1.
PRISMA flow chart.
Figure 2.
Figure 2.
(A) Risk-of-bias assessment for randomized controlled trials (Joanna Briggs Institute Tool). (B) Risk-of-bias assessment for quasi-experimental studies (Joanna Briggs Institute Tool). (C) Risk-of-bias assessment for cases series (Joanna Briggs Institute Tool). (D) Risk-of-bias assessment for qualitative studies (Joanna Briggs Institute Tool).
Figure 2.
Figure 2.
(A) Risk-of-bias assessment for randomized controlled trials (Joanna Briggs Institute Tool). (B) Risk-of-bias assessment for quasi-experimental studies (Joanna Briggs Institute Tool). (C) Risk-of-bias assessment for cases series (Joanna Briggs Institute Tool). (D) Risk-of-bias assessment for qualitative studies (Joanna Briggs Institute Tool).
Figure 2.
Figure 2.
(A) Risk-of-bias assessment for randomized controlled trials (Joanna Briggs Institute Tool). (B) Risk-of-bias assessment for quasi-experimental studies (Joanna Briggs Institute Tool). (C) Risk-of-bias assessment for cases series (Joanna Briggs Institute Tool). (D) Risk-of-bias assessment for qualitative studies (Joanna Briggs Institute Tool).
Figure 2.
Figure 2.
(A) Risk-of-bias assessment for randomized controlled trials (Joanna Briggs Institute Tool). (B) Risk-of-bias assessment for quasi-experimental studies (Joanna Briggs Institute Tool). (C) Risk-of-bias assessment for cases series (Joanna Briggs Institute Tool). (D) Risk-of-bias assessment for qualitative studies (Joanna Briggs Institute Tool).

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