{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:11:52Z","timestamp":1767651112654},"reference-count":62,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"10","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Study Design<\/jats:title><jats:p> Cross-sectional study. <\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p> The effect of current participation in dance training on joint pain and instability, fatigue, and quality of life is unknown. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p> To examine differences in joint pain, instability, gross motor skills, nonmusculoskeletal systemic manifestations, health-related quality of life (HRQoL), and fatigue between children with joint hypermobility syndrome\/Ehlers-Danlos syndrome-hypermobility type (JHS\/EDS-HT) who currently undertake formal dance training and those who do not. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Children with JHS\/EDS-HT and 1 parent completed reports providing data on demographic variables, symptoms, organized activity participation, HRQoL, and fatigue. Physical and functional measures included extent of hypermobility, aerobic fitness, balance, and muscle endurance. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Of the 102 participating children, 22 currently undertook dance classes, averaging 3.3 h\/wk. While the dancers reported a number of painful joints similar to that reported by nondancers (mean \u00b1 SD, 5.5 \u00b1 3.7 versus 6.4 \u00b1 3.9 joints, respectively; P = .36), they reported significantly lower pain levels on a 0-to-10 scale (3.8 \u00b1 3.3 versus 5.6 \u00b1 3.4, P = .04) and found pain to be less problematic, affecting less of their body. They reported fewer unstable joints (1.0 \u00b1 1.0 versus 2.0 \u00b1 1.8 joints, P = .001), despite being more hypermobile (Beighton score, 7.3 \u00b1 1.4 versus 6.6 \u00b1 1.6 on a 9-point scale, P = .047; Lower Limb Assessment Score, 9.2 \u00b1 2.0 versus 8.1 \u00b1 1.9 on a 12-point scale, P = .02). The dancers had significantly better HRQoL in the subdomain of school functioning (P = .004) and reported less fatigue (P = .024). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Children with JHS\/EDS-HT who are currently undertaking formal dance training have fewer joint pain and instability symptoms, less fatigue, and better HRQoL; however, the cross-sectional nature of the study means that causation cannot be determined. <\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p> Therapy, level 2b. J Orthop Sports Phys Ther 2017;47(10):782\u2013791. 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