Sloth bears have historically been used as dancing bears in South Asia, and rehabilitation programmes have transformed the welfare of formerly captive bears.
Dancing bears experienced acute suffering from capture, physical mutilation through nose piercing, and chronic psychological stress from performance. Bears trained through pain and fear show PTSD-like symptoms in rescue. Physical injuries including infected piercing sites, dental damage from muzzle use, and foot injuries from dancing on hot pavement caused ongoing pain. Rehabilitation requires years of patient, human-positive reintroduction in safe environments with appropriate enrichment.