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Medical Problems of Performing Artists

Donna Krasnow
It is undeniable that the research and clinical knowledge base in performing arts medicine continues to develop, as discussed in the June editorial in Medical Problems of Performing Artists. This growth in research is certainly evident in dance, as in other areas of the performing arts. The breadth of the research includes the studies of biomechanics, conditioning and supplementary training practices, injury prevention and rehabilitation, motor control, nutrition, physics, and psychology.
September 2016: Medical Problems of Performing Artists
Ellen Graham, Vrushali Angadi, Joanna Sloggy, Joseph Stemple
Breathiness in the singing voice is problematic for classical singers. Voice students and singing teachers typically attribute breathiness to breath management issues and breathing technique. The present study sought to determine whether glottic insufficiency may also contribute to breathiness in a singer's voice. Studies have revealed a relationship between insufficient vocal fold closure and inefficiency in the speaking voice. However, the effect of insufficient vocal fold closure on vocal efficiency in singers has yet to be determined...
September 2016: Medical Problems of Performing Artists
Trevor D Magnotti, Danielle McElhiney, Jeffrey A Russell
Lower extremity injury is prevalent in marching musicians, and poor postural stability is a possible risk factor for this. The external load of an instrument may predispose these performers to injury by decreasing postural stability. The purpose of this study was to determine the relationship between instrument load and static and dynamic postural stability in this population. Fourteen university marching musicians were recruited and completed a balance assessment protocol on a force platform with and without their instrument...
September 2016: Medical Problems of Performing Artists
Stephanie Alimena, Mary E Air
BACKGROUND: Patients who trust their physicians are more likely to communicate about medical problems, adhere to medical advice, and be satisfied with care. Dancers have demonstrated low utilization of physician services for both preventive care and dance injuries. The purpose of this cross-sectional study was to examine trust in physicians as a variable influencing dancers' health care-seeking behavior. METHODS: The validated Trust in Physician Scale was administered to 45 professional and 34 student ballet/contemporary dancers in France (36...
September 2016: Medical Problems of Performing Artists
Isobel Washington, Susan Mayes, Charlotte Ganderton, Tania Pizzari
BACKGROUND: Screening and training of professional dancers is commonly based around beliefs that a large range of turnout is more advantageous in the ballet industry. This belief leads dancers who have limited hip external rotation to compensate by forcing turnout at the knee and ankle, which has been linked to injury. OBJECTIVE: To examine if there is a difference in degree of turnout between three levels of dancers (corps, soloist, principal) in a professional classical ballet company...
September 2016: Medical Problems of Performing Artists
Karen Lonsdale, Ong Kuan Boon
UNLABELLED: Musicians from a wide range of backgrounds experience playing-related health problems including musculoskeletal disorders, hearing loss, and performance anxiety. Few studies have focused specifically on the health concerns of musicians in Malaysia. AIMS: This study aimed to investigate playing-related health problems among student musicians at a university in Malaysia as well as their knowledge and awareness of playing-related health problems. METHODS: Instrumental music students enrolled in undergraduate and post-graduate university music courses (n=98) participated in a self-report online survey which addressed aspects such as educational background, playing experience, knowledge and awareness of musicians' health issues, history of physical problems, lifestyle factors, and prevention and management strategies...
September 2016: Medical Problems of Performing Artists
Matthew A Wyon, Nick Allen, Ross Cloak, Sarah Beck, Paul Davies, Frances Clarke
An athlete's cardiorespiratory profile, maximal aerobic capacity, and anaerobic threshold is affected by training regimen and competition demands. The present study aimed to ascertain whether there are company rank differences in maximal aerobic capacity and anaerobic threshold in elite classical ballet dancers. Seventy-four volunteers (M 34, F 40) were recruited from two full-time professional classical ballet companies. All participants completed a continuous incremental treadmill protocol with a 1-km/hr speed increase at the end of each 1-min stage until termination criteria had been achieved (e...
September 2016: Medical Problems of Performing Artists
Henny Jm Beckers, Marina Aw van Kooten-Noordzij, Ronald Mpc de Crom, Jan Sag Schouten, Carroll Ab Webers
OBJECTIVE: To study visual complaints and eye diseases among professional and amateur orchestral musicians in the Netherlands. METHODS: In this observational study, members from professional and amateur symphony or wind orchestras were asked to complete a questionnaire collecting demographic data, musical, medical, and family history, and data on present visual complaints and/or eye diseases. Questions about playing in the orchestra were also asked. RESULTS: Data from 70 professionals and 48 amateurs showed that most musicians needed glasses or contact lenses for playing in the orchestra (61% of the professionals, 63% of the amateurs)...
September 2016: Medical Problems of Performing Artists
Amit Abraham, Ayelet Dunsky, Ruth Dickstein
OBJECTIVE: Elevé is a core dance movement requiring the greatest ankle plantarflexion (PF) range of motion (ROM). One possible way to enhance elevé performance is by using motor imagery practice (MIP). The aims of this pilot study were to investigate: 1) functional ankle PF maximal angles and ROM while performing elevé among professional dancers, 2) the effect of MIP on enhancing elevé performance, and 3) participants' views on the MIP intervention and its feasibility in a professional dance company setting...
September 2016: Medical Problems of Performing Artists
J M McCrary, Mark Halaki, Bronwen J Ackermann
BACKGROUND: Physical symptoms present in a large percentage of instrumental musicians at all levels of expertise, yet the impact of these symptoms on patterns of muscle use and perceived exertion during performance is still unclear. PURPOSE: Quantify the effects of physical symptoms on muscle activity and perceived exertion in skilled violinists during a range of bowing actions. METHODS: Fifty-five professional or university (undergraduate or postgraduate) violinists performed 5 randomly ordered 45-second musical excerpts designed to elicit a range of right arm bowing actions...
September 2016: Medical Problems of Performing Artists
Bronwen J Ackermann
No abstract text is available yet for this article.
June 2016: Medical Problems of Performing Artists
Patrick R Storms, Candice P Elkins, Eric M Strohecker
UNLABELLED: Occupational injuries and medical problems in musicians are well described, but relatively less attention has been paid to orofacial and embouchure-related problems in professional brass players. This study addressed embouchure-related problems in Air Force Band members, a population of musicians with an intense practice and performance schedule. METHODS: A survey was developed and distributed via the Air Force Survey Office to 599 active-duty Air Force Band members and 201 Air National Guard members...
June 2016: Medical Problems of Performing Artists
Katinka Tuisku, Pia Houni, Johanna Seppänen, Marianna Virtanen
OBJECTIVE: Although artistic work is in transition, the occupational wellbeing of artists has been less studied than wellbeing among other workers. This study aimed to explore the relationship between work characteristics and occupational (psychosocial) wellbeing of artists. METHODS: A national questionnaire was sent to all artists (theatre artists, writers, and visual artists) reached by four major labor unions in Finland. Type of employment (permanent full-time work vs other), working field (own field of art vs other), regularity of working hours (regular vs irregular), and control of workload were assessed...
June 2016: Medical Problems of Performing Artists
Antonia M Zaferiou, Rand R Wilcox, Jill L McNitt-Gray
OBJECTIVE: To compare dancers' balance regulation at the whole-body level under increased rotational demands during the turn phase of turns with and without large center-of-mass (CM) translation (i.e., piqué vs pirouette turns). METHODS: Ten dancers performed single and double piqué and pirouette turns while kinematics and reaction forces were measured. During the turn phase, initial CM velocity, vertical alignment of the CM, mean braking force, and moment about the CM were compared across turn conditions using within-subject (Cliff's analog of Wilcoxon-Mann-Whitney test, adjusted for multiple comparisons) and group (sign test) statistical methods...
June 2016: Medical Problems of Performing Artists
Eric Wallace, Derek Klinge, Kris Chesky
The trombone is a popular, versatile, and unique member of the brass family of musical instruments. Yet the musculoskeletal health concerns of trombonists are grossly understudied. The purpose of this study was to develop and apply a novel online research strategy for assessing musical and non-musical demographics along with prevalence, frequency, intensity, quality, timing, and location of site-specific trombone-related pain. Of the 316 trombonist respondents to this open survey, 76.6% (n=242) experienced trombone-related pain in one or more sites over the past year...
June 2016: Medical Problems of Performing Artists
Patrice Berque, Heather Gray, Angus McFadyen
UNLABELLED: Many epidemiological surveys on playing-related musculoskeletal problems (PRMPs) have been carried out on professional musicians, but none have evaluated or confirmed the psychometric properties of the instruments that were used. The aim of the present study was to evaluate the prevalence of PRMPs among professional orchestra musicians and to gather information on pain intensity and pain interference on function and psychosocial variables, using a self-report instrument developed and validated specifically for a population of professional orchestra musicians...
June 2016: Medical Problems of Performing Artists
Peter W Iltis, Jens Frahm, Dirk Voit, Arun Joseph, Rachel Burke, Eckart Altenmüller
OBJECTIVE: Motor control of the muscles of the face, lips, and tongue of horn players has traditionally been described from externally observed phenomena. Developments in real-time, high-speed magnetic resonance imaging (MRI) extend the scope of study to include descriptive and quantitative information from within the mouth. We employed these developments to compare oral movement strategies between 12 elite horn players and 5 horn players with embouchure dystonia (ED). METHODS: Serial images with an acquisition time of 33...
June 2016: Medical Problems of Performing Artists
Erin Cizek, Patrick Kelly, Kathleen Kress, Mildred Mattfeldt-Beman
Maintaining good health is essential for touring musicians and singers. The stressful demands of touring may impact food choices, leading to detrimental effects on health and performance. This exploratory pilot study aimed to assess factors affecting healthful eating of touring musicians and singers. A 46-item survey was used to assess food- and nutrition-related attitudes, knowledge and behaviors, and environmental factors, as well as lifestyle, musical background, and demographic data. Participants (n=35) were recruited from a musicians' assistance foundation as well as touring musical theater productions and a music festival...
June 2016: Medical Problems of Performing Artists
J Davies, S Mangion
No abstract text is available yet for this article.
March 2016: Medical Problems of Performing Artists
Jørgen Riis Jepsen, Jane Angel Simonsen
OBJECTIVE: Secondary Raynaud's phenomenon is a frequent condition related to occupational exposure to local vibration but has not been described in musicians. This study aims to describe cold-induced blanching of the right second and (in particular) third digits in a 67-year-old double bass player following decades of cumulative repetitive blunt trauma to the fingers from slapping the strings. METHODS: A physical examination was undertaken and systolic blood pressure measured before and after cold provocation...
March 2016: Medical Problems of Performing Artists
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