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Medical Problems of Performing Artists

René J Muller
Simon Preston's Alleluyas is an organ solo of moderate difficulty written partly in the tonal language of Olivier Messiaen. While learning this piece, I experienced a slight discomfort in my right upper arm. A more severe pain developed later, over several weeks, and my right hand became partially paralyzed. Full recovery took almost 2 months. … My reversible injury was caused by playing just six bars, and it may owe something to the way I "handled" this brief section, or more likely, "footed" it.
December 2016: Medical Problems of Performing Artists
Kees H Woldendorp, Hans Boschma, Anne M Boonstra, Hans J Arendzen, Michiel F Reneman
: Brass players may experience problems producing an optimal sound (or range of sounds) in their instrument. Assessing and treating dysfunctional embouchure requires knowledge of functional embouchure, but peer-reviewed literature on dysfunctional and functional embouchure is scarce. OBJECTIVE: This study aimed to provide a narrative overview of embouchure based on information from different scientific and clinical fields. This should be regarded as a first step in constructing a reliable, valid, and practical multi-item method to assess embouchure for brass players...
December 2016: Medical Problems of Performing Artists
Katherine Finch, David A Moscovitch
Many musicians experience debilitating music performance anxiety (MPA). Outside music performance, imagery-based interventions have been incorporated into treatment protocols to help individuals, including athletes and those with social anxiety, manage heightened levels of anxiety in order to excel in performance-based domains. Despite the frequent use of mental imagery in MPA interventions and its importance as a mental rehearsal technique for musicians, no existing reviews have examined the literature on imagery-based interventions for MPA...
December 2016: Medical Problems of Performing Artists
Mikhail Saltychev, Heidi Vastamäki, Martti Vastamäki, Katri Laimi
OBJECTIVE: To assess the strength of the relationship between alcohol consumption and job strain experienced by professional musicians. METHODS: Cross-sectional survey among professional orchestra musicians (n=1,550, response rate 41%, data available for 590 respondents). The difference between groups with and without job strain was assessed by two-way analysis of variance. RESULTS: The median alcohol consumption was 48 g/wk (range 1-648, IQR 12-96)...
December 2016: Medical Problems of Performing Artists
Danielle N Jarvis, Kornelia Kulig
: In dance, high demands are placed on the lower extremity joints during jumping tasks. The purpose of this study was to compare biomechanical demands placed on the lower extremity joints during the takeoff and landing phases of saut de chat leaps. METHODS: Thirty healthy, experienced dancers with 20.8±4.9 yrs of dance training performed 5 saut de chat leaps. A three-dimensional motion analysis system and force plates were used to collect kinematic and kinetic data...
December 2016: Medical Problems of Performing Artists
Kurara Bannai, Takayoshi Kase, Shintaro Endo, Kazou Oishi
The purpose of this study was to investigate the relationships among anxiety prior to actual performance (music performance anxiety, MPA), mental and physical negative responses during performance (agari), and depressive tendencies in Japanese college students majoring in music. Participants were 171 music majors (33 males, 138 females, 20.6±1.7 yrs). They rated the degree of self-perceived MPA before their performance on a scale ranging from 0-100%. The Features of Agari Experience Questionnaire was used to assess agari response levels during standard performances, and the Japanese version of the Center for Epidemiologic Studies Depression Scale (CESD) was used to measure depressive tendencies...
December 2016: Medical Problems of Performing Artists
Chia-Ying Ling, Fung-Chiat Loo, Titi Rahmawati Hamedon
Performance injuries among musicians have been widely discussed for decades. However, despite the growing number of classical pianists, this is still a new issue in Malaysia. Therefore, this study aimed to investigate the level of knowledge of playing-related musculoskeletal disorders (PRMDs) among tertiary music students in Malaysia. A survey was conducted among classical piano students at tertiary institutions of Kuala Lumpur and Selangor. Out of 192 respondents, 76% knew that piano playing can cause PRMDs...
December 2016: Medical Problems of Performing Artists
Beatriz Rodríguez-Romero, Coral Pérez-Valiño, Beatriz Ageitos-Alonso, Sonia Pértega-Díaz
OBJECTIVES: To assess the prevalence of and factors associated with musculoskeletal pain (MSP) and neck and upper limb disability among music conservatory students. METHODS: An observational study in two Spanish conservatories, investigating a total of 206 students, administered the Nordic Musculoskeletal Questionnaire, visual analog scale for pain intensity, Neck Disability Index, DASH, and SF-36. Demographic and lifestyle characteristics and musical performance variables were recorded...
December 2016: Medical Problems of Performing Artists
Liliana Aparicio, Filipa Mb Lã, Anabela G Silva
OBJECTIVES: This study assessed the effect of practicing the accordion on pain and posture of children and adolescent students. METHODS: Pain and posture (forward head posture, scapular posture, and lumbar lordosis) were compared between two groups of preparatory and secondary school students, matched for age and sex: those who took accordion lessons (accordionists, n=16) and those who never studied a musical instrument (non-musicians, n=16). RESULTS: Students taking accordion lessons reported significantly more pain in the shoulder, wrist/hand, and thoracic regions (p<0...
December 2016: Medical Problems of Performing Artists
Bronwen J Ackermann
Medical Problems of Performing Artists, since its inception under the legendary Alice Brandfonbrener's guidance and vision, has always recognized the need for voices to be heard from the clinic, stage, and experimental research. This has been important in a relatively young field like performing arts medicine, where there is not yet a robust base of evidence to draw from for the complex range of physical, psychological, and institutional challenges that can affect performer health. Evidence-based medicine has long been described as using the best available research in conjunction with clinical expertise, while considering patient beliefs, characteristics, and circumstances...
December 2016: 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
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