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Medical Problems of Performing Artists

Arman Taheri, Mahbod Lajevardi, Sanaz Shabani, Sara Emami, Hassan Sharifi
One hypothesis for the mechanism of neck pain in musicians, particularly string players, is changed behavior of the superficial neck flexor muscles and impairment of the cervical stabilization system. To restore the supporting capacity of neck muscles and reduce neck pain, various types of physical therapies and pain educational modalities have been recommended. However, considering the physio-psychological nature of violinists' neck pain, its treatment may benefit from addition of therapies that address postural and movement habits...
March 2017: Medical Problems of Performing Artists
H Eg Wolfenden, M Angioi
BACKGROUND: The circus arts involve a high degree of acrobatic, athletic, and aesthetic ability with extreme physical demands placed on performers. An understanding of the injury profile is required to guide prevention. AIM: To provide the first systematic review to enhance understanding of circus-related injuries and to provide a foundation for future preventative intervention. METHODS: MEDLINE, Scopus, and Web of Science were searched from conception to March 2016 using key search terms relating to circus artists and injury...
March 2017: Medical Problems of Performing Artists
João P Moita, Alexandre Nunes, José Esteves, Raul Oliveira, Luis Xarez
BACKGROUND: The physical demands placed on dancers put them at significant risk for injury, with rates similar to ones sustained by athletes in sports at the same level of performance. Muscle strength has been suggested to play a preventative role against injury in dancers. OBJECTIVE: To systematically search and examine the available evidence on the protective role of muscle strength in dance injuries. METHODS: Five electronic databases and two dance-specific science publications were screened up to September 2015...
March 2017: Medical Problems of Performing Artists
Peter W Iltis, Sarah L Gillespie, Jens Frahm, Dirk Voit, Arun Joseph, Eckart Altenmüller
OBJECTIVE: The functional role of the glottis in brass performance is poorly understood and controversial, particularly with respect to pedagogy. Technological limitations have prevented the non-invasive, systematic study of the glottis in the past, but developments in real-time magnetic resonance imaging (RT-MRI) allow representations of glottal movement during performance on a MRI-compatible horn to be recorded and quantified. METHODS: We present RT-MRI data obtained on 6 advanced-level horn players from serial images acquired at an acquisition time of 33...
March 2017: Medical Problems of Performing Artists
Frederico B Kochem, Julio G Silva
OBJECTIVE: To investigate the prevalence of playing-related musculoskeletal disorders (PRMD) and associated factors among violinists from the state of Rio de Janeiro, Brazil. METHODS: This cross-sectional study included 106 violinists from eight cities in the state of Rio de Janeiro. Sociodemographic and musical characteristic data, pain symptoms, and upper-limb functionality were collected using the DASH and the Standardized Nordic Questionnaires. The associations between musculoskeletal complaints and possible predictors were analyzed by binary logistic regression...
March 2017: Medical Problems of Performing Artists
Jeremy L Stanek, Kevin D Komes, Fred A Murdock
OBJECTIVES: Studies over recent decades have demonstrated significant performance-related pain among professional musicians. However, there have been no largescale studies to evaluate pain among college musicians. The aim of this study was to determine the prevalence and anatomical locations of performance-related pain among students and faculty at the college level and learn what musicians do when they have pain. METHODS: Cross-sectional data were collected using an online survey distributed to colleges across the United States...
March 2017: Medical Problems of Performing Artists
Dianna T Kenny, Anthony Asher
Recent studies have highlighted the disturbing morbidity and early mortality of popular musicians. Most of the studies have focused on male musicians because, until recently, there were relatively few female popular musicians on which to base a population study. With the sharp increase in female popular musicians from fewer than 2% in the 1950s to 32% in the current decade, researchers are better able to examine the health status and mortality profile of female popular musicians. To this end, this paper makes what we believe is the first detailed analysis of mortality and morbidity in female popular musicians...
March 2017: Medical Problems of Performing Artists
Laura M Kok, Bionka Ma Huisstede, Taco J Douglas, Rob Ghh Nelissen
OBJECTIVE: In addition to known risk factors for musculoskeletal complaints in the general population, playing a musical instrument is an additional risk factor. In this pilot study, the prevalence of musculoskeletal complaints in student amateur musicians and their relation with playing posture and playing time were evaluated. METHODS: A cross-sectional web-based survey among amateur musicians studying at a Dutch university. RESULTS: 162 amateur musicians were included in this pilot study (response rate 17...
March 2017: Medical Problems of Performing Artists
Katherine Hanna, Anne Hanley, Avril Huddy, Michael McDonald, Fiona Willer
OBJECTIVE: To assess participation in physical activity and knowledge of general nutrition and current public health messages about the health benefits of physical activity in university dance students, and to investigate differences between first-year and later-year students and between students in dance and dance performance course groups. METHODS: This cross-sectional study recruited 67 participants from dance undergraduate degrees in a university in Australia...
March 2017: Medical Problems of Performing Artists
Bronwen J Ackermann
Managing training practices in elite performance domains is recognised to play an important role in preventing musculoskeletal overload, and hence reducing the risk of overuse-related injuries. In international studies spanning four decades, the duration of playing, especially in combination with sudden increases in playing and inadequate rest breaks, remains one of the most common causes of injuries. With musculoskeletal performance in occupational and sports domains, both the work:rest ratio and the acute:chronic workload ratio are considered critical in making an approximate determination in the length of training sessions...
March 2017: 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. Ground reaction force (GRF) peaks and impulse and sagittal plane kinematics and kinetics of the hip, knee, ankle, and metatarsophalangeal (MTP) joints were calculated for the takeoff and landing phases of each leap...
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
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