{"title":"Injury Prevalence and Risk Factors in Professional and Amateur Breakdancers in China: A Cross-Sectional Study.","authors":"Bo Wang, HuiYe Jia, XiYang Zhang, LuA Bai","doi":"10.21091/mppa.2026.03012","DOIUrl":"https://doi.org/10.21091/mppa.2026.03012","url":null,"abstract":"<p><strong>Objectives: </strong>This cross-sectional survey aimed to compare the 24-month injury prevalence between amateur and professional male breakdancers (also known as breakers or B-boys) in China and identify key injury characteristics associated with skill level. This study hypothesized that Chinese professional B-boys have a higher injury prevalence than amateurs and the injury characteristics differ in their association with technical movements and training condition.</p><p><strong>Methods: </strong>A self-developed 27-item questionnaire covering three domains-basic information, training history, and injury characteristics-was distributed online to male breakers. Participants were classified into amateur (n=468) and professional (n=178) groups using a composite criterion combining self-assessed skill rank and cumulative train¬ing hours. Continuous variables were compared using Mann-Whitney U tests, and categorical variables using chi-square tests with Bonferroni correction for post-hoc pairwise comparisons. Generalized estimating equations (GEE) were applied to analyze injury factors while accounting for within-dancer clustering of multiple injuries.</p><p><strong>Results: </strong>Among the 646 dancers, 584 (90.4%) reported at least one injury, with no significant difference in injury prevalence between the amateur and professional groups (89.3% vs 93.3%, P=0.445). A total of 1,000 injury cases were documented. The most frequently injured sites were the wrist, knee, shoulder, and waist, with shoulder injuries significantly more common in professional dancers (21.3% vs 14.6%, P=0.031). Self-reported contributing factors included insufficient warm-up, fatigue, and perceived deficiencies in basic skills. Over 80% of dancers lacked professional medical support. Exploratory chi-square tests revealed that shoulder, knee, and wrist injuries were related with technical movements; however, these patterns were unadjusted for exposure time and therefore reflect only injury distribution, not movement-specific risk.</p><p><strong>Conclusions: </strong>Injury prevalence was similarly high in amateur and professional B-boys, with no significant between-group differences. Commonly injured sites and self-reported contributing factors, together with the lack of medical support, highlight the priorities for prevention. The movement-injury patterns warrant further investigation in future prospective studies.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 3","pages":"130-142"},"PeriodicalIF":0.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frederico Barreto Kochem, Débora Cristina Lima da Silva, Isabella Mazzarolo, Renato Santos de Almeida
{"title":"Cross-Cultural Validation of the Mazzarolo Music Performance Anxiety Scale-Brazilian Version (M-MPAS-Br).","authors":"Frederico Barreto Kochem, Débora Cristina Lima da Silva, Isabella Mazzarolo, Renato Santos de Almeida","doi":"10.21091/mppa.2026.03011","DOIUrl":"https://doi.org/10.21091/mppa.2026.03011","url":null,"abstract":"<p><strong>Background: </strong>Music performance anxiety (MPA) is common among musicians, affecting performance quality, well-being, and career continuity. Reliable and culturally adapted tools are essential for its assessment. The Mazzarolo Music Performance Anxiety Scale (M-MPAS) is a brief five-item measure of the intensity, frequency, and avoidance of performance-related anxiety, but no validated Brazilian version has been available.</p><p><strong>Objective: </strong>To conduct a cross-cultural validation of the M-MPAS among professional and student musicians in the Brazilian context and evaluate the construct validity and reliability of the Brazilian version (M-MPAS-Br).</p><p><strong>Methods: </strong>A cross-sectional methodological study was conducted with 243 musicians from orchestras, conservatories, and university programs in Rio de Janeiro. The adaptation followed international and COSMIN guidelines. The measurement properties evaluated were structural validity (exploratory and confirmatory factor analyses), internal consistency, test-retest reliability, and hypotheses testing for construct validity through correlations with the Kenny Music Performance Anxiety Inventory (K-MPAI) and the Short-Form 8 (SF-8).</p><p><strong>Results: </strong>The M-MPAS-Br showed semantic and conceptual equivalence. A one-factor solution explained 74.9% of variance (CFI = 0.989, TLI = 0.978, RMSEA = 0.098, SRMR = 0.015). Internal consistency was α = 0.929 (95% CI [0.917-0.940]) and test-retest reliability ICC = 0.948 (95% CI [0.929-0.962]). Convergent validity with the K-MPAI (24 anxiety-related items) was ρ = 0.967, 95% CI [0.957-0.974], p < 0.001. Divergent validity showed weak correlations with the Physical Component Summary (PCS-T) (ρ = -0.211, p < 0.001) and moderate with the Mental Component Summary (MCS-T) (ρ = -0.462, p < 0.001).</p><p><strong>Conclusions: </strong>The M-MPAS-Br demonstrated excellent reliability, validity, and cultural adequacy, providing a brief and psychometrically robust tool for assessing MPA among Brazilian musicians. Its brevity supports its use as a screening instrument for the early identification of performance anxiety in clinical, educational, and large-scale research settings.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 3","pages":"120-129"},"PeriodicalIF":0.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin Mailly, Craig Turner, Justine Pelletier, Luis-Angel Rivera, Fabien Dal Maso, Felipe Verdugo
{"title":"The Right Fit Matters: A 12-Millimeter Narrower Keyboard per Octave Reduces Muscle Fatigue in Pianists with Smaller Hands.","authors":"Robin Mailly, Craig Turner, Justine Pelletier, Luis-Angel Rivera, Fabien Dal Maso, Felipe Verdugo","doi":"10.21091/mppa.2026.03010","DOIUrl":"https://doi.org/10.21091/mppa.2026.03010","url":null,"abstract":"<p><p>Muscle fatigue and smaller hand spans are considered important risk factors of injuries for pianists. The objective of the present study was to assess the effect of keyboard size and hand anthropometry on perceived exertion and the evolution of upper-limb muscle fatigue in 20 expert pianists performing a repetitive piano task, while controlling for performance parameters. Muscle fatigue was assessed using surface electromyography (EMG), including a high-density EMG grid placed on the right posterior forearm and wireless EMG sensors on the right upper-limb muscles. The myoelectric manifestation of fatigue was quantified using variations in the median EMG frequency at different time intervals throughout the task. All upper-limb muscles exhibited fatigue. Smaller hand size was found to be a contributing factor to increased perceived exertion and muscle fatigue in finger/wrist extensor muscles. When pianists with smaller hands played on a smaller keyboard (DS6.0 keyboard), perceived exertion decreased, the radial area of finger/wrist extensors showed fewer signs of fatigue, and playing speed (tempo) was faster toward the end of the task. The DS6.0 keyboard can help reduce muscle fatigue in pianists with smaller hands. However, as hand-size and keyboard-size effects were localized in different areas of the posterior forearm, the DS6.0 keyboard might reduce but not fully mitigate hand-size disparities between pianists.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 3","pages":"98-119"},"PeriodicalIF":0.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniela Abrantes Pinho, Sofia Rocha Lopez, Paula Clara Santos, Roberto Meroni, Cristina Carvalho Mesquita
{"title":"Prevalence and Associated Factors of Temporomandibular Symptom Reporting in Portuguese Professional Orchestral Musicians: A Cross-Sectional Study.","authors":"Daniela Abrantes Pinho, Sofia Rocha Lopez, Paula Clara Santos, Roberto Meroni, Cristina Carvalho Mesquita","doi":"10.21091/mppa.2026.03009","DOIUrl":"10.21091/mppa.2026.03009","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMDs) comprise a heterogeneous group of conditions affecting the temporomandibular joints, masticatory muscles, and related structures, and may influence both quality of life and professional performance. Professional musicians represent an occupational group exposed to combined physical and psychosocial demands that may increase vulnerability to temporomandibular symptoms.</p><p><strong>Objective: </strong>To determine the prevalence of temporomandibular symptom reporting and its association with socio-demographic and occupational factors, as well as health-related quality of life, among Portuguese professional orchestral musicians.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving 271 professional musicians from Portuguese orchestras. Data were collected using a self-administered questionnaire incorporating the Fonseca Anamnestic Index (FAI) and the SF-12v2 Health Survey, alongside sociodemographic and occupational variables. Descriptive statistics, chi-square tests, Student's t-tests, Mann-Whitney U tests, and multiple logistic regression analyses were performed with a significance level of p < 0.05.</p><p><strong>Results: </strong>Temporomandibular symptoms were identified in 61.6% of participants. Female musicians showed a significantly higher prevalence than males (77.4% vs 48.3%, p < 0.001). Younger musicians (18-29 years) presented the highest prevalence, whereas those aged over 50 years showed the lowest frequency. Part-time employment was associated with increased odds of symptom reporting (OR = 2.15, 95% CI: 1.07-4.31). No significant associations were observed with education level, instrument category, or weekly practice time. Musicians reporting temporomandibular symptoms demonstrated significantly lower physical and mental health scores on the SF-12v2 (p < 0.01).</p><p><strong>Conclusion: </strong>Temporomandibular symptoms are highly prevalent among professional orchestral musicians and are associated with demographic and occupational factors, as well as reduced health-related quality of life. These findings highlight the importance of preventive and multidisciplinary approaches addressing the occupational demands of orchestral performance.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 3","pages":"89-97"},"PeriodicalIF":0.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
François Tharin, Clara E James, Anne-Violette Bruyneel
{"title":"Patient-Reported Outcome Measures and Self-Management Strategies to Promote Health in Higher-Education Classical Music Performance Students: A Delphi Study.","authors":"François Tharin, Clara E James, Anne-Violette Bruyneel","doi":"10.21091/mppa.2026.03014","DOIUrl":"https://doi.org/10.21091/mppa.2026.03014","url":null,"abstract":"<p><strong>Objectives: </strong>Students in classical music performance in higher education frequently report playing-related musculoskeletal disorders (PRMDs) and psychological distress. Observational studies based on self-reported data suggest an association between these two health problems. This observation supports early multidimensional prevention. However, access to musician-specific health support remains limited. The aim of this study was to develop a consensus among experts, informed by input from music students and teachers (stakeholders), on the relevance/usefulness of Patient-Reported Outcome Measures (PROMs) and self-management strategies for music students, structured across four target domains: physical, psychocognitive, behavioral, and professional. A secondary aim was to identify relevant health-knowledge content and pedagogical modalities for prevention within the music curriculum.</p><p><strong>Methods: </strong>A Delphi study was conducted according to the Guidance on Conducting and Reporting Delphi Studies (CREDES) guidelines. The Delphi survey items were derived from a previous scoping review, which identified 42 PROMs and 97 self-management strategies for pre¬professional and professional musicians, and from relevance/usefulness ratings provided by music students and teachers. In Round 1, experts rated each item's relevance/usefulness on 5-point Likert scales. In Round 2, retained items and refined additional proposals were re-rated; consensus was defined as ≥50% of experts ranking an item among the top 50% most relevant/useful within their individual set of rated items.</p><p><strong>Results: </strong>Fourteen experts participated in Round 1 (4 clinicians, 2 researchers, 8 clinician-researchers) and 12 in Round 2. After two rounds, experts reached consensus on 10 PROMs, 30 self-management strategies (e.g., advice on physical exercise, individual work organization, and balance/postural control exercises), and 7 health-knowledge topics, spanning physical, psychocognitive, behavioral, and professional domains. Experts supported structured, curriculum-embedded delivery and formal academic credit at both Bachelor's and Master's levels.</p><p><strong>Conclusion: </strong>Numerous self-management strategies are considered relevant for improving health management in the daily lives of music students. The results highlight strong consensus in favor of incorporating PROMs-based health monitoring, health knowledge, and self-management strategies into higher-education music curricula to support music students' health management in daily life across physical, psychocognitive, behavioral, and professional domains.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 3","pages":"143-172"},"PeriodicalIF":0.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hand-Arm Vibration Exposures in Male Drummers: A Cross-Sectional Study.","authors":"Dylan Durward, Nadia R Azar","doi":"10.21091/mppa.2026.02006","DOIUrl":"10.21091/mppa.2026.02006","url":null,"abstract":"<p><p>Exposure to hand-arm vibration (HAV) is associated with the development of carpal tunnel syndrome (CTS), one of the most frequently reported playing-related musculoskeletal disorders (PRMDs) in drummers (i.e., percussionists who play the drum kit). Moderate levels of HAV exposure were previously reported for short durations of drumming (i.e., 3 minutes), but investigating HAV exposure under more realistic playing conditions is warranted. In this cross-sectional study, a triaxial accelerometer recorded HAV exposures while participants played three songs of their choosing (mean set duration: 12 ± 2 minutes). Daily vibration exposure 8-hour energy equivalent values [A(8)] were calculated as per the International Organization for Standardization 5349-1:2001 standard based on the participants' self-reported typical daily playing time. These were compared to the American Conference of Governmental Industrial Hygienists action limit (AL: 2.5 m/s2) and threshold limit value (TLV: 5.0 m/s2) for HAV exposure. Twelve male drummers registered mean A(8) values that were significantly larger than both the AL and TLV (left hand: 8.5 m/s2; right hand: 10.1 m/s2; p ≤ 0.02). All participants' A(8) values exceeded the AL in at least one hand; 11 of them exceeded it in both hands. Nine participants exceeded the TLV in both hands. HAV exposures of these magnitudes are likely to contribute to the development of CTS and other PRMDs. Further analyses incorporating more diverse playing scenarios, musical genres, sexes/genders, and drummer skill levels would further advance understanding of HAV exposure during drumming. This enhanced knowledge will promote greater understanding of the etiology of PRMDs in this population and will facilitate the development of strategies to reduce drummers' risk of developing PRMDs associated with HAV exposure.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 2","pages":"55-65"},"PeriodicalIF":0.9,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne-Violette Bruyneel, François Tharin, Clara E James
{"title":"Postural Strategies in Standing Violin Performance: An Observational Study.","authors":"Anne-Violette Bruyneel, François Tharin, Clara E James","doi":"10.21091/mppa.2026.02007","DOIUrl":"10.21091/mppa.2026.02007","url":null,"abstract":"<p><strong>Objective: </strong>This study examined how standing violinists regulate postural balance when several conditions are varied, including playing posture, weight of the instrument, technical and physical difficulty of the musical piece, and presence or absence of a musical score. It also examined whether imagining playing an easy or difficult piece affects their postural control.</p><p><strong>Methods: </strong>This observational study included 16 violin students from a music university (age 21 yrs, SD 4). Postural control was assessed using two stabilometric platforms (frequency 100 Hz). Nine conditions were tested: standard standing; violin posture without/with instrument; motor imagery of an easy and a difficult piece without/with instrument; playing of an easy and a difficult piece, with/without a music stand. Center of pressure (CoP) parameters were extracted, and weight distribution asymmetry was calculated. Depending on data characteristics, either parametric or non-parametric statistical tests were conducted to compare conditions.</p><p><strong>Results: </strong>Compared with the standard standing position, the violin posture without the instrument and the posture with violin and bow showed a significant decrease in CoP sway area (p ≤ 0.010). All violin playing conditions induced a significant increase in CoP parameters (sway area, total, anteroposterior, and mediolateral displacements) compared with the other conditions (p ≤ 0.036). Postural demand was greater for the difficult piece than for the easy one. Motor imagery of violin playing did not increase postural control demands compared with non-playing conditions.</p><p><strong>Conclusion: </strong>Playing the violin, whether performing an easy or a difficult piece, places substantial demands on postural control. Preventive standing balance exercises for violinists may help reduce the risk of early fatigue and playing-related pain. In the presence of injury, motor imagery can be safely employed to maintain violin training, as it does not impose high demands on postural control.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 2","pages":"66-76"},"PeriodicalIF":0.9,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surface Electromyography Measures of Muscle Activity in the Abdomen, Thorax, and Neck in Professional Trumpet Players.","authors":"Alexandra Türk-Espitalier, Matthias A Burzler","doi":"10.21091/mppa.2026.02008","DOIUrl":"10.21091/mppa.2026.02008","url":null,"abstract":"<p><strong>Background: </strong>Trumpet playing requires precise embouchure, breath control, and postural support, engaging facial and respiratory muscles as well as muscles within the abdomen, thorax, and neck. Research on muscle activity during trumpet playing focuses mainly on embouchure and its involved facial muscles, whereas studies investigating torso muscles are scarce.</p><p><strong>Methods: </strong>In this observational study, the activity of the abdominal, thoracal, and neck muscles of 24 male professional trumpet players between 20-45 years of age were measured with surface electromyography (sEMG) during playing. Electrodes were positioned on the m. rectus abdominis, m. obliquus externus, m. obliquus internus, mm. intercostales, m. pectoralis major, m. trapezius pars descendens, and m. sternocleidomastoideus. All participants played the same musical tasks. Markers were set at three representative places of expected low (G4) and high (B5 and C#6) activity.</p><p><strong>Results: </strong>In the deep abdominal and intercostal muscles, activity was remarkably high during high and loud notes (m. obliquus internus: 94.91% (34.05) mean (SD), m. obliquus externus: 89.12% (36.74), mm. intercostales 85.24% (45.82) of MVIC during ff B5), whereas the m. rectus abdominis worked only with a medium effort of 57.99% (34.19) of MVIC during that same task. Muscle activity was significantly higher during high and loud notes than in low notes (p < 0.001). When comparing isolated with concatenated notes, smaller peak values of abdominal muscle activity were recorded in concatenated notes played in musical context than in isolated tones. Neck muscles also presented significant differences in activity between high and low notes, but with generally only a medium high activity throughout all measures and regardless of the playing task.</p><p><strong>Conclusion: </strong>This study provides valuable insights into the muscular demands of the torso and neck muscles during trumpet playing and can be beneficial for performers and trumpet pedagogues.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 2","pages":"77-88"},"PeriodicalIF":0.9,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and Treatment of Guitar-Related Medical Problems: A Systematic Review of Clinical Studies.","authors":"Tae-Hun Kim, Jung Won Kang, Hee Yeon Kim","doi":"10.21091/mppa.2026.01003","DOIUrl":"10.21091/mppa.2026.01003","url":null,"abstract":"<p><strong>Aims: </strong>As the number of professional and amateur guitarists continues to grow, there is a need to summarize the clinical evidence on the prevalence and treatment of this population. This systematic review aimed to provide an overview of the diseases and symptoms affecting guitarists and the available treatments.</p><p><strong>Methods: </strong>Published clinical studies, ranging from case reports to systematic reviews, addressing medical problems among guitarists were systematically searched in PubMed, EMBASE, and the Cochrane Library up to June 2025. A proportion meta-analysis was conducted to estimate the prevalence of these conditions, and the treatment evidence was summarized.</p><p><strong>Results: </strong>Among 1,001 publications identified from the literature search, a total of 42 clinical studies were included in this review, including case studies, observational studies, and randomized controlled trials. Guitarists were found to have a high prevalence of musculoskeletal pain (0.56, 95% confidence interval [0.26 to 0.84]) and psychological problems. Guitarists' musculoskeletal pain was potentially related to the long practice duration and inappropriate posture while playing. Various invasive and noninvasive treatment options are available for dystonia in guitarists, but clinical evidence of their effectiveness and safety has not yet been established. Moreover, there were some publications on rare conditions, which should be assessed from the perspective of therapeutic options and prevention in future research.</p><p><strong>Discussion: </strong>Guitarists are at notable risk of physical and psychological conditions. Therefore, preventative education and train¬ing are necessary. In addition, clinical evidence for treating these diseases remains inconclusive, and well-designed clinical studies for various interventions are necessary in the future. [Protocol: INPLASY202560088].</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 1","pages":"16-35"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring Breathing During Ballet Performance: A Case Report.","authors":"Akito Miura, Natsuko Oshima, Mao Fujimuro, Azusa Yokoyama, Haruka Okuyama, Takahide Etani","doi":"10.21091/mppa.2026.01002","DOIUrl":"10.21091/mppa.2026.01002","url":null,"abstract":"<p><p>Literature on renowned classical ballet dancers and educators highlights the importance of breathing in dancing. The purpose of this case study was to explore the feasibility of investigating the underexplored relationship between breathing and dance movements. The participant, a 25-year-old female professional classical ballet dancer, performed ballet choreography requiring significant stamina and pointe technique. Her breathing sounds and video footage were recorded simultaneously using two smartphones. The timings of breathing and kinematic events were identified in the two segments. In both segments, the respiratory rate was approximately 60 breaths/minute, suggesting that breathing may be finely controlled in ballet. In the first segment, breathing occurred at a steady rhythm, and no clear coupling between breathing and movement phases was observed. In the second segment, the rhythms of turns and breathing appeared to be coupled, suggesting possible coordination between breathing and movement. These exploratory findings provide a basis for future research on breathing during ballet performance.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"41 1","pages":"10-15"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}