Medical problems of performing artists最新文献

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Low Self-Esteem and Music Performance Anxiety Can Predict Depression in Musicians. 低自尊和音乐表演焦虑可以预测音乐家的抑郁。
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-12-01 DOI: 10.21091/mppa.2022.4031
Christine Sickert, Jan Philipp Klein, Eckart Altenmüller, Daniel S Scholz
{"title":"Low Self-Esteem and Music Performance Anxiety Can Predict Depression in Musicians.","authors":"Christine Sickert,&nbsp;Jan Philipp Klein,&nbsp;Eckart Altenmüller,&nbsp;Daniel S Scholz","doi":"10.21091/mppa.2022.4031","DOIUrl":"https://doi.org/10.21091/mppa.2022.4031","url":null,"abstract":"<p><strong>Background: </strong>Music performance anxiety (MPA) is an issue concerning musicians from all levels but is still a rather neglected topic in the education and employment of musicians. This study investigated the link between self-esteem, MPA, and depression within a German-speaking sample of musicians of different professions. The underlying question of this study was generated during psychotherapy treatment of musicians with depression and MPA. Thus, we investigated whether musicians with low self-esteem had MPA or depression.</p><p><strong>Methods: </strong>An online questionnaire on self-esteem, performance anxiety, and depression was sent to a sample (n=295) of German musicians of different professions and levels of education. The assessment tools in the online questionnaire included the Rosenberg-Self-Esteem-Scale, the Kenny Music-Performance-Anxiety-Inventory, and the Beck-Depression-Inventory.</p><p><strong>Results: </strong>Music students had a significantly lower self-esteem scores compared to employed professionals and amateurs and a higher MPA compared to employed musicians. Regression analyses showed a significant prediction of depression by self-esteem and MPA. Specifically, low self-esteem and the cognitive and behavioral aspects of MPA were significant predictors of depression. Partial mediation by MPA between self-esteem and depression was found.</p><p><strong>Conclusion: </strong>Low self-esteem and MPA could predict depression. The scores of the entire sample of musicians regarding their MPA and depression were higher than in the general German population. These results highlight the importance of education and removal of negativity regarding performance anxiety in order to improve psychotherapy methods and ensure musicians' health in general.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"213-220"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457544","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}
引用次数: 4
Musculoskeletal Symptoms in Brazilian University Drummers and Percussionists: A Cross-Sectional Study. 巴西大学鼓手和打击乐手的肌肉骨骼症状:一项横断面研究
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-12-01 DOI: 10.21091/mppa.2022.4033
Fernando Dos Souza, Isabel Ap Walsh, Thiago M Queiroz, Luciane Frm Fernandes, Daniel Fm Lobato
{"title":"Musculoskeletal Symptoms in Brazilian University Drummers and Percussionists: A Cross-Sectional Study.","authors":"Fernando Dos Souza,&nbsp;Isabel Ap Walsh,&nbsp;Thiago M Queiroz,&nbsp;Luciane Frm Fernandes,&nbsp;Daniel Fm Lobato","doi":"10.21091/mppa.2022.4033","DOIUrl":"https://doi.org/10.21091/mppa.2022.4033","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the number of university drummers and percussionists in Brazil has been increasing. Extensive instrumental practice and repetitive rehearsals are related to the presence of musculoskeletal symptoms among many of these percussion instrumentalists (e.g., repique, tambourine, agogô, rattle, surdo, and snare drums). Musculoskeletal injuries increase the costs of medical exams and treatment in percussionists.</p><p><strong>Objective: </strong>The present study aimed to analyze the prevalence of musculoskeletal symptoms in Brazilian university drummers and percussionists.</p><p><strong>Method: </strong>An electronic survey addressing demographic features and musculoskeletal signs and symptoms was distributed via social media to university drummers and percussionists in Brazil from July to November 2021. The target sample included university drummers and percussionists over age 18 years, with no gender restrictions, more than 6 months of instrumental practice, and either enrolled in undergraduate studies for more than 1 year or completed undergraduate studies less than 1 year ago. The prevalence and severity of musculoskeletal signs and symptoms were analyzed by body region using the adapted Nordic Musculoskeletal Questionnaire.</p><p><strong>Results: </strong>A total of 103 responses were collected from 2,640 emails sent (3.9% response rate with a 99% completion rate). Sixty participants were female (58.25%). A high frequency of pain and discomfort was reported among the students when participating in battery activities (85.58%). In the last 6 months, wrist/hand was the most involved region (50%), followed by the lower back (45.19%) and shoulders (39.42%). In the last 7 days, the three areas most affected areas when participants were active on the drums were the wrists/hands (75%), shoulders (51.92%), and upper back (33.65%).</p><p><strong>Conclusion: </strong>Most Brazilian university drummers and percussionists had experienced musculoskeletal pain. This pain may be related to repetitive movements, inadequate postures, or use of excessive force during performance and practice.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"221-227"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458305","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}
引用次数: 1
Workplace Social Capital as Buffer for Emotional Demands and Perceived Stress in Symphony Orchestras: A Danish Cross-Sectional Survey. 工作场所社会资本作为交响乐团情绪需求和感知压力的缓冲:丹麦横断面调查。
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3026
Jesper Pihl-Thingvad, Tine Taulbjerg Kristensen, Helene M Paarup, Jesper Baelum, Kirsten K Roessler
{"title":"Workplace Social Capital as Buffer for Emotional Demands and Perceived Stress in Symphony Orchestras: A Danish Cross-Sectional Survey.","authors":"Jesper Pihl-Thingvad,&nbsp;Tine Taulbjerg Kristensen,&nbsp;Helene M Paarup,&nbsp;Jesper Baelum,&nbsp;Kirsten K Roessler","doi":"10.21091/mppa.2022.3026","DOIUrl":"https://doi.org/10.21091/mppa.2022.3026","url":null,"abstract":"<p><strong>Introduction: </strong>High workplace social capital (WSC) is associated with improved occupational health in the common occupational areas. However, little is known on WSC and its effect on the emotional demands and stress seen in the work of classical symphonic musicians.</p><p><strong>Aim: </strong>To investigate whether WSC moderates the associations between emotional demands and stress in the professional musicians working in Danish symphony orchestras.</p><p><strong>Methods: </strong>This cross-sectional study builds on existing data collected on a sample of 341 Danish classical symphonic musicians. An interaction model based on multiple regression with bias corrected boot-strapping was used to assess the moderating effect of low, medium and high levels of WSC on the association between emotional demands and perceived stress.</p><p><strong>Results: </strong>WSC had a significant moderating effect on the association between emotional demands and perceived stress: b = -0.01, t(212) = -2.40, p = 0.018. At low levels of WSC the effect of emotional demands on stress was strongest, declining at higher levels of WSC in a dose response pattern: low-WSC, b = 0.23, t(212) 3.20, p = 0.002, medium-WSC, b = 0.11, t(212) = 2.40, p = 0.017, and high-WSC, b = 0.04, t(212) = 0.75, p = 0.455.</p><p><strong>Conclusion: </strong>The study indicates a buffering effect of WSC on the association between emotional demands and stress in the work of orchestra musicians. Thus, enhancement of WSC could be a potential stress-preventing strategy in symphony orchestras and should be investigated in future studies on musicians' mental health.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"192-199"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341772","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}
引用次数: 0
Bow-Side Kinematics Studies in Violinists: An Experimental Design Tracking Intra- and Inter-Musician Variability by Bow Stroke, String Played, and Tempo. 小提琴家弓侧运动学研究:一个实验设计跟踪内部和音乐家之间的变化,弓的笔划,弦演奏,和速度。
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3020
Benjamin Michaud, Mickaël Begon, Sonia Duprey
{"title":"Bow-Side Kinematics Studies in Violinists: An Experimental Design Tracking Intra- and Inter-Musician Variability by Bow Stroke, String Played, and Tempo.","authors":"Benjamin Michaud,&nbsp;Mickaël Begon,&nbsp;Sonia Duprey","doi":"10.21091/mppa.2022.3020","DOIUrl":"https://doi.org/10.21091/mppa.2022.3020","url":null,"abstract":"<p><p>Comparison of bow-side kinematics in violinists is hindered by the scarcity of studies available. This makes meta-analysis impossible. This paper assesses the effect of music-based variables (bow stroke, tempo, and string played) on intra- and inter-participant variability in joint kinematics. The joint kinematics of nine high-level violinists were acquired via a motion capture system while they played a standardized piece of music involving contrasting bow strokes and strings at different tempi. Results were compared using linear mixed models using the root mean square (RMS) for each joint. We found highly individualized patterns of play, deduced from a low intra- but high inter-musician variability (4.2° vs 13.1° of normalized RMS) in joint kinematics. String played and bow stroke had the greatest effect on joint kinematics. The string played had the greatest impact on shoulder kinematics, and the bow stroke had the greatest impact on elbow and wrist kinematics. Based on these results, we propose guidelines for future research designed to study bow kinematics in the field of biomechanics of violin movements. For ease of comparison between studies and to limit the time and resources required, our main suggestions are to use repeated measures designs with a legato reference condition and to choose pieces of music spanning multiple strings.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"135-142"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40343889","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}
引用次数: 2
Knowledge Platform and Theoretical Basic Course About Embouchure and Embouchure Problems in Brass: Special Symposium of the Nederlandse Vereniging voor Dans- en Muziekgeneeskunde (NVDMG), Ede, The Netherlands, December 3, 2021 铜的口部及口部问题的知识平台及理论基础课程:Nederlandse Vereniging vovodans - en Muziekgeneeskunde (NVDMG)专题研讨会,Ede,荷兰,2021年12月3日
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3027
K. H. Woldendorp
{"title":"Knowledge Platform and Theoretical Basic Course About Embouchure and Embouchure Problems in Brass: Special Symposium of the Nederlandse Vereniging voor Dans- en Muziekgeneeskunde (NVDMG), Ede, The Netherlands, December 3, 2021","authors":"K. H. Woldendorp","doi":"10.21091/mppa.2022.3027","DOIUrl":"https://doi.org/10.21091/mppa.2022.3027","url":null,"abstract":"On Friday, December 3, 2021, the Dutch Performing Arts Medicine Association (NVDMG) organized the first “Knowledge Platform Symposium About Embouchure and Embouchure Problems in Brass,” at Akoesticum in Ede, The Netherlands. The intention of this symposium was to create\u0000 a bridge between the brass world (brass players and brass pedagogues of several Dutch and Belgian conservatories) and physicians and therapists active in the treatment of embouchure problems. In the afternoon a “Theoretical Basic Course” about this topic was organized about the\u0000 fundamentals of embouchure and how to observe in a structural way at the individual embouchure.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45500709","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}
引用次数: 0
Marker-Based Method for Analyzing the Three-Dimensional Upper Body Kinematics of Violinists: Reproducibility. 基于标记的小提琴手上半身三维运动分析方法:再现性。
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3025
Eduard Wolf, Dirk Möller, Nikolaus Ballenberger, Karsten Morisse, Christoff Zalpour
{"title":"Marker-Based Method for Analyzing the Three-Dimensional Upper Body Kinematics of Violinists: Reproducibility.","authors":"Eduard Wolf,&nbsp;Dirk Möller,&nbsp;Nikolaus Ballenberger,&nbsp;Karsten Morisse,&nbsp;Christoff Zalpour","doi":"10.21091/mppa.2022.3025","DOIUrl":"https://doi.org/10.21091/mppa.2022.3025","url":null,"abstract":"<p><strong>Background: </strong>Recently, Wolf et al. proposed a novel, marker-based method to analyze the three-dimensional upper-body kinematics of high string players for clinical application. The method provides an objective evaluation of high string players' motor strategies, especially in the shoulder complex, by distinguishing between the scapulothoracic (ST) and glenohumeral (GH) joints, while minimizing skin movement artifacts, marker occlusions, and limitations due to instrument placement. Nevertheless, reproducibility of kinematic measurements is crucial for clinical applications. The aim of this study was to assess the method's reproducibility in terms of reliability and repeatability.</p><p><strong>Methods: </strong>One healthy professional violinist underwent a total of nine bowing trials in three different laboratory sessions. Each trial was conducted by one of two different examiners. A biomechanical model was applied to motion capture data of the pelvis, thorax, spine, and head, as well as both upper limbs (consisting of the scapula, upper arm, forearm and hand). Reproducibility was assessed by calculating inter- and intra-tester, inter-session, and intra-subject measurement errors for each rotational degree of freedom in the upper-body segments and joints.</p><p><strong>Findings: </strong>Small measurement errors were accepted to be good indicators for reproducibility. Intra- and inter-tester errors were found to be small (< 3° for the most part). Both inter-session and intra-subject repeatability were found to be larger (< 5° for the most part).</p><p><strong>Interpretation: </strong>This study generally showed the novel, marker-based method to have good reproducibility for a healthy violinist. This indicates that the proposed method is a reliable tool for quantifying upper-body movements during violin playing across subjects, examiners, laboratories, and motion capture systems.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"176-191"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341771","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}
引用次数: 0
Psychological Changes of Music and Fine Arts Students in the Education Process: A Comparative Longitudinal Study. 音乐与美术专业学生在教育过程中的心理变化:一项比较纵向研究。
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3024
Meltem Akdemir, Yonca Sönmez, Fırat Köse, Yeşim Yiğiter Şenol, Erol Gürpınar, Mehmet Rıfkı Aktekin
{"title":"Psychological Changes of Music and Fine Arts Students in the Education Process: A Comparative Longitudinal Study.","authors":"Meltem Akdemir,&nbsp;Yonca Sönmez,&nbsp;Fırat Köse,&nbsp;Yeşim Yiğiter Şenol,&nbsp;Erol Gürpınar,&nbsp;Mehmet Rıfkı Aktekin","doi":"10.21091/mppa.2022.3024","DOIUrl":"https://doi.org/10.21091/mppa.2022.3024","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to determine the changes in psychological distress, anxiety, and depressive symptoms in students from the fine arts faculty in the first 2 years of their education in Turkey, in comparison with students from other faculties, and to reveal the causes of psychological distress, anxiety, and depression in fine arts students.</p><p><strong>Methods: </strong>The General Health Questionnaire (GHQ-12), Beck Depression Inventory (BDI), and Spielberger State-Trait Anxiety Inventory (STAI) were applied to students from Faculty of Fine Arts and the Faculties of Economics and Sport Sciences (controls) in the first week of the 2017-2018 academic year. Students also completed a questionnaire measuring their possible stressful life events (at timepoint T1). The process was repeated for the same students in the second year (T2). The changes between the two time¬points were examined prospectively.</p><p><strong>Results: </strong>A total of 96 fine arts students agreed to participate at T1 and 66 at T2 (68.8%); for the controls, it was 259 at T1 and 182 (70.3%) at T2. The fine arts students at T1 included 15 music majors, 45 cinema and television, and 36 handi¬crafts, sculpture, and painting. Their average age at T1 was 21.0 yrs (SD 5.8) and 54.2% were male; for the other students, it was 19.4 yrs (2.7) and 56.0% male. Fine arts students' GHQ-12 score averages increased significantly from T1 to T2 (11.7 to 14.3, p=0.002). Their BDI score averages increased from 10.3 to 12.3 (p=0.044). Moreover, their S-Anxiety score averages increased from 41.1 at T1 to 44.1 at T2 (p=0.008). However, the increase in T-Anxiety scores was not statistically significant. None of the control students' test scores varied between the two timepoints (p>0.05). At T2, for fine arts students, there was no significant difference between female and male students in terms of GHQ-12, BDI, and S-Anxiety scores. However, T-anxiety scores were higher in female students. By linear regression analysis, \"worrying about the future (individual)\" was found to be a determinant on all scale scores in fine arts students.</p><p><strong>Conclusion: </strong>The psychological indicators increased significantly in fine arts students during the first year of their education.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"165-175"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40343892","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}
引用次数: 1
Components of Pre-professional/Adolescent Dance Screens: What Should We Include? 学前教育/青少年舞蹈屏幕的组成部分:我们应该包括什么?
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3028
Shaw Bronner
{"title":"Components of Pre-professional/Adolescent Dance Screens: What Should We Include?","authors":"Shaw Bronner","doi":"10.21091/mppa.2022.3028","DOIUrl":"https://doi.org/10.21091/mppa.2022.3028","url":null,"abstract":"<p><p>Increasingly, best practice in dance healthcare includes preseason screening. But do preseason screenings give us useful information? Can they provide assessment of injury risk? Can we use a common screen for all athletes or need ones specific to dancers? What is the purpose of screening and what tests are appropriate for adolescent dancers? In this editorial, I make recommendations based on over 20 years of experience screening pre-professional and professional dancers.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"209-212"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341774","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}
引用次数: 0
Incidence, Mechanisms, and Characteristics of Injuries in Pole Dancers: A Prospective Cohort Study. 钢管舞者受伤的发生率、机制和特征:一项前瞻性队列研究。
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3022
J Nicholas, G Weir, J A Alderson, J H Stubbe, R M van Rijn, J A Dimmock, B Jackson, C J Donnelly
{"title":"Incidence, Mechanisms, and Characteristics of Injuries in Pole Dancers: A Prospective Cohort Study.","authors":"J Nicholas,&nbsp;G Weir,&nbsp;J A Alderson,&nbsp;J H Stubbe,&nbsp;R M van Rijn,&nbsp;J A Dimmock,&nbsp;B Jackson,&nbsp;C J Donnelly","doi":"10.21091/mppa.2022.3022","DOIUrl":"https://doi.org/10.21091/mppa.2022.3022","url":null,"abstract":"<p><strong>Objective: </strong>Pole dancing is a challenging physical activity. Prospective injury studies in pole dancing are lacking. The aim of this study was to describe the incidence, mechanisms, and characteristics of injuries in pole dancers.</p><p><strong>Methods: </strong>A total of 66 pole dancers from 41 studios across Australia were prospectively followed over 12 months. An intake questionnaire was administered including items on pole dancers' demographics and training characteristics. Exposure was assessed using a daily online training diary. Self-reported injury data were collected via an incident report form and subsequently coded using the Orchard Sports Injury Classification System. Injuries occurring during pole-specific and pole-related activities were included in the analyses.</p><p><strong>Results: </strong>The sample included 63 females and 3 males, mean age 32.3 ± 8.9 years and mean pole training experience 3.5 ± 2.8 years. 25 of 66 participants completed the full study. The 1-year incidence of all new injuries was 8.95/1,000 exposure hours (95% CI 6.94 - 10.96), 7.65/1,000 hrs (95% CI 5.79 - 9.51) for pole-specific injuries and 1.29/1,000 hrs (95% CI 0.53 - 2.06) for pole-related injuries. A total of 103 injuries occurred, 62.1% of which were sudden onset and 37.9% gradual onset. Mechanism of onset included 54.4% acute and 45.6% repetitive in nature. Shoulder (20.4%) and thigh (11.7%, majority ham¬string) were the most reported anatomic injury sites. Non-contact mechanisms accounted for the majority of injuries (57.3%). The most reported primary contributor to injury onset at the shoulder were manoeuvres characterised by loaded internal humeral rotation (33.3%), and at the hamstring were manoeuvres and postures involving front splits (100.0%).</p><p><strong>Conclusion: </strong>The findings indicate that pole dancers are at high risk for injuries. Future research is needed to understand the biomechani¬cal demand of manoeuvres and training characteristics of pole dancing (e.g., workload and recovery) to guide the development of preventative interventions, particularly targeted toward the shoulder and hamstring.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"151-164"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40343891","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}
引用次数: 3
Musicians Focal Dystonia: The Practitioner's Perspective on Psychological, Psychosocial, and Behavioural Risk Factors and Non-motor Symptoms. 音乐家局灶性肌张力障碍:从业者对心理、社会心理和行为风险因素和非运动症状的看法。
IF 0.9 4区 医学
Medical problems of performing artists Pub Date : 2022-09-01 DOI: 10.21091/mppa.2022.3023
Anna Détári, Hauke Egermann
{"title":"Musicians Focal Dystonia: The Practitioner's Perspective on Psychological, Psychosocial, and Behavioural Risk Factors and Non-motor Symptoms.","authors":"Anna Détári,&nbsp;Hauke Egermann","doi":"10.21091/mppa.2022.3023","DOIUrl":"https://doi.org/10.21091/mppa.2022.3023","url":null,"abstract":"<p><p>Musician's focal dystonia (MFD) is a painless, task-specific neurological movement disorder that impairs fine motor control when playing an instrument. The pathophysiology is not fully understood, and while the available treatment strategies can help with improving motor control, they are rarely able to fully and reliably rehabilitate playing skills. Recent studies suggest that apart from genetic factors, maladaptive neuroplasticity, and the repetitive nature of the instrumental technique, psychosocial, psychological, and behavioural factors might also play a role in the onset of MFD. However, the presence of some of these risk factors is supported primarily by anecdotal evidence, with only a few aspects examined empirically. To explore this area further, 14 semi-structured interviews were conducted with a convenience sample of practitioners (8 medical professionals and 6 musician-coaches) who frequently treated MFD sufferers. Throughout their career, these participants are estimated to have interacted with more than 2,000 musicians with MFD, creating a large, indirect sample. A detailed patient profile emerged from the data with three main components: 1) the negative impact of social environments, including traumatic experiences and low quality of instrumental teaching; 2) a perfectionist, anxious, overly sensitive, and acquiescent personality type; and 3) obsessive, controlling, and inadequate practice behaviours. Participants stated MFD needs to be treated holistically and that neglecting these aspects during treatment could jeopardise rehabilitation. Further objective, controlled research trials are needed to describe these factors in detail, quantify their potential impact as risk factors, and understand how they might hinder therapy.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"200-206"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341773","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}
引用次数: 3
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