Medical problems of performing artists最新文献

{"title":"Ukrainian Performing Artists Inspire.","authors":"S. Bronner","doi":"10.21091/mppa.2022.2019","DOIUrl":"https://doi.org/10.21091/mppa.2022.2019","url":null,"abstract":"Russia invaded the Ukraine on February 24, 2022. The atrocities perpetuated by invading Russian soldiers seized the world's attention in images captured by photojournalists on the ground in Bucha, Ukraine, in April 2022. We cannot look away. We must remember. Justice must prevail. … At the 2022 Grammy awards ceremony on April 3rd, President Zelensky introduced singer/songwriter John Legend, who performed with three Ukrainian artists. A masterful speech writer/performing artist in his own right, Zelensky began by saying \"The War … what is more opposite to music? …\".","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 2 1","pages":"133"},"PeriodicalIF":0.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43926529","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":"Association Between Neck Pain, Range of Motion, and Proprioception in Elite Female International Standard Dancers: A Case-Control Study.","authors":"Huixuan An, Zhengquan Chen, Jianhua Lin, D. El-ansary, R. Adams, J. Witchalls, Jia Han","doi":"10.21091/mppa.2022.1004","DOIUrl":"https://doi.org/10.21091/mppa.2022.1004","url":null,"abstract":"BACKGROUND\u0000Neck pain is common in dancers, especially female dancers, and the injury pattern varies in different genres of dance. Among dancesport performers, intensive neck left rotation is required in female International Standard dancers, but it is unknown whether neck pain is associated with neck rotation range of motion and proprioception.\u0000\u0000\u0000OBJECTIVES\u0000To explore the associations between neck pain, cervical rotation range of motion, and proprioception in female International Standard dancers.\u0000\u0000\u0000METHODS\u0000Twelve dancers with dance-related neck pain (age 19.9±1.9 yrs) volunteered, matched with 12 not reporting neck pain (age 22.2±2.4 yrs). A 100-mm visual analog scale (VAS) was used to record neck pain. Active rotation range of motion (AROM) of the cervical spine was measured using a tape measure. A cervical rotation reposition test that used a head-mounted laser projector on a linear scale was employed to measure the cervical spine proprioception, and the absolute error (AE) and variable error (VE) were calculated as proprioceptive acuity scores.\u0000\u0000\u0000RESULTS\u0000Nine of 12 participants in the group with neck pain declared left side pain, with 2 reporting pain on both sides. The group with neck pain had significantly lower left rotation AROM (p<0.05). For proprioceptive acuity, mixed model ANOVA only showed that repositioning of the right side of the neck is more accurate and consistent than that of the left (both AE and VE p<0.05). Linear regression analysis indicated that left rotation AROM was significantly influenced by left neck pain (t=3.061, p=0.006, adjusted R2 = 0.267, and Durbin-Watson value = 1.776).\u0000\u0000\u0000CONCLUSIONS\u0000Most participants in the group with neck pain showed left side pain, associated with decreased left rotation AROM. Early screening on cervical rotation mobility may be necessary to reduce future dance-related injury after the onset of neck pain. Proprioceptive acuity of the left side neck was significantly impaired compared with that of the right, indicating future proprioceptive intervention on the left side neck.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"30-36"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41465101","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":"Quadratus Femoris Tendinopathy as an Underreported Cause of Groin Pain: Case Report.","authors":"Lurdes Rovisco Branquinho, João Páscoa Pinheiro","doi":"10.21091/mppa.2022.1008","DOIUrl":"https://doi.org/10.21091/mppa.2022.1008","url":null,"abstract":"Groin pain is a cause of mobility impairment, and its diverse presentation can make the diagnosis difficult. Quadratus femoris muscle tendinopathy is a poorly described etiology, but its diagnosis is important for the success of the therapeutic program. The authors present the case of an 18-year-old woman who complained of chronic pain in the left inguinal region due to regular ballet practice. Physical examination revealed restriction in the left hip medial rotation. Ultrasound and radiographic studies were normal. Magnetic resonance imaging showed asymmetry in the signal intensity of the quadratus femoris muscle. The patient improved significantly after a rehabilitation program that included quadratus femoris muscle-specific exercises. Diagnostic accuracy and an understanding of segmental biomechanics ensure greater effectiveness in the therapeutic approach.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"67-70"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47363542","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":"Differences in Foot Characteristics Between Bharatanatyam Dancers and Age-Matched Non-Dancers.","authors":"R. Mullerpatan, Juhi K Bharnuke","doi":"10.21091/mppa.2022.1009","DOIUrl":"https://doi.org/10.21091/mppa.2022.1009","url":null,"abstract":"INTRODUCTION\u0000The ankle-foot complex is the third most common site of pain in Indian dancers. In Bharatanatyam dance, rhythmic stamping performed barefoot at varying speeds may influence the height of the medial longitudinal arch, causing structural alteration of the ankle-foot complex. As little information is available on the ankle-foot complex of Bharatanatyam dancers, the present study was conducted to test the hypothesis that foot characteristics of Bharatanatyam dancers differ from those of non-dancers.\u0000\u0000\u0000METHODS\u0000Female professional Bharatanatyam dancers (n=21), aged 18-30 years, with a minimum of 8 years of performance experience after completing formal dance training, and 21 control non-dancers participated in this study. Physical foot examination included navicular drop test and Feiss line. Foot geometry and pedobarography were recorded as participants walked barefoot at self-selected walking pace over a pressure-platform. An average of five gait cycles was computed to analyse maximum peak pressure (MPP), pressure time integral, contact time, and foot geometry of the midfoot, forefoot, great toe, and second to fifth toes. Analysis of covariance was performed for intergroup comparison of all variables with gait speed as a covariate.\u0000\u0000\u0000RESULTS\u0000During walking, dancers presented a higher medial-longitudinal-arch, wider midfoot, and wider forefoot (cm) (p<0.001), indicating an over-pronated foot due to lower medial longitudinal arch height. Total plantar peak pressure (kPa) was 37% higher among dancers, whereas MPP was 24% higher on midfoot and 13% higher on forefoot, indicating greater plantar loading during walking.\u0000\u0000\u0000CONCLUSION\u0000Greater plantar loading and an over-pronated foot during the most commonly performed weight-bearing activity of daily living (e.g., walking) explain the common prevalence of ankle and foot pain among dancers. These findings will inform clinicians and Bharatanatyam dancers on dancer's foot function and guide strategies for prevention and management of foot pain.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"53-57"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48693088","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":"Development of the Dance Fitness Indicator©: A High-Intensity Dance Fitness Test: A Preliminary Study.","authors":"Kate Rogan, M. Wyon","doi":"10.21091/mppa.2022.1005","DOIUrl":"https://doi.org/10.21091/mppa.2022.1005","url":null,"abstract":"OBJECTIVE\u0000The aim of this study was to develop a contemporary dance technique-specific, high-intensity dance fitness test and carry out preliminary testing into measuring the physiological intensity and reliability. The choreography of the Dance Fitness Indicator© (DFI©) is based upon Humphrey/Limón, Graham, and Cunningham techniques and includes dance elements that relate to fitness elements, that increase in intensity over four levels designed to observe changes in heart rate (HR) and rate of perceived exertion (RPE) as the DFI© progresses. Each level lasts for 4 minutes, 16 seconds, with a 1-minute rest between each level; the full DFI lasts for 20 minutes, 12 seconds.\u0000\u0000\u0000METHODS\u0000Twelve contemporary dancers (9 females, age 24±6.86 yrs; 3 males, age 20±0.58 yrs) were taught the DFI© in a familiarization session before undertaking two test trials, within a 1-week period. Dependent variables to measure intensity were heart rate (HR), rate of perceived exertion (RPE), and blood lactate (BLa).\u0000\u0000\u0000RESULTS\u0000Data for level 4 during test 1 and test 2, respectively, were: HR 184±16.79 bpm vs 187±16.18 bpm; RPE 17 ±2.43 vs 17 ±2.12; and BLa 8.9 ±2.71 mmol/L vs 9.1±2.41 mmol/L. Reliability was calculated by determining the coefficient of variation from paired samples t-tests between test 1 and test 2, which demonstrated consistency/good reliability (<5%) for end BLa (3.2%), HR (1.7%), and RPE (0.9%).\u0000\u0000\u0000CONCLUSION\u0000These preliminary results suggest that the DFI© requires a high physiological intensity demand, through movement-specific contemporary dance technique, relating to dance performance intensity, and is a reliable testing mode within a dance studio environment. It could also be used to assess dancers' physiological abilities to cope with high-intensity intermittent cardiovascular and technical demands of dance performance; however, further testing with greater numbers of subjects is recommended.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"37-43"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41703633","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":"Recognizing Microcirculatory Disorders in Musicians to Preserve a Good State of Health and the Best Artistic Performance.","authors":"M. Sirufo, L. M. Magnanimi, L. Ginaldi, M. De Martinis","doi":"10.21091/mppa.2022.1010","DOIUrl":"https://doi.org/10.21091/mppa.2022.1010","url":null,"abstract":"We read with great interest, in the December 2021 issue of the journal, three papers by Clorinda Panebianco, Ari Cantuária Vilela et al., and Tamara Borger et al. concerning musculoskeletal complaints in musicians. These authors have successfully addressed the topic of the highly prevalent complaints and disorders among musicians that impact their wellbeing and performance abilities. Unfortunately, even if musculoskeletal disorders are among the most frequent and painful, we must also remember other occupational disorders that affect musicians, often overlooked and underestimated, can have the same clinical and performance impact. Among these \"forgotten\" diseases, it seems important to remember the microcirculation disorders.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"71"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42662349","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":"Interoceptive Sensibility in Professional Dancers Living With or Without Pain: A Cross-Sectional Study.","authors":"M. Delafin, M. Ford, Jerry Draper-Rodi","doi":"10.21091/mppa.2022.1007","DOIUrl":"https://doi.org/10.21091/mppa.2022.1007","url":null,"abstract":"BACKGROUND\u0000There is a growing body of literature investigating the use of manual therapy to modulate pain through interoceptive pathways, but studies amongst the dancer population are lacking.\u0000\u0000\u0000OBJECTIVES\u0000To investigate self-reported measures of interoceptive sensibility (IAs) in professional dancers living with or without pain, and to explore associations between IAs and confounding variables (e.g., psychopathologies).\u0000\u0000\u0000METHODS\u0000128 UK-based adult professional dancers, from any dance style, living with or without pain, completed a cross-sectional online survey. Pain status was self-reported and participants were assigned in three study groups for analyses (pain-free n=26, acute n=30, and chronic pain n=72). The Multidimensional Assessment of Interoceptive Awareness, ver. 2 (MAIA-2) was used to measure IAs. An additional questionnaire was used to collect demographic and putative confounding data (i.e., age, sex, BMI, dance style, employment status, level of experience, mindfulness experience, pain history and management such as manual therapy use, eating disorders, depression, and anxiety).\u0000\u0000\u0000RESULTS\u0000No overall significant difference was found in IAs between groups (pain-free-control, acute, and chronic pain). A one-way ANOVA showed significantly lower scores for the MAIA-2 Non-Distracting subscale in dancers living with pain (acute or chronic) compared to the pain-free-control group. Moreover, an association between manual therapy use and some subscales of the MAIA-2 was found in the population.\u0000\u0000\u0000CONCLUSIONS\u0000Results should be interpreted with caution, as major confounding variables (i.e., psychopathologies) could not be excluded from the analysis due to their high prevalence in the sample. Positive associations between adaptive subscales of the MAIA-2 and the use of manual therapy support a need for further research investigating potential clinical applications using interoceptive pathways in the specialised management of pain in dancers.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"58-66"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44060886","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":"Evaluation of Physical Symptoms in Brazilian Conductors Through NMQ and DASH Instruments.","authors":"J. Geraldo, C. Fiorini","doi":"10.21091/mppa.2022.1002","DOIUrl":"https://doi.org/10.21091/mppa.2022.1002","url":null,"abstract":"Few studies have investigated populations of conductors concerning their activity in general or work-related health aspects, although these individuals also face important work demands with the potential for develop¬ing hearing, physical, and vocal problems. This study was designed to assess physical symptoms (pain, tingling, numbness) in Brazilian conductors by applying the Nordic Musculoskeletal Questionnaire (NMQ) and the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. The data were collected online from 166 Brazilian conductors who were actively working for at least 1 year. The NMQ results indicated a high prevalence of symptoms in the shoulder, neck, and lumbar and upper back regions. Participants also complained of pain in the upper limbs, especially on the right side, and spinal regions associated with conducting. Bivariate statistical tests indicated significant relationships between the presence of symptoms in the upper limbs and higher disability scores in the DASH instrument. The body regions mentioned by the participants are similar to those reported in the few studies of conductors in the literature, highlighting that conducting has a specific physical impact and the potential to affect the function of the upper limb in the conductors' daily activities.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"13-23"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49073877","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":"Effects of Rehearsal Time and Repertoire Speed on Upper Trapezius Activity in Conservatory Piano Students.","authors":"J. Baeyens, Laura Flix Díez, B. Serrien, Maggie Goossens, Katia Veekmans, R. Baeyens, W. Daems, E. Cattrysse, E. Hohenauer, R. Clijsen","doi":"10.21091/mppa.2022.1001","DOIUrl":"https://doi.org/10.21091/mppa.2022.1001","url":null,"abstract":"BACKGROUND\u0000Repetitive piano play may overload neck and shoulder muscles and tendons, leading to playing-related musculoskeletal disorders (PRMDs).\u0000\u0000\u0000METHODS\u0000In this pilot study (EMG data of the extensor carpi radialis have been published separately), surface electromyography (sEMG) activity of the upper trapezius (UT) was captured in 10 conservatory piano students while playing a fast and a slow music score selected from the individual's repertoire, each 3 minutes long. Measurements were made at baseline and again after 2 hrs and 4 hrs of rehearsal time of the piano études. The amplitude of the sEMG signal was processed by a smoothing algorithm, and the frequency component with a non-orthogonal wavelets procedure. Amplitude of the sEMG was expressed in percent of maximal voluntary contraction (%MVC) at baseline, and the frequency component using median frequency based on the frequency band powers. Statistical analysis encompassed repeated measures ANOVAs for the amplitude and frequency components of the sEMG signal (set at 5%). The students also rated the intensity of rehearsals using a visual analog scale (VAS).\u0000\u0000\u0000RESULTS\u0000The median values for the %MVC presented a global mean for the left trapezius of 5.86 (CI90% 4.71, 6.97) and 5.83 for the right trapezius (CI90% 4.64, 7.05). The rehearsals at moderate intensity increased the amplitude of %MVC of the upper trapezius by around 50% and decreased the median frequency.\u0000\u0000\u0000CONCLUSIONS\u0000Playing faster presented higher magnitudes of activity of the upper trapezius. The decrease in the median frequency in response to long rehearsals may be a sign of muscle fatigue.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1 1","pages":"1-12"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49121340","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":"Substance Use in the Performing Artist with Chronic Pain.","authors":"Kaitlyn R Hay,&nbsp;Jasmyne Jardot,&nbsp;Andrew S Huhn,&nbsp;D Andrew Tompkins","doi":"10.21091/mppa.2022.1003","DOIUrl":"https://doi.org/10.21091/mppa.2022.1003","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate how performing artists (PAs) with chronic pain may differ on measures of substance use compared to non-PA controls.</p><p><strong>Methods: </strong>157 participants reporting chronic pain (89 PAs, 68 non-PA controls) completed an online cross-sectional survey. Participants were assessed for self-reported current pain severity using the Brief Pain Inventory Short-Form, opioid misuse risk using the Screener and Opioid Assessment for Patients with Pain-Revised, opioid withdrawal using the Subjective Opiate Withdrawal Scale, and symptoms of opioid use disorder (OUD) using a modified version of the DSM-V checklist.</p><p><strong>Results: </strong>PAs had lower pain severity (p <0.05, t=2.196, df=155) and lower pain interference (p <0.05, t=2.194) than non-PA controls. 24% of PAs and 13% of controls reported using opioids within the past month. Among PAs, the number of days using opioids in the past month was positively associated with hours spent practicing per week (r=0.508, p <0.05). PAs (66%) were more likely to endorse current alcohol use than controls (44.1%, t= -2.136, X2=7.72, p <0.01). Importantly, PAs (19%) were more likely than controls (3%) to endorse symptoms of at least mild OUD (X2(3)=11.3, p <0.01) and higher ratings of opioid misuse risk (t=-2.166, p <0.05). Past month opioid withdrawal was also greater in PAs than controls (t=-2.136, p <0.05), and 5.6% of PAs and 1.5% of controls reported at least one prior incidence incident of opioid overdose in their lifetime (X2 =1.80, NS).</p><p><strong>Conclusions: </strong>Among persons with chronic pain, PAs may have higher risk for opioid-related consequences, including OUD, and should be screened during health care encounters.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 1","pages":"24-29"},"PeriodicalIF":0.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795469/pdf/nihms-1854716.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10810162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}