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Medical Problems of Performing Artists

Esther C Nolton, Jatin P Ambegaonkar
BACKGROUND: Snapping hip syndrome (SHS) is a common hip pathology in dancers. SHS can be either internal or external, resulting from muscle tendon tightness from repetitive hip flexion and extension, accompanied with hip abduction and/or external rotation. Muscular tightness may cause the tendon to become taut and snap over a bony prominence during hip movement, leading to muscular weakness and reduced range of motion from pain. Because SHS is poorly identified and can present similarly to other hip pathologies, many SHS incidences are underreported or misdiagnosed...
December 2018: Medical Problems of Performing Artists
Frances Clarke, Yiannis Koutedakis, Margaret Wilson, Matthew Wyon
AIM: Due to movement complexity and the use of interdisciplinary styles, all theatrical dance genres require dancers to have excellent balance skills to meet choreographic demands. The aim of this systematic review was to evaluate the experimental evidence for the relationship between balance and dance performance, including balance testing, balance training, and balance performance. The key focus was on balance and theatrical styles of dance, involving adult participants who were either in full-time dance training or professional dancers...
December 2018: Medical Problems of Performing Artists
Nadine Rensing, Heike Schemmann, Christoff Zalpour
BACKGROUND/AIMS: Research in music medicine has reported incidence rates of musculoskeletal disorders of approx. 70% in instrumental musicians. String players have the highest risk, with rates of performance-related musculoskeletal disorders (PRMDs) of 65% to 88%. Playing the violin or viola requires complex neuromusculoskeletal skills, and the high frequency of repetitive movements, dynamic and static muscle load, awkward postures, poor technique, and practice time are factors causing musculoskeletal strain...
December 2018: Medical Problems of Performing Artists
Yannick A Balk, Jan de Jonge, Rogier van Rijn, Janine Stubbe
AIMS: Adequate physical and mental (i.e., cognitive and emotional) recovery is essential for dancers' health and well-being. However, studies investigating the role of mental demands and recovery in dance are scarce. A potentially effective mental recovery strategy is detachment from dance, which refers to the absence of performance-related thoughts, emotions, and feelings during time away from dance. The first aim of this study was to investigate the relation between 1) cognitive and emotional demands in dance and 2) health and well-being of dance students...
December 2018: Medical Problems of Performing Artists
Stephanie Piatek, Jürgen Hartmann, Petra Günther, Daniela Adolf, Egbert J Seidel
AIMS: Back strain is a common musculoskeletal complaint affecting musicians, which may be related to unsuitable playing positions causing fatigue and muscle tension. In this study, three saxophone-carrying systems (neck-strap, shoulder-strap, and Saxholder) were examined for their effects on spinal column kinematics. METHODS: The influence of saxophone-carrying systems was investigated in 14 physically healthy alto saxophonists using ultrasound topometry. Additional tests were performed on 1 subject to examine the influence of the different weights of alto, tenor, and baritone saxophones with the three different carrying systems...
December 2018: Medical Problems of Performing Artists
Pamela Mikkelsen, Daneille N Jarvis, Kornelia Kulig
AIMS: Dancers have high injury rates of the lower extremity. External factors such as footwear likely alter the work demands placed on the lower extremity joints when performing dance-style movements. Research on pedestrians shows an increase in knee work demand when wearing heels, which may occur in dancers as well. The purpose of this study was to assess the effect of heeled shoes on lower extremity joint work demand during a basic dance-specific jump (sauté) in dancers when compared to barefoot...
December 2018: Medical Problems of Performing Artists
Clara Gallego Cerveró, Julio Martín Ruiz, Laura Ruiz Sanchis, Concepción Ros Ros
BACKGROUND: Wind musicians suffer injuries resulting from muscle overuse and poor postural habits, often due to the lack of required physical fitness. For this reason, it is important to study and analyze the characteristics of their activity in order to select appropriate preventive exercises. METHODS: 10 clarinetists, who were experiencing joint pain due to instrumental practice, followed a specific program of physical activity, 3 times a week for 2 months. To assess postural changes after its implementation, the Langlade test and muscle pain scale were used at the beginning and the end of the program...
December 2018: Medical Problems of Performing Artists
Encarnación Liébana, Cristina Monleón, Raquel Morales, Carlos Pablos, Consuelo Moratal, Esther Blasco
Dancers are subjected to high-intensity workouts when they practice dancesport, and according to the literature, they are prone to injury, primarily of the lower limbs. The purpose of this study was to determine whether differences exist in relative activation amplitudes for dancers involved in dancesport due to muscle, gender, and type of dance. Measurements were carried out using surface electromyography equipment during the choreography of a performance in the following leg muscles: rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius medialis...
December 2018: Medical Problems of Performing Artists
Marina G Gearhart, Dai Sugimoto, William P Meehan, Andrea Stracciolini
OBJECTIVE: To understand the impact of body satisfaction and performance perception on intentional weight loss behavior and body mass index (BMI) in young female dancers. METHODS: Young female dancers who visited an injury prevention center were provided a questionnaire including three questions designed to elicit their body satisfaction, perception of weight toward performance, and any intentional weight loss behavior. Binary responses (yes/no) were compared between the three questions using chi-square analysis...
December 2018: Medical Problems of Performing Artists
Shaw Bronner
Regardless of your view of national or global politics, we are living through an era of toxic partisan rhetoric. From belligerent tweets on Twitter to "fake news" on Facebook and Instagram, where is this taking us? It is so easy to misunderstand a text and even an email. I've been thinking about the artists we work with and what we do in our professional lives. Performance is a form of communication between the artist and audience. The artist on stage can feel the unspoken response by the audience (even before there is or isn't applause or boos)...
December 2018: Medical Problems of Performing Artists
Bronwen J Ackermann
Elite performance encompasses a complex balancing act involving a series of professionals attempting to help an individual perform to the limit of their abilities, whilst simultaneously striving to further their capacity. Teachers and performance scientists are under pressure to try to push performers harder to be able to achieve success in competitions, performances and their career. Clinicians must strive to keep the physical and mental health of performers in as good shape as possible while they are balancing these often extreme physical and psychological training demands--'the show must go on...
September 2018: Medical Problems of Performing Artists
Ross Armstrong, Christopher M Brogden, Debbie Milner, Debbie Norris, Matt Greig
OBJECTIVE: Dance is associated with a high risk of injury, with fatigue identified as a contributing factor. Functional movement screening (FMS) has been used to identify alterations in normal movement which may contribute to injury risk, though this test is not normally performed in a fatigued state. The aim of this study was to determine whether fatigue induced by the dance aerobic fitness test (DAFT) results in changes in FMS scores with implications for performance and injury risk...
September 2018: Medical Problems of Performing Artists
Miguel P Clemente, Joaquim G Mendes, Ricardo Vardasca, Afonso P Ferreira, José M Amarante
OBJECTIVE: This pilot study investigated the morphological and functional aspects of an English horn player, who presented at a dental appointment with temporomandibular disorder (TMD), using the "combined acquisition method of image and signal technique" (CAMIST) in the diagnosis. METHODS: Cephalometric analysis was obtained after carrying out three lateral cephalograms using a standardized radiographic technique. The first one was taken with the teeth in the normal occlusion and the lips relaxed, the second with the oboe embouchure, and the last was performed with the English horn...
September 2018: Medical Problems of Performing Artists
Matthew A Wyon, Julie Harris, Faye Adams, Ross Cloak, Francis A Clarke, Janine Bryant
AIMS: Dancers need to constantly maintain and develop their physiological capabilities to support their performances. Previously these physiological demands have been investigated only in traditional dance styles such as ballet and modern. The aim of this study was to examine the physiological demands of two types of hip-hop: new style and break dance. METHODS: Nine female new style dancers (age 20±6 yrs, height 163.5±1.4 cm, mass 55.8±22 kg) and 9 male break dancers (age 23±4...
September 2018: Medical Problems of Performing Artists
Karen Anne Lonsdale, Fariba H Abadi
While numerous studies have investigated associations between Ramadan fasting and sports performance, as well as general health, little is known about the experiences of musicians who play while fasting. This exploratory case study aimed to gain a better understanding of the experiences of tertiary-level woodwind players who practice, rehearse, and perform while fasting. Sixteen undergraduate woodwind players from two Malaysian university music faculties completed an 11-item questionnaire, as well as a 7-day food and playing diary, which formed the basis for a semi-structured interview...
September 2018: Medical Problems of Performing Artists
Kevin Price, Alan Hd Watson
AIMS: Though ergonomic supports are widely used for many groups of instruments, they are rare for brass instruments, despite the instruments' considerable weight. Musculoskeletal injury and postural problems are common among this group, and so, both adult and young players are likely to benefit from supports that reduce the load placed on the body. This study assessed the effects on postural muscle activity of a recently developed range of supports (Ergobrass) that use a rod to transfer the weight of the instrument to a harness or to the chair or floor...
September 2018: Medical Problems of Performing Artists
Nobuo Yasuda, Shuto Ito
OBJECTIVE: Marching band musicians often endure prolonged daily practices in warm-hot outdoor environments. Evaluation of hydration status by instrument position can shed light on health-related issues for these performers. The objective of this study was: a) to determine the effects of playing position on hydration status based on urinary biomarkers (urinary specific gravity and urinary osmolality) before and after marching band practice, and b) to evaluate the relation of hydration status with body mass change and fluid consumption for all playing positions...
September 2018: Medical Problems of Performing Artists
Nikolaus Ballenberger, Dirk Möller, Christoff Zalpour
AIM: In this prospective longitudinal study, the physical and psychological health status of music students is assessed at the beginning of their university music study and tracked over time. Analysis strategies and interim results from the first-year cohort, including 1-year incidences, monthly prevalences, and predictors of developing musculoskeletal health complaints (MHC), are presented. METHODS: This prospective longitudinal study is calculated to enlist a total sample of 370 participants, including musicians and non-musicians, over 5 years...
September 2018: Medical Problems of Performing Artists
Demet Tekin, Ani Agopyan, Gul Baltaci
Kinesio tape and proprioceptive exercises are both used for increasing balance in dancers. The purposes of this study were to: a) determine the acute effect of kinesio tape (KT) application on the ankle joint on balance performance, b) investigate the effects of an 8-week proprioceptive-neuromuscular (PN) training program on balance performance, and c) compare their effects vs modern dance technique classes alone. Thirty-three trained, university-level modern dance students (9 male, 24 female) were divided randomly into three groups: kinesio tape (KT, n=11), proprioceptive-neuromuscular (PN, n=11), or control (n=11)...
September 2018: Medical Problems of Performing Artists
Dirk Möller, Nikolaus Ballenberger, Bronwen Ackermann, Christoff Zalpour
BACKGROUND: Muscle fatigue seems to be a risk factor in the development of performance-related musculoskeletal disorders (PRMDs) in musicians, but it is unclear how muscle activity characteristics change between musicians with and without PRMDs over a prolonged playing period. PURPOSE: To investigate muscle activity patterns in muscles of the arms, shoulder, and back of high string musicians during prolonged performance. METHODS: Fifteen professional or university high string musicians were divided into PRMD and non-PRMD groups...
September 2018: Medical Problems of Performing Artists
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