Medical problems of performing artists
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Med Probl Perform Art · Jun 2020
Effects of Osteopathic Manipulative Treatment on Musicians: A Systematic Review.
Professional musicians frequently suffer from musculoskeletal complaints and disorders (MCD), which can be treated by osteopathic manipulative treatment (OMT). The aim of this systematic review was to evaluate the effectiveness and efficacy of OMT in adult musicians. ⋯ The evidence for OMT in adult musicians is very limited. Prospective controlled clinical trials investigating OMT in musicians are required.
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Med Probl Perform Art · Jun 2020
Dancers' Joint Strategies for Achieving Turnout in Low and High Friction Conditions.
Dancing with legs externally rotated (turnout) is a fundamental element of ballet technique. A reliance on floor friction to achieve turnout may contribute toward the high injury rate in dancers. Joint strategies used by dancers in high and low friction turnout conditions are not well understood. ⋯ Further hip ER strength training is required to promote greater hip ER range within the position. Rotation discs may be a valuable training tool as dancers demonstrated greater hip ER utilisation with less knee ER and ankle abduction; however, this position did promote undesirable lumbar extension.
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Dancers frequently perform complex jumping skills that involve achieving specific body positions while in the air. An examination of how skilled dancers achieve these aesthetic demands can provide information useful for dance training. The purpose of this study was to examine the temporal coordination of the hip and knee joints during the flight phase of a saut de chat leap, where dancers aim to achieve a split position in the air when the center of mass (COM) reaches peak height. ⋯ The results of this study provide insight into coordination patterns used by trained dancers. Trained dancers demonstrate patterns in timing that may be important for successful performance. The hip and knee coordination patterns during flight demonstrate how dancers work to achieve the desired aesthetics of a saut de chat leap. However, it appears that dancers do not reach the full split position at the height of the leap, as would be aesthetically desirable.
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Med Probl Perform Art · Jun 2020
Cumulative Psychological Trauma, Emotional Regulation, and Orthopedic Injury in a Sample of Pre-Professional and Professional Dancers and College Athletes.
Strong evidence identifies cumulative trauma exposure and a history of childhood adversity as predictive factors for physical and psychological disorders. In this study, dancers and athletes were examined to determine the relationship among childhood adversity, cumulative trauma exposure, stress responses, and injuries (including the need for orthopedic surgery). ⋯ Both dancers and athletes frequently perform within a culture that is pressured and promotes behavior that ignores pain and injury. It is recommended that coaches, educators, and healthcare workers understand the influence of cumulative trauma on risk for orthopedic injury and incorporate trauma-informed care.
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Objective information on embouchure muscle use in brass players is currently limited. This pilot study records and analyses embouchure muscle activity in trumpet players to identify typical patterns and to reveal how these can differ between playing tasks. ⋯ Though levels of muscle activity rose consistently over large pitch ranges, there was considerable variation in the degree to which this occurred over smaller intervals. Even among the 3 professional players, the embouchure muscle activity showed clear individual patterns, suggesting that high levels of performance can be achieved in different ways. Further investigations will be needed to clarify how embouchure activity changes with proficiency.