Medical problems of performing artists
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Med Probl Perform Art · Dec 2023
The Single Leg Heel Rise Test-A Helpful Tool for Dance Science?: A Systematic Review.
Foot and ankle injuries are the most prevalent injuries in dance. The single leg heel-rise (SLHR) test is a simple tool to assess muscular endurance of the plantar flexors of the foot and is an increasingly popular manual muscle test in various areas of dance. Although the SLHR test has shown high reliability and validity in the medical field, no uniform description of this test exists in dance. ⋯ Key parameters such as the precise execution of the heel rises should be reported in testing protocols. For the SLHR test to be a useful tool in dance, further research on the influence of dance style, age, and injuries to the calf MTU on this test is needed.
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Med Probl Perform Art · Dec 2023
Randomized Controlled TrialEffectiveness of a Core Stability Exercise Program on Pain and Function in Musicians with Chronic Low Back Pain: A Randomized Controlled Trial.
Low back pain (LBP) is relatively common among the musician population. Few studies have looked at the usefulness of a core stability exercise program in musicians suffering from LBP. The aim of this study was to investigate the effectiveness of a core stability exercise program on pain and improvement of function in musicians with LBP. ⋯ A structured core stability exercise program supplemented with an educational brochure was effective to manage LBP in musicians.
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It is expected that in classical ballet dancers would be able to execute all the techniques symmetrically from the right as well as from the left side of the body. This study aimed to evaluate the symmetry of kinematic parameters of hip joints, knee joints, and foot progression angle of the left and right lower extremities (LE) in five classical ballet positions, as well as the symmetry of active and passive turnout and range of passive hip external rotation. ⋯ The perfect ballet symmetry pursued by dancers is not in fact so ideal. The most astonishing result was the existence of statistically significant differences in hip external rotation in the case of the 1st and 2nd positions.
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Med Probl Perform Art · Dec 2023
Injuries and Factors Associated with Injuries Among U.S. Army Band Musicians.
The Department of Defense is the largest employer of full-time musicians. In the U.S. military, many musicians experience unique occupational exposures such as extended periods of standing, sitting, and marching for rehearsals and performances, static and non-neutral postures, and a variety of repetitive motions while playing instruments. These exposures are in addition to physical training and fitness standards required of U.S. Army soldiers. ⋯ Injury prevention initiatives for Army Band musicians should focus on the reduction of overuse and repetitive motion injuries. Suggested prevention strategies include balanced physical training, ergonomic adjustments, rehearsal breaks, and leadership support for injury prevention efforts.
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Med Probl Perform Art · Dec 2023
Observational StudyIntramuscular Oxygenation and Muscle Activity of Extensor Carpi Radialis Brevis During Piano Performance: An Observational Study.
Repetitive piano movements have been associated with playing-related musculoskeletal disorders (PRMDs) such as forearm myalgia and symptoms of lateral epicondylopathy. Despite the high prevalence of PRMDs among pianists, there is poor understanding regarding the underlying physiological mechanisms. Intramuscular oxygenation may play a role in the development of PRMDs. Therefore, this observational study aimed to explore the effect variability of playing piano repertoire on the oxygenation of the extensor carpi radialis brevis (ECRB). ⋯ Piano performance induced an average decline in oxygenated hemoglobin in the left and right ECRB, which differed largely between the specific pieces played. The EMG activity can partially explain these differences. Further research is needed to explore the impact of a 'dynamic index' reflecting the piece's dynamic characteristics and the individual oxygenation characteristics.