Motor Activity as a Way of Preventing Musculoskeletal Problems in String Musicians

2011 ◽  
Vol 26 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Christiane Wilke ◽  
Julian Priebus ◽  
Bianca Biallas ◽  
Ingo Froböse

The health status of performing artists, especially musicians, was not an issue for medical research until the 1980s. Musicians tend to suffer from health-related problems, as playing an instrument demands long and intensive practice. This paper provides a literature review of health problems of string players in particular. It analyzes whether their problems are playing-related or if various parameters potentially influence their health state, and it subsequently presents a concept of efficient training. Health disorders and diseases are individual. In order to ensure efficient prevention, a profile of qualification, including physical and psychological aspects as well as key skills, allows developing an individual training schedule and thus should be included in the process of prevention. Physical performance plays a decisive role and is more important than commonly thought. Strength, endurance, and flexibility in particular have an immense influence on the musician’s performance. Playing an instrument requires both physical and mental skills, and all too often this leads to excessive demands. It is necessary to highlight the possible causes and provide the musician with a therapeutic intervention and educational work. As the demand for preventative work in this field grows steadily, this paper draws a detailed concept of a therapeutic intervention.

Folia Medica ◽  
2015 ◽  
Vol 57 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Georgi G. Iskrov ◽  
Rumen S. Stefanov ◽  
Julio López-Bastida ◽  
Renata Linertová ◽  
Juan Oliva-Moreno ◽  
...  

AbstractObjective:The aim of this study was to determine the economic burden from a societal perspective and health-related quality of life (HRQOL) of patients with cystic fibrosis (CF) in Bulgaria.Materials and methods:We conducted a cross-sectional study of 33 patients with CF and 17 caregivers from Bulgaria. Data on socio-demographic characteristics, health resource utilisation, informal care, labor productivity losses and HRQOL were collected from questionnaires completed by patients or their caregivers. HRQOL was evaluated with the EuroQol 5-domain (EQ-5D-3L) questionnaire.Results:Median annual costs of CF in Bulgaria were € 24 152 per patient in 2012 as a reference year. Median annual costs for children were found to be significantly higher than those for adults – € 31 945 vs. € 15 714 (p = 0.012). This outcome came from statistically significant differences in costs for main informal carer (p < 0.001) and costs for other informal carers (p = 0.022). As a single cost item, drugs had the biggest monetary impact. Median annual drug costs were € 13 059. Bulgarian CF patients showed low HRQOL results – 50 median VAS score and 0.592 median health utilities. A quarter of patients even rated their health state as worse than death.Conclusion:CF patients from Eastern Europe remain a vulnerable population with risk factors for worse health outcomes. Our study provided a state-of-the art analysis that facilitates the elaboration, adoption and application of targeted public health policies to tackle CF-related problems at national and European level.


2006 ◽  
Vol 1 (3) ◽  
pp. 209-235 ◽  
Author(s):  
M. Kamrul Islam ◽  
Juan Merlo ◽  
Ichiro Kawachi ◽  
Martin Lindström ◽  
Kristina Burström ◽  
...  

We test whether individual health status is related to area-level social capital measured by rates of voting participation in municipal political elections, controlling for personal characteristics, where health status is measured by mapping responses to interview survey questions into the generic health-related quality of life measure (HRQoL) the EQ-5D in order to derive the health state scores. The analysis is based on unbalanced panel data from Statistic Sweden's Survey of Living Conditions (the ULF survey) and a 3-level multilevel regression analysis, where level 1 consists of a total of 31,585 observations for 24,419 individuals at level 2 nested within 275 Swedish municipalities at level 3. We find that the health state scores increase significantly with municipality election rates. This result is robust to a number of measurement and specification issues explored in a sensitivity analysis. However, almost all variation in health status exists across individuals (more than 98%), which demonstrates that even if social capital (and other contextual variables) may be significant it is of less importance, at least at the municipality level in Sweden.


2020 ◽  
Vol 11 (1) ◽  
pp. 7-20
Author(s):  
Joyce Miller

ObjectiveChiropractors are primary care clinicians with a musculoskeletal focus. As community-based practitioners, they are educated and available to treat the common problems of infancy, including sub-optimal breastfeeding. The objective of this investigation was to highlight some of the key skills and techniques used by chiropractors to assist the breastfeeding dyad.MethodsThe method of this paper was a brief review of the evidence for chiropractic care to improve breastfeeding problems and to highlight the biological plausibility for that evidence. The primary evidence was evaluated by expert opinion.ResultsMechanical forces during intrauterine life and during birth may negatively affect the oral-motor function of the newborn. Although it is difficult to establish exact reasons for these problems, assisted births such as forceps, vacuum extraction and cesarean section have been implicated. It is the job of the chiropractor to examine the infant to detect and diagnose musculoskeletal problems that may impair the infant's feeding efficiency. After making a diagnosis, a treatment plan of precise, gentle manipulation can help maximize the functional effectiveness of the muscles and joints involved in breastfeeding and comfort for the child.ConclusionThe chiropractor is one of many professionals poised to support and assist effective breastfeeding. A collaborative team can be helpful to gain early establishment and continuation of breastfeeding.


2014 ◽  
Vol 41 (10) ◽  
pp. 2008-2017 ◽  
Author(s):  
Juan Carlos Torre-Alonso ◽  
Jordi Gratacós ◽  
José Santos Rey-Rey ◽  
Juan Pablo Valdazo de Diego ◽  
Ana Urriticoechea-Arana ◽  
...  

Objective.To develop/validate an instrument to measure health-related quality of life (HRQoL) in patients with psoriatic arthritis (PsA), for use in clinical studies.Methods.An item pool of 35 items was generated following standardized procedures. Item reduction was performed using clinimetric and psychometric approaches after administration to 66 patients with PsA. The resulting instrument, the VITACORA-19, consists of 19 items. Its validity content, internal consistency, test-retest reliability, known groups/convergent validity, and sensitivity to change were tested in a longitudinal and multicenter study conducted in 10 hospitals in Spain, with 323 patients who also completed the EuroQol 5-dimensional questionnaire (EQ-5D) and a health status transition item. There were 3 study groups: group A (n = 209, patients with PsA), group B (n = 71, patients with arthritis without psoriatic aspect, patients with arthrosis, and patients with dermatitis), and group C (n = 43, healthy controls).Results.The questionnaire was considered easy/very easy to answer by 94.7% of the patients with PsA. The factorial analysis clearly identified only 1 factor. Cronbach’s alpha coefficient and interclass correlation coefficients exceeded 0.90. Statistically significant differences (p < 0.001) were observed between groups: subjects from group C had better HRQoL, followed by group B, and finally group A had the worst HRQoL. The VITACORA-19 scores showed significant correlations (p < 0.001) to PsA disease activity, EQ-5D, and perceived health state, scoring the patients with better health state higher. The minimum important difference was established as an 8-point change in the global score.Conclusion.The Spanish-developed VITACORA-19, designed to measure HRQoL in patients with PsA, has good validity, reliability, and sensitivity to change.


2018 ◽  
Vol 38 (6) ◽  
pp. 635-645 ◽  
Author(s):  
Franz Ombler ◽  
Michael Albert ◽  
Paul Hansen

The calculation of quality-adjusted life years, as used for cost–utility analysis, depends on the availability of value sets representing people’s preferences with respect to health-related quality of life (HRQoL). A value set consists of HRQoL index values for all health states representable by the particular descriptive system used, of which the EQ-5D (EuroQoL, 5 Dimensions) is by far the most widely used. High correlation coefficients for EQ-5D value sets derived from different samples—across countries and/or using different valuation techniques—are conventionally interpreted as evidence that the people in the respective samples have similar HRQoL preferences. However, EQ-5D value sets—for both versions of the system (EQ-5D-3L and EQ-5D-5L)—contain many inherent rankings of health state values by design. By calculating correlation coefficients for value sets created from random data, we demonstrate that “high” coefficients are artifacts of these inherent rankings, such as median Pearson’s r = 0.783 for the EQ-5D-3L and 0.850 for the EQ-5D-5L instead of zero. Therefore, high correlation coefficients do not necessarily constitute evidence of meaningful associations in terms of similar HRQoL preferences. After calculating significance levels based on our simulations—available as an online resource for other researchers—we find that many high coefficients are not as significant as conventionally interpreted, whereas other coefficients are not significant. These “high” but insignificant correlations are in fact spurious.


2019 ◽  
Vol 4 (1) ◽  
pp. 41
Author(s):  
Elvis Cluver Moreira Álvarez ◽  
Oscar Elías Bolívar Chávez

¿Es seguro el entorno que rodea a nuestros hijos?, ¿sabemos que cambios se producen exterior e internamente en la etapa adolescente? ¿Familia es un factor de protección o riesgo? Existe una etapa evolutiva del ser humano donde empieza a desarrollar su pensamiento crítico y formación conductual, entonces aparece una guerra campal entre “ideales” y “formación individual”. En Ecuador existen muchos tipos de violencia en la adolescencia, incluso se puede evidenciar la autoviolencia como forma de expresión “moda” o grito desesperado por todo lo receptado de su entorno e incomprensión a SÍ mismos, estos cambios fisiológicos influyen en el pensamiento y formación. He aquí el trabajo que se presenta, objeta proponer acciones de orientación a los adolescentes en el conocimiento desde una perspectiva real para llegar a lo ideal, y las familias para prevenir violencia, actuar como factor de protección y estilo de vida saludable. Mediante análisis bibliográfico se aportan recomendaciones para los docentes, padres de familia y dicentes, sobre la atención prioritaria enmarcados en la Constitución de la República del Ecuador y así evitar acciones de violencia, a partir de labor educativa que se desarrolla en la institución escolar. PALABRAS CLAVE: transición; fisiología; psicología; criticismo; conductualismo. ADOLESCENT TRANSITION AND HIS IMPACTIENCE IN THE DEVELOPMENT OF CRITICAL THINKING AND BEHAVIORAL TRAINING ABSTRACT Is the environment which surrounds our children safe? Do we know what changes occur both internally and externally in the adolescent stage? Is family a factor of protection or risk? There is an evolutionary stage of the human being where the person begins to develop the critical thinking and behavioral formation, then a war between ‘’ideals’’ and ‘’individual training’’ appears. In Ecuador, there are many types of violence in adolescence, and self-violence can be seen as a form of expression ‘’fashion’’ or a desperate cry for all that is received in the environment and a lack of understanding of itself. These physiological changes influence thinking and training. The paperwork presented here, objecting to proposing actions to guide teenagers in knowledge from a real perspective to reach the ideal, and families to prevent violence, act as a protective factor and healthy lifestyle. Bibliographical analysis provides recommendations for teachers, parents, and students on priority attention framed in the Constitution of the Republic of Ecuador and thus avoid actions of violence, based on educational work that takes place in the school. KEYWORDS: physiological; psychological changes; critical thinking; behavioral formation.


Author(s):  
Malwina Hołownia-Voloskova ◽  
Aleksei Tarbastaev ◽  
Dominik Golicki

Abstract Purpose To develop population norms for the EQ-5D-5L questionnaire based on a representative sample of Moscow citizens. Methods We used quota sampling accounting for sex, age group and administrative district of residence. Respondents in randomly selected outdoor and indoor locations were surveyed with the official Russian paper-and-pencil version of the EQ-5D-5L questionnaire and a set of socio-demographic questions. We estimated four types of EQ-5D results: the distribution of limitations according to EQ-5D-5L dimensions, the perception of the health-related quality of life (HRQoL) with a visual analogue scale (EQ VAS), the unweighted score for a respondent’s health state (Level Sum Score, LSS) and the Russian health preferences-based weighted score (EQ index). In order to estimate the EQ-5D-5L index, we used a newly developed Russian EQ-5D-3L value set, together with EuroQol Group cross-over methodology. Results A total of 1020 respondents (18–93 years old) from the general Moscow adult population completed the EQ-5D-5L questionnaire. HRQoL domains with the largest number of identified health limitations were pain/discomfort (48.6%) and anxiety/depression (44.1%). Two hundred seventy-nine respondents (27.0%) did not report any health restrictions. The mean EQ VAS and EQ-5D-5L index were 74.1 (SD 17.3) and 0.907 (0.106) respectively. Multivariate analysis showed that female sex, advanced age and lack of access to the Internet had a negative influence on HRQoL, whereas residence in certain districts had a positive impact. Conclusions The study provides population norms of health-related quality of life in Moscow, measured according to the EQ-5D-5L questionnaire. These reference values can be used to optimise the effectiveness of resource allocation in healthcare.


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