The Digital Era of Performing Arts Medicine Research

2019 ◽  
Vol 34 (4) ◽  
pp. 230-231
Author(s):  
Bronwen J Ackermann

As MPPA moves into the next decade, the challenges faced by maintaining print media in an increasingly paperless society has led to the journal being published online only from March 2020 onwards. While it is a little sad to farewell the colourful covers and textures of the paper journal, there will be advantages in accessibility and immediacy of publishing with the new online system, and we look forward to the new era. Indeed, modern technology has changed the way we analyse a multitude of variables in research, and we see in this issue several examples of performance analysis using highly sophisticated devices.

2007 ◽  
Vol 22 (3) ◽  
pp. 87-88
Author(s):  
Ralph A Manchester

As the field of performing arts medicine continues to advance, it is essential that we maintain the trust that has been built over the last quarter century with the dancers, musicians, and other performing artists we serve. Trust is a precious commodity that is built over time, largely between individual health care professionals and the patients for whom they care. However, other things we do (or don't do) can have a major influence on the trust and confidence that others place in us. One of these is research and the way we conduct research, especially when it involves human subjects. The public's confidence in medical researchers has been shaken in the last few years as the result of a few well-publicized “bad outcomes” in clinical studies being done at leading academic medical centers in the U.S. and elsewhere. While we are unlikely to do gene-transfer or new drug development studies in an effort to address the health problems of musicians and dancers, we should still hold ourselves to the same ethical standards that apply to the rest of the healthcare world.


2014 ◽  
Vol 29 (3) ◽  
pp. 121-122
Author(s):  
Ralph A Manchester

Two articles in this issue of Medical Problems of Performing Artists use specific technologies to advance our understanding of particular aspects of performance health. Clemente et al. used three-dimensional accelerometers to measure the motion of the head, jaw, and neck in pianists. Saito et al. used electromyography (EMG) in the soleus muscles of dancers along with transcranial magnetic stimulation to show that the corticospinal tract adapts to the demands of dancing. These two examples of the use of technology in performing arts medicine research led me to review past issues of the journal to get a better sense of which technologies have been more or less frequently used and how they have contributed to the state of the art.


2006 ◽  
Vol 21 (1) ◽  
pp. 1-2
Author(s):  
Ralph A Manchester

To paraphrase the old saying, a sixteenth note of prevention is worth a whole note of cure. Unfortunately, in 2006 we have very few sixteenth notes of proven prevention to offer performing artists. Therefore, practitioners of performing arts medicine are mostly limited to offering injured artists whole notes of treatment, assuming that the artist is in an area where she or he can find some treatment and can afford to pay for it. Should we be concerned that we have so little to offer in the way of injury prevention in the third decade of the existence of the field? What follows are my thoughts on the subject, sparsely annotated, focusing mainly on the instrumental musician.


2021 ◽  
Vol 23 (7) ◽  
Author(s):  
Sally Yu Shi ◽  
Xin Luo ◽  
Tracy M. Yamawaki ◽  
Chi-Ming Li ◽  
Brandon Ason ◽  
...  

Abstract Purpose of Review Cardiac fibroblast activation contributes to fibrosis, maladaptive remodeling and heart failure progression. This review summarizes the latest findings on cardiac fibroblast activation dynamics derived from single-cell transcriptomic analyses and discusses how this information may aid the development of new multispecific medicines. Recent Findings Advances in single-cell gene expression technologies have led to the discovery of distinct fibroblast subsets, some of which are more prevalent in diseased tissue and exhibit temporal changes in response to injury. In parallel to the rapid development of single-cell platforms, the advent of multispecific therapeutics is beginning to transform the biopharmaceutical landscape, paving the way for the selective targeting of diseased fibroblast subpopulations. Summary Insights gained from single-cell technologies reveal critical cardiac fibroblast subsets that play a pathogenic role in the progression of heart failure. Combined with the development of multispecific therapeutic agents that have enabled access to previously “undruggable” targets, we are entering a new era of precision medicine.


PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S88-S91
Author(s):  
Michelle S. Gittler ◽  
Joseph M. Ihm ◽  
Theresa J. Lie-Nemeth ◽  
Maria Regina Reyes ◽  
Vivian C. Shih

2006 ◽  
Vol 21 (2) ◽  
pp. 45-46
Author(s):  
Ralph A Manchester

As the diverse populations of the planet interact on a more frequent and intense basis, it becomes increasingly important for every individual and organization to examine its own approach to this vital issue. The field of performing arts medicine should pay particular attention to diversity for a number of reasons, some of which will help to advance our specialty and improve the lives of performing artists, while others may help save the world.


2006 ◽  
Vol 21 (2) ◽  
pp. 80-87 ◽  
Author(s):  
Taylor Buckley ◽  
Ralph Manchester

Purpose: Performing arts medicine has traditionally focused on the medical problems of classical musicians. Unfortunately, there is a paucity of data regarding differential incidence or prevalence of injury in nonclassical musicians. The present study analyzed the baseline prevalence, new onset of injury following a substantial increase in playing time at a music camp, and any possible correlation with technical and postural deficits in a population of amateur folk instrumentalists. Methods: Preliminary and follow-up questionnaires were used to gather background and new incidence data, respectively. A subset of subjects was recorded on video, which was independently analyzed for technical deficits at a later time. Results: Lifetime prevalence is 54% for a previous injury attributed to playing a musical instrument and point prevalence is 19%. Following the camp, prevalence increased to 44% (p = 0.001), and incidence of new injury was 31%, including individuals with more than one active injury. A higher rate of injury correlated with a greater increase in absolute playing time, relative playing time above baseline, and absolute time above baseline during the camp, although these did not reach statistical significance. The limited technical analysis qualitatively correlated a technical deficit to an injury at the same anatomical location in 15 of 47 cases using only a single-view video for analysis. Conclusion: Lifetime and point prevalence is similar to that reported in several studies of classical musicians. Further inquiry into technical and postural analysis may help to identify the cause of, and potentially prevent, overuse injuries in folk and classical musicians.


2008 ◽  
Vol 23 (2) ◽  
pp. 47-53 ◽  
Author(s):  
Rebecca Barton ◽  
Judy R Feinberg

The purpose of this program evaluation was to examine the effectiveness of an educational course in health promotion and injury prevention designed specifically for college music majors. Course content included the provision of information on medical problems commonly seen in musicians, effective health promotion and preventive strategies, and application of this knowledge to music playing and other daily occupations. Students were taught how to assess risk for potential injury for themselves and their future students. Course content and self-assessment questionnaires aimed at assessing the students' use of health and injury prevention measures were administered before the start of the course, immediately after course completion, and 6 weeks later. The outcomes indicated that students improved in their overall knowledge of the content covered in this educational module and that this increased knowledge was retained 6 weeks later. Interestingly, self-perceived application of health promotion and injury prevention strategies did not improve significantly at the completion of the course but did so 6 weeks later, possibly indicating that behavior change takes longer to incorporate into one's daily routine. Literature suggests that such education programs have benefited performing artists, and these results indicate the efficacy of this type of educational program within an academic curriculum for student musicians. In addition, this program illustrates the role of the occupational therapist as a consultant and educator in the practice of performing arts medicine.


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