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- Effects of self-administered exercises based on Tuina techniques on musculoskeletal disorders of professional orchestra musicians: a randomized controlled trialPublication . Sousa, Cláudia Maria; Coimbra, Daniela; Machado, Jorge; Greten, Henry J.Background Musicians are frequently affected by playing-related musculoskeletal disorders (PRMD). Common solutions used by Western medicine to treat musculoskeletal pain include rehabilitation programs and drugs, but their results are sometimes disappointing. Objective To study the effects of self-administered exercises based on Tuina techniques on the pain intensity caused by PRMD of professional orchestra musicians, using numeric visual scale (NVS). Design, setting, participants and interventions We performed a prospective, controlled, single-blinded, randomized study with musicians suffering from PRMD. Participating musicians were randomly distributed into the experimental (n = 39) and the control (n = 30) groups. After an individual diagnostic assessment, specific Tuina self-administered exercises were developed and taught to the participants. Musicians were instructed to repeat the exercises every day for 3 weeks. Main outcome measures Pain intensity was measured by NVS before the intervention and after 1, 3, 5, 10, 15 and 20 d of treatment. The procedure was the same for the control group, however the Tuina exercises were executed in points away from the commonly-used acupuncture points. Results In the treatment group, but not the control group, pain intensity was significantly reduced on days 1, 3, 5, 10, 15 and 20. Conclusion The results obtained are consistent with the hypothesis that self-administered exercises based on Tuina techniques could help professional musicians controlling the pain caused by PRMD. Although our results are very promising, further studies are needed employing a larger sample size and double blinding designs.
- Exploring the long-term associations between adolescents’ music training and academic achievementPublication . Santos-Luiz, Carlos dos; Mónico, Lisete S. M.; Almeida, Leandro S.; Coimbra, DanielaThere is a positive relationship between learning music and academic achievement, although doubts remain regarding the mechanisms underlying this association. This research analyses the academic performance of music and non-music students from seventh to ninth grade. The study controls for socioeconomic status, intelligence, motivation and prior academic achievement. Data were collected from 110 adolescents at two time points, once when the students were between 11 and 14 years old in the seventh grade, and again 3 years later. Our results show that music students perform better academically than non-music students in the seventh grade (Cohen’s d = 0.88) and in the ninth grade (Cohen’s d = 1.05). This difference is particularly evident in their scores in Portuguese language and natural science; the difference is somewhat weaker in history and geography scores, and is least pronounced in mathematics and English scores (η2 p from .09 to .21). A longitudinal analysis also revealed better academic performance by music students after controlling for prior academic achievement (η2 p = .07). Furthermore, controlling for intelligence, socioeconomic status and motivation did not eliminate the positive association between music learning from the seventh to the ninth grade and students’ academic achievement (η2 p = .06). During the period, music students maintained better and more consistent academic standing. We conclude that, after controlling for intelligence, socioeconomic status and motivation, music training is positively associated with academic achievement.
- The assessment of trapezius muscle symptoms of piano players by the use of infrared thermographyPublication . Lourenço da Fonseca, Sofia; Clemente, Miguel Pais; Coimbra, Daniela; Silva, António; Gabriel, Joaquim; Pinho, João CarlosThe aim of this study is to understand the correlation of trapezius muscle symptoms in piano players during their performance. The association of piano practice and the general health of a pianist, especially concerning the musculoskeletal system, and head posture has been studied in relation to orofacial anatomic zones and is presumed to have an influence on the biomechanical behavior of the cranio-cervico-mandibular complex (CCMC). Previous research has found that the act of playing piano involves a complex neuromuscular activity with hyperactivity of the masticatory muscles and the postural muscle trapezius. Thermal image assessment was made to the pianist’s CCMC while the piano player was playing his/her piece.
- Immediate effects of Tuina techniques on working-related musculoskeletal disorder of professional orchestra musiciansPublication . Sousa, Cláudia Maria; Moreira, Luís; Greten, Henry J.; Coimbra, Daniela; Machado, JorgeBACKGROUND: Musicians are a prone group to suffer from working-related musculoskeletal disorder (WRMD). Conventional solutions to control musculoskeletal pain include pharmacological treatment and rehabilitation programs but their efficiency is sometimes disappointing. OBJECTIVE: The aim of this research is to study the immediate effects of Tuina techniques on WRMD of professional orchestra musicians from the north of Portugal. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: We performed a prospective, controlled, single-blinded, randomized study. Professional orchestra musicians with a diagnosis of WRMD were randomly distributed into the experimental group (n=39) and the control group (n=30). During an individual interview, Chinese diagnosis took place and treatment points were chosen. Real acupoints were treated by Tuina techniques into the experimental group and non-specific skin points were treated into the control group. Pain was measured by verbal numerical scale before and immediately after intervention. RESULTS: After one treatment session, pain was reduced in 91.8% of the cases for the experimental group and 7.9% for the control group. CONCLUSION: Although results showed that Tuina techniques are effectively reducing WRMD in professional orchestra musicians of the north of Portugal, further investigations with stronger measurements, double-blinding designs and bigger simple sizes are needed.
- Do pianists play with their teeth?Publication . Lourenço da Fonseca, Sofia; Clemente, Miguel Pais; Coimbra, Daniela; Barbosa, Álvaro; Pinho, João CarlosThe aim of this study was to find out whether the masticatory and postural muscles are used by pianists during their music performances. The study also aimed to ascertain whether the complex neuromuscular activity involved in the act of playing the piano also encourages hyperactivity in terms of the masticatory muscles. The bio-electric potentials of the masticatory and postural muscles of 20 pianists were recorded. The electromyographical figures obtained from regarding the temporal and masseter muscles are much higher than those recorded when in the resting position. These registrations, which are not the same as those obtained, for example, when the individuals are chewing hard food such as a carrot, are nonetheless indicative of daily parafunctional activity in musicians who often study for as much as 7 hours per day.
- Application of Infrared Thermal Imaging in a Violinist with Temporomandibular DisorderPublication . Clemente, M.; Coimbra, Daniela; Silva, A.; Gabriel, J.; Branco, C. Aguiar; Pinho, J.C.Temporomandibular disorders (TMD) consist of a group of pathologies that affect the masticatory muscles, temporomandibular joints (TMJ), and/or related structures. String instrumentalists, like many orchestra musicians, can spend hours with head postures that may influence the biomechanical behavior of the TMJ and the muscles of the craniocervicomandibular complex (CCMC). The adoption of abnormal postures acquired during performance by musicians can lead to muscular hyperactivity of the head and cervical muscles, with the possible appearance of TMD. Medical infrared thermography is a non-invasive procedure that can monitor the changes in the superficial tissue related to blood circulation and may serve as a complement to the clinical examination. The objective of this study was to use infrared thermography to evaluate, in one subject, the cutaneous thermal changes adjacent to the CCMC that occur before, during, and after playing a string instrument.