The Art of treating the Performing Artist

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The Art of treating the Performing Artist

• Lillie Rosenthal ,D.O.
• Fellow, American Board of PMR
• New York City
• USA

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• Sports Medicine/Arts Medicine

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• Amateur/Professional
• Musicians/Dancers
• On call
• Met ,ABT,NYCB,Stomp,Bway,MTV
• On tour
• Europe

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Philosophy of practice

• Osteopathic approach dx and tx
• Mind/Body
• Patient centered
• Education
• Prevention
• Back to basics diet,exercise,sleep,stress
  management
• Communication lags behind technology

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Case History

• 45 y/o MD
• Anesthesiologist
• Violist
• Right neck/ shoulder pain x 6 mos
• S/P x-ray /MRI /epidural inj

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Unique Aspects of Performers

• Physical demands
• Lifestyle (travel/alternative)
• Intensity/Competition/Rejection
• Self -esteem level of performance
• Motivation to return to art
• Day/Night job
• Minor injuries matter
• Performance anxiety

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Dance Medicine

• AthleteArtist Dancer
• Overuse injury risk
• Low pay
• Short career
• Eating disorders
• Poor aerobic conditioning

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Dance History

• Type of dance
• Footwear
• Costume/mic pac
• Diet/menses
• Class/rehearsel/performance schedule
• Lifts
• Diet coke/smoke

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Music Medicine

• Small muscle athlete
• Kinesthetic sense
• Tension/strain pattern
• Instrument transport
• Computer use

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Music History

• Hand dominance
• Primary/secondary instrument
• Change instrument/technique/teacher
• Breaks
• Sleep
• Stress level

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Physical Examination

• Posture /Observation/instrument
• Osteopathic
• Neuro
• Ortho

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Common Diagnosis

• Postural deconditioning
• Somatic dysfunction
• Myofascial trigger points
• Acute ankle sprain
• Herniated disc
• Carpal tunnel syndrome
• Thoracic outlet

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Focal Dystonia

• Involuntary movement disorder

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Treatment

• Reassurance
• Home exercise program
• Ice/heat
• Aerobic exercise
• Osteopathic medicine
• Nutritional counseling
• Breathe/Breaks
• Team approach PT,trainer, choreographer

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Organizations

• PAMA Performing Arts Med Assoc
• IADMS International Assoc Dance Medicine and
  Science