Academy of Orthopaedic Physical Therapy

American Physical Therapy Association (APTA)

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20.3 Physical Therapy for the Performing Artist
Table of Contents

FIGURE SKATING

Abstract:

CONTENT: In this monograph, the authors orient the reader to the world of figure skating and provide perspective on the rigors of training and competition. Body-region specific injuries are discussed and also the preventative considerations to think about when designing a rehabilitation and off-season conditioning program for the skater. An important section on the construction and performance characteristics of the figure skater is discussed. Emergency care procedures for the health care provider during competition are also covered. Furthermore, the authors' insight with regard to progression for return to sport are very helpful in allowing clinicians to expedite the rehabilitation process for skaters anxious to return to competition safely. The monograph also provides several resources in the form of tables, appendices, and Web site references for further information on many of the topics. CASE ANALYSES: Two excellent case studies conclude the monograph. The first discusses the case of a 31-year-old male professional ice show performer who suffers a dislocated shoulder while on tour. The second case involves a 16-year-old male junior level competitive singles figure skater who has hip pain while preparing for sectional competition. Both cases exemplify the unique demands placed on the clinician to not only be effective with the rehabilitation efforts but also stress the importance of keeping these athletes in competition.

Keywords:​

injury, rehabilitation, training, skater

References:

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INSTRUMENTALIST MUSICIAN

Abstract:

CONTENT: In this informative work, the authors stress the importance of conducting an expanded subjective examination including music performance-related questions. They also effectively identify roles of instrument-specific posturing and ergonomic evaluation as part of an objective examination. The well-qualified authors place a strong focus on myofascial pain and focal dystonia, both common maladies in musicians. The authors then provide detailed information on the development of appropriate intervention strategies for musician-specific musculoskeletal pain. The monograph represents an inside perspective on treating this unique and talented population of patients. For clinicians who seldom treat musicians, the content serves as an essential guide to customizing the examination and intervention process. For those who also commonly treat musicians, the work should serve as a documentation and confirmation of the standard of care they perform daily. CASE ANALYSES: Two excellent case studies conclude the monograph. The first case involves an 18-year-old female music student with thumb hypermobility that interferes with her ability to play violin. The second case involves a 14-year-old female violinist with complaints of left shoulder, arm, and elbow pain. The authors explain their examination techniques and highlight their eclectic treatment approaches in both cases.

Keywords:​

injury, rehabilitation, music, ergonomics

References:

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ARTISTIC GYMNASTICS

Abstract:

CONTENT: In the monograph, the authors first provide the reader with an introductory background in artistic gymnastics. Unique differences from other forms of gymnastics in terms of events, scoring, and physical demand, as well as injury potential are presented. The authors then discuss pertinent issues with regard to growth and development, body image, female athlete triad, growth inhibition, drugs, and emergency care guidelines that can impact the gymnast. Prevention strategies as well as screening and biomechanical factors are then discussed. A separate section on periodization training is also included. Specific sports injuries are then covered in detail in the context of epidemiology, traumatic versus nontraumatic origin, and injuries specific to the joints involved. Rehabilitation guidelines and return to sport progressions are specifically discussed. A section on the psychological influence helps the reader appreciate the mental factors that can impact care. Aging factors are also discussed as a consequence of competition and sport involvement. In summary, the monograph provides an inside perspective on treating this unique and talented population of patients. The information presented will provide the clinical pearls you need to not only effectively treat the athlete but also understand the rigors of the sport itself and how its culture impacts on the prevention and treatment of injury. CASE ANALYSES: Three informative case studies aid the reader in integrating the previous didactic material into a clinical management context. The first case involves a 14-year-old Level 7 female artistic gymnast who was completing a twisting leap sequence on the floor exercise when she came down in between two jumps and rolled her right ankle. The second case is a 13-year-old artistic gymnast suffering from low back pain after a gradual onset of symptoms 4 weeks ago following performance of her floor routine. The final case is a 17-year-old female artistic gymnast who entered gymnastics at the age of 4 and now at the age of 10 presents with wrist pain.

Keywords:​

injury, rehabilitation, gymnast

References:

Click here.

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