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Frasie A, Bertrand-Charette M, Compagnat M, Bouyer LJ, Roy JS. Validation of the Borg CR10 Scale for the evaluation of shoulder perceived fatigue during work-related tasks. APPLIED ERGONOMICS 2024; 116:104200. [PMID: 38091692 DOI: 10.1016/j.apergo.2023.104200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 07/25/2023] [Accepted: 12/04/2023] [Indexed: 01/16/2024]
Abstract
Work-related upper extremity disorders (WRUEDs) are highly prevalent and costly. Development of fatigue is thought to be one of the causes of WRUEDs. Perceived fatigue can be assessed with the Borg CR Scale® (Borg CR10). The objective was to validate the Borg CR10 for the evaluation of shoulder perceived fatigue during lifting tasks. Seventy adults in working age performed three rhythmic lifting tasks with two loads (15% and 30% of maximal voluntary contraction). Using generalized repeated-measures ANOVA (Generalized Estimating Equations), statistically significant Task and Load effects (p < 0.001), as well as Task × Load interaction effects (p < 0.0001) were observed on Borg CR10, without any influence of sex. The Borg CR10 is a valid tool to assess shoulder perceived fatigue as it can discriminate between tasks of different difficulty levels in term of complexity, height, and resistance, regardless of sex.
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Affiliation(s)
- Antoine Frasie
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada
| | - Michaël Bertrand-Charette
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada
| | - Maxence Compagnat
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; HAVAE EA6310 (Handicap, Aging, Autonomy, Environment), IFRH, University of Limoges, Department of Physical Medicine and Rehabilitation in the University Hospital Center of Limoges: Limoges, France
| | - Laurent J Bouyer
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada
| | - Jean-Sébastien Roy
- Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris). Québec, QC, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval. Québec, QC, Canada.
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Ziane C, Goubault E, Michaud B, Begon M, Dal Maso F. Muscle fatigue during assisted violin performance. ERGONOMICS 2024; 67:275-287. [PMID: 37264800 DOI: 10.1080/00140139.2023.2221416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 05/20/2023] [Indexed: 06/03/2023]
Abstract
Muscle fatigue is a primary risk factor in developing musculoskeletal disorders, which affect up to 93% musicians, especially violinists. Devices providing dynamic assistive support (DAS) to the violin-holding arm can lessen fatigue. The objective was to assess DAS effects on electromyography median frequency and joint kinematics during a fatiguing violin-playing task. Fifteen university-level and professional violinists were equipped with electromyography sensors and reflective markers to record upper-body muscle activity and kinematics. They played G scales with and without DAS until exhaustion. Paired t-tests assessed DAS effects on delta (final-initial) electromyography median frequencies and joint kinematics. DAS prevented the median frequency decrease of left supraspinatus, superior trapezius, and right medial deltoid, and increases in trunk rotation, left-wrist abduction, and right arm-elevation plane. DAS effects on kinematics were marginal due to retention of musical performance despite fatigue. However, DAS reduced fatigue of several muscles, which is promising for injury prevention.Practitioner summary: Violinists are greatly affected by musculoskeletal disorders. Effects of a mobility assistive device on muscle fatigue during violin playing was investigated. The assistive technology slowed down the development of fatigue for three neck/shoulder muscles, making assisted musical performance a promising avenue to prevent violinists' injuries.
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Affiliation(s)
- Clara Ziane
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
- Centre Interdisciplinaire de Recherche sur le Cerveau et l'Apprentissage, University of Montreal, Montreal, Canada
| | - Etienne Goubault
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
| | - Benjamin Michaud
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
| | - Mickaël Begon
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
- Centre de Recherche du CHU Sainte-Justine, Montreal, Canada
| | - Fabien Dal Maso
- Laboratoire de simulation et modélisation du mouvement, School of Kinesiology and Physical Activity Sciences, University of Montreal, Laval, Canada
- Centre Interdisciplinaire de Recherche sur le Cerveau et l'Apprentissage, University of Montreal, Montreal, Canada
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Marzouk M, McKeown DJ, Borg DN, Headrick J, Kavanagh JJ. Perceptions of fatigue and neuromuscular measures of performance fatigability during prolonged low-intensity elbow flexions. Exp Physiol 2023; 108:465-479. [PMID: 36763088 PMCID: PMC10103868 DOI: 10.1113/ep090981] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 01/24/2023] [Indexed: 02/11/2023]
Abstract
NEW FINDINGS What is the central question of this study? What is the predictive relationship between self-reported scales to quantify perceptions of fatigue during exercise and gold standard measures used to quantify the development of neuromuscular fatigue? What is the main finding and its importance? No scale was determined to be substantively more effective than another. However, the number of ongoing contractions performed was shown to be a better predictor of fatigue in the motor system than any of the subjective scales. ABSTRACT The purpose of this study was to determine the relationship between transcranial magnetic stimulation (TMS) measures of performance fatigability and commonly used scales that quantify perceptions of fatigue during exercise. Twenty healthy participants (age 23 ± 3 years, 10 female) performed 10 submaximal isometric elbow flexions at 20% maximal voluntary contraction (MVC) for 2 min, separated by 45 s of rest. Biceps brachii muscle electromyography and elbow flexion torque responses to single-pulse TMS were obtained at the end of each contraction to assess central factors of performance fatigability. A rating of perceived exertion (RPE) scale, Omnibus Resistance scale, Likert scale, Rating of Fatigue scale and a visual analogue scale (VAS) were used to assess perceptions of fatigue at the end of each contraction. The RPE (root mean square error (RMSE) = 0.144) and Rating of Fatigue (RMSE = 0.145) scales were the best predictors of decline in MVC torque, whereas the Likert (RMSE= 0.266) and RPE (RMSE= 0.268) scales were the best predictors of electromyographic amplitude. Although the Likert (RMSE = 7.6) and Rating of Fatigue (RMSE = 7.6) scales were the best predictors of voluntary muscle activation of any scale, the number of contractions performed during the protocol was a better predictor (RMSE = 7.3). The ability of the scales to predict TMS measures of performance fatigability were in general similar. Interestingly, the number of contractions performed was a better predictor of TMS measures than the scales themselves.
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Affiliation(s)
- Monica Marzouk
- Neural Control of Movement LaboratoryMenzies Health Institute QueenslandGriffith UniversityGold CoastQueenslandAustralia
| | - Daniel J. McKeown
- Neural Control of Movement LaboratoryMenzies Health Institute QueenslandGriffith UniversityGold CoastQueenslandAustralia
| | - David N. Borg
- The Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social WorkQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - Jonathon Headrick
- Neural Control of Movement LaboratoryMenzies Health Institute QueenslandGriffith UniversityGold CoastQueenslandAustralia
| | - Justin J. Kavanagh
- Neural Control of Movement LaboratoryMenzies Health Institute QueenslandGriffith UniversityGold CoastQueenslandAustralia
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Margulies O, Nübling M, Verheul W, Hildebrandt W, Hildebrandt H. Determining factors for compensatory movements of the left arm and shoulder in violin playing. Front Psychol 2023; 13:1017039. [PMID: 36755976 PMCID: PMC9901209 DOI: 10.3389/fpsyg.2022.1017039] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 11/30/2022] [Indexed: 01/24/2023] Open
Abstract
Introduction Despite a large number of available ergonomic aids and recommendations regarding instrument positioning, violin players at any proficiency level still display a worrying incidence of task-specific complaints of incompletely understood etiology. Compensatory movement patterns of the left upper extremity form an integral part of violin playing. They are highly variable between players but remain understudied despite their relevance for task-specific health problems. Methods This study investigated individual position effects of the instrument and pre-existing biomechanical factors likely determining the degree of typical compensatory movements in the left upper extremity: (1) left elbow/upper arm adduction ("Reference Angle α", deviation from the vertical axis), (2) shoulder elevation ("Coord x", in mm), and (3) shoulder protraction ("Coord y", in mm). In a group of healthy music students (N = 30, 15 m, 15 f, mean age = 22.5, SD = 2.6), "Reference Angle α" was measured by 3D motion capture analysis. "Coord x" and "Coord y" were assessed and ranked by a synchronized 2D HD video monitoring while performing a pre-defined 16-s tune under laboratory conditions. These three primary outcome variables were compared between four typical, standardized violin positions varying by their sideward orientation ("LatAx-CSP") and/or inclination ("LoAx-HP") by 30°, as well as the players' usual playing position. Selected biomechanical hand parameter data were analyzed as co-factors according to Wagner's Biomechanical Hand Measurement (BHM). Results Mean "Reference Angle α" decreased significantly from 24.84 ± 2.67 to 18.61 ± 3.12° (p < 0.001), "Coord x" from 22.54 ± 7.417 to 4.75 ± 3.488 mm (p < 0.001), and "Coord y" from 5.66 ± 3.287 to 1.94 ± 1.901) mm (p < 0.001) when increasing LatAx-CSP and LoAx-HP by 30°. Concerning the biomechanical co-factors, "Reference Angle α", "Coord y", but not "Coord x", were found to be significantly increased overall, with decreasing passive supination range (r = -0.307, p = <0.001 for "Passive Supination 250 g/16Ncm", and r = -0.194, p = <0.001 for "Coord y"). Compensatory movements were larger during tune sections requiring high positioning of the left hand and when using the small finger. Discussion Results may enable to adapt individually suitable instrument positions to minimize strenuous and potentially unhealthy compensation movements of the left upper extremity.
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Affiliation(s)
- Oliver Margulies
- Music Physiology/Musicians’ and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland,*Correspondence: Oliver Margulies, ✉
| | - Matthias Nübling
- Music Physiology/Musicians’ and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland
| | - William Verheul
- Music Physiology/Musicians’ and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland
| | - Wulf Hildebrandt
- Institute for Anatomy and Cell Biology, University of Marburg, Marburg, Germany
| | - Horst Hildebrandt
- Music Physiology/Musicians’ and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland,Swiss University Center for Music Physiology, Basel University of the Arts, Basel, Switzerland
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M. Abdel-Malek D, Foley RCA, Wakeely F, Graham JD, Delfa NJL. Calibrating ratings of perceived fatigue relative to objective measures of localised muscle fatigue using a feedback-based familiarisation protocol. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2020. [DOI: 10.1080/1463922x.2020.1827079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Daniel M. Abdel-Malek
- Faculty of Health Sciences (Kinesiology), University of Ontario Institute of Technology, Oshawa, Ontario, Canada
| | - Ryan C. A. Foley
- Faculty of Health Sciences (Kinesiology), University of Ontario Institute of Technology, Oshawa, Ontario, Canada
| | - Fahima Wakeely
- Faculty of Health Sciences (Kinesiology), University of Ontario Institute of Technology, Oshawa, Ontario, Canada
| | - Jeffrey D. Graham
- Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Nicholas J. La Delfa
- Faculty of Health Sciences (Kinesiology), University of Ontario Institute of Technology, Oshawa, Ontario, Canada
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Araújo LS, Wasley D, Redding E, Atkins L, Perkins R, Ginsborg J, Williamon A. Fit to Perform: A Profile of Higher Education Music Students' Physical Fitness. Front Psychol 2020; 11:298. [PMID: 32210876 PMCID: PMC7066496 DOI: 10.3389/fpsyg.2020.00298] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Accepted: 02/07/2020] [Indexed: 11/13/2022] Open
Abstract
The physical demands of music making are well acknowledged, but understanding of musicians' physical and fitness profiles is nonetheless limited, especially those of advanced music students who are training to enter music's competitive professional landscape. To gain insight into how physical fitness is associated with music making, this study investigated music students' fitness levels on several standardized indicators. Four hundred and eighty three students took part in a fitness screening protocol that included measurements of lung function, flexibility (hypermobility, shoulder range of motion, sit and reach), strength and endurance (hand grip, plank, press-up), and sub-maximal cardiovascular fitness (3-min step test), as well as self-reported physical activity (IPAQ-SF). Participants scored within age-appropriate ranges on lung function, shoulder range of motion, grip strength, and cardiovascular fitness. Their results for the plank, press-up, and sit and reach were poor by comparison. Reported difficulty (22%) and pain (17%) in internal rotation of the right shoulder were also found. Differences between instrument groups and levels of study were observed on some measures. In particular, brass players showed greater lung function and grip strength compared with other groups, and postgraduate students on the whole were able to maintain the plank for longer but also demonstrated higher hypermobility and lower lung function and cardiovascular fitness than undergraduate students. Seventy-nine percent of participants exceeded the minimum recommended weekly amount of physical activity, but this was mostly based on walking activities. Singers were the most physically active group, and keyboard players, composers, and conductors were the least active. IPAQ-SF scores correlated positively with lung function, sit and reach, press-up and cardiovascular fitness suggesting that, in the absence of time and resources to carry out comprehensive physical assessments, this one measure alone can provide useful insight into musicians' fitness. The findings show moderate levels of general health-related fitness, and we discuss whether moderate fitness is enough for people undertaking physically and mentally demanding music making. We argue that musicians could benefit from strengthening their supportive musculature and enhancing their awareness of strength imbalances.
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Affiliation(s)
- Liliana S Araújo
- Centre for Performance Science, Royal College of Music, London, United Kingdom.,Faculty of Medicine, Imperial College London, London, United Kingdom.,Trinity Laban Conservatoire of Music and Dance, London, United Kingdom
| | - David Wasley
- Cardiff School of Sport, Cardiff Metropolitan University, Cardiff, United Kingdom
| | - Emma Redding
- Trinity Laban Conservatoire of Music and Dance, London, United Kingdom
| | - Louise Atkins
- Centre for Performance Science, Royal College of Music, London, United Kingdom
| | - Rosie Perkins
- Centre for Performance Science, Royal College of Music, London, United Kingdom.,Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Jane Ginsborg
- Royal Northern College of Music, Manchester, United Kingdom
| | - Aaron Williamon
- Centre for Performance Science, Royal College of Music, London, United Kingdom.,Faculty of Medicine, Imperial College London, London, United Kingdom
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Kok LM, Schrijvers J, Fiocco M, van Royen B, Harlaar J. Differences in violin fixation force and muscle activity among violinists with and without complaints of the neck shoulder region. J Electromyogr Kinesiol 2018; 43:217-225. [PMID: 30447531 DOI: 10.1016/j.jelekin.2018.11.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 09/03/2018] [Accepted: 11/03/2018] [Indexed: 10/27/2022] Open
Abstract
PURPOSE The aim of this study is to determine the relationship between complaints of the neck and shoulder region, the jaw-shoulder violin fixation force, and the activity of the neck and shoulder muscles in violinists. METHODS In this case-control study twenty professional violinists were included, of which ten with current complaints of the neck shoulder region and ten without these complaints. A questionnaire including the DASH and NDI was used; violin fixation force and activity of the superficial neck muscles were evaluated in five playing conditions. RESULTS Each group consisted of eight female and two male violists with a mean age of 29 years. Violinists with complaints had more muscle activity of all evaluated muscles compared to violinists without complaints; complaints were significantly associated with the muscle activity of all evaluated muscles. Complaints were not significantly associated with the violin fixation force. The playing condition significantly predicted the violin fixation force and the activity of all muscles except the left mTP. CONCLUSIONS Violinists with complaints have more muscle activity of some superficial neck and shoulder muscles. Co-contraction is thought to play a relevant role in violinists with these complaints.
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Affiliation(s)
- Laura M Kok
- Leiden University Medical Center, Department of Orthopedics, the Netherlands.
| | - Jim Schrijvers
- VU University Medical Center, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, the Netherlands
| | - Marta Fiocco
- Department of Medical Statistics and Bioinformatics, Leiden University Medical Center Leiden, the Netherlands; Mathematical Institute, Leiden University, the Netherlands
| | - Barend van Royen
- VU University Medical Center, Department of Orthopedics, Amsterdam Movement Sciences, the Netherlands
| | - Jaap Harlaar
- VU University Medical Center, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, the Netherlands; Delft University of Technology, Delft, the Netherlands
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Yang C, Bouffard J, Srinivasan D, Ghayourmanesh S, Cantú H, Begon M, Côté JN. Changes in movement variability and task performance during a fatiguing repetitive pointing task. J Biomech 2018; 76:212-219. [PMID: 29908654 DOI: 10.1016/j.jbiomech.2018.05.025] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2018] [Revised: 05/12/2018] [Accepted: 05/30/2018] [Indexed: 11/26/2022]
Abstract
Changes in neuromuscular strategies employed with fatigue during multi-joint movements are still poorly understood. Studies have shown that motor variability of individual joints increases when performing upper limb tasks to fatigue, while movement parameters related to the task goal remain constant. However, how the inter-limb coordination and its variability change during specific movement phases with fatigue is still unclear. The aim of this study was to assess the effects of neck-shoulder fatigue on shoulder and elbow kinematic variabilities, shoulder-elbow coordination and its variability, and endpoint characteristics during different phases of a forward pointing movement. Nineteen healthy young adults continuously performed a repetitive pointing task until fatigue (Borg rating of 8/10). Changes in elbow-shoulder coordination through the movement were assessed using the continuous relative phase and statistical nonparametric mapping methods. At the end of the task, muscle fatigue was evidenced by significant increases in anterior deltoid (+13%) and biceps brachii (+30%) activity. Shoulder horizontal abduction, elbow flexion variability and shoulder-elbow coordination variability were increased with fatigue at different moments of the movement cycle (shoulder: during the first 17% and most of the second half movement, elbow: from 73% to 91%, coordination: almost the whole movement). However, movement timing errors and endpoint spatial variability were mostly preserved, even with fatigue. We showed that increased variability with fatigue is not only observed in the fatigued joint (shoulder), but also in the elbow and shoulder-elbow coordination, and may have a goal of preserving global task performance.
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Affiliation(s)
- Chen Yang
- Department of Kinesiology and Physical Education, McGill University, Montreal, QC H2W 1S4, Canada; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Centre, Jewish Rehabilitation Hospital, Laval, QC H7V 1R2, Canada.
| | - Jason Bouffard
- Department of Kinesiology and Physical Education, McGill University, Montreal, QC H2W 1S4, Canada; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Centre, Jewish Rehabilitation Hospital, Laval, QC H7V 1R2, Canada; Laboratoire de simulation et modélisation du mouvement, Département de kinésiologie, Université de Montréal, Laval, QC H7N 0A5, Canada
| | - Divya Srinivasan
- Grado Department of Industrial and Systems Engineering, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - Shaheen Ghayourmanesh
- Department of Kinesiology and Physical Education, McGill University, Montreal, QC H2W 1S4, Canada; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Centre, Jewish Rehabilitation Hospital, Laval, QC H7V 1R2, Canada
| | - Hiram Cantú
- Department of Kinesiology and Physical Education, McGill University, Montreal, QC H2W 1S4, Canada; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Centre, Jewish Rehabilitation Hospital, Laval, QC H7V 1R2, Canada
| | - Mickaël Begon
- Laboratoire de simulation et modélisation du mouvement, Département de kinésiologie, Université de Montréal, Laval, QC H7N 0A5, Canada
| | - Julie N Côté
- Department of Kinesiology and Physical Education, McGill University, Montreal, QC H2W 1S4, Canada; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Centre, Jewish Rehabilitation Hospital, Laval, QC H7V 1R2, Canada
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Araújo LS, Wasley D, Perkins R, Atkins L, Redding E, Ginsborg J, Williamon A. Fit to Perform: An Investigation of Higher Education Music Students' Perceptions, Attitudes, and Behaviors toward Health. Front Psychol 2017; 8:1558. [PMID: 29066983 PMCID: PMC5641399 DOI: 10.3389/fpsyg.2017.01558] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Accepted: 08/28/2017] [Indexed: 12/18/2022] Open
Abstract
Making music at the highest international standards can be rewarding, but it is also challenging, with research highlighting pernicious ways in which practicing and performing can affect performers' health and wellbeing. Several studies indicate that music students' perceptions, attitudes, and behaviors toward health and healthy living are less than optimal, especially considering the multiple physical and psychological demands of their day-to-day work. This article presents the results of a comprehensive screening protocol that investigated lifestyle and health-related attitudes and behaviors among 483 undergraduate and postgraduate students (mean age = 21.29 years ± 3.64; 59% women) from ten conservatoires. The protocol included questionnaires measuring wellbeing, general health, health-promoting behaviors, perfectionism, coping, sleep quality, and fatigue. On each measure, the data were compared with existing published data from similar age groups. The results indicate that music students have higher levels of wellbeing and lower fatigue than comparable samples outside of music. However, they also reveal potentially harmful perceptions, attitudes, and behaviors toward health. Specifically, engagement in health responsibility and stress management was low, which along with high perfectionistic strivings, limited use of coping strategies, poor sleep quality, and low self-rated health, paints a troubling picture both for the music students and for those who support their training. The findings point to the need for more (and more effective) health education and promotion initiatives within music education; in particular, musicians should be better equipped with mental skills to cope with constant pressure to excel and high stress levels. In part, this calls for musicians themselves to engage in healthier lifestyles, take greater responsibility for their own health, and be aware of and act upon health information in order to achieve and sustain successful practice and performance. For that to happen, however, music educators, administrators, and policy makers must play an active role in providing supportive environments where health and wellbeing is considered integral to expert music training.
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Affiliation(s)
- Liliana S. Araújo
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - David Wasley
- Cardiff School of Sport, Cardiff Metropolitan University, Cardiff, United Kingdom
| | - Rosie Perkins
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Louise Atkins
- Centre for Performance Science, Royal College of Music, London, United Kingdom
| | - Emma Redding
- Trinity Laban Conservatoire of Music and Dance, London, United Kingdom
| | - Jane Ginsborg
- Royal Northern College of Music, Manchester, United Kingdom
| | - Aaron Williamon
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
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Peres SC, Kortum PT, Akladios M, Muddimer A. Developing and validating a self-report assessment tool for software biomechanics. Work 2015; 53:193-204. [PMID: 26409385 DOI: 10.3233/wor-152142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND There are many effective methods for decreasing the likelihood of repetitive strain injury (RSI) for those who work at a computer in an office environment. This study is focused on the highly repetitive task of interpreting seismic data. The skilled geoscientists who perform this work are very well compensated, and their work is vital to the success of the oil company. However, RSIs are still occurring in situations where effective methods of mitigating injuries have been successfully implemented and this has been occurring very frequently for geoscientists. This suggests that there are other elements contributing to the development of these injuries and one element could be the software interaction design. However, it is difficult for software designers to determine this because most measures associated with muscle activity require expensive data collection methods. OBJECTIVE This paper describes research conducted to determine if survey-based subjective measures might be used to assess the potential for RSI for software programs. METHODS In laboratory and field settings, data were collected using three different survey instruments (NASA-Task Load Index, Latko's Busiest Hand Activity Level Scale, and the Borg CR10 Rating of Perceived Exertion Scale) and conventional measures of muscle activity (sEMG). Correlations between the surveys and muscle activity were then calculated. RESULTS For both the laboratory and the field, people were able to provide reliable self-report information related to their muscle activity. However, the effect sizes were not large. CONCLUSIONS These results suggest that self-report tools could be utilized to identify software interaction designs related associated with risks of RSI.
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Development and psychometric evaluation of the Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians. ACTA ACUST UNITED AC 2014; 19:575-88. [DOI: 10.1016/j.math.2014.05.015] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2014] [Revised: 04/13/2014] [Accepted: 05/30/2014] [Indexed: 12/26/2022]
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Korol G, Karniel A, Melzer I, Ronen A, Edan Y, Stern H, Riemer R. Relation between perceived effort and the electromyographic signal in localized low-effort activities. ACTA ACUST UNITED AC 2014. [DOI: 10.1177/1541931214581225] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Hand-based human–machine interfaces are complex tasks that involve repetitive or sustained movements and postures of the hands that can lead to overuse syndromes of the musculoskeletal system. Consequently, it is important to minimize the physical effort that occurs at these interfaces. The evaluation of physical effort can be performed either by subjective evaluation of the relative perceived effort (e.g., Borg scale) or by objective physiological measurements (e.g., electromyography – EMG). However, the relation between these two measures has not been sufficiently studied for localized low-effort activities. This study investigated the relation between EMG and Borg ratings, as well as the issue of gender differences during low-effort activity of forearm muscles. Nine females and nine males performed eight different hand gestures (localized low-effort activity), during which EMG signals were recorded from six forearm muscles and Borg ratings were obtained. On average, the female subjects rated the gestures as less effortful than the male subjects, and also demonstrated a higher positive correlation between the EMG and Borg ratings. Furthermore, the linear model that was fitted for predicting the Borg ratings based on gender and the combined activity of muscles provided an R-squared value of approximately 0.3.
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Affiliation(s)
| | | | | | - Adi Ronen
- Department of Industrial Engineering and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Yael Edan
- Department of Industrial Engineering and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Helman Stern
- Department of Industrial Engineering and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Raziel Riemer
- Department of Industrial Engineering and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Abstract
The system usability scale (SUS; Brooke, 1996) is an instrument commonly utilized in usability testing of commercial products. The goal of this symposium is to discuss the validity of the SUS in usability tests and beyond. This article serves as an introduction to the symposium. Specifically, it provides an overview of the SUS and discusses research questions currently being pursued by the panelists. This current research includes: defining usability norms, assessing usability without performing tasks, and the use of SUS for ergonomics. In addition to this paper, there are four other papers in the symposium, which discuss the impact of experience on SUS data, the relationship between SUS and performance scores, the linkage between SUS and business metrics, as well as the potential for using SUS in test and evaluation for military systems.
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14
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Kaufman-Cohen Y, Ratzon NZ. Correlation between risk factors and musculoskeletal disorders among classical musicians. Occup Med (Lond) 2011; 61:90-5. [DOI: 10.1093/occmed/kqq196] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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15
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Strimpakos N, Georgios G, Eleni K, Vasilios K, Jacqueline O. Issues in relation to the repeatability of and correlation between EMG and Borg scale assessments of neck muscle fatigue. J Electromyogr Kinesiol 2005; 15:452-65. [PMID: 15935957 DOI: 10.1016/j.jelekin.2005.01.007] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2004] [Revised: 12/18/2004] [Accepted: 01/07/2005] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The repeatability of subjective and objective assessments of neck muscle fatigue is very important with regard to the clinical applicability of these methods. METHOD To establish between-days reliability, 33 healthy volunteers performed a 60% maximum voluntary isometric contraction test from a standing position in all neck movements. Cervical muscle fatigue was assessed on three separate occasions from the spectral (median frequency, MF) and amplitude (root mean square, RMS) analysis of the electromyogram (EMG) signal recorded from the cervical paraspinal group, splenius capitis, levator scapulae and sternocleidomastoid. Subjective assessment of fatigue was rated by employing the Borg scale. Intraclass correlation coefficient ICC((1,1)), standard error of measurement (SEM), smallest detectable difference (SDD) indices and Pearson's correlation co-efficient were calculated for the analysis of the results. RESULTS Normalised median frequency (MF) slope had low repeatability and large between-day error (ICC((1,1))=0.28-0.61; SEM=0.33-0.60%/s; SDD=132.7-703.2%) for the protagonist muscles of each movement. Initial median frequency (IMF) had moderate to good reliability and small error (ICC((1,1))=0.64-0.81; SEM=2.8-8.8Hz; SDD=19.9-38.5%). The RMS slope yielded also poor repeatability. The Borg assessment was more reliable than the EMG estimate though variability between sessions was still quite high (SDD=29.2-136.5%). No correlation was found between the EMG and Borg assessment of neck muscle fatigue (r=-0.01-0.39). CONCLUSION The protocol used for assessing neck muscle fatigue proved to be reliable only for the IMF but the clinical usefulness of this measure remains questionable. The lack of correlation between objective and subjective estimation of neck muscle fatigue was possibly a consequence of the poor measurement repeatability. Further research is needed to identify the factors responsible for these results on neck area.
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Affiliation(s)
- Nikolaos Strimpakos
- Centre for Rehabilitation Science, Central Manchester and Manchester Children's Hospital's NHS Trust, University of Manchester, Oxford Road, Manchester M13 9WL, UK.
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17
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Farina D, Kallenberg LAC, Merletti R, Hermens HJ. Effect of side dominance on myoelectric manifestations of muscle fatigue in the human upper trapezius muscle. Eur J Appl Physiol 2003; 90:480-8. [PMID: 12898269 DOI: 10.1007/s00421-003-0905-4] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/20/2003] [Indexed: 10/26/2022]
Abstract
The purpose of this study was to investigate whether differences in the peripheral and control properties of the neuromuscular system due to long-term preferential use, related to side dominance, affect postural muscles, such as the upper trapezius. Therefore, fatigability properties of the upper trapezius muscles of the dominant and non-dominant side were assessed. Surface EMG signals were detected from the upper trapezius muscles of both sides of nine right- and five left-handed subjects with adhesive linear electrode arrays consisting of eight contact points. Static constant force contractions with the arms 90 degrees abducted were performed by the subjects while holding hand loads of 0 kg, 0.5 kg, and 1 kg. Surface EMG spectral and amplitude variables were computed from the recorded signals. EMG spectral variable rate of change (indicating fatigue) showed a statistically significant difference between the two sides, with the dominant side less fatigable than the non-dominant one. The observed differences held for both the right- and left-handed subject group. A possible explanation for the results is that long preferential use of one side with respect to the other leads to changes in muscle fiber membrane and control properties, in agreement with previous results on limb muscles.
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Affiliation(s)
- Dario Farina
- Dipartimento di Elettronica, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129, Turin, Italy.
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Ackermann B, Adams R, Marshall E. The effect of scapula taping on electromyographic activity and musical performance in professional violinists. THE AUSTRALIAN JOURNAL OF PHYSIOTHERAPY 2002; 48:197-203. [PMID: 12217069 DOI: 10.1016/s0004-9514(14)60224-5] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Taping the scapula has been suggested as a method of improving both scapula position and muscular efficiency of the shoulder girdle. These factors have been linked to neck and arm problems in violinists. The purpose of this study was to evaluate the effects of taping the scapulae of violinists into a position that prevented excessive elevation and protraction whilst playing. Eight professional violinists played three different musical excerpts with and without scapula taping applied in random order. Electromyographic activity was recorded from the upper trapezii, the scapula retractors and the right sternocleidomastoid muscles. Performances were recorded onto videotape and audiocassette, and self-report data collected for later analysis. Compared with the control condition, scapula taping increased electromyographic activity in the left upper trapezius muscle during playing by 49% as an overall effect, with a 60% increase in the most physically demanding piece played. Lower music quality was detected in the same piece by raters blinded to performance conditions. Taping also had significant negative effects on subjects' reports of concentration and comfort. Short-term application of scapula taping did not enhance selected scapula stabilising muscles during playing and was not well tolerated by professional violinists.
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Hui L, Ng GY, Yeung SS, Hui-Chan CW. Evaluation of physiological work demands and low back neuromuscular fatigue on nurses working in geriatric wards. APPLIED ERGONOMICS 2001; 32:479-483. [PMID: 11534793 DOI: 10.1016/s0003-6870(01)00025-4] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
This study evaluated the physiological demands and low back neuromuscular fatigue patterns following a daytime work shift of 21 female nurses working in geriatric wards. Subjects' heart rate (HR) at work was monitored for 8 h and surface electromyogram (EMG) of their back muscle was recorded during a 1-minute horizontal trunk holding test before and after work. Results showed that the nurses had heart rates exceeding 90 beats/min in 57% and 110 beats/min in 19% of their working hours. The EMG revealed a significant drop in initial median frequency (MF) (p = 0.04) and increase in negative slope of the MF/time plot (p<0.001) of the back muscle after work. These suggest that the muscles were fatigued after work. The nurses rated patient lifting, transfer and turning as most physically demanding, and these corresponded to the highest heart rates recorded. The physiological and neuromuscular strain on the nurses indicated that extreme care should be exercised at work, particularly towards the end of a work shift when the muscles have become fatigued.
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Affiliation(s)
- L Hui
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom
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