Examinando por Autor "Silva, Anabela G."
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Publicación Pain and posture of children and adolescents who learn the accordion as compared with non-instrumentalist learners(Science & Medicine, Inc., 2016-12-01) Liliana, Aparicio; Filipa M.B., Lã; Silva, Anabela G.; Filipa M.B., LãObjectives: This study aims at assessing the impacts of practicing the accordion on pain and posture of children and adolescent students. Methods: Pain and posture (forward head posture, scapular posture and lumbar lordosis) were compared between two groups of preparatory and secondary school students, matched for age and sex: those who have accordion lessons, hence accordionists (n=16) and those who never have studied a musical instrument, hence non-instrumentalists (n=16). Results: Students having accordion lessons reported significantly more pain in the shoulder, wrist/hand and thoracic regions (p<0.05), showed a significantly more forward head posture (accordionists (median±IQ distance) = 35.6º ± 7.8º, non-instrumentalists (median±IQ distance) = 45.3º±10.8º; p <0.05), and a significantly increased lumbar lordosis (accordionists (median±IQ 14 distance) = 55.5º ± 30.6º, non-musicians (median±IQ distance)= 39.0º ± 3.9º, p <0.05). No significant differences were found for scapular posture between groups. Conclusions: This study suggests that children and adolescents who play the accordion have an increased forward head posture and lumbar lordosis and a tendency to report more pain than children and adolescents who do no play any musical instrumentPublicación Pain prevalence in instrumentalist musicians: a systematic review(Science & Medicine, Inc., 2015-03-01) Silva, Anabela G.; Filipa M.B., Lã; Afreixo, Vera; Filipa M.B., LãObjective: To inform on current prevalence of pain amongst different musicians groups, sex and body region. Methods: Studies were sought from PubMed, Web of Science; Academic Search Complete, Science Direct and Scielo. Databases were searched since 1st January 2000 until December 2012. Two reviewers screened titles and abstracts, and assessed full reports for potentially eligible studies. One reviewer extracted information on musicians’ characteristics, study methods and study quality. When possible a meta-analysis of pain prevalence estimates was performed. Results: A total of 18 studies were included in this systematic review. Studies assessed pain prevalence in general and the prevalence of pain affecting playing capacity for different time periods (point prevalence, one week prevalence, one year prevalence, month prevalence and lifetime prevalence). The prevalence of pain in general, across all groups of musicians and periods of interest over which pain was assessed varied between 29.0% and 90.0%, whereas the prevalence of pain affecting playing capacity varied between 25.8% and 84.4%. There was a tendency for guitar players to have the highest pain prevalence. The most affected body regions were low back (9.8% - 66.7%) and neck (9.8% - 48.5%). Conclusions: Pain prevalence is high among musicians, independently of the pain definition used. Health and educational policy makers should become aware of the high lifetime pain prevalence affecting performance practices, so that pain associated mechanisms are investigated and preventive strategies can be implemented and tested.