Posts Tagged ‘Performance’

Arts health practitioners in focus: Massage Therapy

Tuesday, March 27th, 2018

Arts professionals and students are unlikely spend much time thinking about their health until something goes wrong. Yet they work in a tough industry and often push themselves to the limit. Problems can accumulate over days and years spent practising and performing. Taking care over physical and mental health is essential to sustainable performance practice and a successful career.

Sometimes things go wrong. A health problem or injury starts to affect your performance and you need help to beat it.

If you are a student or professional in the performing arts, a call to BAPAM’s Helpline can provide advice about where to get help for work-related health problems. You can arrange a free assessment at BAPAM with a doctor or clinician who will understand the demands of your career. You should always talk to your NHS GP as well – often excellent services are accessible by GP referral.

What if you are looking for independent expertise from a physical or psychological therapist? It is easy to be confused with the number of different therapies available. How do you go about finding a practitioner with the right experience and expertise?

BAPAM’s Directory of Practitioners lists information about high quality and accessible performing arts healthcare provided by skilled professionals working in a variety of modalities. In this series of posts, we’ll look at how these different kinds of practitioners can help you stay fit, overcome problems, and give your best performance. In this post, we look at a sometimes overlooked section of our Directory, Massage Therapy.

Massage Therapists work with the soft tissues – muscles, tendons & ligaments to apply pressure, manipulate and stretch them. Often these clinicians are termed Sports Massage, Holistic Massage or Sports and Remedial Massage practitioners.

You should check Massage Therapists are properly registered with the regulatory body, the Complementary & Natural Healthcare Council, which means they are highly qualified. ITEC level 3 certificates are a good entry point into massage but for detailed knowledge of anatomy & physiology and more advanced methods of working, it is important that the therapist is qualified to diploma level or above.

We asked four BAPAM Registered Practitioners for their opinions on how arts specialist Massage Therapists can help you stay fit and give your best performance.

Rebekah Gilbert:

Rebekah Gilbert trained as a singer at the Royal Academy of Music and has sung as a concert soloist, recorded for EMI, BBC Radio, Classic FM and at Abbey Road Studios. She trained at the London School of Sports Massage and ITEC. She has a doctorate in coaching and is an Associate of Canterbury Christ Church University, working with Professor Stephen Clift on worldwide publications relating to singing and wellbeing.

“A good Massage Therapist will do a lot more than just ‘pummel’ you! First they will take a history of the issues you are consulting them on, your artistic practice and the time you put into it, lifestyle, exercise, the environments in which you work, and your medical history. If they discover anything that may need referral to another medical professional they will know when not to treat you.

Secondly, they will assess your posture as you stand and sit, the way a musician plays their instrument, and look at your walking gait. Is anything out of alignment? What are your posture habits and why? Might you need orthotics to improve how you stand and walk or just more supportive shoes?

Thirdly, they understand the difference between palpating well toned muscles and tense ones. Massage Therapists are good detectives, examining how you may have formed adhesions (knots), and can recommend changes necessary to reduce them in the future. The muscular skeletal system has an integral deep & superficial layer of facia running through it, which connects to every part of the body down to cellular level. Because of this, a Massage Therapist will know that a pain in one location may be triggered by problems in another and, within their toolkit of techniques, which will be most beneficial to apply.

Fourthly, they will have a long list of stretching exercises to give you as ‘homework’. However well a Massage Therapist can work in one hour, the time until your next appointment needs your input to make a difference. They may suggest other local practitioners such as Pilates, Feldenkrais, Yoga or Physical Training instructors to help you improve core strength and posture awareness. As a singer, I also know how beneficial optimal breathing techniques are in performance.”

Felicity Vincent:

Felicity Vincent is a professional cellist and a Pilates Instructor and Massage Therapist specialising in exercise for cellists. Felicity is an experienced active performing cellist and teacher with a deep understanding of how a player’s body might accumulate problems and how these might be solved. She has gone on to study Fascial Release with Anatomy Trains. Please check the BAPAM Directory for contact details. 

“Every string player knows their body isn’t just made up of levers (bones) and pulleys (muscles) but a controlled flow of circular and rotational movement. This is made possible by your fascia, the soft tissue of the body which is now known to be a strong, bouncy, stretchy, highly intelligent and trainable cell matrix which is everywhere, joining muscles to bones, allowing muscles to glide over each other, and through and over organs. But the fascial system is the site of countless numbers and types of nerve endings. These can respond to overuse and misuse which may be caused by imbalanced body use or holding onto emotions. Some degree of hypermobility can be an advantage in playing but is a double edged sword because stretchy tissue is particularly vulnerable to injury when overworked. On the massage couch your therapist will coax adhesions to dissolve and encourage held patterns to let go.

I see regular exercise as the principal key to health and wellbeing for every string player. I enjoy Pilates because it can be challenging and, particularly using the equipment, is a sophisticated way to balance the body and strengthen it. There are many schools of cello playing; the most important thing is that playing shouldn’t be destructive.”

Zoltan Zavody

As a musician (and martial artist) himself, Zoltan Zavody understands the range of injuries, impediments to joyful playing, and pain that can result from muscular imbalances.

“Anyone who trains their body intensively is more prone to soft tissue injuries – musicians sit in the same position for hours, make countless repetitive motions at speed, and then lug their instrument or box of scores to their next session. They are perfectionists who put themselves under intense scrutiny and thus stress. In the course of their careers, many musicians are likely to experience an injury requiring time off from performing.

The conditions sustained through the playing of music vary. Some seem relatively innocent, for example tightness and soreness in the left shoulder of a violin player. Others are more insidious, like the burning pain in the wrist of a guitarist. Still others are structural, like a lower back torsion in a pianist. Massage Therapy can generally help with all of these. And they can be interconnected.

Interestingly, through years of practise, it is not only the muscles that are habituated to playing. The connective tissue, the fascia that surround the muscles, also adapt. Research shows that this connective tissue morphs, slides, and grips according to habitual movements. So a musician may end up with managing to relax their ‘playing muscles’, but unless it is released, the tissue enveloping these muscles continues to pull their body and limbs into a specific posture, like a skewed bodysuit. The person is relaxed, yet they still feel a tightness, a pull, a misalignment. This is where a Massage Therapist can help with a range of myofascial techniques; softening, stretching, and pulling the connective tissues, the bodysuit, into comfortable alignment.

Myofascial work is not all about injury and problems! All of us inevitably have muscles and tissues that are a little stuck, whether from old injuries or emotional holding or underuse, and we don’t even notice. Take a singer for example, who has no complaints but wishes to improve the smoothness of their sound. By working fascially through the diaphragm and along the ribs, a Massage Therapist can help release these areas, leading to greater lung capacity and breath control, and an easier, more joyful singing experience. We have essentially freed up the bellows – and who wouldn’t want that?

If musicians were sportspeople, they would have ‘pitch-side’ Massage Therapists and coaches to help them fulfil their potential and make life a little bit easier.”

James Wellington

James Wellington is a specialist musculoskeletal physiotherapist and Sports Massage Therapist who works extensively with circus performers and other artists. He Lectures nationally and internationally in the fields of physiotherapy, injury prevention & performance enhancement and conducts research in evidence based practice.

“Using sports massage within clinical practice is hugely beneficial, as evidenced by the hundreds of satisfied performers that receive and rave about it. However, there are few well controlled studies into its clinical efficacy.

The speculated effects are biomechanical (improved joint range of motion, reduced stiffness and tissue adherence), physiological (reduced stress hormones, improved blood flow and parasympathetic activity), neurological (less pain and muscle tension), and psychological (reduced anxiety and improved relaxation).

Let’s be honest. It does feel therapeutic getting a sports massage (depending on the pressure being applied of course). It’s my conviction, however, that its benefits rely most heavily on therapist experience and their choice of technique.

If you’re lucky enough to find a sports massage therapist that has a broad set of massage skills, the ability to clinically reason and be able to justify every technique they use – you’re way more likely to see positive results. Personally, I find it hugely beneficial in improving joint range, reducing muscle tension, decreasing pain and decreasing injury-potential factors.

My top tips for performing artists thinking about getting a Sports Massage:

1. Think about the reason(s) you want to book a Sports Massage (post-training soreness / poor flexibility / repetitive strain injury / accumulated muscle tension / a pampering treat?) and communicate this to the therapist (this will assist in selecting appropriate depth of pressure and duration of treatment).

2. Tell the therapist if you specifically intend for the Sports Massage to improve your performance and/or recovery as this may also determine the type of techniques they use.

3. Timing of the massage is important. If in doubt, ask the therapist before booking what is the most appropriate.”

Psychosocial Practitioners Peer Supervision Group

Tuesday, December 5th, 2017

BAPAM is pleased to support the establishment of a new Peer Supervision Group for psychosocial practitioners who work with performing arts clients.

The group, whose inaugural meetings took place earlier this year, hope to open up the conversation between performing arts and psychological practice. The aim is to foster a network for counselling, coaching and psychology practitioners working frontline with performance artists for interactive exploration, mutual consultation and support on professional practice issues, and for reflection on what constitutes best practice in working with performers, as well as to share specialist expertise, guidance and information according to a professional framework of rigorous evidence-based practice and practice-based evidence in the field.

The next meeting is scheduled to take place on December 9th, and thereafter every two months on Saturdays from 12 to 1:30 pm at the London Natural Health Centre, 46 Theobalds Road, NW1 8NW.

Practitioners interested in finding out more or joining the group are invited to contact Dr Jane Oakland by email: jane.oakland@btinternet.com

Research: The Wellbeing of Musicians Across the Lifespan

Thursday, October 5th, 2017

Musicians sometimes spend a lot of time looking at what is wrong, which can give more energy to challenges and create a downward spiral. Positive psychology is influenced by the idea that in spending more time focusing on what’s right, we allow ourselves to consider what it looks like to do well, which can in turn lead to a more positive physical/mental/emotional outworking.

Marie El-Khazen is a researcher inviting musicians aged 60+ to take part in interviews which will help develop knowledge and understanding of musicians’ perception of wellbeing as a performer, throughout a lifelong professional career.

If you’d like to help with this study you need to be aged 60+, having earned the majority of your full time income from employment as a performing musician. Interviews lasting 60 – 90 minutes will be conducted face to face, or via Skype, and will be recorded (on a dictaphone). Participants will remain anonymous. To take part or to find out more, please contact Marie directly by emailing U1620023@uel.ac.uk. You can also find here a detailed participant invitation letter.

This research has been approved by the School of Psychology Research Ethics Committee, and follows the standard of research ethics set by the British Psychological Society.

Healthy Performance Workshops at The Actors Centre

Thursday, September 28th, 2017

We’re pleased to announce a new series of healthy performance workshops in partnership with The Actors Centre, with funding support from Equity.

Members of The Actors Centre can book their place for the first two sessions now.

Look out for more workshops as the series continues through 2018.

Friday 10th November: Finding a Work-Life Balance in Changing Times 

Dr Carol Chapman
Counselling Psychologist and Performance Coach

This 3 hour interactive workshop looks at ways of establishing a viable work-life balance and managing time effectively in the context of irregular jobs and irregular working patterns. These can affect health and well-being and impact on family and social life. The workshop illustrates ways of managing the stress reactions these unpredictable patterns can bring, and shows how to facilitate resilience. Participants will be able to raise appropriate issues that affect them personally and options for coping will be described and discussed. Suggestions for taking ideas further will be made. Book here

Friday 8th December: Healthy Voice

Dr Jenevora Williams
Singing Teacher and Vocal Health Expert

All voice users suffer from ill health at some time. Find out how to minimise the vocal fatigue suffered as a result of overuse or misuse. You can also learn

about the effects of medications, environmental factors, hormones, ageing, and of course – stress.

Dr Jenevora Williams will begin with a brief summary of how the voice works, followed by a practical guide to understanding and managing your own voice use. Book here

BAPAM Training Day: The Professional Voice User in Trouble

Monday, September 4th, 2017

Our November 2017 Training Day brings a multidisciplinary focus to bear on vocal health issues affecting professional voice users. Presented in collaboration with voice care experts at the forefront of the field, this event is ideal for medical professionals and students, voice coaches, professional voice users, teachers, healthcare practitioners, and all those engaged in wellbeing in the creative arts, who want to develop specialist knowledge and skills. BAPAM Training Days are also a great opportunity for discussion, sharing insights with peers, making new connections and growing our performing arts medicine network.

Book your place here

Our timetable for the day will be confirmed shortly. Presentations include:

Mr Nick Gibbins, Laryngologist
The Surgeon’s Perspective

Nick Gibbins will take us through the types of vocal injuries and disorders that face professional performers including musculoskeletal issues, inflammatory problems, and organic lesions of the vocal folds. The laryngologist’s role in the multidisciplinary voice clinic will be explored including diagnosis and surgical intervention.

Tori Burnay, Voice Specialist Speech and Language Therapist
The Therapist’s Perspective

Tori Burnay will show us the therapist’s side of endoscopic examination including the muscular behaviour of the larynx and vocal tract in healthy and disordered speech. Muscle tension issues, vocal hygiene, workload management and potential therapy plans will be discussed.

Dr Carol Chapman, Counselling Psychologist and Performance Coach

Dr Jane Oakland, Music Psychologist and Singer
Psychological Perspectives

Examining the difference in presentation, conceptualisation and treatment between professional voice users who have a medical diagnosis and those for whom no diagnosis has emerged and whose problems appear to have a purely psychogenic origin. Discussing the psychological and social/career impact of having voice problems in these circumstances and at different stages during a performing career. Using illustrations from client work, suggesting what clinicians should look out for. Illustrating techniques for rehabilitation and coping.

Prof. Dane Chalfin, Vocal Rehabilitation Coach
The Singing Perspective

Dane Chalfin will guide us through the Vocal Rehabilitation Coach’s role in the interpretation of the laryngopharyngeal gestures in healthy and disordered singing in various styles. Muscle tension issues in the singing voice and rehabilitative pedagogy will be discussed. This will also include a live scoping session where Mr Nick Gibbins will perform nasendoscopy on Professor Chalfin live in front of the audience. We will be inviting attendees to submit requests for singing gestures they would like to see in situ.

Ed Blake, Physiotherapist
The Physiotherapist’s Perspective

Ed Blake presents on physiotherapy treatment for professional voice users suffering voice related symptoms.

Mind Out! Mental Health and Theatre Event

Thursday, May 4th, 2017

Thursday 18 May, 6.30pm
The Actors’ Church, Covent Garden

BAPAM’s Deborah Charnock will join the panel at this year’s Theatre Chaplaincy UK (TCUK) Spring Lecture, addressing mental health in the theatre. Stephen Fry will be giving a keynote speech entitled Mind Out! This occasion is part of a growing movement to break the taboo and stigma that still surrounds issues of mental health in the theatre. Stephen will then join in the panel discussion followed by Q&A, with panellists Dr Deborah Charnock, Chief Executive of BAPAM and lead advisor on the ArtsMinds website; Annemarie Lewis Thomas, Principal of the Musical Theatre Academy, who launched the #time4change Mental Health Charter for the Arts; and the Rt Revd Geoff Annas, Bishop of Stafford, a TCUK trustee with 30 years’ first-hand experience as a theatre chaplain. The lecture is free and open to all. Afterwards there will be refreshments and the opportunity to mingle and talk further.

‘Composed’ – a Film about Performance Anxiety, Exclusive London Screening

Wednesday, March 15th, 2017

Composed invites you into the world of professional classical music, for an exploration of the many causes of and solutions for performance anxiety.  This feature documentary brings together dozens of professionals from prestigious orchestras, symphonies, and music schools to discuss their personal journeys, and consider how best to achieve excellence in the face of enormous pressure. Composed finally confirms what so many of us have always secretly wondered – no, it’s not just you who has experienced the physical and mental agonies of performance anxiety, and yes, there are many ways to overcome the symptoms and deliver peak auditions and performances.

A special preview screening, followed by a Q&A with director, John Beder, will be held at the 1901 Arts Club, Waterloo, London, on Tuesday 2nd May. Doors open at 6pm and the film will be screened at 7pm.

Book tickets here.

 

 

Musician’s Focal Dystonia Presentation by MSc students in Performing Arts Medicine

Friday, March 3rd, 2017

Wednesday 22/03/17 6pm
Royal London Hospital for Integrated Medicine
Please confirm attendance with Nicholas.Straiton@uclh.nhs.uk

BAPAM Training Day – Mental Health Perspectives Session 1: Anxiety

Friday, January 20th, 2017

London, National Council For Voluntary Organisations
Saturday, 20 May 2017
09:30 - 17:00

Performing arts mental health has recently been the welcome focus of much attention in the media and throughout the industry, and with increasing numbers of mental health professionals joining our Directory of Practitioners, we’re planning a series of events sharing informed perspectives in this area. We’re starting this programme with our May 20 Training Day focusing on Anxiety. Registration is now open.

BAPAM Training Days are aimed at healthcare practitioners and are a platform for sharing professional expertise and good practice, supporting a network of performing arts medicine professionals. They are also of particular relevance to people working in arts education, employment, welfare, and support. All are welcome but for performers and other groups wishing to learn and share practical skills for healthy, optimal performance, we’ll also be building on our programme of workshop-based sessions though 2017. We’ll keep you up to date on future events.

BAPAM Registered Practitioners who wish to attend should note that they now qualify for the lower ‘BAPAM Authorised’ price bracket.

Our programme includes presentations on:

Diagnosis & Management of Anxiety Disorders

Techniques for anxiety management in performers

Performance Anxiety: research and practice using the Performance Simulator at the Centre for Performance Science, Royal College of Music

Perfectionism: the good, the bad and how CBT can help

Performers’ experiences: interviews and Q and A with performers

Arts Minds Project – Research Findings

Speaker details, full information and tickets available now on the event page - Book Your Place Now

YCAT Sounding Board – Health and Wellbeing for Performers

Wednesday, January 11th, 2017

YCAT Sounding Board is the new initiative from the Young Classical Artists Trust (YCAT) to create a leading professional training ground for a broad and diverse range of music graduates and students. YCAT’s fourth career development seminar tackles the vital issue of maintaining your physical and mental wellbeing as a performer. BAPAM trainer, Jane Oakland, a music psychologist and vocal consultant, will be joining the panel to discuss issues around physical and mental wellbeing for those working in performance, and provide techniques to prevent and overcome these issues should they arise. This is a great opportunity to ask questions and discuss the challenges and benefits to all performers in engaging with this essential element of a balanced musical life.

Panel:

Matthew Jones – violist and performance health expert

Jane Oakland – BAPAM registered music psychologist and vocal consultant

Aaron Williamon – Professor of Performance Science, Royal College of Music

Time and Location: Tuesday 24th January – Royal Overseas League, London
Panel discussion: 1 hour
Q&A: 30 mins
Post-seminar: drinks and networking
Cost: £5

All welcome! Tickets are limited. 

Book your tickets here.