Posts Tagged ‘Rehabilitation’

Alison Loram Muscle Function Research Published

Friday, March 24th, 2017

Alison Loram is a BAPAM-registered Alexander Technique teacher with expertise in the technique’s application to performance and practice, and ergonomics of instrumental playing/singing. She is a graduate of UCL’s Performing Arts Medicine MSc, violinist and research scientist. Her current research work investigates muscle function and motor control, and strategies of changing habits associated with chronic pain, injury and performance limitation.

The first of the papers directly associated with this research has recently been published, and is open-access. You can read the paper here:

Proactive selective inhibition targeted at the neck muscles: this proximal constraint facilitates learning and regulates global control.

Other articles explaining and verifying the techniques used in the experiments and analysis have also been published. For example, the use of ultrasound imaging to determine the change in neck muscle activity was completely novel and so the method had to be set out, explained and the analyses processes, not just of the data but of the images themselves, had to be documented, peer-reviewed and published.

The technical paper Real-Time Ultrasound Segmentation, Analysis and Visualisation of Deep Cervical Muscle Structure is also open access.

Volunteers Needed for Movement and Balance Study

Thursday, June 9th, 2016

Are you interested in how your body works when you move? A new study being undertaken by physiotherapist, Janet Deane, may be of special interest to performers engaging in physically active practice. Janet, who previously helped many performers as a BAPAM clinician, is now working within the NHS recruiting healthy participants for a spinal study for Arthritis Research U.K.

The overall goal of the project is to examine movement and balance strategies in order to understand and improve back rehabilitation.

Janet is looking to recruit healthy participants (with no low back pain) over the age of 40. Everyone taking part will receive a free MRI scan (30 mins) of their low back (worth £200) and a 2 hour biomechanical assessment of their spine and lower limbs at Charing Cross hospital at Hammersmith.

If you’d like to find out more about taking part please contact Janet Deane by emailing j.deane@imperial.ac.uk.

All volunteers will receive a detailed information sheet before confirming participation and may leave the study at any time. The study has been approved by both the NHS and Imperial ethics committees.

Christopher Wynn Parry (1924 – 2015)

Friday, April 17th, 2015

Performing Arts Medicine lost a great practitioner, friend and advocate in February with the death of Dr Christopher Wynn Parry. Kit, as he was known to countless friends and colleagues, grew up strongly influenced by his maternal grandfather, the eminent surgeon Lord Moynihan. After Eton and Oxford, his chosen career path into surgery was interrupted by TB from which he made a slow recovery and was subsequently advised not to continue with rigorous surgical training.  He opted for the medical specialty of Rheumatology but soon fell under the influence of Sir Herbert Seddon, Professor of Orthopaedic Surgery at Oxford, who was researching, with the help of the Medical Research Council, nerve injuries, their treatment and prognosis, and the most troublesome neuropathic pain.  He was proud to be one of ‘Seddon’s Boys’, the others being young surgeons, many of whom would become eminent in hand surgery and with whom Kit remained professionally close.

After Oxford, Kit took his skills and knowledge into the RAF where he became Director of Rehabilitation at the combined services rehabilitation centres at Chessington and Headley Court. He established specialised services for neuro-rehabilitation and peripheral nerve injuries which, with Kit’s enthusiasm and skill and with the large number of injured soldiers providing clinical experience, soon became nationally and internationally renowned. He was also an early researcher into EMG as a diagnostic tool. The results of this work were summarised in Rehabilitation of the Hand, published in 1958, which was the first such specialised text in English and which ran to 3 editions and 3 reprints. Another result of this work was the recognition of Rehabilitation as a separate sub-specialty and the development of the Diploma in Physical Medicine, which Kit established, subsequently training a generation of young doctors. All the while he worked closely with hand surgeons at the RAF Plastic Surgical Centre and at the Royal National Orthopaedic Hospital (RNOH).

Retiring from the RAF, he was persuaded to establish a centre for neuro-rehabilitation and peripheral nerve injuries at the RNOH. This became nationally and internationally renowned and continues today.  A by-product of this work was Surgical Disorders of the Peripheral Nerves, co-written with professors Bonney and Birch, a book of which Kit was very proud.

On retiring from the NHS, he continued to work privately in rehabilitation in the Devonshire Hospital in London and the King Edward VII Hospital in Sussex but he devoted an increasing amount of his considerable energy to his interest in musicians.

Kit was always interested in music. As a pupil at Eton (where a Dixieland jazz revival was taking place led by a fellow pupil, Humphrey Lyttelton, who was to become Britain’s foremost jazz trumpeter), he sang in the choir but also played trombone in a jazz band. He continued choral singing in adulthood as a tenor in the Bach choir. His interest in musicians’ medical problems stemmed from Sunday soirees held by his friend and neighbour, the conductor Sir Charles Mackerras. At the conclusion of these gatherings Kit was often besieged by the performers with their medical problems.  He and Ian James, another like-minded doctor, realised the gap in care for such musicians, many of them with very limited financial resources, and in 1989 created BAPAM, a charity charged with providing medical advice and care to performers which continues to this day.

He carefully monitored all those attending with upper extremity problems, ultimately publishing his findings and observations in over 1000 cases. He noted that only 40% had a recognised ‘organic or structural lesion’ and that many were suffering as much from misuse or a mismatch with the instrument - with tired, aching arms - as were suffering true overuse. He also noted the contribution to the performers’ physical problems made by psychological and emotional factors, not helped by job and financial insecurities and the demanding and sometimes destructive lifestyles of the performer.  He was an eloquent speaker and took this message to music schools, cajoling pupils and their teachers to respect the physical nature of music making and to avoid injury. He also highlighted the sometimes appalling conditions instrumentalists were exposed to and forced to work under, such as cramped orchestral pits and inadequate venues, suffering for their art and being thankful they had a paid gig. For this work he was elected an honorary member of The Royal College of Music in 2011.

I had the privilege and good fortune to observe Kit in his RAF time at his upper limb neurological clinics and, over the last 20 years, to work with him at BAPAM and with many of his musician patients. He encouraged us to develop an MSc in Performing Arts Medicine and he was proud to give the inaugural lecture to the first cohort of students at University College London in 2011. We combined our clinical and surgical experiences in The Musician’s Hand which was published in 1997, which was, again, a first in the English language and of which he was duly proud. He states in the preface ‘an apology for this book from a physician and a surgeon is that we not only love music but believe it to be fundamental to civilised living’ and this sums up Kit.

Many national and international honours were bestowed upon him and he was particularly proud of being elected, as the only non-surgeon to have been so honoured, President of the British Society of Surgery of the Hand in 1982.  He continued working until health problems forced him to reluctantly retire from BAPAM in 2014. We shall miss him.

Ian Winspur, London, 7 April 2015

Health, Injury and Prevention Workshop for Musicians

Monday, June 10th, 2013

Kathy Whitehouse, cellist and cello teacher with a special interest in posture and injury prevention, has organised this interactive workshop for musicians covering common playing related injuries; particularly the hand, shoulder and back; how they may be prevented and treated.

Guest speaker: Mr Ian Winspur

Mr Ian Winspur is a Consultant Plastic and Hand Surgeon, who has focused his interests and specialisation in Hand Surgery and the management of complex hand problems. He has a specialist interest in the musician’s hand and has helped many professional musicians to maintain comfortable performance and continued careers in the face of hand conditions or post-trauma. Mr Winspur is co-author of The Musician’s Hand with BAPAM’s Dr Christopher Wynn Parry.

Dr Simon Shaw: GP, specialist registrar in rehabilitation medicine, dancer and movement practitioner

Dr James Inklebarger: Tutor in Osteopathy and Specialist in Exercise and Sports Medicine

Kathy Whitehouse, LLCM: Cellist, Cello teacher with a special interest in posture and injury prevention

June 22nd 2013, 2 – 5 pm

London College of Osteopathic Medicine
8 / 10 Boston Place
London
NW1 6QH

Cost £35

Musicians, please take your instrument

Booking: 0207 262 1128

Bookings limited to 15 places

Please note this event is not organised by BAPAM

 

Musicians’ Dystonia Research – Call for Participants

Wednesday, January 4th, 2012

Are you a musician with focal hand dystonia?

An NHS team co-ordinated by Dr Mark Edwards (who is also Neurology Advisor to BAPAM) is conducting research into musicians’ dystonia. A number of exciting projects with the aims of better understanding this condition, and hopefully developing new treatments, are currently running.

The team are recruiting enthusiastic musicians for a retraining programme to help establish the most effective treatment strategy.  The studies will be conducted at the Institute of Neurology in Queen Square, London which is a leading UK establishment in dystonia research. The work is co-ordinated by Senior Lecturer Dr Mark J Edwards and two PhD students, Dr Anna Sadnicka and Dr Panagiotis Kassavetis. At this time the team is specifically recruiting musicians with dystonia affecting the hand.

If you have this form of dystonia and are interested in taking part in studies (or if you are healthy and wish to register as a healthy volunteer) or have further questions please contact: Dr Mark Edwards, Sobell Department, 33 Queen Square, UCL Institute of Neurology, London, WC1N 3BG.

Or email Dr Edwards via: m.j.edwards@ucl.ac.uk.

Note: BAPAM is not involved with organising or overseeing this project.