http://athletesandthearts.comAOASM April 25, 2015

“30 Years of Sports PROfessionalism”(and Patrick Leary)

Talk 3 sports medicine panel

http://athletesandthearts.com

Sport Athlete or Performing Artist?

• Practice or play every day

• Play through pain

• Perform at all times of day or night

• Compete in challenging environments

• Little “off season”

• Pressure to succeed

• Real risk of career-threatening injury

What’s the Issue?• 64% of World Class Drum Corps had members who

developed a stress fracture in 2013.

• 50% of musicians have some form of Noise –Induced Hearing Loss. (NIHL)

• 75% of orchestra instrumentalists will develop at least one MSK disorders from playing during their lifetimes.

• 67% to 95% of pro ballet and modern dancers suffer injuries annually, ranging from 2-7 injuries per dancer.

Mission

Integrating the science of sport

and the performing arts

for mutual benefit

http://athletesandthearts.com

Athletes and the Artswww.athletesandthearts.com

Current Coalition Partners:

American College of Sports Medicine (ACSM) Center for Music Arts Entrepreneurship, Loyola University (New Orleans)Performing Arts Medical Association (PAMA)

National Hearing Conservation AssociationNew Orleans Performing Artists Clinic American Medical Society for Sports Medicine (AMSSM) American Osteopathic Academy of Sports Medicine (AOASM) Music Teachers National Association (MTNA)National Association for Music Educators (NAfME)National Athletic Trainers’ Association (NATA)Drum Corp International (DCI) Conn - Selmer

Jonathan Batiste, Artist in Residence

Baseball “Lifestyle”

Shared Issues –Athletes and Performers

• Travel / jet lag

• Nutrition / hydration

• Overuse

• Female Triad

• Optimize performance

• Mental health

“Unique” Performing Arts Issues

• Hearing loss

• Focal dystonia

• Unique injuries / rehabilitation

• Overuse - Prescribing rest / recovery

• Performance anxiety

• Substance abuse

REPETITIVE USE - Consider…

• Approx 50,000 steps—marathon

• 8,000 steps per player—soccer match

• 150 pitches per team—pro baseball game

• 3 MILLION notes—2.5 hour Broadway musical

• NCAA—20 hrs / wk

• Performing Artists—4-6 hrs / day

Key Messages for Target AudiencesPerforming Artist

•Establish health care relationship BEFORE you need it

•Perform so they understand your craft.

•Document a week of typical activities.

Health Care Professional

•Know if you are seeing a performing artist

•Test for and educate about NIHL (audiologist)

•Cross training

Music / Dance Teacher

•Practice and performance in perspective

•Discuss optimal performance and how to get there

New NASM Standard - Nov 2011from NASM HANDBOOK 2011–12 Pg 66

It is the obligation of the institution that all students in music programs be fully apprised of health and safety issues, hazards, and procedures inherent in practice, performance, teaching and listening.

Music program policies, protocols, and operations must reflect attention to injury prevention and to the relationships among musicians’ health

Specific methods for addressing these issuesare the prerogative of the institution.

Hearing / Musculoskeletal / Mental health

Opportunity• To address health and safety issues

(including applying EXERCISE IS MEDICINE® concepts)

• in 644 schools of music nationwide

(100,000 music students annually)

• who then impact a new generation of musicians

(through teaching)

• or the professional performing arts community

(through performing)

Opportunity - Butler University

– Create a seminar for PA majors / others

– Create an internal task force to enhance application of NASM standards

– Create a cross-college class around this topic

http://athletesandthearts.com

Increase Your Knowledge

NIHL vs ConcussionsHard to notice, brain function changes slowly

• Understand your exposure to the risk

• Get baseline test, recheck on regular basis.

• Use preventive measures as appropriate.

Scenario – Trumpet Player

• Regular morning exercise program

for wellness and to increase aerobic

capacity.

• Core strengthening to enhance

posture and diaphragm

• Anaerobic training to address high

intensity “bursts’

• Modify nutrition (less fried foods)

• Modify hydration (volume and type)

• RESULT: enhanced health and

performance

Scenario - Runner

• Learns breath control

• Optimal stride rate

enhanced via music

• Music: “key” up prior and

calm down between races

• Relax during performance

RESULT: enhanced health

and performance

“I believe music is healing and if you want to heal other people, you’ve got to heal yourself first. The healthier we are as musicians and the arts community in general, dancers and actors, the better the world will be.”

Jon Batiste, Jazz Musician, Artist in Residence – AATA

Insert 3 min Batiste video clip here

25

“The conservatory environment is very different. I went to Julliard six years and never in any of my lessons was there any instruction about nutrition or any sort of quantifiable method to determine the pros and cons of playing long hours. If I missed a note, I was just told to do it again, to practice more”

Jon Batiste, Jazz Musician, Artist in Residence – AATA

Equipment Modification

What is HE listening to?

Nov 16, 2013 Joyce Cohen NY Times

The decibel level at a recent Kansas City game reached 137.5, a level that

can cause hearing damage.

The N.F.L. encourages noise; a spokesman said fans were “going to a

football game and not searching for a book at a library.”

Your City

• Local elementary, middle and high school PA programs, PTO meetings

• Local community theatre

• Broadway Across America and various venues

• Local sports medicine and ATC / PT programs

• Church choirs