Development and empirical testing of a questionnaire-based algorithm to evaluate physical and psychosocial health status in performing artists / Entwicklung und empirische Testung eines fragebogenbasierten Algorithmus zur Erhebung des körperlichen und psychosozialen Gesundheitszustands darstellender Künstlerinnen und Künstler

Schemmann, Heike; Zalpour, Christoff; Ballenberger, Nikolaus

doi:10.2478/ijhp-2024-0006

Abstract

Background

Health care providers like physiotherapists should address the needs of performing artists for a specific health care derived from physical and psychosocial (performance-related) complaints. The aims of this study were (1) to compose an algorithm including subjective outcome measures in order to suggest how to evaluate the physical and psychosocial health status of performing artists in its complexity in a manner as targeted and detailed as possible, and (2) to test the feasibility of applying this algorithm.

Methods

Questionnaires regarding different health dimensions were searched and assembled to an algorithm. The survey was applied to performing artists in order to test feasibility. The respective questionnaires were scored and interpreted in comparison to cut-off values.

Results

Performing-art-specific and body-region-specific standardized questionnaires in German with the highest possible psychometric quality were selected. The algorithm covers a series of questionnaires on health-related quality of life, complaints in physical matters—especially musculoskeletal and voice-specific—and in the psychosocial area. Based on specific predefined decision criteria the artist was guided individually through the survey. This was illustrated by the participants' flow through the survey. Profiles of physical and psychosocial complaints for subgroups of 103 participants were built based on multiple scores and showed problems in both dimensions.

Discussion

It is possible to illustrate the physical and psychosocial health status of performing artists in a multidimensional way using the novel algorithm. It could be used both for groups and individuals to build complaint profiles for research and clinical purposes.

References

Abreus-Ramos, A. M., & Micheo, W. F. (2007). Lifetime prevalence of upper body musculoskeletal problems in a professional-level symphony orchestra: age, gender, and instrument-specific results. Medical Problems of Performing Artists, 22(3), 97–104.
Search in Google Scholar Back to article
Ackermann, B., Driscoll, T., & Kenny, D. T. (2012). Musculoskeletal pain and injury in professional orchestral musicians in Australia. Medical Problems of Performing Artists, 27, 181–187. doi: 10.21091/mppa.2012.4034.
Open DOI Search in Google Scholar Back to article
Ahrend, Y. D., & Kerschbaumer, F. (2003). Verletzungen und Überlastungserscheinungen im professionellen Ballett. Zeitschrift für Orthopädie und Ihre Grenzgebiete, 141(3), 349–356. doi: 10.1055/s-2003-40088.
Open DOI Search in Google Scholar Back to article
Baker, D., Pynsent, P., & Fairbank, J. (1989). Back pain: new approaches to rehabilitation and education. In, The Oswestry Disability Index revisited (pp 174–186). Manchester University Press.
Search in Google Scholar Back to article
Ballenberger, N., Möller, D., & Zalpour, C. (2018). Musculoskeletal health complaints and corresponding risk factors among music students: Study process, analysis strategies, and interim results from a prospective cohort study. Medical Problems of Performing Artists, 33(3), 166–174(9). https://doi.org/10.21091/mppa.2018.3023.
Search in Google Scholar Back to article
Barbar, A. E. M., Crippa, J. A. S., & Osorio, F. L. (2014). Kenny music performance anxiety inventory (K-MPAI): Transcultural adaptation for Brazil and study of internal consistency. Journal of Depression and Anxiety, 3(4), 1–3. doi: 10.4172/2167-1044.1000167.
Open DOI Search in Google Scholar Back to article
Barlow, D. (2000). Unravelling the mysteries of anxiety and its disorders from the perspective of emotion theory. The American Psychologist, 55(11), 1247–1263. doi: 10.1037//0003-066x.55.11.1247.
Open DOI Search in Google Scholar Back to article
Beaton, D. E., Wright, J. G., & Katz, J. N. (2005). Development of the QuickDASH: comparison of three item-reduction approaches. Journal of Bone and Joint Surgery, 87-A(5), 1038–1046. doi: 10.2106/JBJS.D.02060.
Open DOI Search in Google Scholar Back to article
Berque, P., Gray, H., & McFadyen, A. (2014). Development and psychometric evaluation of the musculoskeletal pain intensity and interference questionnaire for professional orchestra musicians. Manual Therapy, 19, 57–588. doi: 10.1016/j.math.2014.05.015.
Open DOI Search in Google Scholar Back to article
Black, N. (2013). Patient reported outcome measures could help transform healthcare. British Medical Journal, 346, f167. doi: 10.1136/bmj.f167.
Open DOI Search in Google Scholar Back to article
Blasimann, A., Wood Dauphinee, S., & Staal, J. B. (2014). Translation, cross-cultural adaptation, and psychometric properties of the German version of the hip disability and Osteoarthritis outcome score. Journal of Orthopaedic and Sports Physical Therapy, 44(12), 989–997. doi: 10.2519/jospt.2014.4994.
Open DOI Search in Google Scholar Back to article
Blanpied, P. R., Gross, A. R., Elliott, J. M., Devaney, L. L., Clewley, D., Walton, D. M., Sparks, C., & Robertson, E. K. (2017). Neck Pain: Revision 2017 - Clinical practice guidelines linked to the international classification of functioning, disability and health from the Orthopaedic section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy, 47(7), A1–A83. doi: 10.2519/jospt.2017.0302.
Open DOI Search in Google Scholar Back to article
Böckelmann, I., & Schneyer, B. (2009). Arbeitsbedingte Belastungen und Erkrankungen von Musikern. Arbeitsmedizin Sozialmedizin Umweltmedizin, 44, 237–242.
Search in Google Scholar Back to article
Bowerman, E. A., Whatman, C., Harris, N., & Bradshaw, E. (2015). A review of the risk factors for lower extremity overuse injuries in young elite female ballet dancers. Journal of Dance Medicine and Science, 19(2), 51–56. doi: 10.12678/1089-313X.19.2.51.
Open DOI Search in Google Scholar Back to article
Boyce, M. B., Browne, J. P., & Greenhalgh, J. (2014). The experiences of professionals with using information from patient-reported outcome measures to improve the quality of healthcare: a systematic review of qualitative research. British Medical Journal quality & safety, 23(6), 508–518. doi: 10.1136/bmjqs-2013-002524.
Open DOI Search in Google Scholar Back to article
Bullinger, M., Kirchberger, I., & Ware, J. (1995). Der deutsche SF-36 Health Survey: Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität. Zeitschrift für Gesundheitswissenschaften, 3(1), 21–36.
Search in Google Scholar Back to article
Caine, D., Goodwin, B. J., Caine, C. G., & Bergeron, B. (2015). Epidemiological review of injury in pre professional ballet dancers. Journal of Dance Medicine and Science, 19(4), 140–148. doi: 10.12678/1089-313X.19.4.140.
Open DOI Search in Google Scholar Back to article
Chan, C., Driscoll, T., & Ackermann, B. (2013). The usefulness of on-site physical therapy-led triage services for professional orchestral musicians - a national cohort study. BMC Musculoskeletal Disorders, 14, 98. doi: 10.1186/1471-2474-14-98.
Open DOI Search in Google Scholar Back to article
Chan, C., & Ackermann, B. (2014). Evidence-informed physical therapy management of performance-related musculoskeletal disorders in musicians. Frontiers of Psychology, 5, 706. doi: 10.3389/fpsyg.2014.00706.
Open DOI Search in Google Scholar Back to article
Chang-Arana, A. M., Kenny, D. T., & Burga-León, A. A. (2018). Validation of the Kenny Music Performance Anxiety Inventory (K-MPAI): A cross-cultural confirmation of its factorial structure. Psychology of Music, 46(4), 551–567. doi: 10.1177/0305735617717618.
Open DOI Search in Google Scholar Back to article
Chung, K. C., Pillsbury, M. S., Walters, M. R., Hayward, & R. A. (1998). Reliability and validity testing of the Michigan hand outcomes questionnaire. The Journal of Hand Surgery, 23(4), 575–587. doi: 10.1016/S0363-5023(98)80042-7.
Open DOI Search in Google Scholar Back to article
Cibulka, M. T., White, D. M., Woehrle, J., Harris-Hayes, M., Enseki, K., Fagerson, T. L., Slover, J., & Godges, J. J. (2009). Hip pain and mobility deficits - Hip Osteoarthritis: Clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy, 39(4), A1–A25. doi: 10.2519/jospt.2009.0301.
Open DOI Search in Google Scholar Back to article
Cohen, S. M., Jacobson, B. H., Garrett, C. G., Noordzij, J. P., Stewart, M. G., Attia, A., Ossoff, R. H., & Cleveland, T. F. (2007). Creation and validation of the singing voice handicap index. Annals of Otology, Rhinology & Laryngology, 116(6), 402–406. doi: 10.1177/000348940711600602.
Open DOI Search in Google Scholar Back to article
Cohen, S. M., Witsell, D. L., Scearce, L., Vess, G., & Banka, C. (2008). Treatment responsiveness of the singing voice handicap index. Laryngoscope, 118, 1705–1708. doi: 10.1097/MLG.0b013e31817aec83.
Open DOI Search in Google Scholar Back to article
Cohen, S. M., Statham, M., Rosen, C. A., & Zullo, T. (2009). Development and validation of the singing voice handicap-10. The Laryngoscope, 119, 1864–1869. doi: 10.1002/lary.20580.
Open DOI Search in Google Scholar Back to article
Cramer, H., Lauche, R., Langhorst, J., Dobos, G. J., & Michalsen, A. (2014). Validation of the German version of the neck disability Index (NDI). BMC Musculoskeletal Disorders, 15(91), 1–7. doi: 10.1186/1471-2474-15-91.
Open DOI Search in Google Scholar Back to article
CSP Chartered Society of Physiotherapy (2016). Outcome and experience measures. https://www.csp.org.uk/professional-clinical/research-evaluation/outcome-experience-measures.
Search in Google Scholar Back to article
Davis, A. M., Perruccio, A. V., Canizares, M., Tennant, A., Hawker, G. A., Conaghan, P. G., Roos, E. M., Jordan, J. M., Maillefert, J.-F., Dougados, M., & Lohmander, L. S. (2008). The development of a short measure of physical function for hip OA HOOS-Physical Function Shortform (HOOS-PS): an OARSI/OMERACT initiative. Osteoarthritis and Cartilage, 16(5), 551–559. doi: 10.1016/j.joca.2007.12.016.
Open DOI Search in Google Scholar Back to article
de Greef, M., van Wijck, R., Reynders, K., Toussaint, J., & Hesseling, R. (2003). Impact of the Groningen exercise therapy for symphony orchestra musicians program on perceived physical competence and playing-related musculoskeletal disorders of professional musicians. Medical Problems of Performing Artists, 18, 156–160. doi: 10.21091/mppa.2003.4028.
Open DOI Search in Google Scholar Back to article
Demaree, C. J., Wang, K., & Lin, P. H. (2017). Thoracic outlet syndrome affecting high-performance musicians playing bowed string instruments. Vascular, 25(3), 329–332. doi: 10.1177/1708538116671064.
Open DOI Search in Google Scholar Back to article
DFG Deutsche Forschungsgemeinschaft (Gruppe Chancengleichheit, Wissenschaftliche Integrität und Verfahrensgestaltung) (2019). Leitlinien zur Sicherung guter wissenschaftlicher Praxis: Kodex. https://zenodo.org/record/3923602#.YW_aqxpBzIU.
Search in Google Scholar Back to article
DGPP Deutsche Gesellschaft für Phoniatrie und Pädaudiologie e.V. (2003). Voice Handicap Index, deutsche Fassung. https://dgpp.de/Profi/Sources/vhi-dt_2006.pdf.
Search in Google Scholar Back to article
DGSS Deutsche Schmerzgesellschaft e.V. (2018). Deutscher Schmerzfragebogen (Muster). https://www.schmerzgesellschaft.de/schmerzfragebogen. Last visit: 21/12/2018.
Search in Google Scholar Back to article
D'haeseleer, E., Meerschman, I, Claeys, S., Leyns, C., Daelman, J., & Van Lierde, K. (2017). Vocal Quality in Theatre Actors. Journal of Voice, 31(4), 510.e7–510.e14. DOI: 10.1016/j.jvoice.2016.11.008.
Open DOI Search in Google Scholar Back to article
Dommerholt, J. (2009). Performing arts medicine – Instrumentalist musicians Part I - General considerations. Journal of Bodywork and Movement Therapies, 13, 311–319. doi: 10.1016/j.jbmt.2009.02.003.
Open DOI Search in Google Scholar Back to article
Drixler, K., Morfeld, M., Glaesmer, H., Brähler, E., Wirtz, M. A. (2020). Validierung der Messung gesundheitsbezogener Lebensqualität mittels des Short-Form-Health-Survey-12 (SF-12 Version 2.0) in einer deutschen Normstichprobe. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 66(3), 272–286. doi: 10.13109/zptm.2020.66.3.272.
Open DOI Search in Google Scholar Back to article
Fairbank, J. C., Couper, J., Davies, J. B., & O'Brien, J. P. (1980). The Oswestry low back pain questionnaire. Physiotherapy, 66(8), 271–273. PMID: 6450426.
Search in Google Scholar Back to article
Fairbank, J. C., & Pynsent, P. B. (2000). The Oswestry Disability Index. Spine, 25(22), 2940–2953. doi: 10.1097/00007632-200011150-00017.
Open DOI Search in Google Scholar Back to article
Fishbein, M., Middlestadt, S. E., Ottati, V., Straus, S., & Ellis, A. (1988). Medical problems among ICSOM musicians. Overview of a National Survey. Medical Problems of Performing Artists, 3, 1–8.
Search in Google Scholar Back to article
FOMT Fortbildungen für Orthopädische Medizin und Manuelle Therapie (no year). Oswestry Disability Index - deutsche Version (Mannion et al., 2006). (Wortlaut des Fragebogens und Auswertungsanleitung). https://www.digotor.info/Downloads/Scores/ODI.pdf?m=1609282393&.
Search in Google Scholar Back to article
Germann, G., Harth, A., Wind, G., & Demir, E. (2003). Standardisierung und Validierung der deutschen Version 2.0 des „Disability of Arm, Shoulder, Hand“ (DASH)-Fragebogens zur Outcome-Messung an der oberen Extremität. Unfallchirurg, 106, 13–19. doi: 10.1007/s00113-002-0456-x.
Open DOI Search in Google Scholar Back to article
Heimann, T., & Kummermehr, C. (2020). Validierung der übersetzten Version des Kenny Music Performance Inventory. [Unpublished Bachelor thesis]. Osnabrueck University of Applied Sciences.
Search in Google Scholar Back to article
Higgs, J., & Jones, M. (Eds.) (2000). Clinical Reasoning in the Health Professions (2nd edition). Oxford: Butterworth-Heinemann.
Search in Google Scholar Back to article
Hincapié, C. A., Morton, E. J., & Cassidy, J. D. (2008). Musculoskeletal injuries and pain in dancers: A systematic review. Archives of physical medicine and rehabilitation, 89(9), 1819–1829. doi: 10.1016/j.apmr.2008.02.020.
Open DOI Search in Google Scholar Back to article
Hoppmann, R. A., & Patrone, N. A. (1989). A review of musculoskeletal problems in instrumental musicians. Seminars in Arthritis and Rheumatism, 19(2): 117–126.
Search in Google Scholar Back to article
Hudak, P. L., Amadio, P. C., Bombardier, C., Beaton, D., Cole, D., Davis, A., Hawker, G., Katz, J. N., Makela, M., Marx, R. G., Punnett, L., & Wright, J. (1996). Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). American Journal of Industrial Medicine, 29(6), 602–608. doi: 10.1002/(SICI)1097-0274(199606)29:6<;602::AID-AJIM4>3.0.CO;2-L.
Open DOI Search in Google Scholar Back to article
Institute for Work & Health (2006a). The QuickDASH Outcome Measure [Deutsche Version: Günter Germann, Angela Harth, Gerhard Wind, Erhan Demir.]. https://dash.iwh.on.ca/sites/dash/public/translations/QuickDASH_German_2015.pdf.
Search in Google Scholar Back to article
Institute for Work & Health (2006b). The QuickDASH Outcome Measure: Information for Users. https://dash.iwh.on.ca/sites/dash/files/downloads/quickdash_info_2010.pdf.
Search in Google Scholar Back to article
Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit, A., Jacobson, G., Benninger, M. S., & Newman, C. W. (1997). The Voice Handicap Index (VHI): Development and validation. American Journal of Speech-Language Pathology, 6(3), 66–70. doi: 10.1044/1058-0360.0603.66.
Open DOI Search in Google Scholar Back to article
Kenny, D. T., Davis, P., & Oates, J. (2004). Music performance anxiety and occupational stress amongst opera chorus artists and their relationship with state and trait anxiety and perfectionism. Journal of Anxiety Disorders, 18, 757–777. doi: 10.1016/j.janxdis.2003.09.004.
Open DOI Search in Google Scholar Back to article
Kenny, D. T. (2015). Identifying cut-off scores for clinical purposes for the Kenny Music Performance Anxiety Inventory (K-MPAI) in a population of professional orchestral musicians. https://www.researchgate.net/publication/282735405_Identifying_cut-off_scores_for_clinical_purposes_for_the_Kenny_Music_Performance_Anxiety_Inventory_K-MPAI_in_a_population_of_professional_orchestral_musicians. DOI: 10.13140/RG.2.1.2481.2244.
Open DOI Search in Google Scholar Back to article
Kenny, D.T., Ackermann, B. (2015). Performance-related musculoskeletal pain, depression and music performance anxiety in professional orchestral musicians: A population study. Psychology of Music, 43(1), 43–60. Doi: 10.1177%2F0305735613493953.
Open DOI Search in Google Scholar Back to article
Kessler, S., Lang, S., Puhl, W., & Stöve, J. (2003). Der Knee Injury and Osteoarthritis Outcome Score - ein Funktionsfragebogen zur Outcome-Messung in der Knieendoprothetik. Zeitschrift für Orthopädie und ihre Grenzgebiete, 141, 277–282. doi: 10.1055/s-2003-40083.
Open DOI Search in Google Scholar Back to article
Klässbo, M., Larsson, E., & Mannevik, E. (2003). Hip disability and osteoarthritis outcome score - An extension of the Western Ontario and McMaster Universities Osteoarthritis Index. Scandinavian Journal of Rheumatology, 32(1), 46–51. doi: 10.1080/03009740310000409.
Open DOI Search in Google Scholar Back to article
Knobloch, K., Kuehn, M., Papst, S., Kraemer, R., & Vogt, P. M. (2011a). German standardized translation of the Michigan hand outcomes questionnaire for patient-related outcome measurement in Dupuytren disease. Plastic and Reconstructive Surgery, 128(1), 39–40. doi: 10.1097/PRS.0b013e318218fd70.
Open DOI Search in Google Scholar Back to article
Knobloch, K., Kühn, M., & Vogt, P. (2011b). Der deutsche Michigan Hand Outcomes Questionnaire (MHQ) zur Patientenevaluation nach selektiver Aponeurektomie bei Morbus Dupuytren –eine pro-und retrospektive Analyse. Deutscher Kongress für Orthopädie und Unfallchirurgie. 75. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 97. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 52. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 25.- 28.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. DocPO12-197. doi: 10.3205/11dkou565.
Open DOI Search in Google Scholar Back to article
Knobloch, K., Kühn, M., Papst, S., Krämer, R., & Vogt, P. M. (2011c). Michigan Hand Questionnaire (MHQ), Konsensusfassung Deutsch. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwispamykbbyAhXdhf0HHTygCTcQFnoECAIQAQ&url=http%3A%2F%2Flinks.lww.com%2FPRS%2FA347&usg=AOvVaw00ydLHgJwPdX6szl-StvrI.
Search in Google Scholar Back to article
Kok, L. M., Vlieland, T. P., Fiocco, M., & Nelissen, R.G. (2013). A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians. BMC Musculoskeletal Disorders, 14, 9. doi: 10.1186/1471-2474-14-9.
Open DOI Search in Google Scholar Back to article
Kooijman, P. G. C., de Jong, F. I. C. R. S., Oudes, M. J., Huinck, W., van Acht, H., & Graamans, K. (2005). Muscular tension and body posture in relation to voice handicap and voice quality in teachers with persistent voice complaints. Folia Phoniatrica et Logopaedica, 57(3), 134–147. doi: 10.1159/000084134.
Open DOI Search in Google Scholar Back to article
Kyte, D. G., Calvert, M., van der Wees, P. J., Hove, R. ten, Tolan, S., & Hill, J. C. (2015). An introduction to patient-reported outcome measures (PROMs) in physiotherapy. Physiotherapy, 101(2), 119–125. doi: 10.1016/j.physio.2014.11.003.
Open DOI Search in Google Scholar Back to article
La Touche, R., Pardo-Montero, J., Gil-Martínez, A., Paris-Alemany, A., Angulo-Díaz-Parreño, S., Suárez-Falcón, J. C., Lara-Lara, M., & Fernández-Carnero, J. (2014). Craniofacial pain and disability inventory (CF-PDI): development and psychometric validation of a new questionnaire. Pain Physician, 17(1), 95–108. doi: 10.36076/ppj.2014/17/95.
Open DOI Search in Google Scholar Back to article
Lederman, R. J. (1989). Peripheral nerve disorders in instrumentalists. Annals of Neurology, 26, 640–646. doi: 10.1002/ana.410260509.
Open DOI Search in Google Scholar Back to article
Lerner, M. Z., Paskhover, B., Acton, L., & Young, N. (2013). Voice disorders in actors. Journal of Voice, 27(6), 705–708. doi: 10.1016/j.jvoice.2013.05.006.
Open DOI Search in Google Scholar Back to article
Lorenz, A., Kleber, B., Büttner, M., Fuchs, F., Mürbe, D., Richter, B., Sandel, M., & Nawka, T. (2013). Validierung des Singing Voice Handicap Index in der deutschen Fassung. HNO, 61, 699–706. doi: 10.1007/s00106-013-2721-4.
Open DOI Search in Google Scholar Back to article
Lorenz, A., Gonnermann, U., & Nawka, T. (2014). Graduierung der deutschen Fassung des Singing Voice Handicap Index (SVHI) [conference presentation]. 31. Wissenschaftliche Jahrestagung der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie (DGPP) zusammen mit dem 5. Pädakustiker-Symposium der Akademie für Hörgeräte-Akustik. DOI: 10.3205/14dgpp52.urn:nbn:de:0183-14dgpp527.
Open DOI Search in Google Scholar Back to article
Lovibond, P. F., & Lovibond, S. H. (1995a). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. doi: 10.1016/0005-7967(94)00075-u.
Open DOI Search in Google Scholar Back to article
Lovibond, L. (1995b). Manual for the depression anxiety & stress scales. (2nd Ed.). Sydney: Psychology Foundation. https://maic.qld.gov.au/wp-content/uploads/2016/07/DASS-21.pdf.
Search in Google Scholar Back to article
Mannion, A. F., Junge, A., Fairbank, J. C. T., Dvorak, J., & Grob, D. (2006a). Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity. European Spine Journal, 15(1), 55–65. doi: 10.1007/s00586-004-0815-0.
Open DOI Search in Google Scholar Back to article
Mannion, A. F., Junge, A., Grob, D., Dvorak, J., & Fairbank, J. C. T. (2006b). Development of a German version of the Oswestry Disability Index. Part 2: sensitivity to change after spinal surgery. European Spine Journal, 15(1), 66–73. doi: 10.1007/s00586-004-0816-z.
Open DOI Search in Google Scholar Back to article
Marks, M., Audige, L., Herren, D. B., Schindele, S., Nelissen, R. G. H. H., & Vliet Vlieland, T. P. M. (2014). Measurement properties of the German Michigan hand outcomes questionnaire in patients with trapeziometacarpal osteoarthritis. Arthritis Care & Research, 66(2), 245–252. doi: 10.1002/acr.22124.
Open DOI Search in Google Scholar Back to article
M-CHOIR Michigan Center for Hand Outcomes and Innovation Research (no year). MHQ – Michigan Hand Outcomes Questionnaire. https://mchoirresearch.wixsite.com/themhq/mhq.
Search in Google Scholar Back to article
Middlestadt, S. E., & Fishbein, M. (1989). The prevalence of severe musculoskeletal problems among male and female symphony orchestra string players. Medical Problems of Performing Artists, 4, 41–48.
Search in Google Scholar Back to article
Möller, D., Ballenberger, N., & Zalpour, C. (2018). The German version of the musculoskeletal pain intensity and interference questionnaire for musicians (MPIIQM-G): Translation and validation in professional orchestral musicians. Musculoskeletal Science and Practice, 37, 1–7. doi: 10.1016/j.msksp.2018.05.005.
Open DOI Search in Google Scholar Back to article
Morfeld, M., & Bullinger, M. (2008). Der SF-36 Health Survey zur Erhebung und Dokumentation gesundheitsbezogener Lebensqualität. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin, 18(5), 250–255. doi: 10.1055/s-0028-1082318.
Open DOI Search in Google Scholar Back to article
Nawka, T., Wiesmann, U., & Gonnermann, U. (2003). Validierung des Voice Handicap Index (VHI) in der deutschen Fassung. HNO, 51, 921–929. doi: 10.1007/s00106-003-0909-8.
Open DOI Search in Google Scholar Back to article
Nilges, P., & Essau, C. (2015). Die Depressions-Angst-Stress-Skalen: Der DASS - ein Screeningverfahren nicht nur für Schmerzpatienten. Schmerz, 29, 649–657. doi: 10.1007/s00482-015-0019-z. http://www2.psy.unsw.edu.au/groups/dass/German/DASS21%20Nilges%20&%20Essau/Nilges%20Essau%20DASS%20Schmerz%202015.pdf. Last visit: 15/07/2021.
Open DOI Search in Google Scholar Back to article
Nilges, P., & Essau, C. (no year). DASS Depression Anxiety and Stress Scale: Screening auf Depressivität, Angst und Stress. (Information from the translators regarding scoring and interpretation. http://www2.psy.unsw.edu.au/groups/dass/German/DASS21%20Nilges%20&%20Essau/German%20DASS21%20Auswertung.pdf.
Search in Google Scholar Back to article
Nilsdotter, A. K., Lohmander, L. S., Klässbo, M., & Roos, E. M. (2003). Hip disability and osteoarthritis outcome score (HOOS) – validity and responsiveness in total hip replacement. BMC Musculoskeletal Disorders, 4, 10–17. doi: 10.1186/1471-2474-4-10.
Open DOI Search in Google Scholar Back to article
Paarup, H. M., Baelum, J., Holm, J. W., Manniche, C., & Wedderkopp, N. (2011). Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians vary by gender: a cross-sectional study. BMC Musculoskeletal Disorders, 12, 223. doi: 10.1186/1471-2474-12-223.
Open DOI Search in Google Scholar Back to article
Perruccio, A. V., Lohmander, L. S., Canizares, M., Tennant, A., Hawker, G. A., Conaghan, P. G., Roos, E. M., Jordan, J. M., Maillefert, J. F., Dougados, M., & Davis, A. M. (2008). The development of a short measure of physical function for knee OA - KOOS-Physical Function Short-form (KOOS-PS) – An OARSI/OMERACT Initiative. Osteoarthritis and Cartilage, 16(5), 542–550. doi: 10.1016/j.joca.2007.12.014.
Open DOI Search in Google Scholar Back to article
Pestana, P. M., Vaz-Freitas, S., & Conceicao Manso, M. (2017). Prevalence of voice disorders in singers: systematic review and meta-analysis. Journal of Voice, 31(6), 722–727. doi: 10.1016/j.jvoice.2017.02.010.
Open DOI Search in Google Scholar Back to article
Rasmussen-Barr, E., Lindqvist, C., Östhols, S., & Boström, C. (2021). Are patient reported outcome measures (PROMs) useful in low back pain? Experiences of physiotherapists in primary health care in Sweden. Musculoskeletal science & practice, 55, 102414. doi: 10.1016/j.msksp.2021.102414.
Open DOI Search in Google Scholar Back to article
Roos, E. (no year). Pain, symptoms, ADL. Questionnaires, user's guides and scoring files. www.koos.nu.
Search in Google Scholar Back to article
Roos, E. M., Roos, H. P., Lohmander, L. S., Ekdahl, C., & Beynnon, B. D. (1998). Knee Injury and Osteoarthritis Outcome Score (KOOS) - Development of a self-administered outcome measure. Journal of Orthopaedic & Sports Physical Therapy, 78(2), 88–96. doi: 10.2519/jospt.1998.28.2.88.
Open DOI Search in Google Scholar Back to article
Roos, E. M., Brandsson, S., Karlsson, J. (2001). Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot & Ankle International, 22(10), 788–794. doi: 10.1177/107110070102201004.
Open DOI Search in Google Scholar Back to article
Roset-Llobet J, Rosinés-Cubells D, & Saló-Orfila JM (2000). Identification of risk factors for musicians in Catalonia (Spain). Medical Problems of Performing Artists, 15(4), 167–174.
Search in Google Scholar Back to article
Rosety-Rodriguez, M., Ordóñez, F. J., Farias, J., Rosety, M., Carrasco, C., Ribelles, A., Rosety, J. M., Gomez Del Valle, M. (2003). The influence of the active range of movement of pianists' wrists on repetitive strain injury. European Journal of Anatomy, 7(2), 75–77.
Search in Google Scholar Back to article
Roy, N., Merrill, R. M., Gray, S. D., & Smith, E. M. (2005). Voice disorders in the general population: Prevalence, risk factors, and occupational impact. The Laryngoscope, 115(11), 1988–1995. doi: 10.1097/01.mlg.0000179174.32345.41.
Open DOI Search in Google Scholar Back to article
Rubin, J. S., Mathieson, L., & Blake, E. (2004). Care of the professional voice: Posture and voice. Journal of Singing, 60(3), 271–275.
Search in Google Scholar Back to article
Rubin, J. S., Blake, E., & Mathieson, L. (2007). Musculoskeletal patterns in patients with voice disorders. Journal of Voice, 21(4), 477–484. doi: 10.1016/j.jvoice.2005.02.001.
Open DOI Search in Google Scholar Back to article
Schuppert, M., & Altenmüller, E. (1999). Berufsspezifische Erkrankungen bei Musikern. Versicherungsmedizin, 51(4), 173–179.
Search in Google Scholar Back to article
Shauver, M. J., & Chung, K. C. (2013). The Michigan Hand Outcomes Questionnaire (MHQ) after 15 years of field trial. Plastic and Reconstructive Surgery, 131(5), 779e–787e. doi: 10.1097/PRS.0b013e3182865d83.
Open DOI Search in Google Scholar Back to article
Sobrino, F. J., La Cuadra, C., & Guillén, P. (2015). Overuse injuries in professional ballet: injury based differences among ballet disciplines. Orthopaedic journal of sports medicine, 3(6), 2325967115590114. doi: 10.1177/2325967115590114.
Open DOI Search in Google Scholar Back to article
van Bergen, C. J. A., Sierevelt, I. N., Hoogervorst, P., Waizy, H., van Dijk, C. N., & Becher, C. (2014). Translation and validation of the German version of the foot and ankle outcome score. Archives of Orthopaedic and Trauma Surgery, 134(7), 897–901. doi: 10.1007/s00402-014-1994-8.
Open DOI Search in Google Scholar Back to article
Vernon, H., & Mior, S. (1991). The Neck Disability Index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics, 14(7), 409–415.
Search in Google Scholar Back to article
Vernon, H. (2008). The Neck Disability Index: State-of-the-art, 1991–2008. Journal of Manipulative and Physiological Therapeutics, 31(7), 491–502. doi: 10.1016/j.jmpt.2008.08.006.
Open DOI Search in Google Scholar Back to article
Vilkman, E. (2000). Voice problems at work: A challenge for occupational safety and health arrangement. Folia Phoniatrica et Logopaedica, 52(1–3), 120–125. doi: 10.1159/000021519.
Open DOI Search in Google Scholar Back to article
von Piekartz, H., La Touche, R., Paris-Alemany, A., Löwen, A., Ismail, M., Köhl, R., Benz, K., & Ballenberger, N. (2021). Cross-cultural adaption and psychometric evaluation of the German craniofacial pain and disability inventory (CF-PDI). Pain Physician, 24, E857–E866. ISSN 2150-1149.
Search in Google Scholar Back to article
Ware, J. E., Kosinski, M., & Keller S. D. (1995). SF-12: How to score the SF-12 physical and mental health summary scales (2nd edition). The Health Institute, New England Medical Center.
Search in Google Scholar Back to article
Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-Item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233. doi: 10.1097/00005650-199603000-00003.
Open DOI Search in Google Scholar Back to article
WMA World Medical Association (2013). World Medical Association Declaration of Helsinki - ethical principles for medical research involving human subjects. Adopted by the 18th WMA General Assembly, Helsinki, Finland, June 1964, and amended by the 64th WMA General Assembly, Fortaleza, Brazil, October 2013. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/.
Search in Google Scholar Back to article
Wilson, R. J., Watson, J. T., & Lee, D. H. (2014). Nerve entrapment syndromes in musicians. Clinical Anatomy, 27, 861–865. doi: 10.1002/ca.22377.
Open DOI Search in Google Scholar Back to article
Wirtz, M. A., Morfeld, M., Glaesmer, H., & Brähler, E. (2018). Konfirmatorische Prüfung der Skalenstruktur des SF-12 Version 2 in einer deutschen bevölkerungsrepräsentativen Stichprobe (inkl. Zusatzmaterial). Diagnostica, 64(2), 84–96. doi: 10.1026/0012-1924/a000194.
Open DOI Search in Google Scholar Back to article
Zalpour, C., Ballenberger, N., & Avermann, F. (2021). A physiotherapeutic approach to musicians' Health - Data from 614 patients from a physiotherapy clinic for musicians (INAP/O). Frontiers in Psychology, 12, Article 568684. doi: 10.3389/fpsyg.2021.568684.
Open DOI Search in Google Scholar Back to article

Abstract

Background

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