The effectiveness of Alexander Technique on music performance and musicians’ health and well-being – a systematic review

Introduction Musicians often suffer injuries related to their music playing. Therefore, some use Alexander Technique (AT), a mental-physical method that facilitates to release unnecessary muscle tension and to re-educate non-beneficial movement patterns through enhanced kinaesthetic awareness. According to a recent review AT may be effective for chronic back pain [1]. This review aimed to evaluate the evidence for the effectiveness of AT lessons on music performance and musicians’ health and well-being. Methods The following electronic databases were searched up to July 2012 for relevant literature: PUBMED, Google Scholar, CINAHL and EMBASE. The search criteria were "Alexander technique" AND "music*" [all fields]. References were searched, and experts and societies of AT or musicians' medicine contacted for further publications. Results 100 studies were identified. 24 studies were included for further analysis, 5 of which were randomised controlled trials (RCTs), 5 controlled but not randomised (CTs), 5 without control group, 2 mixed methods (RCT and case studies), and 7 surveys. 13 to 72 musicians participated per RCT. In 5 RCTs AT groups received between 12 and 20 one-to-one lessons. In 4 RCTs control groups received no interventions. Primary outcomes were performance anxiety, music performance, "use" as well as respiratory function and pain. Performance anxiety decreased by AT in 3 of 4 RCTs and in 3 of 3 CTs. Music performance was improved by AT in 1 RCT, yet in 2 RCTs comparing neurofeedback (NF) to AT, only NF showed improvements. Discussion and Conclusion To investigate the effectiveness of AT in musicians a variety of study designs and outcome measures have been used. Evidence from RCTs suggests that AT may improve performance anxiety in musicians. Effects on music performance, body use and respiratory function yet remain inconsistent. Future trials with scientifically sound study designs are warranted to further and more reliably explore the potential of AT as a relatively low cost and low risk method in the interest of musicians. References [1] Woodman JP, Moore NR. Evidence for the effectiveness of Alexander Technique lessons in medical and health-related conditions: a systematic review. Int J Clin Pract 2012;66(1):98-112.

The Effectiveness of Alexander Technique on Music Performance and Musicians' Health and Well-being – a Systematic Review

Purpose Musicians often suffer injuries related to their music playing. Therefore, some use the Alexander Technique (AT), a psycho-physical method that helps to release unnecessary muscle tension and re-educates non-beneficial movement patterns through enhanced kinaesthetic awareness. According to a recent review AT may be effective for chronic back pain. This review aimed to evaluate the evidence for the effectiveness of AT lessons on music performance and musicians’ health and well-being. Methods The following electronic databases were searched up to July 2012 for relevant literature: PUBMED, Google Scholar, CINAHL and EMBASE. The search criteria were "Alexander technique" AND "music*" [all fields]. References were searched, and experts and societies of AT or musicians' medicine contacted for further publications. Results 100 studies were identified. 35 studies were included for further analysis, 5 of which were randomised controlled trials (RCTs), 5 controlled but not randomised, 5 not controlled, 5 qualitative case studies, 2 mixed-models (RCT and case studies), 7 surveys, 4 qualitative case reports and 2 unpublished pilot studies. 13 to 72 musicians participated per RCT. In 5 RCTs AT groups received between 12 and 20 one-to-one lessons. In 4 RCTs control groups received no interventions. Primary outcomes were performance anxiety, performance, "use" as well as respiratory function and pain. Performance anxiety decreased by AT in 3 of 4 RCTs. Music performance was improved by AT in 1 RCT, yet in 2 RCTs comparing neurofeedback (NF) to AT, only NF showed improvements. Conclusions To investigate the effectiveness of AT in musicians a variety of study designs and outcome measures have been used. Evidence from RCTs suggests that AT may improve performance anxiety in musicians. Effects on music performance, body use and respiratory function yet remain inconsistent. Future trials with well-established study designs are warranted to further and more reliably explore the potential of AT as a relatively low cost and low risk method in the interest of musicians.

The Rise and Fall of the Doctor-Patient Relationship

This talk will outline the history of the doctor-patient relationship in the West. It will touch briefly on medicine in Greek and Roman antiquity, using key texts from Hippocrates and Galen. It will also sketch the changing balance of the religious and the secular in medieval medicine. Finally, it will outline the rise of the modern personal doctor-patient relationship in the 18th century and analyze the chronic dissatisfaction that settled over relations between doctors and patients in the last quarter of the 20th century.

Myers, K.S. (ed.), Ovid Metamorphoses, Book XIV (Cambridge Greek and Latin Classics), Nueva York, Cambridge University Press, 2009, IX + 237 pp. ISBN 978-0-521-00793-1

Fil: Martínez Astorino, Pablo Leandro. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación. Instituto de Investigaciones en Humanidades y Ciencias Sociales (UNLP-CONICET); Argentina.

The statuary collection held at the baths of Zeuxippus (Ap 2) and the search for Constantine's museological intentions

Constantino pretendía enseñar al mundo su Constantinopla como la Nueva (la tercera) Troya, el más acabado retrato de la nueva paidea de inspiración griega y romana. Él mismo y su equipo dispusieron de no más que seis años para planear y reconstruir una ciudad entera, la antigua Bizancio; y las artes plásticas, en especial la escultura, ejercieron un rol determinante en todo ese proceso público. Volviendo una vez más la mirada hacia los restos arqueológicos y la descripción literaria de Cristodoro (Antología Griega, libro II) de la colección de estatuas de los Balnearios del Zeuxipo, el presente artículo desenvuelve una lectura museológica de estas estatuas, buscando encuadrarlas en el plan arquitectónico global de Constantino para su nueva capital del Imperio.

Myers, K.S. (ed.), Ovid Metamorphoses, Book XIV (Cambridge Greek and Latin Classics), Nueva York, Cambridge University Press, 2009, IX + 237 pp. ISBN 978-0-521-00793-1

Fil: Martínez Astorino, Pablo Leandro. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación. Instituto de Investigaciones en Humanidades y Ciencias Sociales (UNLP-CONICET); Argentina.

The statuary collection held at the baths of Zeuxippus (Ap 2) and the search for Constantine's museological intentions

Constantino pretendía enseñar al mundo su Constantinopla como la Nueva (la tercera) Troya, el más acabado retrato de la nueva paidea de inspiración griega y romana. Él mismo y su equipo dispusieron de no más que seis años para planear y reconstruir una ciudad entera, la antigua Bizancio; y las artes plásticas, en especial la escultura, ejercieron un rol determinante en todo ese proceso público. Volviendo una vez más la mirada hacia los restos arqueológicos y la descripción literaria de Cristodoro (Antología Griega, libro II) de la colección de estatuas de los Balnearios del Zeuxipo, el presente artículo desenvuelve una lectura museológica de estas estatuas, buscando encuadrarlas en el plan arquitectónico global de Constantino para su nueva capital del Imperio.

Myers, K.S. (ed.), Ovid Metamorphoses, Book XIV (Cambridge Greek and Latin Classics), Nueva York, Cambridge University Press, 2009, IX + 237 pp. ISBN 978-0-521-00793-1

Fil: Martínez Astorino, Pablo Leandro. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

The statuary collection held at the baths of Zeuxippus (Ap 2) and the search for Constantine's museological intentions

Constantino pretendía enseñar al mundo su Constantinopla como la Nueva (la tercera) Troya, el más acabado retrato de la nueva paidea de inspiración griega y romana. Él mismo y su equipo dispusieron de no más que seis años para planear y reconstruir una ciudad entera, la antigua Bizancio; y las artes plásticas, en especial la escultura, ejercieron un rol determinante en todo ese proceso público. Volviendo una vez más la mirada hacia los restos arqueológicos y la descripción literaria de Cristodoro (Antología Griega, libro II) de la colección de estatuas de los Balnearios del Zeuxipo, el presente artículo desenvuelve una lectura museológica de estas estatuas, buscando encuadrarlas en el plan arquitectónico global de Constantino para su nueva capital del Imperio.