The Alexander Technique and musicians: a systematic review of controlled trials

BACKGROUND: Musculoskeletal disorders, stress and performance anxiety are common in musicians. 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 intentional inhibition of unwanted habitual behaviours. According to a recent review AT sessions may be effective for chronic back pain. This review aimed to evaluate the evidence for the effectiveness of AT sessions on musicians' performance, anxiety, respiratory function and posture. METHODS: The following electronic databases were searched up to February 2014 for relevant publications: PUBMED, Google Scholar, CINAHL, EMBASE, AMED, PsycINFO and RILM. The search criteria were "Alexander Technique" AND "music*". References were searched, and experts and societies of AT or musicians' medicine contacted for further publications. RESULTS: 237 citations were assessed. 12 studies were included for further analysis, 5 of which were randomised controlled trials (RCTs), 5 controlled but not randomised (CTs), and 2 mixed methods studies. Main outcome measures in RCTs and CTs were music performance, respiratory function, performance anxiety, body use and posture. Music performance was judged by external experts and found to be improved by AT in 1 of 3 RCTs; in 1 RCT comparing neurofeedback (NF) to AT, only NF caused improvements. Respiratory function was investigated in 2 RCTs, but not improved by AT training. Performance anxiety was mostly assessed by questionnaires and decreased by AT in 2 of 2 RCTs and in 2 of 2 CTs. CONCLUSIONS: A variety of outcome measures have been used to investigate the effectiveness of AT sessions in musicians. Evidence from RCTs and CTs suggests that AT sessions may improve performance anxiety in musicians. Effects on music performance, respiratory function and posture yet remain inconclusive. Future trials with well-established study designs are warranted to further and more reliably explore the potential of AT in the interest of musicians.

Ethinylestradiol does not enhance the expression of nitric oxide synthase in bovine endothelial cells but increases the release of bioactive nitric oxide by inhibiting superoxide anion production.

Estradiol is known to exert a protective effect against the development of atherosclerosis, but the mechanism by which this protection is mediated is unclear. Since animal studies strongly suggest that production of endothelium-derived relaxing factor is enhanced by estradiol, we have examined the effect of estrogens on nitric oxide (NO) synthase (NOS) activity, protein, and mRNA in cultured bovine aortic endothelial cells. In reporter cells rich in guanylate cyclase, it has been observed that long-term treatment (> or = 24 hr) with ethinylestradiol (EE2) dose-dependently increased guanylate cyclase-activating factor activity in the conditioned medium of endothelial cells. However, conversion of L-[14C]arginine to L-[14C]citrulline by endothelial cell homogenate or quantification of nitrite and nitrate released by intact cells in the conditioned medium did not reveal any change in NOS activity induced by EE2 treatment. Similarly, Western and Northern blot analyses did not reveal any change in the endothelial NOS protein and mRNA content in response to EE2. However, EE2 dose- and time-dependently decreased superoxide anion production in the conditioned medium of endothelial cells with an EC50 value (0.1 nM) close to that which increased guanylate cyclase-activating factor activity (0.5 nM). Both of these effects were completely prevented by the antiestrogens tamoxifen and RU54876. Thus, endothelium exposure to estrogens appears to induce a receptor-mediated antioxidant effect that enhances the biological activity of endothelium-derived NO. These effects could account at least in part for the vascular protective properties of these hormones.

Letters to George Simpson, 1796, 1806

Two letters to the cashier of the Bank of the United States requesting that funds be transferred to Andrew Bayard in Philadelphia, so that Paterson could receive his salary as associate justice of the U.S. Supreme Court.

Graham's American monthly magazine of literature, art, and fashion.

Editors: Jan. 1841- G. R. Graham (with E. A. Poe, Jan. 1841-May 1842; C. J. Peterson, Mrs. Ann S. Stephens, 1842; R. W. Griswold, July 1842-June 1843; R. T. Conrad, Jan.-June 1848: J. R. Chandler, J. B. Taylor, Oct. 1848-Dec. 1849).

Les arts et leur technique : comment on fait: un tableau, une statue, une maison, une composition musicale, un livre, etc. /

Mode of access: Internet.

L'art de reconnaître les fraudes : peinture, sculpture, gravure, meubles, dentelles, céramique, etc. ...

"Ouvrage orné de 115 gravures."

Respiratory health effects of passive smoking : lung cancer and other disorders.

"Jennifer Jinot and Steven Bayard were the scienfitic editors ... Major portions of this revised report were prepared by ICF Incorporated ... under EPA contract no. 68-00-0102"--P. xv.

A digest of American cases on the law of evidence : intended as notes to Peake's Compendium of the law of evidence /

Includes index.

Excursion entomologique dans les montagnes de la Vallée d'Ossau /

Extrait du Bulletin de la Société des sciences, lettres et arts de Pau.

Travels;

Cover title.

Voyage dans l'intérieur des États-Units, a Bath, Winchester, dans la Vallée de Shenandoah, etc., etc., pendant l'Été de 1791 /

MTSD 20.

Gabriela de Belle-Isle : drama en cinco actos y en prosa ...[y otras obras]

Mode of access: Internet.