Association between constitution, axiography, orthodontic cast analysis, and upper body posture in women aged 31 to 40 years.

OBJECTIVE: Whether it is primarily the spine that reacts with pain to the negative consequences of everyday stress and possibly the temporomandibular system as a result (ascending chain), or whether incorrect stress in the dental area has an influence on body geometry (descending chain), is still a controversially discussed topic. The aim of this study is to investigate possible relationships between constitutional, axiographic, and dental parameters with upper body posture. MATERIAL AND METHODS: A total of 106 subjectively healthy women between 31 and 40 years of age voluntarily participated in this study. Data collection was done by filling out a questionnaire with constitutional and anamnestic parameters and by evaluating orthodontic casts, axiographic measurements, and video raster stereographic measurements. These data were analyzed using correlations and group comparisons, with the significance level set at p ≤ 0.05. RESULTS: Positive correlations were shown between the constitutional factors of body weight and BMI and the lumbar bending angle (p = 0.01), the kyphosis angle (p = 0.001), and lordosis angle (weight p = 0.05; BMI p = 0.03). In the cast analysis, regardless of the direction of the midline shift (left/right/none), a left lateral tilt can be seen which is greatest at 2.12° with a left midline shift. In addition, the elevated pelvic side correlates with the side of the displacement of the jaw, with the stronger manifestation being on the left side. With a vertical anterior bite in the normal range, the kyphosis angle is 48.09°, while with a deep bite, it is 60.92°, and with an open bite, it is 62.47°; thus, the group in the normal range differs significantly (p = 0.01) from the other two. The greater the protrusion, the smaller the sagittal plane angles (kyphosis angle, lumbar bending angle, each p = 0.03), and the more dorsal the posture (p = 0.04). The lordosis angle differs significantly (p = 0.001) between the group of subjects with a protrusion in the normal range (52.34°) and the group with an increased advancement of the mandible (41.79°). CONCLUSION: There is a correlation between body weight, BMI, midline shift, and protrusion, as well as the vertical anterior step and upper body posture in women between 31 and 40 years of age. Interdisciplinary functional examinations of the temporomandibular musculature, and also sustained orthodontic treatment, can contribute to an improvement in upper body posture.

Work-Related Dermatoses of the Feet in Professional Dancers: A Pilot Study.

OBJECTIVE: The feet of professional dancers are exposed to high work-related stresses. To date, data from the professional dance sector concerning this matter are lacking. The aim of this exploratory project was to analyze and evaluate skin health in the foot area with regard to the prevalence of dermatoses, their locations, as well as gender-specific and load-specific differences. METHODS: Professional classical and neo-classical ballet dancers were examined at two time points: in a phase with increased stress (T0: daily training sessions, rehearsals, and high performance frequency) (n=51, 35 females, 16 males) and after a 24-day rest phase (T1: n=35, 28 females, 7 males). In addition, gender-specific and load-specific (T0 and T1) differences were evaluated. RESULTS: All professional dancers were affected by skin lesions of the feet at T0. Hyperkeratosis (96.1%), onychomycosis (27.5%), and subungual hematoma (11.8%) were the most frequent dermatoses of the feet of professional dancers. Onychomycosis affected the nails of the big toes in particular (right 15.7%; left 13.7%), and subungual hematomas were found exclusively on the nails of the first toe (right 7.8%; left 7.8%). Women tended to be more frequently affected by hyperkeratosis, men more frequently by onychomycosis. There were no load-specific differences between the stress and rest phases. CONCLUSION: The prevalence of work-related dermatoses is equally high among female and male dancers. The results can be used for further research and serve as a basis for specific measures of behavioral and environmental prevention in dance.

Standard values of the upper body posture in healthy adults with special regard to age, sex and BMI.

In order to classify and analyze the parameters of upper body posture in clinical or physiotherapeutic settings, a baseline in the form of standard values with special regard to age, sex and BMI is required. Thus, subjectively healthy men and women aged 21-60 years were measured in this project. The postural parameters of 800 symptom-free male (n = 397) and female (n = 407) volunteers aged 21-60 years (Ø♀: 39.7 ± 11.6, Ø â™‚: 40.7 ± 11.5 y) were studied. The mean height of the men was 1.8 ± 0.07 m, with a mean body weight of 84.8 ± 13.1 kg and an average BMI of 26.0 ± 3.534 kg/m2. In contrast, the mean height of the women was 1.67 ± 0.06 m, with a mean body weight of 66.5 ± 12.7 kg and an average BMI of 23.9 ± 4.6 kg/m2. By means of video rasterstereography, a 3-dimensional scan of the upper back surface was measured when in a habitual standing position. The means or medians, confidence intervals, tolerance ranges, the minimum, 2.5, 25, 50, 75, 97.5 percentiles and the maximum, plus the kurtosis and skewness of the distribution, were calculated for all parameters. Additionally, ANOVA and a factor analyses (sex, BMI, age) were conducted. In both sexes across all age groups, balanced, symmetrical upper body statics were evident. Most strikingly, the females showed greater thoracic kyphosis and lumbar lordosis angles (kyphosis: Ø â™€ 56°, Ø♂ 51°; lordosis: Ø â™€ 49°, Ø♂ 32°) and lumbar bending angles (Ø â™€ 14°, Ø♂ 11°) than the males. The distance between the scapulae was more pronounced in men. These parameters also show an increase with age and BMI, respectively. Pelvic parameters were independent of age and sex. The upper body postures of women and men between the ages of 21 and 60 years were found to be almost symmetrical and axis-conforming with a positive correlation for BMI or age. Consequently, the present body posture parameters allow for comparisons with other studies, as well as for the evaluation of clinical (interim) diagnostics and applications.

The movement profile of trunk and neck during habitual vacuuming.

Musculoskeletal disorders of the trunk and neck are common among cleaners. Vacuum cleaning is a demanding activity. The aim of this study was to present the movement profile of the trunk and neck during habitual vacuuming. The data were collected from 31 subjects (21f./10 m) using a 3D motion analysis system (Xsens). 10 cycles were analysed in vacuuming PVC and carpet floors with 8 vacuum cleaners. The joint angles and velocities were represented statistically descriptive. When vacuuming, the trunk is held in a forwardly inclined position by a flexion in the hip and rotated from this position. In the joint angles and velocities of the spine, the rotation proved to be dominant. A relatively large amount of movement took place in the cervical spine and also in the lumbar spine. The shown movement profile is rather a comfort area of vacuuming which may serve as a reference for ergonomics in vacuuming.

Influence of dental occlusion conditions on plantar pressure distribution during standing and walking - A gender perspective.

The aim of this study was to investigate gender-specific influences of different symmetric and asymmetric occlusion conditions on postural control during standing and walking. The study involved 59 healthy adult volunteers (41 f/19 m) aged between 22 and 53 years (30.2 ± 6.3 years). Postural control measurements were carried out using a pressure plate by measuring plantar pressure distribution during standing and walking test conditions. Seven different occlusion conditions were tested. Prior to a MANOVA model analysis, the relationship between the two test conditions were checked using a factor analysis with a varying number of factors (between 2 and 10). The plantar pressure distributions during walking and standing are independent test conditions. The coefficient of variance across all variables between the conditions and genders was not significant: t(46) = 1.51 (p = 0.13). No statement can be made whether, or not, the influence of gender is greater than the influence of the conditions. Healthy male and female test subjects did not show any difference between seven occlusion conditions on the plantar pressure distribution while standing or walking. No differences between the genders were found for any of the investigated variables. In contrast to custom-made occlusion splints, simple cotton rolls appear not to influence the neuromuscular system in a systematic manner.

Association between constitution, axiography, analysis of dental casts, and postural control in women aged between 41 and 50 years.

OBJECTIVES: The aim of this study was to investigate the relationship between anamnestic, axiographic and occlusal parameters and postural control in healthy women aged between 41 and 50 years. MATERIALS AND METHODS: A total of 100 female participants aged between 41 and 50 (45.12 ± 2.96) years participated in the study. In addition to completing a general anamnesis questionnaire, lower jaw movements were measured axiographically, dental occlusion parameters were determined using a model analysis and postural parameters were recorded using a pressure measurement platform. The significance level was 5%. RESULTS: An increasing weight and a rising BMI lead to a weight shifted from the rearfoot (p ≤ 0.01/0.04) to the forefoot (p ≤ 0.01/0.02). A limited laterotrusion on the right resulted in a lower forefoot load and an increased rearfoot load (p ≤ 0.01). Laterotrusion to the left (extended above the standard) showed a lower frontal sway (p ≤ 0.02) and a reduced elliptical area, height and width (p ≤ 0.01, 0.02, 0.03). Thus, the extent of deviation correlated with reduced right forefoot loading (p ≤ 0.03) and the extent of deflection correlated with increased left foot loading (p ≤ 0.01). The higher the extent of angle class II malocclusion, the larger the ellipse area (p ≤ 0.04) and the ellipse height (p ≤ 0.02) resulted. CONCLUSIONS: There is a connection between weight, BMI and laterotrusion, as well as between angle class II malocclusion and postural control in women aged between 41 and 50 years. Interdisciplinary functional examinations of mandibular movements treating possible limitations can be conducive for an improvement of postural control. CLINICAL RELEVANCE: Angle class II malocclusion has a negative influence on postural control.

Influence of typical handball characteristics on upper body posture and postural control in male handball players.

BACKGROUND: Well defined constitutional parameters support the physical fatigue resistance in handball to maintain the performance level for the majority of actions. Ideal constitutional conditions are necessary to achieve these physiological advantages in handball. But limited knowledge exists about the upper body posture or the postural control in correlation to the Body Mass Index (BMI), playing years, playing position and throwing arm in professional male handball. METHODS: Ninety-one male handball players participate (24.1 ± 5.9 years; playing experience 16.6 ± 5.7 years). A three-dimensional back scanner and a pressure measuring plate were used. RESULTS: Correlations between BMI and upper body posture and postural control were not significant. Same counts for the comparison between the left and right throwing arm according to upper body posture and postural control (p ≥ 0.05). Correlations between the years of playing can be found at pelvis height (p ≤ 0.04) and for the length of the Center of Pressure (CoP) (p ≤ 0.01). Wing players are 6.5-8.5 cm smaller. The playing position is independently of BMI, age or upper body posture (p ≥ 0.05). Backcourt players have a higher load of the left and a lower load of the right foot compared to wing players (p ≤ 0.001). Left-right comparison (p ≤ 0.001/ 0.01) can be seen in pivot player (covered area), backcourt player (weight distribution left/right [rear] foot), wing player (weight and force distribution left/right foot, covered area). CONCLUSION: Goalkeeper, Backcourt and pivot players are taller and heavier than wing players. These physiological demands are not detectable in the upper body posture and slightly in postural control. Wing players have the most asymmetric load distribution and the longest length of CoP. Since goalkeepers do not differ from pivot or backcourt players, this can be lead back to the same training.

Association between constitution, medical history, axiography and postural control in women aged between 21 to 30 years.

The aim of this study was to determine association between constitutional, medical history and axiographic parameters with postural control parameters. Overall, 106 healthy female subjects aged between 21 and 30 years were measured. Data collection was carried out by completing a questionnaire on constitutional parameters, illnesses, accidents and medical/orthodontic therapies, as well as by axio- and posturographic measurements. Data were analyzed using correlations, pair comparisons and group comparisons. The significance level was set at p ≤ 0.05. The statistical evaluation showed significant correlations between sporting exercise and body sway in the sagittal direction (p ≤ 0.03), the BMI and the load on the forefoot/rear foot (p ≤ 0.01), the mouth opening and the load on the forefoot/rearfoot (p ≤ 0.01) and the presence of a deviation with the load on the left/right foot (p ≤ 0.01). The physical condition as well as the temporo-mandibular system are associated with the postural control in young women. Therefore, a holistic diagnosis and therapy will be supported by the present outcomes.

[Injury profile in competitive senior ballroom dancers]. / Verletzungen im Senioren-Turniertanzsport.

INTRODUCTION: The growing numbers of members aged over 35 years in the German Dancesport Association indicate that not only physical activity but also sporting success is gaining significance with increasing age. Investigations on health hazards are still lacking. Aim of this study is the analysis of dance sport-related health hazards in the classifications Seniors I-III. METHODS: A total of n = 124 (m: n = 67, f: n = 57) senior ballroom dancers participated in this retrospective cross-sectional investigation. RESULTS: There were 0.9 (m)/1.0 (f) traumatic injuries/year (m: 0.03/1000 h, f: 0.04/1000 h). Gender specific differences as to localisation, type and factors could be observed. The most common injury localisations were the spine (22.2 %), followed by upper and lower leg (15.9 %) in males with foot (incl. ankle joint) (35.6 %), followed by spine (25.4 %), hip (15.3 %) and knee joint (23.8 %) in females. Chronic sports damages/complaints were more common in dancers (m: 1.6, f: 1.9) than traumatic injuries (m: 0.05/1000 h, w: 007/1000 h). The number of traumatic injuries and chronic sports damages rose according to the extent of training and age in males, with females only according to age. Knee problems (arthrosis/gonalgia/meniscal damage) were the most common sports damages (m: 30 %, f: 19.4 %), followed by degenerative spine diseases (m: 9.1 %, f: 9.7 %) and complaints not yet diagnosed (m: 14.6 %, f: 16 %). Intrinsic factors predominated (m: 64.7 %, f: 53.6 %). CONCLUSION/DISCUSSION: The injury risk in competitive senior ballroom dancers is low. An increase of jeopardising with age and extent of training could only be observed in males. That raises the issue of an optimal and gender-specific amount of training and the preventive significance of dance sport in the elderly. Localisation and type of injury reflect the characteristic movement elements in dance sport. There is a need for additional qualitative and quantitative investigations in order to create differentiated suggestions as to the planning of training and injury prevention.

[Dance sport: injury profile in Latin American formation dancing]. / Tanzsport: Verletzungsmuster im Lateinamerikanischen Formationstanz.

BACKGROUND: Latin American formation dancing ranks among the technical-compositional types of sport and represents a discipline of dance sport due to its performance- and competition-orientated mode. Despite its high degree of popularity and a movement profile favouring injuries, there has been a lack of studies as to health hazards and damage in Latin American formation dancing. The aim of this study is to analyse formation dance-related health hazards and their causes. METHODS: A total of n = 100 (m: n = 52, f: n = 48) Latin American dancers of the German top-level league participated in this anonymised retrospective cross-sectional investigation. RESULTS: Mean weights of the male dancers were 75.2 kg and respectively 58.2 kg for the females, mean body height/size were 1.82 m (m) and 1.67 m (f) and mean BMI 22.2 (m) and 20.0 (f), respectively. At least one each traumatic injury/chronic damage was sustained by 69.3 % (m) and 77.6 % (f) of the dancers in the course of their dance sport activities. Almost all (97.9 %) injuries occurred during the training. A total of 409 injuries/overuse damages (= 4.1 injuries/athlete) was reported with 80.4 % traumatic injuries and 19.5 % chronic damages. Female dancers were more often injured than their male counterparts. The lower extremity was the most commonly affected body region [64.5 % (m) and, respectively, 71.2 % (f)], followed by upper extremity (m: 21.2 %, f: 17.6 %) and spinal column/trunk region (m: 12.0 %, f: 8.5 %). Blockages and pulled muscles were the most common complaints reported by males with contusions and pulled muscles being reported by females. Chondropathy/osteoarthrosis were the most frequent chronic diseases. Of all injuries sustained, circa two thirds were caused by extrinsic and circa one third by intrinsic factors. CONCLUSION: The injury profiles/patterns in Latin American formation dancing show on the one hand parallels to the individual partner dances. On the other hand, typical and gender-specific movement elements seem to reflect in the injuries and chronic damages/diseases of formation dancers. This is to be taken into account when injury prevention measures are considered. There is also a need for further studies to allow a more differentiated analysis.

Variability and reliability of muscle activity measurements during chewing.

The objective of this study was to test masseter muscle activity and its variability and reliability in terms of repeatable measurements in fully dentate and healthy volunteers during habitual chewing and deliberate unilateral chewing. Three sessions were performed on three consecutive days, each time recording kinematic data and masseter muscle EMG activities through a series of defined jaw exercises, including maximum voluntary contraction, habitual chewing, and left and right unilateral chewing. Asymmetry index (AI) and deliberate chewing index (DCI) scores were used to evaluate the activities of the left and right masseter muscles, which were separately recorded during each of these chewing exercises. DCI scores were side-specific, including two sets of values for left and right unilateral chewing. Reproducibility testing of the values obtained for all parameters revealed good to excellent reproducibility of masseter muscle activity under standardized recording conditions across the consecutive study sessions, with intra-class correlation coefficients (ICCs) ranging from 0.68 to 0.93. Different individuals were found to utilize different strategies of bilateral masseter activation during both habitual chewing and deliberate unilateral chewing.

[Parkour--"art of movement" and its injury risk]. / Parkour--"Kunst der Fortbewegung" und ihr Verletzungsrisiko.

INTRODUCTION: Parkour sport is the playfully breaching of obstacles originally not created to get from A to B in the fastest manner. There have been only few publications on injuries in this young and trendy sport mainly performed in urban areas. The aim of this study is to analyse parkour-related acute injuries and their factors. METHODS: For the retrospective cross-sectional study, a total of n = 266 traceurs (m: n = 255, w: n = 11) completed anonymized online questionnaires. RESULTS: On average, each traceur sustained 1.9 injuries per sport career/year, or 5.5 injuries/1000 h training, respectively. The upper extremity was the most affected body region (58 %), followed by the lower extremity (27 %), head and the back. An increase of injuries from proximal to distal was observed in the upper extremity. However, for the lower extremity it was the opposite. Of all injuries, the most common were skin abrasions (70.3 %). Muscle injuries were observed in 13.1 % of the traceurs, followed by dislocations (6.1 %), and soft tissue (e. g., ligaments, tendons) injuries (5.3 %). Passive precautionary measures were abandoned by the majority of the traceurs (88 %). Landing belonged to the movement elements resulting in most of the injuries (61 %), followed by supportive and static efforts of the arms (10.7 %). Overestimation (23 %) as well as misjudging the situation (20 %) were the most common causes. CONCLUSION: Other than expected, parkour is an urban movement style with most of the injuries being neither severe nor common despite the lack of precautionary measures. Localisation and type of injuries reflect the characteristic movement elements. There is a need for further investigations to allow a more differentiated analysis in order to develop injury prevention concepts.

[Ballet as high-performance activity: health risks exemplified by acute injuries in dance students]. / Ballett als Leistungssport - Gesundheitliche Gefährdungen am Beispiel akuter Verletzungen bei Tanzschülern.

INTRODUCTION: The perennial training and education to become a professional dancer is associated with maximum physical and psychic stress. These challenges fall into a period of utmost changes caused by adolescence. As a consequence, acute injuries may occur that - depending on the degree of severity - could endanger the education. The aim of this study was to analyse acute injuries, their causes and mechanisms with regard to gender-specific aspects in students of a state ballet school. These data may provide the basis to work out individual institution-centred injury prevention concepts. METHODS: The data for the evaluation were obtained from occupational accident reports, accident documentations of various Berlin theatres as well as case records of a State Ballet School (n = 480, m: 120, w: 360) of the Berlin State Accident Insurance (UKB). Evaluation and descriptive statistics were conducted with Excel 2007 and PASW Statistics 18. RESULTS: One of three dance students is injured at least once a year. One out of ten accidents is classified as severe. The lower extremity is the most frequent localisation (67.8 %; m: 57.6 %, w: 73.0 %). There are age- and gender-specific particularities. The main acute injured body structures are joints and ligaments (69.5 %). Contusions (23 %), distorsions (33 %) and muscular strains (20 %) are the most frequent types of injuries. There is a correlation between the time of the day and the incidence of injuries. Acute injuries in both genders are more frequently caused by multifactorial (70 %; f: 71.6 %, m: 64.5 %) than by exogenous factors (30 %; f: 28.4 %, m: 35.5 %). Exogenous objects initiating an accident are 'corridors/stairs' (f: 8.8 %, m: 13.7 %), followed by 'human being' (f: 7.5 %, m: 13.2 %) and 'dance floor' (f: 7.5 %, m: 5.7 %). DISCUSSION: With due regard to gender, the results can be compared in many respects with those of professional dancers. There are various gender-specific differences in the acute injuries, reasons of which are numerous (e. g., the monospecific education/training, early specialisation, gender-specific differences concerning work contents). Incipient stages of injury prevention are as complex as the versatility of dance movements.

[Analysis and evaluation of the health status of physical education teachers focusing on dance teachers]. / Analyse und Evaluation der Gesundheitssituation von Bewegung vermittelnden Lehrkräften am Beispiel der Tanzpädagogik.

INTRODUCTION: A dance teacher teaches in various professional and amateur genres. The physical load depends on the target group and is partly submaximal or even higher. The only tool of dance teachers is their own body. There are only few other tools to facilitate such work. Therefore, keeping the body in a good health status is of great significance. Up to the present, there have been little or no data on the health status of persons teaching dance. The aim of this study is to examine the health status of persons who teach dance in order to initiate a data base for the development of further projects with a preventive medical focus. METHODS: A total of 165 (f: 154, m: 11) average aged (46.1 years) dance teachers in Germany responded to a cross-section questionnaire survey. RESULTS: Teaching dance is for 96.6 % "the job of their dreams". Of all dance teachers 89.4 % continue to work while in pain and 85.5 % cannot afford a "longer down-time". 78.2 % state that they have paused due to a work-related disease, although 56.9 % of the respondents consider their occupation to be the cause for a disease with the answer only, seldom (44.4 %) or never (12.5 %). 4.5 % consult a medical doctor only after the self-treatment has failed. The lower extremity is the most common anatomic region in acute injuries (57.6 %) as well as in chronic complaints (58.3 %). The causes are multiple and comprise physical as well as psychic factors such as a high pressure of expectation (64.8 %) or a tight schedule/time table (43 %). 29 % of all dance teachers suffer from internal and 58 % from orthopaedic complaints. 43.1 % of them state that these complaints result from their occupation. 80.5 % make an acute injury responsible for compulsary breaks. DISCUSSION: The discrepancies between the self-perception and the findings of this investigation clearly show that the psychic and physical load in this occupation should not be underestimated. Here, further research on the social, psychic and physical health status of dance teachers is required. The results of this investigation warrant further research in the field of activity of the variable and up to now unprotected dance teacher profession in Germany.

[Rehabilitation after occupational accidents in professional dancers: advice with due regard to dance specific aspects]. / Rehabilitation nach Arbeitsunfällen im professionellen Bühnentanz: Empfehlungen unter Berücksichtigung tanzmedizinischer Gesichtspunkte.

The highly specialized occupation of professional dancers is a combination of sport and artistic expression. The exertion is only possible with a fully operative body. Although professional dancers may be compared with elite athletes and acute injuries frequently happen, dancers do not seem to be granted an appropriate therapy after accidents as compared with athletes. Although even minor injuries may potentially endanger the career of a professional dancer, physiotherapeutic or physical treatment methods are applied in every tenth case only. Alternative and holistic concepts such as Pilates or dance-specific re-integration that proved successful in professional dancers, are used in even fewer instances. The aim of this study is to develop a rehabilitation concept for professional dancers focusing on dance-medicine aspects. It has been taken into account that the best physical outcomes are reflected in an optimized, holistic, dance-specific therapy and rehabilitation. Intensifying and exploiting dance-specific methods of treatment can not only reduce costs in the end but can even contribute to reducing the duration of rehabilitation after injuries of dancers. Preconditions for realization of the rehabilitative model are a high qualification of all persons working in the rehabilitative field as well as a marked willingness to cooperate in the various dance fields. Both gender-specific and dance-style particularities are to be taken into account to ensure a successful rehabilitation.

[Analysis and evaluation of acute injuries in musical performers]. / Analyse und Evaluation von akuten Verletzungen bei Musicaldarsteller/Innen.

INTRODUCTION: Specific requirements in the Musical field such as the versatility of abilities in dancing, singing and acting, the aspiration for perfection as well as the high number of performances, lead to a high amount of occupational accidents not yet evaluated. Aim of this study is, therefore, to analyze and evaluate occupational accidents in Musical performers and to suggest preventive concepts. METHODS: The data of this evaluation comprise occupational accident reports of consultants, accident reports of various Berlin theatres as well as case records of all Berlin State Theatres (n = 89, m: 58, f: 31) of the Berlin State Accident Insurance covering a period 12-year period. RESULTS: A total of 60.3 % of the accidents happen during performances, 24.4 % during rehearsals, and 6.7 % during the training. Lower extremity injuries (m: 61.1 %, f: 58.2 %) are the most common for performers. The majority of injuries (m: 46.3 %, f: 50.0 %) happens during ordinary dance movements. Altogether 66.7 % of the injuries have a uniquely defined exogenous cause. The dance partner is with 17.9 % the most common exogenous cause, followed by props (15.4 %) and dance floor (11.6 %). 66.3 % of all accidents happen in the first three hours after starting work with an incidence in the evenings. There are gender specific differences. DISCUSSION: Parallels can be drawn (e. g. injured structures, type of injuries) to the professional dance and the dance theatre, however, there are also differences (e. g. age, injury location) Due to the results and the work specific requirements the Musical is to be considered as an autonomous field among the performing arts. Above all, the majority of injuries are - compared to other dance styles - caused by exogenous factors. Modifications may here reduce the incidence. At that, an early interaction in the planning progress of a production, an optimal selection of physical and psychic qualified performers as well as an improvement of training conditions are primary steps towards an injury prevention.

[Analysis and evaluation of occupational accidents in dancers of the dance theatre]. / Analyse und Evaluation von Arbeitsunfällen im professionellen Sport am Beispiel des Tanztheaters.

INTRODUCTION: The dance theatre is an autonomous form of presentation within the performing arts. It is a combination of dance, drama, singing and speaking. As the actors are usually professional dancers the dance theatre is associated with the professional dance. Compared with other dance styles there is an enhanced usage of props, costumes or décor to intensify the production and the expressiveness. In contrast to the defined professional dance technique the range of movements is unlimited. There has not yet been done any research on the influence of props as well as décor in terms of exogenous factors potentially favouring injuries. Aim of this study is to characterize specific injury patterns, as well as their causes and to suggest basic approaches to prevent injuries in the dance theatre. METHODS: The data of this evaluation comprise occupational accident reports, accident reports of various Berlin theatres as well as case records of all Berlin State Theatres (n = 1106) of the Berlin State Accident Insurance over a 9-year period. 103 occupational accidents are accounted for the dance theatre. RESULTS: 44.6 % of the accidents happen during rehearsals, 42.4 % during performances, 76.7 % on stage and adjoining areas and 10.7 % in the ballet studio. Second most common movement resulting in an injury are jumps with 25.4 %. Altogether 69.7 % of the accidents have a uniquely defined exogenous cause with 30.5 % by props, 12.7 % by the floor and 17.2 % by the dance partner. 30.3 % of the accidents have multifactorial causes (e. g. the social situation, state of training and nutrition). 61 % of all accidents happen within three hours after starting work with an increase of occupational accidents between 11:00 - 12:00 hrs and 08:00- 09:00 hrs. The lower extremity is the most affected location (53.3 %), followed by the head/neck area (21.4 %) and the upper extremity (17.5 %). Contusions (26.2 %), distortions (17.5 %), muscular strains (19.4 %) and wounds (13.6 %) are the most frequent types of injuries. DISCUSSION: In combination with the partly undefined movement pattern the majority of the acute injuries is - compared to other dance styles - above all caused by susceptible exogenous factors. Corrections of the daily routine, the working conditions, state of training as well as of the state of nutrition of the dancers may be initial steps towards injury prevention. At that, early interactions and interventions in the planning process of a dance theatre production could help to minimize the amount of accidents caused by exogenous factors and contribute to a practicable injury prevention in the dance theatre.

Modeling spiking activity of in vitro neuronal networks through non linear methods.

Neuroscience research is even more exploiting technologies developed for electronic engineering use: this is the case of Micro-Electrode Array (MEA) technology, an instrumentation which is able to acquire in vitro neuron spiking activity from a finite number of channels. In this work we present three models of synaptic neuronal network connections, called 'Full-Connected', 'Hierarchical' and 'Closed-Path'. Related to each one we implemented an index giving quantitative measures of similarity and of statistical dependence among neuron activities recorded in different MEA channels. They are based on Information Theory techniques as Mutual and Multi Information: the last one extending the pair-wise information to higher-order connections on the entire MEA neuronal network. We calculated indexes for each model in order to test the presence of self-synchronization among neurons evolving in time, in response to external stimuli such as the application of chemical neuron-inhibitors. The availability of such different models helps us to investigate also how much the synaptic connections are spatially sparse or hierarchically structured and finally how much of the information exchanged on the neuronal network is regulated by higher-order correlations.

Voltage-dependent Na(v)1.7 sodium channels: multiple roles in adrenal chromaffin cells and peripheral nervous system.

Voltage-dependent Na+ channels consist of the principal alpha-subunit (approximately 260 kDa), without or with auxiliary beta-subunit (approximately 38 kDa). Nine alpha-subunit isoforms (Na(v)1.1-Na(v)1.9) are encoded in nine different genes (SCN1A-SCN5A and SCN8A-SCN11A). Besides initiating and propagating action potentials in established neuronal circuit, Na+ channels engrave, maintain and repair neuronal network in the brain throughout the life. Adrenal chromaffin cells express Na(v)1.7 encoded in SCN9A, which is widely distributed among peripheral autonomic and sensory ganglia, neuroendocrine cells, as well as prostate cancer cell lines. In chromaffin cells, Na(v)1.7-specific biophysical properties have been characterized; physiological stimulation by acetylcholine produces muscarinic receptor-mediated hyperpolarization followed by nicotinic receptor-mediated depolarization. In human patients with Na(v)1.7 channelopathies, gain-of-pathological function mutants (i.e. erythermalgia and paroxysmal extreme pain disorder) or loss-of-physiological function mutant (channelopathy-associated insensitivity to pain) proved the causal involvement of mutant Na(v)1.7 in generating intolerable pain syndrome, Na(v)1.7 being the first molecular target convincingly identified for pain treatment. Importantly, aberrant upregulation/hyperactivity of even the native Na(v)1.7 produces pain associated with inflammation, nerve injury and diabetic neuropathy in rodents. Various extra- and intracellular signals, as well as therapeutic drugs modulate the activity of Na(v)1.7, and also cause up- and downregulation of Na(v)1.7. Na(v)1.7 seems to play an increasing number of crucial roles in health, disease and therapeutics.

Non linear methods estimating neural network behavior on Micro-Electrode Array technology.

In the recent years Neuroscience research is exploiting technologies initially developed only for electronic engineering use: this is the case of Micro-Electrode Array (MEA) technology, where a finite number of channels acquires in vitro neural spiking activity. In this work we present a new method to process time data series from MEA trough an ad-hoc software-framework. Our aim is to build a classifier giving quantitative measures of similarity and statistical dependence among neurons activities recorded in different MEA channels. Methods applied to extract specific information about neuronal behavior are Mutual Information and Dynamic Time Warping. In order to extend the pair-wise information so obtained to the entire neuronal networks on MEA, we have chosen to implement a sub-optimal criterion thanks to Genetic Algorithms (GA): this technique support us to sort MEA channels based on dependent activity, thus providing a global index. We applied it to test the presence of self-synchronization among neurons, which can evolve in time and adapt their self in response to specific external stimuli, such as those of the chemical neuron-inhibitors here analyzed.