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Touch/don’t touch
Published in Alan Bleakley, Educating Doctors’ Senses Through the Medical Humanities, 2020
While touch is fundamental to the professional work of doctors and surgeons, it is relatively neglected in both practical and academic medical education as a formal topic of study (Kelly et al. 2014, 2018, 2019). Qualities and registers of touch, such as those embodied in traditional percussion as a diagnostic method, are disappearing facets of medicine. And yet touch embodies much more than just ‘hands on’ examination.
Respiratory Medicine
Published in Stephan Strobel, Lewis Spitz, Stephen D. Marks, Great Ormond Street Handbook of Paediatrics, 2019
Colin Wallis, Helen Spencer, Sam Sonnappa
This includes the sudden onset of chest pain in association with breathlessness and cyanosis. Physical examination may reveal mediastinal shift and hyperresonance to percussion on the affected side. If the air is under tension this is a dangerous situation and there will be tracheal shift to the opposite side. The condition may be associated with air leak elsewhere such as surgical emphysema onto the chest wall, abdomen, into the neck or down the arm.
The respiratory system
Published in Peter Kopelman, Dame Jane Dacre, Handbook of Clinical Skills, 2019
Peter Kopelman, Dame Jane Dacre
Percussion In percussion and auscultation of the chest, the aim is to compare one side with the other. It is essential to percuss or auscultate systematically to ensure you do not miss any areas. An example of such a system is illustrated in Figs 3.10 and 3.11.
The Impact of Limb Velocity Variability on Mallet Accuracy in Marimba Performance
Published in Journal of Motor Behavior, 2022
Tristan Loria, Jessica Elizabeth Teich, Marija Pranjić, Melissa Tan, Aiyun Huang, Michael H. Thaut
Percussion performance provides a musical context that shares many commonalities with nonmusical motor tasks. Indeed, percussion performance (e.g., snare drumming) is a musical task wherein pronation/supination and flexion/extension of proximal and distal upper-limb segments are required (i.e., Dahl, 2004). Although drum strokes are often considered as individual motions, each stroke can be linked together in sequence through a continuous motion, such as a drum roll (e.g., Godøy et al., 2017). To facilitate temporal accuracy, previous reports have found that drummers will begin preparation for an upcoming stroke even before completing the previous stroke in the sequence (i.e., Dahl, 2011). To manipulate sound dynamics, drummers typically elevate the limb to increase the vertical distance between the stick and drum when playing accented vs. unaccented strokes (i.e., loud vs. quiet; see Dahl, 2004; Dahl, 2011). This initial body of research focused on sequential action execution of drumstick motions exclusively, which has limited explanatory power of how limb kinematics contributed to stick control. More recent work has thus focused on the contribution of limb movements to sound production.
An ergonomic evaluation of pannists
Published in International Journal of Occupational Safety and Ergonomics, 2020
Chrystal Joseph, Ayana U. C. Walters, Wendy L. Lawrence, Nigel Kevin Jalsa
Playing percussion instruments is said to use a very forceful repetitive technique and places great musculoskeletal demands on a musician, generally involving movements of the wrist, elbow and shoulder [9,10]. When compared to other instrumentalists, percussionists have been reported as being at higher risk for developing PRMDs and were among instrumentalists with medium injury rates [8,10]. Previous studies have investigated risk factors for PRMDs among percussionists but research on different instruments within the percussion family is not widely documented [11]. In their 2009 study, Sandell et al. [9] focused specifically on PRMDs among percussionists, and persons who played the marimba, xylophone, vibraphone and steel pan were found to have a significantly higher prevalence of PRMDs. This indicated how diverse the effects can be within one family of instruments. The steel pan, also known as the steel drum, is the only acoustic, non-electric percussion instrument created in the 20th century and originated in Trinidad and Tobago. Today, it is played widely throughout the world with a significant presence in Japan, North America, Europe, Australia and many Caribbean countries [12]. Playing the steel pan involves repetitive movement of the wrist and the use of awkward postures, both of which may contribute to PRMDs among pan players; and although the 2009 study by Sandell et al. [9] reported a high prevalence of PRMDs among steel pannists, no study to date has used ergonomic assessment tools to investigate this claim.
Recognition of pulmonary pathology in a patient presenting with shoulder pain
Published in Physiotherapy Theory and Practice, 2022
Fabrizio Brindisino, Valerio Passudetti, Denis Pennella, Giuseppe Giovannico, John D. Heick
Percussion is a method of tapping on a surface to determine the consistency of underlying structures and in clinical examination it is used for assessing thoracic conditions (Simpson, 2006). The physiotherapist percussed the patient by using the middle finger of one hand to tap on the middle finger of the other hand at the level of the lung bases bilaterally to investigate for resonant sounds that normally are present due to air (Yernault and Bohadana, 1995). However, when the physiotherapist performed this, the sounds were stony and rather dull. Dulness replaces the normal resonant sound when fluid or solid tissues are present (Brims, Davies, and Lee, 2010).