Welcome to...


Performing Arts Medicine Program

Kenneth D. Brandt, M.D., Director
Indiana University Medical Center
541 Clinical Drive, CL 492
Indianapolis, IN 46223

For more information call: (317) 274-4225
To schedule an appointment call: (317) 274-ARTS

..... ...............................red diamondIntroduction
...... ..............................red diamondPatient Care
....... .............................red diamondResearch
........ ............................red diamondEducation Outreach

Introduction
The performing artist’s ability to play music, sing or dance is a special gift. Unfortunately, along with this gift comes the risk of a potential performance-related ailment. The Performing Arts Medicine Program has been developed to lessen or eliminate this risk.

Established and directed by Kenneth D. Brandt, M.D. Head of the Rheumatology Division and Director of the Indiana University Multipurpose Arthritis and Musculoskeletal Diseases Center, the Performing Arts Medicine Program is designed to identify, treat and research performance-related health problems and to educate musicians, dancers and teachers about the prevention, diagnosis and management of such disorders. Its goal is to provide optimal care for you, the artist, in pursuit of excellence.

Performing can place both physical and mental demands on your body. It requires rigorous training to perform the skills of your art. Yet, at times your

body may not respond. Your fingers may become numb, your muscles cramped. Your throat may burn. You may feel mentally unprepared to perform. Problems such as these are disturbing enough to the individual who plays or sings for personal enjoyment; in the serious musician, they can impair performance and affect a career.

Realizing this, the Indiana University Medical Center, located in Indianapolis, has developed a comprehensive Performing Arts Medicine Program, consisting of patient care, research and education/outreach components.


Pablo Picasso -The Old Guitarist
The Art Institute of Chicago
Patient Care
The patient care component, represented by the Performing Arts Medicine Clinic, is involved with diagnosis and treatment of musicians and dancers with performance-related disorders. Its medical staff is equipped to treat a wide range of performance-related problems – for example, the pianist or guitarist experiencing a loss of hand dexterity, the brass player with a dental problem, the singer with a sore throat. Our health care professionals are uniquely qualified to work with performing artists; many are musicians themselves. Therefore, they have valuable insights into the demands placed upon performers and can explore the physical and emotional aspect of performance with the patient. They look at health problems from the perspectives of both the health care professional and the performer.


James Abbott McNeil Whistler - At the Piano - The Taft Museum


A variety of medical specialties are represented within the Performing Arts Medicine Clinic, including:

Rheumatology Pediatric medicine
General internal medicine Psychiatry
Neurology Dentistry/Orthodontics
Orthopaedic surgery Occupational therapy
Otorhinolaryngology (diseases
.....of the ear, nose, or throat)
Physical therapy
Nursing

The Clinic employs a team approach to diagnose and treat patients. During an evaluation (often, within a single visit) a patient may, for example, be seen by a rheumatologist, a neurologist and an occupational therapist, each of whom will look at the problem from the perspective of their specialty. By comparing their findings, the team can gain maximal insight into the patient’s complaint and devise an effective individualized treatment plan.

Often, the only way to evaluate the impact of an ailment on a performer’s technique and to diagnose accurately the patient’s medical problem is to observe the artist during performance. Therefore, as a part of the physical examination, musicians are routinely asked to bring their instrument with them on their visit to the Clinic (a piano is available in the examining room).

For an appointment in the Indiana University Medical Center Performing Arts Medicine Clinic, call (317) 274-ARTS between 8:00 AM and 4:30 PM, Monday through Friday. A consultation will be arranged. We will make every effort to keep you performing in the best of health.

Research
Performing Arts Medicine is a new specialty of medicine. Much is still unknown about many of the disorders affecting performers. We have undertaken a variety of research projects to increase our understanding of the types and prevalence of these problems, their causes and their optimal treatment. For example, in a survey of premier violinists, we identified common medical problems associated with playing the violin, their perceived causes, their impact upon playing technique, and treatments employed by the musicians – both successful and unsuccessful. Based on that data we implemented a long-term, prospective, instrument-specific survey of music students, to learn more about the performance-related health problems they develop during their academic careers. In another project, we have analyzed joint motions and forces in the upper extremities of keyboard players, and have compared the biomechanics in performers who are healthy with those in musicians who are experiencing symptoms in their hands or wrists.

Education Outreach
The Education Component of the Performing Arts Medicine Program is involved with individual patient education and community outreach activities, such as seminars and workshops on performance-related health problems. These instructional programs, conducted and evaluated by professionals from both medicine and the performing arts, are designed to teach performers, students, and teachers how to prevent, recognize and overcome performance-related health problems. Through these collaborative programs, musicians and dancers will learn about potential health problems and our staff will gain additional insight into the special health problems of performers.


Supported in part by the Indiana University Multipurpose Arthritis Center,
Indiana University School of Medicine