TOWARDS EFFICIENT RISK PREVENTION POLICIES – PAINEL 4

1. TOWARDS EFFICIENT RISK PREVENTION POLICIES – PAINEL 4 Rehabilitation and Prevention – about disease Promotion – about health Carolina Valverde Alves Brazil

2. Current situation re.the musician’ health in Brazil

3. EXERSER – Integral Health Care Center for Musicians (BH -MG, since 1999): five health professionals (research and clinical work) Activities: medicine, physiotherapy, occupational therapy in upper limb rehabilitation, occupational therapy in mental health and speech therapy • master and PhD thesis in Medical and Music school, UFMG; • individual and group free care – CEREST– G/Hospital das Clínicas (UFMG); • contribution in regional and national events;

4. inclusion of subjects in the music school curriculum (UEMG) such as anatomy, kinesiology, biomechanics, ergonomics applied to musical performance,as well as practical lessons in observation of performance, specific stretching exercises, research projects and evaluation with counseling to the students and teachers • quarterly column “Musician's Health” in the Musician’s Health Journal, RJ • evaluation by the whole group, study groups and clinical care of cases

5. promotion of the  “I National Meeting about Health of the Musician” (2010) along with CEREST and supported by UFMG • maintenance of websites with the aim to give basic orientation and awareness • researches, meetings and rehabilitation of musicians conducted by independent professionals in the states of SP, DF, ES, RJ, RS and MG

7. disease rehabilitation prevention

8. health promotion “Promoting health implies in thinking and practicing a concept of health not necessarily linked to the concept of disease.” (www.sommos.com.br)

9. attitudes and pillars • information • inclusion of musician's health subjects in the schools, meetings, seminars, music workshops • improving health professionals knowledge in treating musicians, so as to be able to understand and evaluate the process of physical illness

10. identity • have I been to the doctor regularly? how are my blood levels? • how much time do I dedicate to music, family, rest and physical activity? • have I taken care of my diet? how's my sleep pattern? • have I cared about  general culture or just interested in issues related to music? • how are my social and professional relationships?

11. do you see yourself as a worker? • are you organized and represented by competent and effective agencies? • some results from a survey by the OT (EXERSER) - speeches by orchestra musicians from BH, MG, Brazil: • (LIMA, R.C. Functional Neuromuscular Disorders Work Related: Characterization and Clinical Occupational Risk Perception By Violinists Orchestra, Public Health, Faculty of Medicine, UFMG, Belo Horizonte, 2007.)

12. “It's different... is a gift. But I also know that a person who’s working with the computer staf, is a gift. I don’t know... I graduated in engineering, also worked in the construction area. There is a difference... I can not explain the difference but there is something. You know when we like something… more you want to leave it, you can not. I left the area of construction, engineering and did not miss it very much. But if I leave the orchestra, I may be sick... the basic difference to me is this...” “Our work never finishes at the rehearsal. Instead, there is the smallest part. The biggest one is the homework. People forget that to play at the orchestra you need time to study.”

13. environment • the concern about the study, record and work enviornments is the main part that we call the attitude towards health promotion. It has to do with ergonomics

14. athletes and musicians - common points

15. performance anxiety

16. work at the limit of physical and emotional resistance

17. self demanding efficiency

18. athletes and musicians - different points

19. athletes and musicians - different points

24. dank u www.exerser.com.br carolina.valverde@gmail.com