Intraocular pressure fluctuations in professional brass and woodwind musicians during common playing conditions

Schmidtmann, Gunnar; Jahnke, Susanne; Seidel, E.; Sickenberger, Wolfgang; Grein, Hans-Jürgen

doi:10.1007/s00417-010-1600-x

Cited by 45 publications

(32 citation statements)

References 39 publications

(46 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This pathology causes significant impact on visual function that may affect the quality of life and work productivity [3,4]. Due to its long time asymptomatic evolution, this disease remains under-diagnosed and the irreversible loss of optic nerve fibers leads to important visual field loss [5].…”

Section: Introductionmentioning

confidence: 99%

Oxidative and Anti-Oxidative Stress Markers in Chronic Glaucoma: A Systematic Review and Meta-Analysis

d'Azy¹,

Pereira²,

et al. 2016

View full text Add to dashboard Cite

Chronic glaucoma is a multifactorial disease among which oxidative stress may play a major pathophysiological role. We conducted a systematic review and meta-analysis to evaluate the levels of oxidative and antioxidative stress markers in chronic glaucoma compared with a control group. The PubMed, Cochrane Library, Embase and Science Direct databases were searched for studies reporting oxidative and antioxidative stress markers in chronic glaucoma and in healthy controls using the following keywords: “oxidative stress” or “oxidant stress” or “nitrative stress” or “oxidative damage” or “nitrative damage” or “antioxidative stress” or “antioxidant stress” or “antinitrative stress” and “glaucoma”. We stratified our meta-analysis on the type of biomarkers, the type of glaucoma, and the origin of the sample (serum or aqueous humor). We included 22 case-control studies with a total of 2913 patients: 1614 with glaucoma and 1319 healthy controls. We included 12 studies in the meta-analysis on oxidative stress markers and 19 on antioxidative stress markers. We demonstrated an overall increase in oxidative stress markers in glaucoma (effect size = 1.64; 95%CI 1.20–2.09), ranging from an effect size of 1.29 in serum (95%CI 0.84–1.74) to 2.62 in aqueous humor (95%CI 1.60–3.65). Despite a decrease in antioxidative stress marker in serum (effect size = –0.41; 95%CI –0.72 to –0.11), some increased in aqueous humor (superoxide dismutase, effect size = 3.53; 95%CI 1.20–5.85 and glutathione peroxidase, effect size = 6.60; 95%CI 3.88–9.31). The differences in the serum levels of oxidative stress markers between glaucoma patients and controls were significantly higher in primary open angle glaucoma vs primary angle closed glaucoma (effect size = 12.7; 95%CI 8.78–16.6, P < 0.001), and higher in pseudo-exfoliative glaucoma vs primary angle closed glaucoma (effect size = 12.2; 95%CI 8.96–15.5, P < 0.001). In conclusion, oxidative stress increased in glaucoma, both in serum and aqueous humor. Malonyldialdehyde seemed the best biomarkers of oxidative stress in serum. The increase of some antioxidant markers could be a protective response of the eye against oxidative stress.

show abstract

Section: Introductionmentioning

confidence: 99%

Oxidative and Anti-Oxidative Stress Markers in Chronic Glaucoma: A Systematic Review and Meta-Analysis

d'Azy¹,

Pereira²,

et al. 2016

View full text Add to dashboard Cite

show abstract

“…For example, the temporary and sometimes dramatic elevations and fluctuations in IOP observed in brass and woodwind musicians during common playing conditions may increase risk of developing glaucoma, especially for those with co-existing risk factors. 59 Life hours of high resistance wind instrument playing was found to have a significant relationship to abnormal visual field and corrected pattern standard deviation scores. 26 The same relationships may be clinically significant for susceptible patients in relation to any other IOP elevating activities.…”

Section: Discussionmentioning

confidence: 94%

An examination of the hypothesis that intraocular pressure elevation episodes can have prognostic significance in glaucoma suspects

McMonnies

2015

Journal of Optometry

View full text Add to dashboard Cite

The efficacy of intraocular pressure reduction in retarding the progression of glaucoma has been demonstrated. This review examines the potential for prognostic advantage for glaucoma suspects in reducing their optic nerve head exposure to elevated intraocular pressure associated with activities which have been shown to elevate intraocular pressure. In this observational study, patients examined at the Centre for Eye Health (University of New South Wales) with a diagnosis of glaucoma suspect were surveyed to determine their histories for participation in activities which are known to elevate intraocular pressure. The evidence regarding the pathological significance of these sources of elevation in susceptible patients was examined. Apart from the universality of sleep-related intraocular pressure elevations, the histories from 183 confirmed glaucoma suspects indicate a wide range and variation in frequency of participation in other intraocular pressure elevating activities. A reduction in exposure to elevated intraocular pressure may improve the prognosis for glaucoma suspects. Additional patient specific assessment of the results of this screening could provide an indication of the degree (frequency, intensity level and duration) of exposure to elevated intraocular pressure. Such information may provide the basis for improving a patient's prognosis by helping them to identify opportunities to reduce such exposure to elevated intraocular pressure. Any benefit of reduction of such exposure appears likely to be greater if activities which elevate intraocular pressure are of long duration, occur frequently, occur over a long period of time, and/or involve high levels of intraocular pressure elevation.

show abstract

“… Blood pressure: Schmidtmann et al [19] study shows a significant increase of the systolic and diastolic blood pressure although this increase was not associated with a high pitch [19]. Bouhuys states that there is no change in arterialization when comparing wind instrument players and control subjects according to their age and height [20].…”

Section: Internal Pressuresmentioning

confidence: 96%

“…A twofold study, done by Shuman et al , [18] suggest that the transient rise of the IOP while playing an instrument is due to the increased uveal volume via a VM, since it rises the intrathoracic pressure and compress the intrathoracic venous system [18] [19]. Concerning the different instruments, the rise of IOP is higher in high resistance wind instruments (trumpet) than in low resistance wind instruments (oboe, clarinet and saxophone) [18], and higher while playing a high pitch at maximal effort [19].…”

Section: Internal Pressuresmentioning

confidence: 98%

Urinary incontinence in musicians: A preliminary study

Masteling

Mascarenhas

Natal

2015

2015 IEEE 4th Portuguese Meeting on Bioengineering (ENBENG)

View full text Add to dashboard Cite

There has been a graduate interest in the long-term health risks associated with music practice at a professional and semi-professional level. Playing a wind instrument resembles the effects of physical exercise and is compared to the ones of a Valsalva Maneuver (VM). Strenuous exercise due to the increase of the Intrabdominal Pressure (IAP) may be considered a risk factor for urinary incontinence (UI) (3).Being established that increases in IAP are related with a higher risk of UI in young female and playing a wind instrument leads to an increase IAP, the aim of this work is to analyze the impact that playing a wind instrument can have in women, based in the different internal pressures they are subjected to due to their practice. To test this hypothesis, questionnaires will be performed by female musicians with different music backgrounds.

show abstract

Intraocular pressure fluctuations in professional brass and woodwind musicians during common playing conditions

Cited by 45 publications

References 39 publications

Oxidative and Anti-Oxidative Stress Markers in Chronic Glaucoma: A Systematic Review and Meta-Analysis

Oxidative and Anti-Oxidative Stress Markers in Chronic Glaucoma: A Systematic Review and Meta-Analysis

An examination of the hypothesis that intraocular pressure elevation episodes can have prognostic significance in glaucoma suspects

Urinary incontinence in musicians: A preliminary study

Contact Info

Product

Resources

About