
Medical Problems of Performing Artists
Medical Problems of Performing Artists is the first clinical medical journal devoted to the etiology, diagnosis, and treatment of medical and psychological disorders related to the performing arts. Original peer-reviewed research papers cover topics including neurologic disorders, musculoskeletal conditions, voice and hearing disorders, anxieties, stress, substance abuse, and other health issues related to actors, dancers, singers, musicians, and other performers.
Editor-Dance: Shaw Bronner, PT, PhD, OCS
Editor-Music: Nancy N. Byl, PT, MPH, PhD
Editor-Music: Eckart Altenmüller, MD
Table of Contents
SEP 2025, Vol 40, No 3
ARTICLES
Intra- and Inter-Rater Reliability of Pointe-Readiness Tests
Annette Karim, Christopher Patterson, Michael Wong
OBJECTIVE: To investigate via video review the intra-rater and inter-rater reliability of three pointe-readiness tests: the topple test, airplane test, and sauté test. METHODS: Ten ballet-trained pre-professional and professional dancers were videotaped performing the topple test, airplane test, and sauté test from the front and side views. The videos, written instructions, and rater score sheets were provided to the raters via individually linked electronic access over four sessions, with a washout period of 2 weeks between sessions. The videos were reviewed at slow speed and at real-time speed, with two sessions at each speed, assigned in random order. ... RESULTS: Twenty-two raters assessed the 10 dancers. Intra-rater reliability was good between session 1 and session 2 for the real-time speed (ICC range = 0.83–0.88), good for the slow speed (ICC = 0.83–0.85), good to excellent for the average of real-time vs slow speed (ICC = 0.88–0.94), and excellent for session 1 vs session 2 (ICC = 0.93–0.96).
College Marching Band Artists’ Access to and Satisfaction with Healthcare Providers
Andria L. Merrill, Zachary K. Winkelmann, Nancy A. Uriegas, Lindsey E. Eberman
OBJECTIVE: Approximately 27,000 college marching band (MB) artists in the United States could benefit from access to healthcare services and patient-centered care (PCC). The purpose of this study was to explore healthcare providers (HCPs) who MB artists have access to and the artists’ perceptions of PCC. METHODS: We used a cross-sectional, web-based survey to explore which providers MB artists had access to. In total, 751 MB artists (age 20±8 yrs) completed the survey. Respondents who reported no access or were unsure were prompted to complete an open-ended response describing what they would do if an injury or illness occurred. Participants who had access to an athletic trainer (AT) completed the Global Perceptions of Athletic Trainer Patient-Centered Care Tool (GPATPCC; a=0.90; 15 items [1 reverse-scored]; 4-point Likert scale [1=strongly disagree, 4=strongly agree, 0=unsure]; score=average). Participants with access to other HCPs completed the Consultation and Relational Empathy tool (CARE; a=0.97; 10 items; 5-point Likert scale [1=poor, 5=excellent]; score=sum).
Biomechanical Validation of a Dance-specific Heel Raise to Jump Progression
Catherine Haber, Andrea Schärli
BACKGROUND: In ballet, a single movement can be developed into multiple variations by changing factors such as direction or magnitude. Similarly, the Dance-Specific Graded Rehabilitation Program (DSGRP) is built on the progression of three factors: (1) movement (relevés, heel raises; explosive relevés [EXrelevé], heel raises with the intention to jump but not actually jumping; and sautés, small jumps), (2) leg support (double-leg and single-leg), and (3) barre support (two hands, one hand, and no hands). However, these factors are yet to be fully analyzed biomechanically. OBJECTIVE: This study aimed to investigate the influence of movement, leg support, and barre support on mechanical load and impact characteristics of a dance-specific heel raise to jump progression.
Death Drop and Not Drop Dead: A Preliminary Examination of Drag Queen Health [Open Access]
Kathleen L. Davenport, Jennifer Marie J. Yang, Winlove Mojica, Esteban Padilla, John Noel Viana
PURPOSE: The health concerns of drag queens remain understudied. This paper examines the physical health and healthcare access of drag queens and reflects on ways to holistically promote their well-being. METHODS: Professional drag queens in the United States underwent the Dance/USA Task Force on Dancer Health Annual Post-Hire Health Screen, which assesses medical history, musculoskeletal metrics, and cardiovascular fitness. To discuss healthcare needs, this paper draws from the authors’ expertise in physiatry, dermatology, gender studies, mental health, and medical anthropology. [Open Access: Licensed under CC-BY-NC-SA 4.0 Int]
The Footwear Gap in Marching Performance Artists: The Need for Research [Letter]
Samia Vanderkolff, Zachary A. Riley
Marching performers spend a significant amount of time on their feet practicing precise movements. Presumably, individuals choose footwear to practice in that is comfortable and suits their individual needs. However, when it comes to competition, there are a limited number of footwear options available, and they are not specialized to the individual. The purpose of this letter is to advocate for more research and the continued evolution of competitive footwear design for marching arts.
About MPPA
Medical Problems of Performing Artists is a peer-reviewed medical journal that provides a worldwide forum for professionals involved in practice and research related to performing arts medicine. Issued quarterly, it publishes information about the origin and nature, management, and rehabilitation of medical problems affecting musicians, dancers, vocalists, actors, and others, including anxiety, musculoskeletal injuries and overuse, finger and hand problems, voice and hearing problems, stress, eating disorders, and neuromuscular disorders.
Beginning with Volume 35 (2020), MPPA is published online-only (e-journal).
Editor-Dance: Shaw Bronner, PT, PhD, OCS
Alvin Ailey and ADAM Center, New York, NYEditor-Music: Nancy N. Byl, PT, MPH, PhD
University of California San Francisco, San Francisco, CA
Editor-Music: Eckart Altenmüller, MD
Institut für Musikphysiologie und Musiker-Medizin, Hannover, Germany
History: Medical Problems of Performing Artists began publishing in March 1986. It was begun by Alice Brandfonbrener, MD, who was approached by the publisher Hanley & Belfus to become its first Editor (MPPA 1995;10(4):113; MPPA 2005;20(2):63). Dr. Brandfonbrener was one of the pioneers of performing arts medicine, and in the 1980s she began organizing a conference of similar-minded physicians and researchers meeting at the Aspen Music Festival in Aspen, Colorado (MPPA 2002;12(4):147). In her first editorial in MPPA in March 1986, Dr. Branfonbrener explained the goals of the new journal: “The purpose of Medical Problems of Performing Artists is to promote interest in the medical problems of performing artists, to help in the search for and dissemination of information, and by these means to promote the well-being of this vulnerable and valuable segment of our society” (MPPA 1986;1(1):1). She went on to serve as Editor of the journal for 20 years.
Over the following years, and following Dr. Brandfonbrener’s direction, the journal has helped to build awareness of the medical and health conditions affecting musicians, dancers, vocalists, actors, and other performing artists, as well as to inspire scientific research into their origins and treatment.
MPPA was selected for indexing by Medline/PubMed beginning in 2010. Since 2002, the journal has been published by Science & Medicine, who as owner and publisher of the journal, are committed to preserving the vision of Alice Brandfonbrener and promoting the well-being of performing artists.
Indexing:
The journal contents is listed and indexed in:
MEDLINE/PubMed
PsycInfo
Google Scholar
Current Contents/Arts & Humanities
ISI/BIOMED
Excerpta Medica/EMBASE
CINAHL
International Index to Music Periodicals
Music Index
RILM (Répertoire Internationale de Littérature Musicale) Abstracts of Music Literature

Submitting Articles
MPPA is pleased to consider original research studies, case reports, systematic review articles, and letters to the editor for possible publication.