Dep. of Nursing and Allied Health, Swinburne University, P.O. Box 218, Hawthorn, VIC 3122, Australia.
Med Probl Perform Art. 2021 Sep;36(3):163-175. doi: 10.21091/mppa.2021.3019.
To explore the subjective experiences of student circus arts performers with atraumatic shoulder instability undertaking a 12-week shoulder rehabilitation program during the COVID-19 pandemic lockdown, in Melbourne, Australia.
Using a qualitative design, 14 circus arts students from the National Institute of Circus Arts (Australia) were individually interviewed via teleconsultation. All interviews were recorded, transcribed, and analysed using inductive thematic analysis.
Five overarching themes were identified: (i) impact (physical and mental), (ii) opportunity, (iii) developing routine, (iv) client-therapist relationship, and (v) transformation. All participants reported positive physical changes to their shoulder including increases in strength, stability, range of motion, less pain, "clicking" and "clunking," improved posture, muscle memory, as well as carry-over to functional circus activities. The pandemic's mental impact varied across the cohort, with positive and negative experiences described in relation to cognitive, social, and affective factors. Most performers felt the pandemic provided an opportunity to focus on rehabilitation of their shoulder. The program effects were also underpinned by positive client-therapist relationships and a progressive transformation of learning where students gained knowledge of their condition, developed tools to manage their current shoulder impairment, and learned how to apply this new knowledge to future management of their condition.
A shoulder exercise intervention delivered via teleconsultation during the COVID-19 pandemic resulted in subjective reports of positive physical changes to the participants' shoulder health complaint. This was facilitated through client-physiotherapist relationships, providing structure during uncertain times, and by providing education to help in understanding their condition and its future management.
探索在澳大利亚墨尔本 COVID-19 大流行封锁期间，经历 12 周肩部康复计划的无创伤性肩部不稳定的学生马戏艺术表演者的主观体验。
采用定性设计，对来自国家马戏艺术学院（澳大利亚）的 14 名马戏艺术学生进行了远程咨询的个体访谈。所有访谈均进行录音、转录，并采用归纳主题分析进行分析。
确定了五个总体主题：（i）影响（身体和心理），（ii）机会，（iii）养成常规，（iv）患者-治疗师关系，以及（v）转变。所有参与者均报告其肩部的身体状况有积极的变化，包括力量、稳定性、活动范围、疼痛减轻、“喀哒”声和“咔嗒”声、姿势改善、肌肉记忆，以及对功能性马戏活动的改善。大流行对整个队列的心理影响各不相同，与认知、社会和情感因素有关，描述了积极和消极的体验。大多数表演者认为大流行提供了一个专注于肩部康复的机会。该计划的效果还得益于积极的医患关系和学习的逐步转变，学生在其中获得了对自身病情的了解，发展了管理当前肩部损伤的工具，并学习了如何将新知识应用于未来对自身病情的管理。
在 COVID-19 大流行期间通过远程咨询进行的肩部运动干预措施，使参与者对其肩部健康问题的身体状况有了积极的主观报告。这是通过患者-物理治疗师的关系、在不确定时期提供结构以及提供教育来帮助理解病情及其未来管理来实现的。
