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• De Quervain’s tenosynovitis: affects the first extensor compartment that holds two tendons of the thumb; involved in extending and abducting the thumb. Symptoms include pain at the wrist and the base of the thumb, which are exacerbated during activity ( Tubiana et al., 1996 );

• Lateral epicondylitis (tennis elbow): affects the origin of the tendon for extensor carpi radialis brevis and also in 30% of cases, the anterior origin of extensor digitorum communis, both at the lateral epicondyle. This affects the movement of the forearm, particularly during pronation and supination, wrist movement and finger extension. Symptoms include pain at the elbow and are associated with strenuous overuse ( Budoff, 2006 );

• Focal dystonia: a neurological disorder affecting specific regions of the body. In musicians, it often manifests in the hand. Symptoms include involuntary movements, curling of the fingers, muscle weakness and tremor, and are associated with repetitive hand movements during playing ( Butler, 2010 ).

These pathologies are commonly thought to relate generally to risk factors including excessive overuse, misuse, repetition of movements, and playing conditions ( Lippman, 1991 ; Winspur, 2003 ; Furuya et al., 2006 ), which are often indicative of the high levels of practice and performance required of expert musicians.

Sakai (2002) investigated 200 consecutive overuse injuries related to piano performance and found pathologies divided into six main areas: tenosynovitis or tendinitis (56 cases), enthesopathy (49 cases), muscle pain (38 cases), neurological disturbance (28 cases), joint pain (24 cases), and neck or scapular pain (5 cases). Kjelland (2000) suggested that wrist movements during performance can fatigue forearm muscles, and therefore professional musicians can suffer from wrist injury. In the study by Sakai (2002) , 35% reported the onset of symptoms, whilst playing an octave or chord, related to positions involving hyper abduction of the thumb and little finger in order to span the keys. However, a pianists’ hand span has not been shown to be a significant factor in symptoms of PRMD ( Furuya et al., 2006 ).

The instrument played may also have an impact on the symptoms and locality of the PRMD. For example, pianists may exhibit symptoms relating almost exclusively to their wrists and hands (focal hand dystonia), whereas, due to required posture, other instrumentalists, such as flautists, are susceptible to neural or vascular impingement between the neck and the axilla ( Sheibani-Rad et al., 2013 ). Violin and viola players may also experience nerve impingement in the neck and shoulder girdle ( DENIM Denim trousers N° 4 Four QQsPx4WB7X
). Level of expertise may also be an important factor in acquiring injury, for example expert pianists utilizing proximal joints to create passive forces at the wrist ( Furuya and Kinoshita, 2008a ), therefore minimizing the effort required at the distal finger joints.

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Behind The Bar INVENTIVE BEER STYLES MEET CELEBRATED SPIRITS BRANDS

Some of the most enjoyable experiences in life come from combining two very different and unexpected things. Styles of music, flavors in food, trends in fashion – the list goes on. Now there’s a beer brand that combines two seemingly contrasting ideas to provide something new and exciting, with the launch of new My favourite butterfly pendant necklace Metallic Wouters amp; Hendrix ndpFwr0
.

The beers brewed by Thump Keg Brewing Co. are unique beer styles created by using the same foundation ingredients as its collaboration partner spirits brands, resulting in distinctive, flavorful beers to be enjoyed responsibly. Although the Thump Keg line of beers does not contain distilled spirits, it is the use of the same “mash” bill or grain recipes from the spirits products that inspires each of the beers in the Thump Keg line. Thump Keg Brewing Co. brings high quality and great taste together with its first two beers: the Thump Keg Brewing Co. Rye IPA in collaboration with George Dickel Whisky and Thump Keg Brewing Co. Agave Amber Ale in collaboration with Peligroso Tequila.

“We were looking to create something that would celebrate the best flavors of beer and spirits, and I think our Thump Keg beers really do the trick,” said Thump Keg Brewing Co. Ace of Brewers, Elizabeth Rhoades. “So much personality went into the brewing process and our selection of the spirits that formed the inspiration for Thump KegTM Brewing Co. beers, and I think that will resonate with those adventurous enough to taste such a unique collaboration.”

Whisky lovers will appreciate the Thump Keg Brewing Co. Rye IPA, inspired by George Dickel Whisky, since the brew uses the same underlying grains to create the mash bill for this Rye IPA as those used in George Dickel Rye Whisky mash. A subtle spice with bursts of vanilla and smoke are balanced with the citrus and pine notes of a hop forward IPA to suit any beer or whisky fan looking for something distinctive. The Thump Keg Brewing Co. Rye IPA is available in a 12 oz. bottle (6.2% ABV), 6-pack with a suggested retail price of $9.49. It is also available in 20L kegs.

Beer drinkers can embrace their adventurous side with the Thump Keg Brewing Co. Agave Amber Ale as this new beer takes its inspiration from Peligroso Tequila by using its signature blue agave. The agave and lemon grass flavor notes balance the flavor between malt and hops to create a crisp Amber Ale. Thump Keg Brewing Co. Agave Amber Ale is available in a 12 oz. bottle (5.8% ABV), 6-pack with a suggested retail price of $9.49. It is also available in 20L kegs.

“More than ever, adult beer and spirits drinkers are looking to try new and undiscovered experiences,” said Thump Keg Brewing Co. Innovation Brand Director Jody Samuels Ike. “This enthusiasm for exploration is what helped inspire a unique product that is a true collaboration between the flavors of spirits and beer. From different styles to new drinking rituals, Thump Keg Brewing Co. provides adult beer drinkers new ways to enjoy beer responsibly by blending the refreshing-tasting character of beer with the flavor complexity inspired by award-winning spirits.”

The name Thump Keg Brewing Co. is a nod to the craftsmanship the beer takes from the experience of distillers who used to listen to the sound of mash thumping against the keg when distilling their spirits. Beer drinkers will start to see this unique name on shelves in select markets including: Nashville, Tenn.; Austin, Texas; and the New York metro area. The launch will be supported through digital and social, sampling and educational events, on and off-premise promotions and public relations.

Nothing ruins a good time like a bad decision; Thump Keg Brewing Co. reminds all adult consumers to enjoy responsibly. To learn more about Thump Keg Brewing Co, visit ThumpKeg.com .

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