Overuse injuries in musicians. Part II: prevention and treatment

doi:10.26565/2617-409X-2020-6-10

Vladimir Berezutsky MD, PhD, Assoc. Prof. Department of Internal Medicine, State Establishment Dnepropetrovsk Medical Academy https://orcid.org/0000-0002-0989-2960
Maryna Berezutska Assoc. Prof. Department of Folk Instruments M. Glinka Dnepropetrovsk Academy of Music https://orcid.org/0000-0002-5511-2195

DOI: https://doi.org/10.26565/2617-409X-2020-6-10

Keywords: playing-related musculoskeletal disorders overuse injuries in musicians, a repetitive strain injury, ergonomic performing technique

Abstract

Overuse injuries are encountered by 50-85% of instrumental musicians and manifest themselves in tendovaginitis, bursitis and tunnel syndromes, leading to long-term temporary loss of ability to work (and in severe cases, to permanent disability). For Ukraine, the problem is of particular relevance for several reasons: first, there have been no studies of the professional diseases of musicians in the country in the last decade; second, there are a very large number of music schools in the country, but none of them teaches future musicians how to prevent occupational diseases; thirdly, there are no specialized medical centres for the treatment of professional pathology of musicians. The aim of the research was to analyze the latest achievements in diagnosing, treating and preventing stress injuries in musicians. The analysis was performed by studies published in 2016-2020 in journals indexed in the Scopus, WoS, Medline and PubMed scientific databases. It has been established that the effective prevention of stress injuries in musicians is possible only through a comprehensive approach involving the reorganization of musical education and medical support for the professional activity of instrumental musicians. For the formation of ergonomic performing techniques, as well as providing future musicians with knowledge and skills to maintain health in the context of their profession, it is necessary to introduce the appropriate discipline into the curriculum, the teaching of which should be conducted with the participation of specialists in physical rehabilitation and physical education. To ensure the effective treatment of professional injuries in musicians, it is necessary to create a specialized republican rehabilitation center, as well as expanding the training program for trauma surgeons and rehabilitologists at the postgraduate stage through thematic refresher courses.

Downloads

Download data is not yet available.

Author Biographies

Vladimir Berezutsky, MD, PhD, Assoc. Prof. Department of Internal Medicine, State Establishment Dnepropetrovsk Medical Academy

Vernadsky av. 9, Dnipro, Ukraine, 49000

Maryna Berezutska, Assoc. Prof. Department of Folk Instruments M. Glinka Dnepropetrovsk Academy of Music

49044, Dnipro, Livarna av., 10

References

Chapman S. The Alexander technique in relation to practising, performing and teaching. Bulletin of the Transilvania University of Braşov, Series VIII: Performing Arts. 2019;12(2):7-12. https://doi.org/10.31926/but.pa.2019.12.61.11.

Staring J. Frederick Matthias Alexander, Born 150 Years Ago, on January 20, 1869. A Fierce Comment Regarding Interpretations of Alexander’s Texts by Alexander Technique Teachers. Case Studies Journal. 2018;7(12):107-108.

Davies J. Alexander Technique classes improve pain and performance factors in tertiary music students. Journal of Bodywork and Movement Therapies. 2020;24(1): 1-7. https://doi.org/10.1016/j.jbmt.2019.04.006.

Salonen BL. Tertiary music students' experiences of an occupational health course incorporating the body mapping approach: dissertation. Bloemfontein: Odeion School of Music of the Free State University; 2018.

Napier E. Fostering Freedom: A Holistic Comparison of Karen Tuttle's Ideas with Body Mapping and the Alexander Technique: dissertation. Ann Arbor: University of Michigan; 2019.

Baadjou VA, Wijsman SI, Ginsborg J, Guptill C, de Lisle R, Rennie-Salonen B. Health education literacy and accessibility for musicians: a global approach. Report from the Worldwide Universities Network project. Medical problems of performing artists. 2019;34(2):105-107. https://doi.org/10.21091/mppa.2019.2011.

Ajidahun AT, Myezwa H, Mudzi W, Wood W. Barriers and facilitators in implementing an exercise-based injury prevention program for string players. Work. 2019;64(3): 713-720. https://doi.org/10.3233/WOR-193033.

Matei R, Broad S, Goldbart J, Ginsborg J. Health education for musicians. Frontiers in psychology. 2018:9: 1137-1146. https://doi.org/10.3389/fpsyg.2018.01137.

Schemmann H, Rensing N, Zalpour C. Musculoskeletal Assessments Used in Quantitatively Based Studies About Posture and Movement in High String Players. MPPA. 2019;33(1):56-71. https://doi.org/10.21091/mppa.2018.1009.

Wolf E, Möller D, Ballenberger N, Morisse K, Zalpour C. Marker-Based Method for Analyzing the Three-Dimensional Upper Body Kinematics of Violinists and Violists. Med Probl Perform Art. 2019;34(4):179-190. https://doi.org/10.21091/mppa.2019.4029.

Johnson D, Damian D, Tzanetakis G. Detecting Hand Posture in Piano Playing Using Depth Data. Computer Music Journal, 2020;43(1): 59-78. https://doi.org/10.1162/COMJ a 00500.

Stanhope J. Physical performance and musculoskeletal disorders: Are musicians and sportspeople on a level playing field? Performance Enhancement & Health. 2016;4(1-2): 18-26. https://doi.org/10.1016/j.peh.2015.11.004.

McCrary JM, Halaki M, Sorkin E, Ackermann BJ. Acute warm-up effects in submaximal athletes: An EMG study of skilled violinists. Med Sci Sports Exerc. 2016;48(2): 307-315. https://doi.org/10.1249/MSS.0000000000000765.

Savvidou P, Stanek J. Playing-Related Pain and Associated Habits Among Students and Faculty at a Major University Music Program: A Study of Prevalence with Recommendations for Teachers. MTNA e-Journal. 2019;11(1): 2-12.

Ajidahun AT. Myezwa H, Mudzi W, Wood W. A scoping review of exercise intervention for playing-related musculoskeletal disorders (PRMDS) among musicians. Muziki. 2019; 16(1): 7-30. https://doi.org/10.1080/18125980.2019.1606675.

Akel BS, Aran OT, Öksüz Ç. The Effect of Stabilization Exercises on Playing Performance in Musicians With Joint Hyperlaxity. HAND. 2016;11(1): 137-139. https://doi.org/10.1177/1558944716660555jo.

Baadjou V, Verbunt J, van Eijsden-Besseling F, de Bie R, Girard O, Twisk J, Smeets R. Preventing musculoskeletal complaints in music students: a randomized controlled trial. Occupational Medicine. 2018;68(7): 469-477. https://doi.org/10.1093/occmed/kqy105.

Lundborg B, Grooten WJ. Resistance training for professional string musicians: a prospective intervention study. Medical problems of performing artists. 2018; 33(2), 102-110. https://doi.org/10.21091/mppa.2018.2017.

Hale G. Playing with Pain: Injury Prevention Strategies for Music Schools in the United States: diss. Washington: Washington American University; 2019.

Ting A, Rocker J. Evaluation and Treatment of Musicians from a Holistic Perspective. The Open Journal of Occupational Therapy. 2019;7(4):1-10. https://doi.org/10.15453/2168-6408.1581.

Stanhope J, Weinstein P. Should musicians play in pain? British Journal of Pain. 2020: 2049463720911399. https://doi.org/10.1177/2049463720911399.

Fugazza L. Methods to support guitarists to recover from injuries and/or maintain health: dissertation. Kungl: Musikhögskolan; 2020