DOI QR코드

DOI QR Code

The Strength of the Lower Trapezius in Violinists With Unilateral Neck Pain

  • Kim, Si-Hyun (Kinetic Ergocise Based on Movement Analysis Laboratory) ;
  • Park, Kyue-Nam (Dept. of Physical Therapy, College of Medical Science, Jeonju University)
  • Received : 2014.09.27
  • Accepted : 2014.11.01
  • Published : 2014.11.19

Abstract

Violinists tend to position the neck asymmetrically to hold the violin between the chin and the left shoulder. Asymmetrical neck posture may induce unilateral neck pain. Previous studies have suggested that individuals with unilateral neck pain exhibit reduced muscle strength of the lower trapezius, but no study has investigated violinists with unilateral neck pain. To this end, we recruited 18 violinists with unilateral neck pain for the present study in which the side on which neck pain was experienced, pain duration, and intensity were recorded. Lower trapezius strength was measured bilaterally in each subject using a handheld dynamometer. Significant differences in lower trapezius strength were evident between the ipsilateral and contralateral sides of neck pain (p<.05). No significant association between neck pain intensity or duration, and the extent of a deficit in lower trapezius strength, was evident (both p>.05). The association between the sides of weakened lower trapezius strength and neck pain was significant (p<.05). In conclusion, violinists with unilateral neck pain exhibited significantly less lower trapezius strength on the ipsilateral compared to the contralateral side of the pain. Unilateral neck pain more frequently involved the left side of the neck, which is used to stabilize the violin during playing. Thus, our study suggests that a possible relationship exists between muscle weakness in the lower trapezius and neck pain.

Keywords

References

  1. Ackermann B, Adams R, Marshall E. The effect of scapula taping on electromyographic activity and musical performance in professional violinists. Aust J Physiother. 2002;48(3):197-203. https://doi.org/10.1016/S0004-9514(14)60224-5
  2. Bohannon RW, Andrews AW. Interrater reliability of hand-held dynamometry. Phys Ther. 1987;67(6):931-933. https://doi.org/10.1093/ptj/67.6.931
  3. Choudhari R, Anap D, Rao K, et al. Comparison of upper, middle, and lower trapezius strength in individuals with unilateral neck pain. J Spine. 2012;1(3):1-3. http://dx.doi.org/10.4172/2165-7939.1000115
  4. Cools AM, Dewitte V, Lanszweert F, et al. Rehabilitation of scapular muscle balance: Which exercises to prescribe? Am J Sports Med. 2007;35(10):1744-1751. https://doi.org/10.1177/0363546507303560
  5. Falla D, Farina D. Muscle fiber conduction velocity of the upper trapezius muscle during dynamic contraction of the upper limb in patients with chronic neck pain. Pain. 2005;116(1-2):138-145. https://doi.org/10.1016/j.pain.2005.03.038
  6. Fernandez-de-las-Penas C, Albert-Sanchis JC, Buil M, et al. Cross-sectional area of cervical multifidus muscle in females with chronic bilateral neck pain compared to controls. J Orthop Sports Phys Ther. 2008;38(4):175-180. https://doi.org/10.2519/jospt.2008.2598
  7. Fry HJ. Incidence of overuse syndrome in the symphony orchestra. Med Probl Perform Art. 1986;1(2):51-55.
  8. Kelley M. Anatomic and biomechanical rationale for rehabilitation of the athlete's shoulder. J Sport Rehab. 1995;4(2):122-154. https://doi.org/10.1123/jsr.4.2.122
  9. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function with posture and pain. 5th ed. Baltimore, MD, Lippincott Williams & Wilkins, 2005:330.
  10. Lindman R, Eriksson A, Thornell LE. Fiber type composition of the human male trapezius muscle:Enzyme-histochemical characteristics. Am J Anat. 1990;189(3):236-244. https://doi.org/10.1002/aja.1001890306
  11. Michener LA, Boardman ND, Pidcoe PE, et al. Scapular muscle tests in subjects with shoulder pain and functional loss: Reliability and construct validity. Phys Ther. 2005;85(11):1128-1138.
  12. Page P, Frank CC, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda approach. Champaign, IL, Human Kinetics, 2010:52-53.
  13. Park KN, Kwon OY, Ha SM, et al. Comparison of electromyographic activity and range of neck motion in violin students with and without neck pain during playing. Med Probl Perform Art. 2012;27(4):188-192.
  14. Pearson I, Reichert A, De Serres SJ, et al. Maximal voluntary isometric neck strength deficits in adults with whiplash-associated disorders and association with pain and fear of movement. J Orthop Sports Phys Ther. 2009;39(3):179-187. http://dx.doi.org/10.2519/jospt.2009.2950
  15. Petersen SM, Wyatt SN. Lower trapezius muscle strength in individuals with unilateral neck pain. J Orthop Sports Phys Ther. 2011;41(4):260-265. http://dx.doi.org/10.2519/jospt.2011.3503
  16. Pink MM, Tibone JE. The painful shoulder in the swimming athlete. Orthop Clin North Am. 2000;31(2):247-261. https://doi.org/10.1016/S0030-5898(05)70145-0
  17. Reis FP, de Camargo AM, Vitti M, et al. Electromyographic study of the subclavius muscle. Acta Anat (Basel). 1979;105(3):284-290. https://doi.org/10.1159/000145132
  18. Reinold MM, Escamilla RF, Wilk KE. Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature. J Orthop Sports Phys Ther. 2009;39(2):105-117. http://dx.doi.org/10.2519/jospt.2009.2835
  19. Sahrmann SA. Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines. St Louis, Mosby, 2010:66-67.
  20. Shan G, Visentin P. A quantitative three-dimensional analysis of arm kinematics in violin performance. Med Probl Perform Art. 2003;18(1):3-10.
  21. Wilke C, Priebus J, Biallas B, et al. Motor activity as a way of preventing musculoskeletal problems in string musicians. Med Probl Perform Art. 2011;26(1):24-29.