The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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A Comparative Study on the Characteristics of Performance-related Musculoskeletal Symptoms between Orchestra Performers and University Student Performers

관현악단 전문 연주자와 대학생 연주자의 연주 관련 근골격계 증상의 발생 특성에 관한 비교

  • Hye-won, Shin (Dept. of Physical Therapy, By s' Physio Fitness Center) ;
  • Suhn-yeop, Kim (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 신혜원 (바이어스 운동센터) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2022.08.06
  • Accepted : 2022.09.14
  • Published : 2022.12.30
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Abstract

Background: Instrument players are exposed to occupational musculoskeletal symptoms due to constant movement and strain to meet the needs of their audience. This can cause dissonance between the player and the instrument and can cause medical problems in the musculoskeletal system such as pain, tendinitis, muscle spasms, and joint hyperextension from overuse of body parts. Objective: The purpose of this study is to comparatively analyze the characteristics and occurrence of musculoskeletal symptoms in professional and student players, and to find out the awareness of the need for health care professionals and special exercise programs for orchestra players. Methods: The subjects were professional orchestral musicians 191 from the three symphony orchestras and music students 209 from the four universities volunteered to participate in this study; 393 subjects (98.25%) completed the questionnaire. symptom prevalence and related factors of playing-related musculoskeletal disorders (PRMDs) were surveyed with a self-administered questionnaire. Standardized Nordic Questionnaire was complemented by adding a visual-among scale and used to diagnose PRMD. Results: High prevalence of musculoskeletal complaints in both professional musicians (85.30%) and student musicians (82.30%). Professional musicians and student musicians also suffered the highest problem in shoulder and neck complaints. Significant differences were found between groups that recognized of necessity for specialized health professionals, professional organizations, and special programs for musicians. Conclusions: Professional musicians and student musicians, like orchestra players, are already exposed to overuse syndrome. However, student musicians lack awareness of the risk of injury compared to orchestra players. We suggest that an appropriate treatment management program for the prevention and early treatment of musculoskeletal system damage should be provided to performers at an early stage.

Keywords

References

  1. Abreu-Ramos A, Micheo W. Lifetime prevalence of upper body musculoskeletal problems in a profeddional level symphony orchestra: Age, gender and instrument specific results. Med Probl Perform Art. 2007;22(3):97-104. https://doi.org/10.21091/mppa.2007.3022
  2. Andersen LN, Roessler KK, Eichberg H. Pain among professional orchestral musicians: A case study in body culture and health psychology. Med Probl Perform Art. 2013;3(20):124-130. https://doi.org/10.21091/mppa.2013.3026.
  3. Barton R, Feinberg JR. Effectiveness of an educational program in health promotion and injury prevention for freshman music majors. Med Probl Perform Art. 2008;23:47-53. https://doi.org/10.21091/mppa.2008.2010.
  4. Berque P, Gray H, McFadyen A. Development and psychometric evaluation of the Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians. Man Ther. 2014;19(6):575-588. https://doi: 10.1016/j.math. 2014.05.015.
  5. Betzl, J, Ursula K, Kai. "Overuse syndrome of the hand and wrist in musicians: A systematic review." J Hand Surg Eur Vol. 2020;45(6):636-642. https://doi: 10.1177/1753193420912644
  6. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8(12):1153-1157. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x.
  7. Choi WJ, Sung NJ, Kang YJ, et al. Validity of NIOSH- and Nordic-style questionnaires in the screening and surveillance of neck and upper extremity work-related musculoskeletal disorders. Korean J Occup Environ Med. 2008;20(3):205-214. https://doi.org/10.35371/kjoem.2008.20.3.205.
  8. Fishbein M, Middlestadt SE, Ottati V. Medical problems among ICSOM musicians: Overview of a national survey. Med Probl Performing Art. 1988;3:1-8.
  9. Franco G. Ramazzini and workers' health. The Lancet. 1999;858-861.
  10. Fry HJ. Incidence of overuse injury syndrome in symphony orchestra. Med Probl Perform Art. 1986;1:51-55.
  11. Fry HJ. Prevalence of overuse (injury) syndrome in Australian music schools. Br JInd Med. 1987;44:35-40. http://dx.doi.org/10.1136/oem.44.1.35.
  12. Guptill C, Zaza C, Paul S. An occupational study of physical playing related injuries in college music students. Med Probl Perform Art. https://doi.org/10.21091/mppa.2000.2018.
  13. Hiner SL, Brandt KD, Katz BP, et al. Performance related medical problems among premier violinists. Med Probl Perform Art. 1987;2:67-71.
  14. Kim SS, Park J, Ryu SY, et al. The Prevalence and related factors of musculoskeletal disorders of players of professional musicians. The Journal of the research institute of statistics. 2007;9:1-17.
  15. Koh JW, Lee SJ, Kim YK, et al. The prevalence of playing-related musculoskeletal disorders of music college freshmen playing string instruments. Korean J Occup Environ Med. 2006;18(3):189-198. https://doi.org/10.35371/kjoem.2006.18.3.189.
  16. Kuo FL. Holistic Health and The Prevention of Performance Related Musculoskeletal Disorders in Orchestral String Musicians. Toronto. University of Toronto. Doctoral Dissertation. 2012;1-129.
  17. Kuorinka I, Jonsson B, Kilbom A, et al. Standardized Nordic Questionnarires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233-237. https://doi.org/10.1016/0003-6870(87)90010-X.
  18. Laitinen HM, Toppila EM, Olkinuora PS. Sound exposure among the finnish national opera personnel. Appl Occup Environ Hyg. 2003;18:177-182. https://doi.org/10.1080/10473220301356.
  19. Lederman RJ, Calabrese Lh. Overuse syndromes in instrumentalists. Med Probl Perform Art. 1986;1:7-11.
  20. Lockwood AH. Medical problems of musicians. N Eng J Med. 1989;320:221-227. https://doi:10.1056/NEJM198901263200405.
  21. Lopez TM, Martinez JF. Strategies to promote health and prevent musculoskeletal injuries in students from the high conservertory of music of salamanca, spain. Med Probl Perform Art. 2013;28(2);100-106. https://doi.org/10.21091/mppa.2013.2018.
  22. Lee EN, Lee EO, Lee IS, et al. A study of musculotendinous problems of students majoring in musical instruments in Korea. J Rheum Dis. 1997;4(1):48-60.
  23. Lee EN, Lee EO, Lee IS. A Study of musculoskeletal problems among Instrumental musicians in Korea. The Seoul Journal of Nursing. 1997;11(1):13-23.
  24. Moon HJ. Medical problems experienced by musicians. J Music Edu Sci. 2012;15:111-129.
  25. Palmer K, Smith G, Kellingray S, et al. Repeatability and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire. occup med. 1999;49:171-175. https://doi.org/10.1093/occmed/49.3.171.
  26. Paarup HM, Baelum J, Holm JW. Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians varyby gender: A cross-sectional study. BMC Musculoskelet Disord. 2011;12:223-236. https://doi.org/10.1186/1471-2474-12-223.
  27. Rico ES. En forma: Ejercicios para musicos. Barcelona. Editorial Paidos. 2003;19-21.
  28. Roset-Llobet J, Rosines-Cubells D, Salo-Orfila JM. Identification of risk factors for musicians in catalonia (Spain). Med Probl Perform Art. 2000;15(4):167-174. https://doi.org/10.21091/mppa.2000.4032.
  29. Sakai N. Hand pain attributed to overuse among professional pianists: A study of 200 cases. Med Probl Perform Art. 2002;17:178-180. Dhttps://doi.org/10.21091/mppa.2002.4028.
  30. Wynn Parry CB. The interface. In Winspur I, Wynn Parry CB (eds). The musician's hand. London. Martin Dunitz. 1998;13-32.
  31. Warrington J. Hand therapy for the musician. Instrument focused rehabilitation. Hand Clinics. 2003;19(2):287-301. https://doi.org/10.1016/S0749-0712(02)00095-1.
  32. Zaza C. Playing related health problems at a Canadian music school. Med Probl Perform Art. 1992;7:48-51.
  33. Zaza C. Playing-related musculoskeletal disorders in musicians: A systematic review of incidence and prevalence. Can Med Assoc J. 1998;158(8):1019-1025.