A Scoping Review of Exercise Intervention for Playing- Related Musculoskeletal Disorders (PRMDs) among Musicians

Ajidahun, Adedayo Tunde; Myezwa, Hellen; Mudzi, Witness; Wood, Wendy-Ann

doi:10.1080/18125980.2019.1606675

Cited by 6 publications

(4 citation statements)

References 59 publications

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“…Different neurophysiological and biomechanical requirements of the musicians while playing the instrument may cause variations in the strength of shoulder and back muscles. In a scoping review on the effects of exercise-based interventions on musculoskeletal problems of musicians, it was underlined that anatomical and physiological demands of musicians may vary significantly during their performances and expected optimal results may not be obtained using the same exercises for all musicians [18]. Differential improvements in muscle strength as observed in our study suggest that individualized strengthening exercises specific to the instrument and the nature of the music produced should be prescribed to musicians with the same musculoskeletal problem.…”

Section: Discussionmentioning

confidence: 71%

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Comparison of the effectiveness of a structured exercise program on nonspecific neck pain in string and woodwind players

et al. 2022

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To investigate the effect of a structured exercise training program on pain, functional status, physical function and quality of life (QoL) in string and woodwind players with nonspecific cervical pain. This study had a prospective cohort design and conducted on 40 musicians (26 male, 14 female) aged between 18 and 65 years with persistent nonspecific neck pain in the previous 3 months. Forty musicians were assigned to either violin (n = 20, median age; 26.5 year, height; 1.67 m, body mass; 65 kg, BMI; 23.04 kg/m 2 ) or ney group (n = 20, median age; 27.5 year, height; 1.81 m, body mass; 75 kg, BMI; 23.35 kg/ m 2 ) and followed the same structured exercise program (3 days/per week for 8 weeks). The primary outcome was neck pain intensity and assessed on a visual analog scale (VAS). Secondary outcomes; cervical range of motion (ROM) was measured using a goniometer, the jaw-to-sternum and jaw-to-wall distances were used for the assessment of cervical mobility, neck, shoulder and back muscles strength were assessed with a hand-held dynamometer, the Northwick Park Neck Pain and Short Form 36 (SF-36) questionnaires were also used. Normality of data distribution was checked using the Kolmogorov-Smirnov test. For evaluating the training effectiveness on outcome measures, Mann-Whitney U and Wilcoxon test were used compare pre-test and post-test values with/within groups, respectively. The primary outcome (pain intensity) was lowered %33 in both groups. However, the mean change was found similar (median mean changes; −2 for both groups) (p > 0.05). The secondary outcomes; cervical mobility, cervical flexion ROM, disability and muscle strength of the left middle trapezius, left hand grip, anterior and middle parts of the right deltoid, and cervical flexors also significantly improved in both groups (p < 0.05). Only the mean changes of right serratus anterior, middle trapezius and cervical flexor muscles were higher in violin group than ney group (p < 0.05). There was no significant difference in the cervical extension, right rotation, left rotation, right lateral flexion and left lateral flexion after the treatment in both groups (p > 0.05). There was no significant difference between the groups after the exercise program in terms of pain, mobility, range of motion and SF-36 subdomains (p > 0.05). Specific exercise program had similar positive effects on pain, cervical mobility, cervical fexion ROM and disability in string and woodwind players. Although several muscles showed similar improvements in strength, some muscle groups recovered differently. Physical needs specific to the instrument and performance should be taken into account when prescribing exercises to musicians having the same problem, but playing different instruments.

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Section: Discussionmentioning

confidence: 71%

“…Recently, exercise programs have been used increasingly to manage musculoskeletal problems in musicians [17][18][19]. Certain strategies including exercise approaches have been developed to prevent such problems [20,21].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effectiveness of a structured exercise program on nonspecific neck pain in string and woodwind players

et al. 2022

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“…Because coping with PRMD is a long process, participants do not have the help and support of others at all times. Previous literature has also confirmed the role of participants in self-regulation, such as the use of scientific playing methods to relieve musculoskeletal stress and promote muscle self-repair ( Ackermann et al, 2014 ; Pappa, 2019 ; Shanoff et al, 2019 ), improving the quality of life and exercise can alleviate the physical and mental pressure of musicians ( Lee et al, 2012 ; Ajidahun et al, 2019 ). Past research has also confirmed the benefits of psychological practices for musicians managing stress and coping with PRMD ( Kuo, 2012 ).…”

Section: Discussionmentioning

confidence: 88%

Subjective experiences of tertiary student pianists with playing-related musculoskeletal disorder: a transcendental phenomenological analysis

Xiaoyu,

Musib,

Selvarajah

2024

Front. Psychol.

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BackgroundThe literature suggests that the medical community needs musicians to provide an insider’s perspective to understand the physical and psychological dimensions of playing an instrument, and healthcare providers need to understand musicians’ experiences in order to develop coping strategies. Compared with professional pianists, student pianists are a neglected group. However, student and professional pianists both want to maintain their playing careers and have the experience of giving up playing because of playing-related musculoskeletal disorder (PRMD). There are a few studies conducted on student pianists’ experiences with PRMD, but none have been conducted in the Chinese context. Given the distinctive characteristics of higher music education in China and Chinese piano students, this study aims to investigate the lived experiences of tertiary student pianists with PRMD.MethodsPhenomenology is the most suitable qualitative method for investigating lived experiences. This study employed a transcendental phenomenological approach to investigate the experiences of student pianists, collecting data through one-on-one interviews and focus group discussions. Since phenomenological research emphasizes the homogeneity of research subjects, all 25 participants in this study are tertiary student pianists from seven Chinese higher education institutions.ResultsFour themes and ten sub-themes were identified in this study. They are as follows: Theme one, Perceptions of PRMD, with sub-themes of body perceptions, negative thought, and emotional changes; Theme two, Complex Identity, with sub-themes of future pianists’ identity, nuanced identity of student pianists, and the dual identity between student pianist and patient; Theme three, Coping Strategies, with sub-themes of self-regulation and actively seek help from social relations; Theme four, Influences and Meanings, with sub-themes of negative influences of PRMD and positive meanings of PRMD.ConclusionThis study explores the experiences of tertiary student pianists with PRMD, including their subjective thoughts and feelings. It also highlights the importance of understanding tertiary student pianists’ experiences in developing health education and healthcare measures tailored to them.

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“…In guitarists, two large sample sized studies reported 61.3% pain prevalence for 1 year, as reviewed by [ 14 ]. The trunk and upper extremities are usually the most affected areas of injury [ 2 ]. The most common diagnoses of PRMD are musculotendinous overuse injuries, the neurological problem of focal dystonia and compressive neuropathy [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Correlations between body postures and musculoskeletal pain in guitar players

2022

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Background The guitar-playing community is the largest group at risk of developing playing related musculoskeletal disorders. A thorough investigation of the relationships between the various risk factors and players’ report on musculoskeletal pain using objective and accurate means of assessment has yet to be reported. Purpose (a) to explore the correlations between demographic characteristics, anthropometric measurements, playing habits, and personal habits of guitar player and their complaints of musculoskeletal pain, (b) explore the correlations between the upper body kinematics of guitar players during playing the guitar and their complaints of musculoskeletal pain, and (c) compare the upper body kinematics of guitar players during playing the guitar while sitting versus standing. Methods Twenty-five guitar players (27.5±4.6 years old) filled out questionnaires regarding their guitar-playing habits, and the Standardized Nordic Questionnaires for the analysis of musculoskeletal symptoms. Kinematics of their torso and upper limbs were tracked while they played a tune twice, once while sitting and once while standing. Results We found moderate correlations between the number of painful joints in the last year and factors, such as physical comfort while playing, years of playing, and position during playing. During standing, lower back pain severity correlated with the rotation range of the torso, while during sitting, it moderately correlated with the average radial-ulnar deviation of the right wrist. During sitting, we found higher anterior and right tilt of the torso, combined with greater abduction of the right shoulder, higher flexion in the left shoulder and higher radial deviation in the left wrist. Conclusion Our results point to several risk factors, related both to playing habits but also to playing posture, which should be considered by the guitar players in order to prevent playing-related musculoskeletal disorders.

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A Scoping Review of Exercise Intervention for Playing- Related Musculoskeletal Disorders (PRMDs) among Musicians

Cited by 6 publications

References 59 publications

Comparison of the effectiveness of a structured exercise program on nonspecific neck pain in string and woodwind players

Comparison of the effectiveness of a structured exercise program on nonspecific neck pain in string and woodwind players

Subjective experiences of tertiary student pianists with playing-related musculoskeletal disorder: a transcendental phenomenological analysis

Correlations between body postures and musculoskeletal pain in guitar players

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