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Playing Related Musculoskeletal Disorders Among Instrumental Musicians- A Prevalence Study Using Musculoskeletal Pain Intensity And Interference Questionnaire For Musicians (MPIIQM)
Corresponding Author(s) : Sushmitha. T
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 11 No. 3 (2023): 2023 Volume -11 - Issue 3
Abstract
Background: Musicians are not often thought of as having a risky career, the high physiological and psychological demands of their work put them at risk for a number of health issues. Musicians must utilise rapid and continual improvements with incredible quality, accuracy, and desired movements. These motions damage the muscles and ligaments. This study aims to assess the prevalence of playing-related musculoskeletal problems (PMRDs) in both professional and amateur musicians, identify relevant risk factors, and assess the relationship between musculoskeletal pain and particular instruments.
Method: An online and offline cross-sectional survey investigation was carried out. A total of 98 artists over the age of 16 from different institutions and musical bands were included in the sample. According to inclusion-exclusion standards, the participants were chosen. PRMD in musicians was evaluated using the MPIIQM questionnaire. Between amateur and professional musicians, the prevalence of PRMDs was compared, and PRMDs were then associated across gender, playing time, age, and years of experience. Each particular instrument's patterns of musculoskeletal pain areas were assessed.
Results: This study found 68.4% of musicians to be at risk for PRMDs. The prevalence of PRMD was 68.52% in professionals and 68.09% in amateur musicians. Career level has no discernible effects. The study established that age, gender, and the number of years spent playing in an orchestra are risk factors for PRMD among musicians. The lower back is the anatomical place most commonly impacted by PRMD.
Conclusion: This investigation led us to the conclusion that PRMD is more common in musicians. Additionally, it displays the linked risk factors that result in PRMD. This study demonstrates that both professional and amateur musicians frequently experience musculoskeletal issues.
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- Monaco E, Vicaro V, Catarinozzi E, Rossi M, Prestigiacomo C. Musculoskeletal diseases among musicians of the" teatro dell'Opera" of Rome. Giornale Italiano di Medicina del Lavoro ed Ergonomia. 2012 Apr 1;34(2):158-63.
- Steinmetz A, Seidel W, Muche B. Impairment of postural stabilization systems in musicians with playing-related musculoskeletal disorders. Journal of manipulative and physiological therapeutics. 2010 Oct 1;33(8):603-11.
- Dommerholt J. Performing arts medicine–instrumentalist musicians, Part II–examination. Journal of bodywork and movement therapies. 2010 Jan 1;14(1):65-72.
- Dommerholt J. Performing arts medicine–instrumentalist musicians Part I–General considerations. Journal of bodywork and movement therapies. 2009 Oct 1;13(4):311-9.
- Hansen PA, Reed K. Common musculoskeletal problems in the performing artist. Physical Medicine and Rehabilitation Clinics. 2006 Nov 1;17(4):789-801.
- Zaza C, Charles C, Muszynski A. The meaning of playing-related musculoskeletal disorders to classical musicians. Social science & medicine. 1998 Dec 1;47(12):2013-23.
- Brandfonbrener AG. Musculoskeletal problems of instrumental musicians. Hand clinics. 2003 May 1;19(2):231-9.
- Chukwudozie A. Músculoskeletal disorders in professional musicians: a review of literature.[Online].; 2019.
- Zaza C, Charles C, Muszynski A. The meaning of playing-related musculoskeletal disorders to classical musicians. Social science & medicine. 1998 Dec 1;47(12):2013-23.
- Kochem FB, Silva JG. Prevalence of playing-related musculoskeletal disorders in string players: a systematic review. Journal of manipulative and physiological therapeutics. 2018 Jul 1;41(6):540-9.
- Rogenmoser L, Kernbach J, Schlaug G, Gaser C. Keeping brains young with making music. Brain Structure and Function. 2018 Jan;223(1):297-305.
- Mikutta CA, Maissen G, Altorfer A, Strik W, König T. Professional musicians listen differently to music. Neuroscience. 2014 May 30;268:102-11.
- Kok LM, Huisstede B, Voorn V, Schoones JW, Nelissen RG. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. International archives of occupational and environmental health. 2016 Apr;89(3):373-96.
- Kok LM, Vlieland TP, Fiocco M, Nelissen RG. A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians. BMC musculoskeletal disorders. 2013 Dec;14(1):1-7.
- Baadjou VA, Roussel NA, Verbunt JA, Smeets RJ, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occupational Medicine. 2016 Nov 1;66(8):614-22.
- Hansen PA, Reed K. Common musculoskeletal problems in the performing artist. Physical Medicine and Rehabilitation Clinics. 2006 Nov 1;17(4):789-801.
- Frank A, Mühlen CA. Playing-related musculoskeletal complaints among musicians: prevalence and risk factors. Revista Brasileira de Reumatologia. 2007;47:188-96.
- Yang N, Fufa DT, Wolff AL. A musician-centered approach to management of performance-related upper musculoskeletal injuries. Journal of Hand Therapy. 2021 Apr 1;34(2):208-16
- Gasenzer ER, Klumpp MJ, Pieper D, Neugebauer EA. The prevalence of chronic pain in orchestra musicians. Ger Med Sci. 2017;15:Doc01. doi: 10.3205/000242, PMID 28149258.
- Cruder C, Barbero M, Soldini E, Gleeson N. Patterns of pain location in music students: a cluster analysis. BMC Musculoskelet Disord. 2021 Dec;22(1):184. doi: 10.1186/s12891-021-04046-6, PMID 33583401.
- Iranzo I MÀ, Pérez-Soriano P, Camacho CI, Belloch SL, Cortell-Tormo JM. Playing-related musculoskeletal disorders in woodwind, brass and percussion players: a review. Journal of Human Sport and Exercise. 2010(I):94-100.
- Dawson WJ. Upper-extremity problems caused by playing specific instruments. Med Probl Perform Artists. 2002 Sep 1;17(3):135-40. doi: 10.21091/mppa.2002.3022.
- Dawson WJ. Bassoonists’ medical problems—current state of knowledge. Med Probl Perform Artists. 2012 Jun 1;27(2):107-12. doi: 10.21091/mppa.2012.2019, PMID 22739824.
- Smith JC, Smith JS, Greathouse DG. Median & ulnar neuropathies in university brass players. IHS Online. 2007.
- Wales J. 3D movement and muscle activity patterns in a violin bowing task. Brook University; 2007
- Brandfonbrener AG. Musculoskeletal problems of instrumental musicians. Hand Clin. 2003 May 1;19(2):231-9. doi: 10.1016/s0749-0712(02)00100-2, PMID 12852665.
- Visentin P, Li S, Tardif G, Shan G. Unraveling mysteries of personal performance style; biomechanics of left-hand position changes (shifting) in violin performance. PeerJ. 2015 Oct 1;3:e1299. doi: 10.7717/peerj.1299, PMID 26557431.
- Lynn M, Jacobs A, Austin NM. Orthotic intervention for the hand and upper extremity. Splinting Princ Process. 2003.
- Iranzo MÀ, Pérez-Soriano P, Camacho CI, Belloch SL, Cortell-Tormo JM. Playing-related musculoskeletal disorders in woodwind, brass and percussion players: a review. J Hum Sport Exer. 2010i:94-100.
- Yokogawa N, Schumacher Jr HR. Percussionists’ wrist: overuse syndrome with an enlarging tenosynovitis and scapholunate advanced collapse. J Clin Rheumatol. 2010 Aug 1;16(5):250. doi: 10.1097/RHU.0b013e3181ea11e1, PMID 20661076.
- Sandell C, Frykman M, Chesky K, Fjellman-Wiklund A. Playing-related musculoskeletal disorders and stress-related health problems among percussionists. Med Probl Perform Artists. 2009 Dec 1;24(4):175-80. doi: 10.21091/mppa.2009.4035.
- Kaufman-Cohen Y, Portnoy S, Sopher R, Mashiach L, Baruch-Halaf L, Ratzon NZ. The correlation between upper extremity musculoskeletal symptoms and joint kinematics, playing habits and hand span during playing among piano students. PLOS ONE. 2018 Dec 19;13(12):e0208788. doi: 10.1371/journal.pone.0208788, PMID 30566535.
- Ciurana Moñino MR, Rosset-Llobet J, Cibanal Juan L, García Manzanares MD, Ramos-Pichardo JD. Musculoskeletal problems in pianists and their influence on professional activity. Med Probl Perform Artists. 2017 Jun 1;32(2):118-22. doi: 10.21091/mppa.2017.2019, PMID 28599019.
- 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 Dec 1;19(6):575-88. doi: 10.1016/j.math.2014.05.015, PMID 24984929.
References
Monaco E, Vicaro V, Catarinozzi E, Rossi M, Prestigiacomo C. Musculoskeletal diseases among musicians of the" teatro dell'Opera" of Rome. Giornale Italiano di Medicina del Lavoro ed Ergonomia. 2012 Apr 1;34(2):158-63.
Steinmetz A, Seidel W, Muche B. Impairment of postural stabilization systems in musicians with playing-related musculoskeletal disorders. Journal of manipulative and physiological therapeutics. 2010 Oct 1;33(8):603-11.
Dommerholt J. Performing arts medicine–instrumentalist musicians, Part II–examination. Journal of bodywork and movement therapies. 2010 Jan 1;14(1):65-72.
Dommerholt J. Performing arts medicine–instrumentalist musicians Part I–General considerations. Journal of bodywork and movement therapies. 2009 Oct 1;13(4):311-9.
Hansen PA, Reed K. Common musculoskeletal problems in the performing artist. Physical Medicine and Rehabilitation Clinics. 2006 Nov 1;17(4):789-801.
Zaza C, Charles C, Muszynski A. The meaning of playing-related musculoskeletal disorders to classical musicians. Social science & medicine. 1998 Dec 1;47(12):2013-23.
Brandfonbrener AG. Musculoskeletal problems of instrumental musicians. Hand clinics. 2003 May 1;19(2):231-9.
Chukwudozie A. Músculoskeletal disorders in professional musicians: a review of literature.[Online].; 2019.
Zaza C, Charles C, Muszynski A. The meaning of playing-related musculoskeletal disorders to classical musicians. Social science & medicine. 1998 Dec 1;47(12):2013-23.
Kochem FB, Silva JG. Prevalence of playing-related musculoskeletal disorders in string players: a systematic review. Journal of manipulative and physiological therapeutics. 2018 Jul 1;41(6):540-9.
Rogenmoser L, Kernbach J, Schlaug G, Gaser C. Keeping brains young with making music. Brain Structure and Function. 2018 Jan;223(1):297-305.
Mikutta CA, Maissen G, Altorfer A, Strik W, König T. Professional musicians listen differently to music. Neuroscience. 2014 May 30;268:102-11.
Kok LM, Huisstede B, Voorn V, Schoones JW, Nelissen RG. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. International archives of occupational and environmental health. 2016 Apr;89(3):373-96.
Kok LM, Vlieland TP, Fiocco M, Nelissen RG. A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians. BMC musculoskeletal disorders. 2013 Dec;14(1):1-7.
Baadjou VA, Roussel NA, Verbunt JA, Smeets RJ, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occupational Medicine. 2016 Nov 1;66(8):614-22.
Hansen PA, Reed K. Common musculoskeletal problems in the performing artist. Physical Medicine and Rehabilitation Clinics. 2006 Nov 1;17(4):789-801.
Frank A, Mühlen CA. Playing-related musculoskeletal complaints among musicians: prevalence and risk factors. Revista Brasileira de Reumatologia. 2007;47:188-96.
Yang N, Fufa DT, Wolff AL. A musician-centered approach to management of performance-related upper musculoskeletal injuries. Journal of Hand Therapy. 2021 Apr 1;34(2):208-16
Gasenzer ER, Klumpp MJ, Pieper D, Neugebauer EA. The prevalence of chronic pain in orchestra musicians. Ger Med Sci. 2017;15:Doc01. doi: 10.3205/000242, PMID 28149258.
Cruder C, Barbero M, Soldini E, Gleeson N. Patterns of pain location in music students: a cluster analysis. BMC Musculoskelet Disord. 2021 Dec;22(1):184. doi: 10.1186/s12891-021-04046-6, PMID 33583401.
Iranzo I MÀ, Pérez-Soriano P, Camacho CI, Belloch SL, Cortell-Tormo JM. Playing-related musculoskeletal disorders in woodwind, brass and percussion players: a review. Journal of Human Sport and Exercise. 2010(I):94-100.
Dawson WJ. Upper-extremity problems caused by playing specific instruments. Med Probl Perform Artists. 2002 Sep 1;17(3):135-40. doi: 10.21091/mppa.2002.3022.
Dawson WJ. Bassoonists’ medical problems—current state of knowledge. Med Probl Perform Artists. 2012 Jun 1;27(2):107-12. doi: 10.21091/mppa.2012.2019, PMID 22739824.
Smith JC, Smith JS, Greathouse DG. Median & ulnar neuropathies in university brass players. IHS Online. 2007.
Wales J. 3D movement and muscle activity patterns in a violin bowing task. Brook University; 2007
Brandfonbrener AG. Musculoskeletal problems of instrumental musicians. Hand Clin. 2003 May 1;19(2):231-9. doi: 10.1016/s0749-0712(02)00100-2, PMID 12852665.
Visentin P, Li S, Tardif G, Shan G. Unraveling mysteries of personal performance style; biomechanics of left-hand position changes (shifting) in violin performance. PeerJ. 2015 Oct 1;3:e1299. doi: 10.7717/peerj.1299, PMID 26557431.
Lynn M, Jacobs A, Austin NM. Orthotic intervention for the hand and upper extremity. Splinting Princ Process. 2003.
Iranzo MÀ, Pérez-Soriano P, Camacho CI, Belloch SL, Cortell-Tormo JM. Playing-related musculoskeletal disorders in woodwind, brass and percussion players: a review. J Hum Sport Exer. 2010i:94-100.
Yokogawa N, Schumacher Jr HR. Percussionists’ wrist: overuse syndrome with an enlarging tenosynovitis and scapholunate advanced collapse. J Clin Rheumatol. 2010 Aug 1;16(5):250. doi: 10.1097/RHU.0b013e3181ea11e1, PMID 20661076.
Sandell C, Frykman M, Chesky K, Fjellman-Wiklund A. Playing-related musculoskeletal disorders and stress-related health problems among percussionists. Med Probl Perform Artists. 2009 Dec 1;24(4):175-80. doi: 10.21091/mppa.2009.4035.
Kaufman-Cohen Y, Portnoy S, Sopher R, Mashiach L, Baruch-Halaf L, Ratzon NZ. The correlation between upper extremity musculoskeletal symptoms and joint kinematics, playing habits and hand span during playing among piano students. PLOS ONE. 2018 Dec 19;13(12):e0208788. doi: 10.1371/journal.pone.0208788, PMID 30566535.
Ciurana Moñino MR, Rosset-Llobet J, Cibanal Juan L, García Manzanares MD, Ramos-Pichardo JD. Musculoskeletal problems in pianists and their influence on professional activity. Med Probl Perform Artists. 2017 Jun 1;32(2):118-22. doi: 10.21091/mppa.2017.2019, PMID 28599019.
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 Dec 1;19(6):575-88. doi: 10.1016/j.math.2014.05.015, PMID 24984929.