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European Journal of Physical and Rehabilitation Medicine 2012 December;48(4):625-33


language: English

Playing-related musculoskeletal disorders in music students-associated musculoskeletal signs

Steinmetz A. 1, 2, Möller H. 3, Seidel W. 4, Rigotti T. 5

1 Department for Musculoskeletal and Pain Medicine, Institute for Musician’s Medicine Berlin-Brandenburg, Sana Kliniken Sommerfeld, Kremmen, Germany; 2 Department of Orthopaedics, Traumatology and Physical Medicine, University of Halle (Saale), Germany; 3 Kurt-Singer-Institut, University of Arts, Berlin, Germany; 4 Hospital for Department for Musculoskeletal, and Pain Medicine, Sana Kliniken Sommerfeld, Kremmen, Germany; 5 Department of Work- and Organization-Psychology, University Leipzig, Leipzig, Germany


BACKGROUND: Pain and overuse are common problems for musicians. Up to 80% of professional musicians suffer from playing-related musculoskeletal disorders (PRMD). The prevalence rate in music students is very high as well. Sufficient data on the underlying musculoskeletal dysfunctions however is scarce. Additionally, the self-assessment of health in musicians seems to differ compared to non-musicians, which might influence their attitudes concerning preventive strategies.
AIM: Evaluation of frequency of PRMD in music students, investigation of signs and symptoms in music students compared to non-music controls, comparison of self-reported health and well-being between the two groups.
DESIGN: Prospective, cross-sectional, case control, non-randomized.
SETTING: Other (University volunteers).
POPULATION: Music students in comparison to a non-music control group.
METHODS: Musculoskeletal examination and questionnaire of 36 volunteers of a music university and 19 volunteer students of an university of education were analyzed. The total number of musculoskeletal dysfunctions and differences between the student groups were examined. The personal pain and health self-rating were compared between music and non-music students.
RESULTS: Eighty one percent of musicians experienced PRMD. Musicians experienced 6.19 pain regions on average compared to 4.31 of non-musicians. Musicians experiencing PRMD reported significantly (P<0.05) more pain locations than musicians without. Music students presented with nearly the double amount (8.39 versus 4.37) of musculoskeletal dysfunctions per person compared to the non-music control group. Nevertheless, musicians significantly (P<0.05) rated their health more positively than the controls.
CONCLUSION: Musicians presented with more pain regions and a higher amount of musculoskeletal dysfunctions. Further studies evaluating the clinical relevance and their role in the development of PRMD are warranted.
CLINICAL REHABILITATION IMPACT: Screening of musicians for musculoskeletal dysfunction may identify those musicians at increased risk. Early treatment may prevent PRMD in musicians. Additional research is needed to confirm our hypothesis.

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