Medical problems of musicians

Article Abstract:

Surveys of musicians reveal that almost half of them develop performance-related medical problems, usually due to muscle and tendon overuse. Pain can be mild or severe, preventing the musician from performing or using the affected hand or body part. String players are most frequently affected by these problems, and percussionists the least. Women are affected more often than men. Repetitive movements, long practice sessions, awkward positions, instrument shape and weight and technical difficulty all contribute to the problem. The most effective treatment is rest and because this is so difficult for performing musicians many may have to discontinue or adjust careers in order to function. The impingement of nerves in the wrist and neck and the loss of muscle tone in facial muscles are the most difficult problems to treat. Performance anxiety may also interfere with the musician's ability to perform. It is suggested that exercises beginning early in the training of young musicians may help to strengthen potentially overused muscles. Specialty clinics for the medical problems associated with performing musicians have been formed in some cities.

Overuse injuries, Repetition strain injury, Stress (Psychology), Carpal tunnel syndrome

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Performing arts medicine

Article Abstract:

History has revealed that performers, musicians, vocalists and dancers have not received adequate healthcare. Symptoms are often inaccurately diagnosed and little has been accomplished in preventing performance related problems. The new field of performance medicine is examined and the question is raised whether the medical problems facing performers, in evaluation or treatment, are any different from those found in other groups. It is suggested that investigation through physical examination during performance may aid in diagnosis. Treatments may include currently available medical and surgical methods, altering the way a person performs or holds an instrument, and adjusting to modified practice techniques. The medical profession, in conjunction with teachers and therapists, is urged to address the medical problems and injuries experienced by many performing artists.

Medicine, Practice, Medical specialties, editorial, Arts medicine

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Dystonia

Article Abstract:

Dystonia is a movement disorder characterized by sustained muscle contractions, repetitive twisting movements, and abnormal postures of the trunk, neck, face or arms and legs, and is often confused with spasticity, rigidity or psychogenic diseases. Advances in the recognition of causes, evaluation and treatment of primary and secondary dystonias are discussed.

Diagnosis, Causes of, Disease/Disorder overview

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