Etiology and epidemiology of playing-related musculoskeletal disorders – a systematic review

Autor: Estera Zięba; Grzegorz Zieliński; Michał Ginszt
Sprache: Englisch; Spanisch; Polnisch; Russisch; Ukrainisch
Veröffentlicht: 2019
Quelle: Directory of Open Access Journals: DOAJ Articles
Online Zugang: https://apcz.umk.pl/JEHS/article/view/25596
https://doaj.org/toc/2391-8306
2391-8306
https://doaj.org/article/263afb9fa57f435fa5af1382c1ae7f49
https://doaj.org/article/263afb9fa57f435fa5af1382c1ae7f49
Erfassungsnummer: ftdoajarticles:oai:doaj.org/article:263afb9fa57f435fa5af1382c1ae7f49

Zusammenfassung

Introduction: Instrumentalists are exposed to numerous musculoskeletal disorders (PRMD – Playing Related Musculoskeletal Disorders) or pain (PRP - Playing Related Pain). This condition is an effect of performance requirements, numerous rehearsals and stress. Musicians often underestimate the pain and the first symptoms of the overloads that their body sends them. They usually continue to practice for many hours a day, which only enlarges the damage of tissues. Unfortunately, this approach brings them closer to disability and exclusion from their profession. Aims: Overview of the latest research on concerting musicians. Gathering information on the etiology and epidemiology of PRMD and PRP among instrumentalists. Material and methods: This overview is based on studies from PubMed, ResearchGate and Google Scholar's databases. In order to identify the relevant publications, the search was carried out using a combination of keywords: "musicians", "pain", "muscles". After applying the exclusion criteria, 16 assessed works were selected for the review. Results: The frequency of musculoskeletal disorders related to playing a musical instrument may reach 60%, up to over 80% [1,11,14,25,31-33]. The etiology of these dysfunctions should be associated with the repetitive movements of the upper limbs, either in uncomfortable positions assumed at work or in the specific posture of the body during the performance. One should also remember about the psychological aspect, which is important in understanding the mechanism of overloading and prolonged persistence of pain among musicians. An overview of the literature showed that musculoskeletal disorder concerned women more often than men. The group of instruments that were connected with more frequent occurrence of pain were violins/violas and wind instruments. The most frequently affected body areas were: neck, back, and upper limbs. The information shown above is able to speed up diagnostics as well as proper therapy for professional musicians, which will contribute to their ...