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KMID : 1207720130050030155
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Clinics in Orthopedic Surgery
2013 Volume.5 No. 3 p.155 ~ p.160
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Musicians’ Medicine: Musculoskeletal Problems in String Players
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Lee Han-Sung
Park Ho-Youn
Yoon Jun-O
Kim Jin-Sam
Chun Jae-Myeung
Aminata Iman W.
Cho Won-Joon
Jeon In-Ho
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Abstract
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There is increasing attention to medical problems of musicians. Many studies find a high prevalence of work-related musculoskeletal disorders in musicians, ranging from 73.4% to 87.7%, and string players have the highest prevalence of musculoskeletal problems. This paper examines the various positions and movements of the upper extremities in string players: 1) basic postures for holding instruments, 2) movements of left upper extremity: fingering, forearm posture, high position and vibrato, 3) movements of right upper extremity: bowing, bow angles, pizzicato and other bowing techniques. These isotonic and isometric movements can lead to musculoskeletal problems in musicians. We reviewed orthopedic disorders that are specific to string players: overuse syndrome, muscle-tendon syndrome, focal dystonia, hypermobility syndrome, and compressive neuropathy. Symptoms, interrelationships with musical performances, diagnosis and treatment of these problems were then discussed.
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KEYWORD
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Upper extremities, String players, Musculoskeletal problems
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