Prevalence of Medical Problems among Double Reed Performers

2001 ◽  
Vol 16 (4) ◽  
pp. 157-160
Author(s):  
Michael Thrasher ◽  
Kris S Chesky
Keyword(s):  
Upper Extremity ◽  
Medical Problems ◽  
University Of North Texas ◽  
Left Hand ◽  
Biomechanical Stress ◽  
High Incidence ◽  
Musculoskeletal Problems ◽  
The Right ◽  
The University ◽  
Primary Instrument

One aspect of double reed performance warranting consideration involves the biomechanical stress placed on the human body through the performance of these instruments. At present, inadequate information exists that can effectively answer questions regarding the types of physical problems experienced by oboe and bassoon players and the percentages of players who suffer from such problems. The purpose of this study is to describe medical problems of double reed players utilizing data collected through the University of North Texas Musician Health Survey (UNT-MHS). Sixty survey respondents identified oboe as their primary instrument. The majority of musculoskeletal problems reported by oboists related to the right wrist, right hand, right fingers, right forearm, right neck, and right lower back. In all areas, females reported higher percentages of problems than did males. Among nonmusculoskeletal problems, oboists reported a high incidence of headaches, blackouts/dizziness, and stage fright. Seventy-five subjects identified bassoon as their primary instrument. The majority of musculoskeletal problems reported by bassoonists related to the left wrist, left hand, right wrist, and left fingers. Among nonmusculoskeletal problems, bassoonists reported a high incidence of headaches, eyestrain, and fatigue. Since the lack of a truly randomized sample prevents generalization of these results to the total double-reed-playing population, these results should be interpreted with caution. However, the high rates of right upper extremity dysfunction among oboists and left upper extremity dysfunction among bassoonists illustrated in this study warrant additional research.

Prevalence Rates for Medical Problems among Flautists: A Comparison of the UNT-Musician Health Survey and the Flute Health Survey

2001 ◽  
Vol 16 (3) ◽  
pp. 99-101
Author(s):  
Cari Spence
Keyword(s):  
Health Survey ◽  
Sleep Disturbances ◽  
Data Sets ◽  
Prevalence Rates ◽  
Medical Problems ◽  
North Texas ◽  
University Of North Texas ◽  
Left Hand ◽  
Significant Difference ◽  
The University

The purpose of this study was to identify prevalence rates of medical problems among flautists. The Flute Health Survey (FHS), a questionnaire with items regarding musculoskeletal and nonmusculoskeletal problems, was distributed at the 1999 National Flute Association annual meeting (n = 40). This questionnaire was pilot tested at the 1999 Texas Flute Festival, which is hosted by the Texas Flute Society. The University of North Texas has posted on the Internet a similar questionnaire regarding the medical problems of all musicians. Responses from the University of North Texas Musician Health Survey (UNT-MHS) were filtered to include only those respondents who denoted flute as their primary instruments (n = 328). Data sets from both surveys were then processed using comparative statistics. Findings show that there was no significant difference between the demographics of the two populations. Only one musculoskeletal site, the left hand, was found to be statistically significant between the two groups. Four nonmusculoskeletal items, depression, earache, headache, and sleep disturbances, were found to be different between the two groups. The overall findings of this comparison show that there are many medical problems facing the flute playing community. Further investigation and observations of this population are necessary.

Instrument-specific Reports of Hearing Loss: Differences between Classical and Nonclassical Musicians

2000 ◽  
Vol 15 (1) ◽  
pp. 35-38
Author(s):  
Kris Chesky ◽  
Miriam A Henoch
Keyword(s):  
Hearing Loss ◽  
Medical Problems ◽  
North Texas ◽  
University Of North Texas ◽  
Drum Set ◽  
Brass Instruments ◽  
The World ◽  
Performance Area ◽  
The University ◽  
Primary Instrument

The purpose of this study was to examine the incidence of hearing problems reported from a heterogeneous group of musicians as a function of both primary performance area and primary instrument. Information for the investigation was obtained from the University of North Texas Musician Health Survey that allows musicians to report medical problems via the World Wide Web. Data were generated from a question regarding the presence or absence of hearing loss. The respondents were grouped according to primary performance area, according to primary instrument, and by primary instrument relative to whether they were classical or non-classical musicians. Results showed that 21.7% of the 3,292 musicians responding perceived having a problem with hearing. Findings showed the highest rate of occurrence was in rock/alternative musicians; in musicians who were included in the nonclassical grouping; and in musicians who played amplified instruments, drum-set, and primary brass instruments. Implications for further research and risk management are discussed.

Medical Problems of Brass Instrumentalists: Prevalence Rates for Trumpet, Trombone, French Horn, and Low Brass

2002 ◽  
Vol 17 (2) ◽  
pp. 93-98
Author(s):  
Kris Chesky ◽  
Karendra Devroop ◽  
James Ford
Keyword(s):  
French Horn ◽  
Prevalence Rates ◽  
Medical Problems ◽  
University Of North Texas ◽  
Data Set ◽  
Performance Requirements ◽  
Low Brass ◽  
Musculoskeletal Problems ◽  
Grading Scale ◽  
The University

This study examined the medical problems of musicians who primarily perform on a brass instrument. Data for this study (n = 739) were extracted from the University of North Texas Musician Health Survey data set. Subjects were included if they indicated either trumpet, trombone, French horn, or low brass as their primary instrument. Prevalence rates for one or more musculoskeletal problems were determined for the whole group and by instrument. For those subjects who reported problems at specific sites, average severity levels were derived from responses to a five-point grading scale. Additional prevalence rates for non-musculoskeletal problems were established for the whole group and by instrument. About 60% of the brass musicians reported having one or more musculoskeletal problems. The trombone group reported the highest rate (70%), followed by French horn and low brass (62%), and then trumpet (53%). Results suggest unique physical performance requirements and risks across the four main brass instrument groups and that future studies should examine each brass instrument group individually.

Interosseous Muscle Pain in the Pianist's Hand: A Description of 27 Cases of Musician's Hand

2007 ◽  
Vol 22 (1) ◽  
pp. 24-25
Author(s):  
Naotaka Sakai
Keyword(s):  
Muscle Weakness ◽  
Muscle Pain ◽  
Deep Part ◽  
Piano Performance ◽  
Medical Problems ◽  
Main Symptom ◽  
Left Hand ◽  
Dorsal Hand ◽  
Right Hand ◽  
The Right

Among 703 professional pianists with medical problems in their hands seen by the author between 1981 and 2000, there were 27 patients who had interosseous muscle pain (23 women, 4 men; mean age, 30 yrs). The main symptom was dorsal hand pain during piano performance, especially when striking the keys with each finger rounded, mainly in the scale technique. Tenderness was noted in the deep part of the dorsal hand in the interosseous muscles, but not along or around the finger extensors. Patients sometimes complained of muscle weakness on abduction of the index, ring, and/or little fingers when performing octaves or chords on the piano keyboard. Resisted abduction and adduction testing of the fingers reproduced the pain which they experienced during or after performance. Pain occurred in the right hand in 10, left hand in 5, and bilaterally in 12. The pain was localized in the 4th and 5th interossei in 15 patients, in the 3rd and 4th in 14 patients; in the 2nd and 3rd in 11 patients; and in the 1st and 2nd in 1 patient.

scholarly journals POS0557 THE RELATION BETWEEN INVOLVEMENT OF INDIVIDUAL JOINTS OF THE UPPER EXTREMITY AND GRIP FORCE IN EARLY RHEUMATOID ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 513.2-514
Author(s):  
M. Rydholm ◽  
A. Sharma ◽  
I. Wikström ◽  
L. T. H. Jacobsson ◽  
C. Turesson
Keyword(s):  
Upper Extremity ◽  
Grip Force ◽  
Hand Function ◽  
Joint Involvement ◽  
Symptom Duration ◽  
Left Hand ◽  
Early Ra ◽  
Right Hand ◽  
Pip Joint ◽  
The Right

Background:Rheumatoid arthritis (RA) has a major impact on hand function in many patients.Objectives:The objective of this study was to investigate the relation between swelling and tenderness of individual joints in the upper extremities and grip force in patients with early RA.Methods:An inception cohort of patients with early RA (symptom duration ≤12 months), recruited in 1995-2005, was investigated and followed in a structured program. All patients were examined by the same rheumatologist according to a structured protocol, and swelling and tenderness of individual joints was recorded. Grip force (Newton, N) was measured using the electronic instrument Grippit (AB Detektor, Gothenburg, Sweden). Average grip force values of each hand were evaluated and compared to the expected, based on age- and sex-specific reference values from the literature (1). Grip force was expressed as % of expected values. Linear regression analyses were used to assess the relation between upper extremity joint involvement in individual joints and grip force, using the presence/absence of synovitis/tenderness in each joint as covariates. For the multivariate analysis, covariates with p<0.10 in the univariate analyses were selected. In cases with major collinearity (Spearman’s r>0.3), the covariate with the stronger association in the univariate analysis was included.Results:A total of 215 patients with early RA (71 % women; mean age 60 years) were investigated. The median symptom duration at inclusion was 7 months; interquartile range 5-10. The median 28 joint counts for swollen joints was 7 (interquartile range, IQR 5-11) and for tender joints 4 (IQR 1-9). In univariate analyses, swelling of the wrist, each metacarpophalangeal (MCP) joint and proximal interphalangeal (PIP) joints III and V, as well as tenderness of the elbow, wrist and each MCP and PIP joint were associated with significantly reduced grip force in the right hand. In the left extremity, corresponding associations were observed for swelling of the wrist, each MCP joint and PIP joints I and V, and for tenderness of the wrist and each MCP and PIP joint. In multivariate analysis, wrist synovitis was associated with reduced grip force (β -11.0 and -14.3 % of expected, respectively). There were also independent significant associations for tenderness of MCP IV and the elbow with reduced grip force in the right hand, and for swelling of MCP I and MCP V with reduced grip force in the left hand (Table 1).Table 1.Joint involvement associated with average grip force (% of expected value), multivariate linear regressionUnstandardized β95 % CIRight handSwollen Wrist-11.0-17.5 to -4.5Tender MCP IV-15.6-25.2 to -6.0Tender PIP V-2.3-12.0 to 7.3Tender Elbow-11.7-22.1 to -1.3Left handSwollen Wrist-14.3-20.4 to -7.6Swollen MCP I-7.6-14.6 to -0.6Swollen MCP V-11.7-21.9 to -1.5Swollen PIP I-0.8-9.2 to 7.5MCP: Metacarpo phalangeal jointPIP: Proximal interphalangeal jointConclusion:Involvement of several different joints in the upper extremity contributes to impaired hand function. Clinical synovitis of the wrist was associated with reduced grip force in both hands. In the left hand, arthritis of the thumb had a major impact on grip force. In general, MCP involvement was found to be more important for the grip than PIP involvement.References:[1]Nilsen T et al. Scand J Occup Ther 2012; 19: 288-96Disclosure of Interests:None declared

Prevalence of Hand, Finger, and Wrist Musculoskeletal Problems in Keyboard Instrumentalists: The University of North Texas Musician Health Survey

2001 ◽  
Vol 16 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Chong H Pak ◽  
Kris Chesky
Keyword(s):  
Health Survey ◽  
Statistical Significance ◽  
Significant Risk ◽  
The Internet ◽  
North Texas ◽  
University Of North Texas ◽  
Musculoskeletal Problems ◽  
Playing Time ◽  
And Gender ◽  
The University

Musculoskeletal problems are considered significant health factors for performing artists, especially instrumentalists. Although numerous studies exist that document the extent to which musicians experience these problems, serious consideration has not been given to musicians who play the keyboard, or the type of music played by each instrumentalist. Furthermore, although the Internet is an emerging tool for research, epidemiologists have been surprisingly slow in adapting to this novel way to conduct surveys. Using data derived from the University of North Texas Musician Health Survey (UNT-MHS) conducted over the Internet, this study assessed the prevalence of upper-extremity musculoskeletal problems among 455 keyboard instrumentalists and the association with musician type, daily playing time, gender, and age. Age and gender were found to be significant risk factors, while musician type and daily playing time did not show statistical significance.

scholarly journals A Rare Finding In The Hand Irrigation

2018 ◽  
Vol 17 (3) ◽  
pp. 496-500
Author(s):  
Humberto Ferreira Arquez
Keyword(s):  
Blood Supply ◽  
Anatomical Variation ◽  
Medical Science ◽  
Ulnar Artery ◽  
Palmar Arch ◽  
Left Hand ◽  
Composite Tissue ◽  
Critical Knowledge ◽  
The Right ◽  
The University

Background: The blood supply of the hand is complex and challenging. Awareness of the anatomical variationis necessary not only for the anatomist but also for surgeons.The ulnar artery provides a major blood supply to the hand with the assistance of the radial artery in the form of the superficial palmar arch.The objective of this study was reported a rareanatomical variation of the superficial palmar arch.Materials and Methods: The anatomical variation described was found during routine dissection performed by medical students of second semester in a 75-year-old male embalbed adult cadaver in the laboratory of Morphology of the University of Pamplona.Results and Discussion: In the right hand, the superficial palmar arch only gave rise to two common palmar digital arteries. In the left hand, the arch provided common palmar digital arteries which ran into the first, third and the fourth spaces and one proper palmar digital for the little finger. The arch does not supply the second intermetacarpal space.Conclusions: Less critical knowledge of vasculature of the hand might lead iatrogenic injury during surgery, microvascular surgery for revascularization, replantation and composite tissue transfers.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.496-500

scholarly journals Errata

1999 ◽  
Vol 58 (2) ◽  
pp. 590-590
Keyword(s):  
Michigan State University ◽  
State University ◽  
Alphabetical Order ◽  
Japanese Occupation ◽  
Left Hand ◽  
Hand Column ◽  
Right Hand ◽  
Production Error ◽  
The Right ◽  
The University

The Journal's November 1998 issue (57.4:1223) incorrectly identified Paul H. Kratoska's book as Malaya and Singapore During the Chinese Occupation. It should have been cited as Malaya and Singapore During the Japanese Occupation.Due to a production error in the Journal's February 1999 issue (58.1:78–80), the glossary in Joanna F. Handlin Smith's article on “Liberating Animals in Ming-Qing China” lost its original alphabetical order. Thus, Guangci bian is positioned after Chen Di on p. 78; renxing follows “Guang fangsheng hui yin” midway down the first column of p. 79; “Jiesha fangsheng he lun bing wu jue” begins the right hand column on p. 79 and follows Shunzhi at the bottom of the left hand column of that same page; Song Jingwen starts out the first column on p. 80 and follows yinde, the last entry on p. 79, which should have preceded yinguo, the first entry on the right hand column of p. 80.The Journal's February 1999 issue (58.1:269) carried an error. Gregory A. Olsen's book Mansfield and Vietnam: A Study in Rhetorical Adaptation was published by Michigan State University Press not the University of Michigan Press.

Hand and Upper Extremity Problems in Wind Instrument Players in Military Bands

2007 ◽  
Vol 22 (2) ◽  
pp. 67-69
Author(s):  
Koichi Nemoto ◽  
Hiroshi Arino
Keyword(s):  
Upper Extremity ◽  
French Horn ◽  
Medical Problems ◽  
Military Bands ◽  
Physical Problems ◽  
Wind Instrument ◽  
Self Defense ◽  
Repeated Use ◽  
The Right ◽  
The Military

This study examined the medical problems, especially of the hand and upper extremity, observed in wind instrument players from the military bands of the Japan Self-Defense Forces. The bands included 235 wind instrument players (184 men, 51 women), whose ages ranged from 18 to 57 yrs (average, 35 yrs). The length of their careers ranged from 6 to 41 yrs (average, 21 yrs). Methods: A questionnaire was distributed to the subjects for the health check. Results: From 235 wind instrument players, 71 (30% of the total players, 27% of the male players, and 41% of the female players) had hand and upper extremity problems. No relationship between the problem and the age or length of career was observed. The most common complaints were pain (49%), stiffness (19%), and numbness (7%). The upper extremities accounted for 52% of the affected sites and included the shoulder (6%), elbow (11%), forearm (4%), wrist (31%) and digit (47%). Musicians who played the flute, oboe, or clarinet were most commonly affected. The right thumb pain of clarinet and oboe players and right wrist pain of French horn players were characteristic symptoms of these instruments. Conclusion: Physicians, musicians, and administrators should be conscious of the potential for musicians to develop a wide array of physical problems directly related to the repeated use of their musical instruments.

scholarly journals Playing-related Musculoskeletal Problems in Children Learning Instrumental Music: The Association Between Problem Location and Gender, Age, and Music Exposure Factors

2011 ◽  
Vol 26 (3) ◽  
pp. 123-139 ◽  
Author(s):  
Sonia Ranelli ◽  
Leon Straker ◽  
Anne Smith
Keyword(s):  
Risk Factors ◽  
Children And Adolescents ◽  
Instrumental Music ◽  
Well Being ◽  
Left Hand ◽  
Instrument Type ◽  
Musculoskeletal Problems ◽  
Potential Risk Factors ◽  
Playing Time ◽  
The Right

PURPOSE: Playing-related musculoskeletal problems (PRMP) are common in adult musicians, and risk factors include gender, music exposure, and particularly instrument type. Emerging evidence suggests PRMP are common in children and adolescents and that risk factors may be similar. The aim of this study was to determine the prevalence of PRMP, both symptoms and disorders, and PRMP location in children and adolescents as well as the associations with gender, age, and music exposure factors such as type and number of instruments and playing time. METHODS: This study surveyed 731 children (460 females), aged 7 to 17 years, studying instrumental music in government schools in Perth, Australia. Lifetime and monthly symptoms, monthly disorders (inability to play an instrument as usual), and PRMP location were examined. Chi-squared analyses were used to evaluate associations between gender, age, music exposure, and PRMP outcomes. Logistic regression evaluated the independent association of these potential risk factors with PRMP prevalence and location. RESULTS: Sixty-seven percent of students reported PRMP symptoms at some point, 56% reported them within the last month, and 30% reported an inability to play as usual within the last month. After adjustment for gender and age, the type of instrument played (upper and lower strings, woodwind, and brass) was significantly associated with all PRMP (p<0.005) and playing three instruments was protective against monthly symptoms (OR 0.43, p=0.05). The right (24%) and left (23%) hand/elbow and neck (16%) were the most commonly reported PRMP locations, with females affected significantly more than males Prevalence of PRMP increased with age for neck (p<0.001), mid-back (p=0.007), low back (p<0.001), right hand/elbow (p=0.008), and mouth (p=0.011). PRMP prevalence for the left hand/elbow and right and left shoulders demonstrated high rates across all childhood ages. Odds ratios for the risk of PRMP in different locations varied by instrument played. CONCLUSIONS: The high prevalence and location of PRMP are important issues for child and adolescent instrumentalists. Gender, age, and music exposure are associated with PRMP risk and need to be addressed to ensure musicians’ personal well-being and musical longevity.

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