scholarly journals Playing-Related Musculoskeletal Disorders, Risk Factors, and Treatment Efficacy in a Large Sample of Oboists

2022 ◽  
Vol 12 ◽  
Author(s):  
Heather M. Macdonald ◽  
Stéphanie K. Lavigne ◽  
Andrew E. Reineberg ◽  
Michael H. Thaut

ObjectivesDuring their lifetimes, a majority of musicians experience playing-related musculoskeletal disorders (PRMD). PRMD prevalence is tied to instrument choice, yet most studies examine heterogeneous groups of musicians, leaving some high-risk groups such as oboists understudied. This paper aims to (1) ascertain the prevalence and nature of PRMDs in oboists, (2) determine relevant risk factors, and (3) evaluate the efficacy of treatment methods in preventing and remedying injuries in oboe players.MethodsA 10-question online questionnaire on PRMDs and their treatments was completed by 223 oboists. PRMDs were compared across gender, weekly playing hours, career level, age, and years of playing experience.ResultsOf all respondents, 74.9% (167/223) reported having had at least one PRMD in their lifetime. A majority of these injuries (61.9% of all respondents) were of moderate to extreme severity (5 or higher on a scale of 1 to 10). Females (mean = 5.88) reported significantly more severe injuries than males. No significant effects of career level (i.e., professional vs. student vs. amateur), age, or years of playing experience were observed. We found significant non-linear relationships between weekly playing hours and PRMD prevalence and severity. Injuries were most commonly on the right side of the body, with the right thumb, wrist, hand, and forearm being most affected in frequency and severity. Of those injuries for which recovery information was provided, only 26.1% of injuries were “completely recovered.” The perceived effectiveness of a few treatments (physical therapy, rest, stretching, occupational therapy, massage) tended to be ranked more highly than others.ConclusionThe oboists in this study experienced high rates of PRMD, particularly in the right upper extremities. Females and those playing 7-9 and 16-18 h per week reported a significantly higher severity of injuries than other groups.

Author(s):  
Gh Halvani ◽  
H Fallah ◽  
R Jafari Nodoushan ◽  
A Haji hosseini ◽  
H Fallah zadeh ◽  
...  

Introduction: The condition of work in handloom weaving industries cause musculoskeletal (MSDS) disorders which are the most prevailing professional problem among weavers. The aim of this research was to determine ergonomic risk factors in the occurrence of musculoskeletal disorders. Method: The present study was done through descriptive cross-section method to assess the risk factors of work-related musculoskeletal disorders of the weavers. Our data collection tools were: demographic questionnaire, job Nordic questionnaire and body map prevalence of musculoskeletal disorders to decide the rate of symptoms. Then, we took film from handloom weavers while wearing to know the condition of their bodies. After reviewing the films, the posture marks was assigned to each duty using the Ergo Intelligence software. At the end, data were analyzed via one-way ANOVA and T-test using SPSS ver.20. Results: The results showed that the most frequent incidence of pain in different organs of the body during last year belonged to neck and shoulder. The average OCRA was 3.65.This indicated that most of the handloom weavers (64.4%) are at high risk. Conclusion: According to the re According to the results of OCRA indices, weavers are at high risk for musculoskeletal injuries, indicating their poor working environment and working conditions, indicating the need for corrective actions.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262207
Author(s):  
Sigal Portnoy ◽  
Shlomit Cohen ◽  
Navah Z. Ratzon

Background The guitar-playing community is the largest group at risk of developing playing related musculoskeletal disorders. A thorough investigation of the relationships between the various risk factors and players’ report on musculoskeletal pain using objective and accurate means of assessment has yet to be reported. Purpose (a) to explore the correlations between demographic characteristics, anthropometric measurements, playing habits, and personal habits of guitar player and their complaints of musculoskeletal pain, (b) explore the correlations between the upper body kinematics of guitar players during playing the guitar and their complaints of musculoskeletal pain, and (c) compare the upper body kinematics of guitar players during playing the guitar while sitting versus standing. Methods Twenty-five guitar players (27.5±4.6 years old) filled out questionnaires regarding their guitar-playing habits, and the Standardized Nordic Questionnaires for the analysis of musculoskeletal symptoms. Kinematics of their torso and upper limbs were tracked while they played a tune twice, once while sitting and once while standing. Results We found moderate correlations between the number of painful joints in the last year and factors, such as physical comfort while playing, years of playing, and position during playing. During standing, lower back pain severity correlated with the rotation range of the torso, while during sitting, it moderately correlated with the average radial-ulnar deviation of the right wrist. During sitting, we found higher anterior and right tilt of the torso, combined with greater abduction of the right shoulder, higher flexion in the left shoulder and higher radial deviation in the left wrist. Conclusion Our results point to several risk factors, related both to playing habits but also to playing posture, which should be considered by the guitar players in order to prevent playing-related musculoskeletal disorders.


Author(s):  
Yi-Lang Chen ◽  
Yan-Ting Zhong ◽  
Bang-Nan Liou ◽  
Chih-Chuan Yang

In this study, the Nordic Musculoskeletal Questionnaire (NMQ) was administered to a valid sample of 81 Taiwanese bakery workers to explore their discomfort or symptoms of work-related musculoskeletal disorders and identify the risk factors. Wrist postures were also examined during 3 typical dough operations (kneading, rolling, and rounding) by using an electrogoniometer. The prevalence of musculoskeletal discomfort in any part of the body in the past year among the respondents was 93.0%, with the highest prevalence of 66.3% and 51.8% in the hands/wrists (right and left), followed by the prevalence of 50.6% and 45.8% in the shoulders (right and left) and the lower back (48.2%), respectively. The results also revealed that during the 3 dough processing operations, the workers’ wrist movements in specific operations were close to the recommended limits suggested in previous studies, especially the ulnar deviation and palm flexion of the right wrist during dough kneading and the radial deviation of the left wrist during dough rolling and rounding. The study findings can be used to explain why the bakers self-report a high proportion of wrist and shoulder disorders and can also serve as a reference for task rearrangement and redesign.


2021 ◽  
Author(s):  
S.M. Yentis ◽  
◽  
K. Asanati ◽  
C.R. Bailey ◽  
R. Hampton ◽  
...  

3Association of Anaesthetists | Better musculoskeletal health for anaesthetistsSummaryWork-related musculoskeletal disorders are very common amongst healthcare workers, and there is evidence that anaesthetists are at greater risk of upper limb disorders than other groups. This guidance aims to bring together advice and recommendations from a variety of sources in order to inform and support anaesthetists at work, in an attempt to reduce the prevalence and severity of work-related musculoskeletal disorders and the exacerbation of pre-existing disorders. Mechanical and psychosocial risk factors for work-associated musculoskeletal disorders are summarised, along with general principles for achieving better musculoskeletal health and practices specific to areas of the body most at risk. These include recommended exercises and stretches during sedentary work.RecommendationsAttention must be paid by both employers and anaesthetists to the physical and psychological risk factors that may lead to development and/or exacerbation of musculoskeletal disorders. This requires ongoing risk assessments and adherence to published standards of health and safety at work, including training. Such a programme is best achieved as part of a multidisciplinary approach.What other guidelines are available on this topic? There are many sources of guidance on health and safety in the workplace, across many sectors, much of which is of relevance to anaesthetists. There is no readily accessible guidance specifically aimed at the anaesthetic workplace.Why was this guideline developed?This guidance was developed as part of a wider piece of work by the Association of Anaesthetists based around ergonomics of the anaesthetic workplace, as a result of the increased reported incidence of musculoskeletal disorders amongst anaesthetists. It aims to draw on existing guidance and present a summary of advice relevant to anaesthetists and their practice.How and why does this publication differ from existing guidelines?This guidance summarises other advice and recommendations, and focuses on factors relevant to the anaesthetic workplace


Blood ◽  
2011 ◽  
Vol 118 (21) ◽  
pp. 3148-3148
Author(s):  
Alaa Muslimani ◽  
Aya Rifai ◽  
Mohammad Muhsin Chisti ◽  
Ayham Ashkar ◽  
Kinda Muslemani ◽  
...  

Abstract Abstract 3148 Background: VTEs are common complications in association with IT which may cause additional morbidity and mortality in AML patients. However, treating patients with AML is challenging because of the cytopenias due to chemotherapy and the high risk for bleeding during IT. This study investigates frequency, risk factors, and safety of using anticoagulation (AC) therapy for VTEs during IT. Method: We retrospectively reviewed the charts of AML patients who received IT between January, 2000-January, 2011 at William Beaumont Health Systems. Exclusion criteria included a documented personal history of inherited thrombophilia. Data retrieved included the following: patient characteristics, leukemia subtype, cytogenetic risk, location of the VTEs, FLT3 mutations, IT regimen used (cytarabine and anthracycline regimens or hypomethylating agents), AC therapy, bleeding complications, mortality related to AC therapy. All patients who received AC were initially treated with regular intravenous unfractionated heparin or subcutaneous low molecular weight heparin. Patients were subsequently started on oral warfarin during the first 10 days of the initial treatment with a targeted INR of 2.0–3.0. Results: We found 48 of 363 (13.2%) AML patients developed VTEs during IT. Of those patients, 56.3 % were female. The VTEs occurred most frequently in upper extremities (58%) and were catheter-related. Other locations for VTEs included lower extremities (21%), pulmonary embolism (15%), and mesenteric or portal veins (6%). We note that 41 patients (87%) received AC therapy. Of these, three patients (7.3%) had bleeding complications and no AC therapy-related deaths were observed. When the three cytogenetic risk groups were compared, there was no difference in the incidence of VTEs (good vs intermediate vs poor). Patients with FLT 3 mutations, however, had a significant higher incidence of VTEs when compared to patients without FLT3 mutations (55.3% vs 12% p <0.001). Finally, patients treated with cytarabine + anthracycline regimen had a higher incidence of VTEs compared to patients treated with hypomethylating agents (81.3% vs 4.2 % p <0.001.) Conclusions: We found that 13% of AML patients developed VTEs during IT, most commonly in upper extremities and were catheter-related. The risk for VTEs was markedly increased in patients with FLT3 mutations. Furthermore, using a cytarabine + anthracycline regimens carried a higher risk for VTEs when compared to regimens using a hypomethylating agents. Finally, using AC therapy during IT is relatively safe and is associated with low risk of bleeding complications. Disclosures: No relevant conflicts of interest to declare.


2019 ◽  
pp. 50-57
Author(s):  
I. N. Zakharova ◽  
E. A. Solov’yeva ◽  
T. M. Tvorogova ◽  
S. I. Lazareva ◽  
T. Yu. Vil’ken ◽  
...  

Justification of the study. The normalization of vitamin D levels in both children and adults is the goal of numerous studies around the world, and the setting of a number of objectives related to this vector of preventive medicine, dictates the need for a more detailed study of regional features of the status of calcidiol and the identification of both risk factors and risk groups. Aim of the study: to analyze the impact of risk factors on the provision of vitamin D to adolescents in the Moscow region. Methods: 360 children over 11 years of age (average age was 14.74 ± 1.92 years) who attended a children’s polyclinic for preventive check-ups or are under observation in a day-care centre. After the examination, all schoolchildren were determined to have serum content of calcidiol – active metabolite of vitamin D. Results: the analysis revealed low vitamin D levels in children, with a median of 16.1 ng/ml. Normal vitamin D levels were found in only 6.7% of cases. The following risk factors for vitamin D deficiency were identified in Moscow schoolchildren: time of year (p < 0.001), inclusion of such foods as fish (p = 0.021) and liver (p = 0.036), gastrointestinal pathology (p < 0.001), endocrine system pathology (p < 0.001), musculoskeletal system pathology (p = 0.045): course of chronic inflammatory process (p = 0.01) in the body. The correlation between acute respiratory diseases and calcidiol supply was analyzed: at low frequency of acute respiratory infections during the year, the median level of vitamin D was 17.1 ng/ml (Q1-Q3: 12.6-22.1 ng/ml), at an average frequency – 11.4 ng/ml (Q1-Q3: 8.45-16.05 ng/ml), at high frequency – decreased to 7.94 ng/ml (Q1-Q3: 5.89-9.06 ng/ml). Conclusion: Vitamin D deficiency prophylaxis should be provided to children all year round, without a break for the summer months. If a child has a risk factor for vitamin D deficiency, the metabolite correction should be controlled by the calcidiol serum content.


2000 ◽  
Vol 15 (4) ◽  
pp. 167-174 ◽  
Author(s):  
Jaume Roset-Llobet ◽  
Dolors Rosinés-Cubells ◽  
Josep M Saló-Orfila

The present study analyzes the results from 1,639 questionnaires returned by Catalonian musicians from music schools, conservatories, orchestras, associations of professional musicians, and sundry other musical groups. The objective was to identify the principal risk factors associated with the appearance of health problems caused by the musicians’ occupations. The most noteworthy results were that 77.9% of the respondents have or have had some occupation-related health problem during their playing careers, and 37.3% of these have had technique impairment. The musculoskeletal system was the most frequently involved area (87.7% of the affected respondents). Risk factors identified include age, grade, dedication, professional status, changes in routine, and the instrument played (especially percussion, brass, and strings). In contrast to other studies, no relationship was discovered between gender or dominant hand and higher risk. The areas of the body most affected were the upper extremities and the neck. There is some indication in the data that the problems in males may be related to pathologies produced by overuse-strain; while those experienced by females are linked more with tension-posture. The conclusion reached is that, in spite of there being common factors, each community of musicians, each with its specific social, employment, and educational characteristics, presents a distinct pathological model, which makes the epidemiological data obtained in any study difficult to extrapolate to other communities.


2011 ◽  
Vol 1 (2) ◽  
pp. 26-31 ◽  
Author(s):  
Banibrata Das ◽  
Tirthankar Ghosh

Objective: Musculoskeletal disorders are a common problem among computer users. The main aim of the study is to assess the prevalence of musculoskeletal and visual disorders among the VDT workers. Material & Methods: The study was conducted in the different office premises in Kolkata. After selections of the locations, 100 VDT workers are selected randomly comprising 50 male and 50 female. A detailed study based on a modified Nordic questionnaire was performed among these VDT workers for study period to measure the outcome of epidemiological studies on musculoskeletal disorders. Results: The main finding of this study was that the Lower back problem is the main problem among VDT workers. The both male and female VDT workers also suffered pain in neck, shoulder, fore arm, wrist, elbow and the different parts of the upper extremities. This study revealed that the female VDT workers suffer more discomfort feeling than male VDT workers. In this study it was clearly indicated that the discomfort feeling was relatively high among the aged VDT workers. Prolonged period of work in an awkward posture mainly lead to discomfort feeling among the VDT workers. Another finding of this study was that both male and female VDT workers suffered from visual stress due to prolonged period of work and without using of antiglare screen in a monitor. Conclusion: The VDT workers suffered pain mainly in the upper extremities and lower back of the body. They also suffered from visual stress. Females have a higher discomfort feeling than male VDT workers. Key Words: VDT workers; Discomfort feeling; Visual stress; Gender difference DOI: 10.3126/ajms.v1i2.2992Asian Journal of Medical Sciences 1 (2010) 26-31


Work ◽  
2020 ◽  
Vol 66 (4) ◽  
pp. 861-869
Author(s):  
Pei-Luen Patrick Rau ◽  
Liuxing Tsao ◽  
Lili Dong ◽  
Xueqian Liu ◽  
Liang Ma ◽  
...  

BACKGROUND: A high prevalence of work-related musculoskeletal disorders (WMSDs) has been reported among flight attendants. Identifying the root causes of these disorders may improve the health conditions of flight attendants and further improve flight safety and service quality. OBJECTIVE: In this study, we aimed to identify WMSD risk factors for a specific population, namely Chinese female flight attendants. METHODS: A two-stage survey including an online questionnaire (46 flight attendants) and a semi-structured interview (16 flight attendants) was used to assess the WMSDs of Chinese female flight attendants. Text analysis tools in NVivo 11 were used to identify the main concerns and risk factors for WMSDs of Chinese flight attendants. RESULTS: In the online questionnaire, more than 86% of the participants reported discomfort in at least one body part. Biomechanical factors, work organizational factors, and psychosocial factors were reported by participants in this study. Chinese passengers were found to have an effect on WMSD development in Chinese flight attendants. CONCLUSIONS: The results of this study suggested that WMSDs are severe problems among Chinese flight attendants. General factors as well as the passenger-relevant factor were identified as the most influential causes of WMSDs.


2020 ◽  
Author(s):  
Hannah Clarke ◽  
Eirini Messaritaki ◽  
Stavros I Dimitriadis ◽  
Claudia Metzler-Baddeley

AbstractBackgroundAlzheimer’s Disease (AD) is the most common form of dementia with genetic and environmental risk contributing to its development. Graph theoretical analyses of brain networks constructed from structural and functional MRI measurements have identified connectivity changes in AD and individuals with mild cognitive impairment (MCI). However, brain connectivity in asymptomatic individuals at risk of AD remains poorly understood.MethodsWe acquired diffusion-weighted magnetic resonance imaging (dMRI) data from 165 asymptomatic individuals (38-71 years) from the Cardiff Ageing and Risk of Dementia Study (CARDS). We calculated white matter tracts and constructed whole-brain, default-mode-network and visual structural brain networks that incorporate multiple structural metrics as edge weights. We then calculated the relationship of three AD risk factors, namely Apolipoprotein-E ɛ4 genotype (APOE4), family history (FH) of dementia, and central obesity, on graph theoretical measures and hubs.ResultsWe observed no risk-related differences in clustering coefficients, characteristic path lengths, eccentricity, diameter and radius across the whole-brain, default-mode-network or visual system. However, a hub in the right paracentral lobule was present in all high-risk groups (FH, APOE4, obese) but absent in low-risk groups (no FH, APOE4-ve, healthy weight).DiscussionWe identified no risk-related effects on graph theoretical metrics in the structural brain networks of cognitively healthy individuals. However, high-risk was associated with a hub in the right paracentral lobule, an area with motor and sensory functions related to the lower limb. If this phenotype is shown to predict symptom development in longitudinal studies, it could be used as an early biomarker of AD.Impact StatementAlzheimer’s Disease is a common form of dementia which to date has no cure. Identifying early biomarkers will aid the discovery and development of treatments that may slow AD progression in the future. In this paper we report that asymptomatic individuals at heightened risk of dementia due to their family history, Apolipoprotein-E ɛ4 genotype and body adiposity have a hub in the right paracentral lobule which is absent in low-risk groups. If this phenotype were to predict the development of symptoms in a longitudinal study of the same cohort, it could provide an early biomarker of disease progression.


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