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Peripheral nerve disorders in instrumentalists.

R J Lederman1

  • 1Department of Neurology, Cleveland Clinic Foundation, OH 44195.

Annals of Neurology
|November 1, 1989
PubMed
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Playing-related symptoms in musicians are often neurological. Most instrumentalists with these issues benefit from conservative treatments or surgery, allowing them to continue their careers.

Area of Science:

  • Neurology
  • Music Medicine
  • Occupational Health

Background:

  • Musicians frequently experience playing-related symptoms.
  • Neurological conditions are a significant cause of these symptoms.

Purpose of the Study:

  • To investigate the prevalence and types of neurological disorders causing playing-related symptoms in instrumentalists.
  • To evaluate the effectiveness of various treatment modalities and their impact on career longevity.

Main Methods:

  • A cohort of 226 instrumentalists with playing-related symptoms was assessed.
  • Diagnoses included peripheral nerve disorders such as thoracic outlet syndrome, carpal tunnel syndrome, and cervical radiculopathy.
  • Treatment involved conservative management (playing schedule modification, therapy) and surgical interventions.

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Main Results:

  • 29% of instrumentalists were diagnosed with peripheral nerve disorders.
  • Conservative treatments were applied to 51 patients, with 9 undergoing surgery.
  • Follow-up revealed 74% satisfactory results, with most musicians remaining in their profession.

Conclusions:

  • Playing-related symptoms in instrumentalists are frequently neurological.
  • The majority of musicians with these conditions achieve positive outcomes with conservative or surgical treatments.
  • Neurological interventions support sustained careers in music.