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Medical problems of musicians
1Department of Neurology, University of Texas Medical School, Houston 77030.
The New England Journal of Medicine
|January 26, 1989
Summary
Nearly half of musicians suffer playing-related injuries, primarily overuse injuries affecting tendons and muscles. These conditions, often career-threatening, necessitate rest and specialized care for affected musicians.
Area of Science:
- Medical problems in performing artists
- Musculoskeletal disorders in musicians
Background:
- Performing musicians frequently experience playing-related medical issues.
- These problems can be severe, potentially ending or altering careers.
- Overuse injuries of the muscle-tendon unit are the most prevalent concern.
Purpose of the Study:
- To summarize the medical problems encountered by performing musicians.
- To identify common injuries, predisposing factors, and therapeutic approaches.
- To highlight neurological conditions and performance anxiety in musicians.
Main Methods:
- Survey data from performing musicians was analyzed.
- Information on injury types, affected instruments, and risk factors was collected.
- Therapeutic strategies and emerging treatments were reviewed.
Main Results:
- Almost 50% of musicians report playing-related medical problems.
- String players are most affected; percussionists least.
- Repetitive movements, long practice hours, and awkward postures are key risk factors.
- Neural impingement syndromes and focal dystonias are significant concerns.
- Women are more frequently affected than men.
Conclusions:
- Playing-related injuries are a major occupational hazard for musicians.
- Rest is crucial for therapy; specialized clinics offer targeted care.
- Understanding musicians' unique medical needs is vital for effective management and career preservation.