Motor control alterations in musicians with musculockeletal pain disorders
2013 (English)In: Musicians' Health and Performance 1st Nordic Conference 2013, Luleå: Luleå University of Technology, Department of Health Sciences , 2013, 17-18 p.Conference paper, Meeting abstract (Refereed)
Musculoskeletal pain disorder (MSD) is a common cause for long-term work absenteeism among both women and men in the western world, including the Nordic countries. Musicians represent a profession highly afflicted with pain disorders, especially the areas of the neck, shoulder, arm, hand and the upper and lower back.During the last decades an abundant amount of research has reported associations between MSD and motor control disturbances. Common findings include altered neuromuscular coordination and reduced movement precision, as well as reduced strength, endurance and mobility. These disturbances can be of importance for recurrence and duration of the disorders, but also for work ability. Presumably, this can be of specific significance, with risk for absenteeism among professions with high demands on motor control.Musicians are highly dependent on fine motor control, such as fast and accurate finger movements, as well as postural and muscular endurance. Although the amount of research on motor control in pain disorders is extensive, only a few studies have investigated sensorimotor functions among musicians with musculoskeletal pain disorders. Altered posture has been reported, where one study reported dysfunction of the postural stability systems of the low back, shoulder and neck among musicians with playing related disorders (1). However, this study lacked an asymptomatic control group. A couple of studies have reported increased sensorimotor disturbances of the hand and arm among music students with symptoms compared to asymptomatic controls (2, 3). A few studies have investigated muscle activity of superficial neck-shoulder muscles in musicians with neck pain while playing the violin or viola, but the results are incoherent reporting both increased and reduced muscle activity, e.g. (4, 5).Taken together, altered motor control appears to be a concern for musicians with playing related MSD. There is, though, a need for further investigation into motor control functioning among musicians and the association with MSD, especially whilst playing musical instrument. Increased insights in this area can be of important value for prevention and rehabilitation strategies.References1. Steinmetz A et al. Impairment of postural stabilization systems in musicians with playing-related musculoskeletal disorders. J Manip Physiol Ther. 2010 Oct;33(8):603-11.2. Daenen L et al. Sensorimotor incongruence triggers sensory disturbances in professional violinists. Rheumatology. 2010 Jul;49(7):1281-9.3. Baskurt Z et al. Assessment of kinesthetic awareness and fine motor dexterity in music students with performance-related hand disorders. Healthmed. 2012;6(10):3395-402.4. Berque P, Gray H. The influence of neck-shoulder pain on trapezius muscle activity among professional violin and viola players. Med Probl Perform Art. 2002 Jun;17(2):68-75.5. Park KN et al. Comparison of Electromyographic Activity and Range of Neck Motion in Violin Students with and without Neck Pain During Playing. Med Probl Perform Art. 2012 Dec;27(4):188-92.
Place, publisher, year, edition, pages
Luleå: Luleå University of Technology, Department of Health Sciences , 2013. 17-18 p.
musician, pain, motor control, disturbances, Medicin
Research subject Physiotherapy
IdentifiersURN: urn:nbn:se:ltu:diva-35169Local ID: 995dafe1-5296-4ee4-be00-1013dd7e00ffOAI: oai:DiVA.org:ltu-35169DiVA: diva2:1008421
Musicians´Health & Performance : 1st Nordic Conference 2013. 13/06/2013 - 14/06/2013
ProjectsHälsa och prestation vid Musicerande
Godkänd; 2013; 20130627 (ulrroi)2016-09-302016-09-30Bibliographically approved