gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Playing-related disorders among professional violinist

Meeting Abstract

  • presenting/speaker Maciej Bochenek - Department of Orthopaedics, Traumatology and Hand Surgery, Poznan, Poland
  • Marta Jokiel - Department of Orthopaedics, Traumatology and Hand Surgery, Poznan, Poland
  • Piotr Czarnecki - Department of Orthopaedics, Traumatology and Hand Surgery, Poznan, Poland
  • Leszek Romanowski - Department of Orthopaedics, Traumatology and Hand Surgery, Poznan, Poland

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1403

doi: 10.3205/19ifssh0928, urn:nbn:de:0183-19ifssh09280

Veröffentlicht: 6. Februar 2020

© 2020 Bochenek et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives/Interrogation: Professional musicians are increasing, difficult group of patients. They often complain of playing-related musculoskeletal disorders (PRMDs) meaning chronic, unspecified pain, localized usually in neck or wrist, paresthesia, tremor or muscle weakness. It is a group of patients that postpone the visit to a doctor, because of intermittent character of symptoms and anxiety of being diagnosed and withdrawn from regular practicing in course of treatment, what implicate delayed visit in a doctors office, when the symptoms are usually advanced. The goal of our study was to functionally evaluate professional violinist according to their complains, as their background can not be compared with any other group - chronic, low intensity and long overload of motor units in a strained position.

Methods: 23 professional violinist underwent clinical examination focused on upper limb and cervical neck disorders(25 functional tests). To assess everyday living activities and playing restrictions DASH questionnaire was provided. Musicians were also evaluated due to the length of play and time of warm up before playing by the questionnaire prepared by authors.

Results and Conclusions: DASH result for violinist group was 8,63 ± 10,3 while in disorder group 15,3 ± 10,7 but the difference between groups was non-significant. Examination revealed most common symptoms in wrist area and ulnar nerve neuropathy in left hand. Average time of warm up was 13 ± 3 min. More than 55% of examined group complained also because of cervical neck disorders and headaches. During clinical examination positive result were registered with Cozens, Thomsons, and skin and joints laxity. Average time between beginning of the symptoms and medical appointment was 7-8 months.

Violinists complains are concerned mostly with the left upper limb and cervical neck which are responsible for holding violin up. Lack of significant difference in DASH and prolonged time of medical appointments suggest that symptoms increase slowly and with the proper diagnosis in time we could adjust better therapy.