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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

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Investigating the effects of high-intensity training on upper extremity motor functions, symptoms, pain and fatigue in Oud players

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  • presenting/speaker Ege Temizkan - Hacettepe University Department of Occupational Therapy, Ankara, Turkey
  • Burcu Semin Akel - Hacettepe University Department of Occupational Therapy, Ankara, Turkey

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. DocIFSHT19-1219

doi: 10.3205/19ifssh1518, urn:nbn:de:0183-19ifssh15183

Published: February 6, 2020

© 2020 Temizkan et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

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Objective: High intensity training of an instrument usually harms musicians' upper extremity functioning and results in increased injurious symptoms. The research about this issue, however, is centered around popular instruments such as piano and guitar. Unpopular and, in many cases, eastern instruments are not very frequently analyzed. Therefore, it is aimed to investigate the effects of high intensity training on upper extremity motor functions, symptoms, pain and fatigue in Oud players.

Materials and Methods: Thirteen oud players participated. The training consisted in 8 days of intense practice. Upper extremity motor functions were assessed with Fine Finger Dexterity and Simulated Assembly tests of VALPAR Work Samples. Upper extremity functions and symptoms were assessed with The Disabilities of the Arm, Shoulder and Hand Outcome Measure. Musculoskeletal pain was assessed with The Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians as well as the McGill Pain Scoring. Fatigue was assessed with VAS.

Results: The average Fine Finger Dexterity subscores were 74,03±13,89, 87,96±28,32 and 93,06±24,54 before the training and 98,03±24,33, 120,45±53,64 and 102,82±18,07 respectively after the training. The average Simulated Assembly score was 119,85±17,03 before the training and 136,99±20,00 after. There were significant increases in all of the Fine Finger Dexterity sub-scores (p=0,001; p=0,001 and 0,013) and the Simulated Assembly score (p=0,01). There were no significant differences in other assessments.

Conclusions: Participants' upper extremity motor function scores were increased after the training program. The fact that there were no increases in pain, fatigue and disability outcome score is astonishing. It's showed before that high-intensity training programs with popular instruments were intensifiers of pain and fatigue. This contradiction may owe to the design of the oud itself, as well as the playing methods and postures that are used, which should be analyzed in-depth for further understanding.