The extent of playing-related musculoskeletal problems (PRMDs) in the Irish traditional music community. A Survey

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Abstract

Background: The literature related to Playing-related musculoskeletal disorders (PRMDs) primarily includes classical musicians and instrument-specific studies. Previous work by our team identified that PRMDs are an issue for Irish traditional fiddle players, however, the extent of the problem was not known. Objective: To identify the type and extent of PRMDs in the Irish traditional music population, specifically, fiddle players. Methods: A bespoke questionnaire was developed and administered to the faculty and students related to all the Irish traditional music courses in all the Higher Education Institutions (HEIs) on the island of Ireland. Results: Seven HEIs were included. There was a response rate of 77.5% (n = 79). A fifth of respondants never had a PRMD, 36.7% (n = 29) currently had a PRMD and 34.2% (n = 27) had a previous experience of a PRMD. The main symptoms were pain (62%, n = 49), stiffness (41.8%, n = 33) and tingling (35.4%, n = 28). There was a positive association between the development of PRMDs and increased hours of play (p = 0.017). Conclusions: PRMDs are a problem for Irish traditional fiddle players, especially during times of intense playing such as during festivals.
LanguageEnglish
Pages49-57
JournalMedical Problems of Performing Artists
Volume33
Issue number1
Publication statusPublished - 7 Mar 2018

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Music
Education
Holidays
Ireland
Islands
Students
Pain
Population
Surveys and Questionnaires

Keywords

  • PRMDs
  • musculoskeletal injuries
  • musicians

Cite this

@article{ac0fe626bf1648a086d4ba0583923ada,
title = "The extent of playing-related musculoskeletal problems (PRMDs) in the Irish traditional music community. A Survey",
abstract = "Background: The literature related to Playing-related musculoskeletal disorders (PRMDs) primarily includes classical musicians and instrument-specific studies. Previous work by our team identified that PRMDs are an issue for Irish traditional fiddle players, however, the extent of the problem was not known. Objective: To identify the type and extent of PRMDs in the Irish traditional music population, specifically, fiddle players. Methods: A bespoke questionnaire was developed and administered to the faculty and students related to all the Irish traditional music courses in all the Higher Education Institutions (HEIs) on the island of Ireland. Results: Seven HEIs were included. There was a response rate of 77.5{\%} (n = 79). A fifth of respondants never had a PRMD, 36.7{\%} (n = 29) currently had a PRMD and 34.2{\%} (n = 27) had a previous experience of a PRMD. The main symptoms were pain (62{\%}, n = 49), stiffness (41.8{\%}, n = 33) and tingling (35.4{\%}, n = 28). There was a positive association between the development of PRMDs and increased hours of play (p = 0.017). Conclusions: PRMDs are a problem for Irish traditional fiddle players, especially during times of intense playing such as during festivals.",
keywords = "PRMDs, musculoskeletal injuries, musicians",
author = "Mark Porter and Wilson, {Iseult M.} and Liz Doherty and Justin Magee",
note = "Reference text: [1] Zaza C. Playing-related musculoskeletal disorders in musicians: a systematic review of incidence and prevalence. CMAJ 1998;158(8):1019-1025. [2] Middlestadt SE, Fishbein F. The prevalence of severe musculoskeletal problems among male and female symphony orchestra string players. Med Probl Perform Art 1989 March: 41 - 48 [3] Heming MJE. Occupational injuries suffered by classical musicians through overuse. Clinical Chiropractic 2004;7(2):55-66. DOI: 10.1016/j.clch.2004.02.008 [4] Abr{\'e}u-Ramos M, Micheo WF. Lifetime prevalence of upper-body musculoskeletal problems in a professional-level symphony orchestra: Age, gender and instrument-specific results. Med Probl Perform Art 2007;22:97-104 [5] Brandfonbrener A. History of playing-related pain in 330 university freshman music students. Med Probl Perform Art 2009;24:30-36 [6] Ackermann B, Driscoll T, Kenny DT. Musculoskeletal pain and injury in professional orchestral musicians in Australia. Med Probl Perf Art. 2012;27(4):181-187. [7] Steinmetz A, Scheffer I, Esmer E, Delank KS. Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestra musicians in Germany. Clin Rheumatol. 2015;34:965-973. [8] Heinan M. A review of the unique injuries sustained by musicians. JAAPA 2008;21(4):45-50. [9] Drinkwater EJE, Klopper CJC. Quantifying the physical demands of a musical performance and their effects on performance quality. Med Probl Perform Art 2010;25(2), pp. 66-71. [10] Ackermann BJ, Kenny DT, Fortune J. Incidence of injury and attitudes to injury management in skilled flute players. WORK 2011;40(3), pp. 255-259. DOI: 10.3233/WOR-2011-1227 [11] Paarup HM, Baelum J, Holm JW, Manniche C, Wedderkopp N. 2011. Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians vary by gender: a cross-sectional study. BMC Musculoskelet Disord 2011;12(1), pp. 223. [12] Nemoto K, Arino H. Hand and upper extremity problems in wind instrument players in military bands. Med Probl Perform Art 2007;22:67-69. [13] Brusky P. High prevalence of performance-related musculoskeletal disorders in bassoon players. Med Probl Perform Art 2009;24(2):81-87 [14] Hagberg M, Thiringer G, Brandstrom L. Incidence of tinnitus, impaired hearing and musculoskeletal disorders among students enrolled in academic music education - a retrospective study. Int Arch Occup Environ Health 2005;78: 575-583. DOI: 10.1007/s00420-005-0621-y [15] O'Connor G, McNamara B. A review of neurological abnormalities associated with the practise of music. IMJ 2009;102(5), pp. 156-157. [16] Dunn B., Pettigrew J., ‘It’s not like I can just stop’: the lived experience of pain in Irish traditional fiddlers [Summary of MA thesis], Sp{\'e}is Journal of the International Council for Traditional Music, Ireland 2011:(3);12. Available at www.ictm.ie: accessed on Nov 20, 2012 [17] Doherty L, Wilson IM, McKeown L. Practicing Safe Trad: Why existing approaches to Playing-Related Musculoskeletal Disorders may not help the Irish Traditional Music Community. Med Probl Perform Art 2013 Dec;28(4):181-7. [18] Wilson IM, Doherty L, McKeown L. Perceptions of Playing-Related Musculoskeletal Disorders (PRMDs) in Irish traditional musicians: a focus group study. WORK Print: 2014 Dec 49(4) [19] Berque P, Gray H, McFadyen A. Playing-related musculoskeletal problems among professional orchestra musicians in Scotland – A prevalence study using a validated instrument, the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM). Med Probl Perf Art. 2016;31(2):78-86. [20] Kramer, J., F, Potter, P., Harburn, K., L, Speechley, M. and Rollman, G. An Upper Body Musculoskeletal Assessment Instrument for Patients with Work-related Musculoskeletal Disorders: A Pilot Study. Journal of Hand Therapy, 2001, 14(2), pp. 115. [21] McAtamney, L. and Corlett, N. RULA: a survey method for the investigation of work-related upper limb disorders. Applied Ergonomics, 1993,24(2), pp. 91-99. [22] Lamontagne, V. and Belanger, C. Development and validation of a Questionnaire on Musculoskeletal Pain in Musicians. Medical Problems of Performing Artists, 2012, 27(1), pp. 37-42. [23] Paarup, H., Baelum, J., Manniche, C., Holm, J. and Wedderkopp, N. Occurrence and co-existence of localised musculoskeletal symptoms and findings in work-attending orchestra musicians- an exploratory cross-sectional study. BMC Research Notes, 2012, 5, pp. 541. [24] Ackermann, B. and Driscoll, T. Development of a new Instrument for measuring the musculoskeletal load and physical health of professional orchestral musicians. Medical Problems of Performing Artists, 2010, 25(3), pp. 95. [25] Cook C, Burgess-Limerick R, Chang S., The prevalence of neck and upper extremity musculoskeletal symptoms in computer mouse users, International Journal of Industrial Ergonomics 2000; 26 (3), 347-356 [26] Echeverria, P., A, Reid, K. and Morden, M. Maximising Respondent Engagement, The use of rich media, Congress 2007 – Excellence Celebrating 60 years 2007, ESOMAR. [27] Vision Critical. Maximizing respondent engagement through survey design, CASRO panel conference, 2008; Defining & delivering quality, February 5th & 6th 2008. [28] Zaza C. Playing-related health problems at a Canadian music school. Medical Problems of Performing Artists, 1992, 7, pp. 48-51. [29] Portenoy RK & Tanner RM, Pain Management: Theory and Practice, Oxford University Press, Inc., 1996 [30] Blanco-Pineiro P; Dı´az-Pereira, M.P. Martı´nez. A Musicians, postural quality and musculoskeletal health: A literature’s review, Journal of Bodywork & Movement Therapies 21, 2017, pp157-172 http://dx.doi.org/10.1016/j.jbmt.2016.06.018 [31] Afsharipour B; Petracca F; Gasparini G; Merletti R. Spatial distribution of surface EMG on trapezius and lumbar muscles of violin and cello players in single note playing, Journal of Electromyography and Kinesiology, 2016; 31 pp144–153 http://dx.doi.org/10.1016/j.jelekin.2016.10.003 [32] Bragge P, Bialocerkowski A, McMeekan J. A systematic review of prevalence and risk factors associated with playing-related musculoskeletal disorders in pianists. Occupational Medicine 2006;56:28-38. DOI: 10.1093/occmed/kqi177 [33] Baadjou VAE, Roussel NA, Verbunt JAMCF, Smeets RJEM, de Blie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occupational Medicine. 2016;66:614-622. [34] Smith C. The warm-up procedure: to stretch or not to stretch. A brief review. JOSPT 1994;19(1) [35] Wu SJ. Occupational risk factors for musculoskeletal disorders in musicians. Med Probl Perf Art. 2007;22(2):43-51. [36] Chan C. and Ackerman B., Evidence-informed physical therapy management of performance-related musculoskeletal disorders in musicians, Frontiers in Phycology, Vol. 5: 706, 2014. doi: 10.3389/fpsyg.2014.00706 [37] Encyclopaedia of Occupational Health and Safety 4th Ed, 2012. Chapter 6 – Musculoskeletal System. Available from: http://www.ilocis.org/documents/chpt6e.htm#JD_Ch6_1. [38] Quarrier NF. Survey of music teachers: Perceptions about music-related injuries. Med Probl Perform Art 1995;10:106-110. [39] Manchester RA. Artists and Athletes. Med Probl Perform Art 2011;26(1), pp. 1-2. [40] Engebretsen L, Bahr R, Cook JL, Derman W, Emery CA, Finch CF, Meeuwisse WH, Schwellnus M, Steffen K. The IOC Centres of Excellence bring prevention to Sports Medicine. Br J Sports Med 2014;48(17):1",
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T1 - The extent of playing-related musculoskeletal problems (PRMDs) in the Irish traditional music community. A Survey

AU - Porter, Mark

AU - Wilson, Iseult M.

AU - Doherty, Liz

AU - Magee, Justin

N1 - Reference text: [1] Zaza C. Playing-related musculoskeletal disorders in musicians: a systematic review of incidence and prevalence. CMAJ 1998;158(8):1019-1025. [2] Middlestadt SE, Fishbein F. The prevalence of severe musculoskeletal problems among male and female symphony orchestra string players. Med Probl Perform Art 1989 March: 41 - 48 [3] Heming MJE. Occupational injuries suffered by classical musicians through overuse. Clinical Chiropractic 2004;7(2):55-66. DOI: 10.1016/j.clch.2004.02.008 [4] Abréu-Ramos M, Micheo WF. Lifetime prevalence of upper-body musculoskeletal problems in a professional-level symphony orchestra: Age, gender and instrument-specific results. Med Probl Perform Art 2007;22:97-104 [5] Brandfonbrener A. History of playing-related pain in 330 university freshman music students. Med Probl Perform Art 2009;24:30-36 [6] Ackermann B, Driscoll T, Kenny DT. Musculoskeletal pain and injury in professional orchestral musicians in Australia. Med Probl Perf Art. 2012;27(4):181-187. [7] Steinmetz A, Scheffer I, Esmer E, Delank KS. Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestra musicians in Germany. Clin Rheumatol. 2015;34:965-973. [8] Heinan M. A review of the unique injuries sustained by musicians. JAAPA 2008;21(4):45-50. [9] Drinkwater EJE, Klopper CJC. Quantifying the physical demands of a musical performance and their effects on performance quality. Med Probl Perform Art 2010;25(2), pp. 66-71. [10] Ackermann BJ, Kenny DT, Fortune J. Incidence of injury and attitudes to injury management in skilled flute players. WORK 2011;40(3), pp. 255-259. DOI: 10.3233/WOR-2011-1227 [11] Paarup HM, Baelum J, Holm JW, Manniche C, Wedderkopp N. 2011. Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians vary by gender: a cross-sectional study. BMC Musculoskelet Disord 2011;12(1), pp. 223. [12] Nemoto K, Arino H. Hand and upper extremity problems in wind instrument players in military bands. Med Probl Perform Art 2007;22:67-69. [13] Brusky P. High prevalence of performance-related musculoskeletal disorders in bassoon players. Med Probl Perform Art 2009;24(2):81-87 [14] Hagberg M, Thiringer G, Brandstrom L. Incidence of tinnitus, impaired hearing and musculoskeletal disorders among students enrolled in academic music education - a retrospective study. Int Arch Occup Environ Health 2005;78: 575-583. DOI: 10.1007/s00420-005-0621-y [15] O'Connor G, McNamara B. A review of neurological abnormalities associated with the practise of music. IMJ 2009;102(5), pp. 156-157. [16] Dunn B., Pettigrew J., ‘It’s not like I can just stop’: the lived experience of pain in Irish traditional fiddlers [Summary of MA thesis], Spéis Journal of the International Council for Traditional Music, Ireland 2011:(3);12. Available at www.ictm.ie: accessed on Nov 20, 2012 [17] Doherty L, Wilson IM, McKeown L. Practicing Safe Trad: Why existing approaches to Playing-Related Musculoskeletal Disorders may not help the Irish Traditional Music Community. Med Probl Perform Art 2013 Dec;28(4):181-7. [18] Wilson IM, Doherty L, McKeown L. Perceptions of Playing-Related Musculoskeletal Disorders (PRMDs) in Irish traditional musicians: a focus group study. WORK Print: 2014 Dec 49(4) [19] Berque P, Gray H, McFadyen A. Playing-related musculoskeletal problems among professional orchestra musicians in Scotland – A prevalence study using a validated instrument, the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM). Med Probl Perf Art. 2016;31(2):78-86. [20] Kramer, J., F, Potter, P., Harburn, K., L, Speechley, M. and Rollman, G. An Upper Body Musculoskeletal Assessment Instrument for Patients with Work-related Musculoskeletal Disorders: A Pilot Study. Journal of Hand Therapy, 2001, 14(2), pp. 115. [21] McAtamney, L. and Corlett, N. RULA: a survey method for the investigation of work-related upper limb disorders. Applied Ergonomics, 1993,24(2), pp. 91-99. [22] Lamontagne, V. and Belanger, C. Development and validation of a Questionnaire on Musculoskeletal Pain in Musicians. Medical Problems of Performing Artists, 2012, 27(1), pp. 37-42. [23] Paarup, H., Baelum, J., Manniche, C., Holm, J. and Wedderkopp, N. Occurrence and co-existence of localised musculoskeletal symptoms and findings in work-attending orchestra musicians- an exploratory cross-sectional study. BMC Research Notes, 2012, 5, pp. 541. [24] Ackermann, B. and Driscoll, T. Development of a new Instrument for measuring the musculoskeletal load and physical health of professional orchestral musicians. Medical Problems of Performing Artists, 2010, 25(3), pp. 95. [25] Cook C, Burgess-Limerick R, Chang S., The prevalence of neck and upper extremity musculoskeletal symptoms in computer mouse users, International Journal of Industrial Ergonomics 2000; 26 (3), 347-356 [26] Echeverria, P., A, Reid, K. and Morden, M. Maximising Respondent Engagement, The use of rich media, Congress 2007 – Excellence Celebrating 60 years 2007, ESOMAR. [27] Vision Critical. Maximizing respondent engagement through survey design, CASRO panel conference, 2008; Defining & delivering quality, February 5th & 6th 2008. [28] Zaza C. Playing-related health problems at a Canadian music school. Medical Problems of Performing Artists, 1992, 7, pp. 48-51. [29] Portenoy RK & Tanner RM, Pain Management: Theory and Practice, Oxford University Press, Inc., 1996 [30] Blanco-Pineiro P; Dı´az-Pereira, M.P. Martı´nez. A Musicians, postural quality and musculoskeletal health: A literature’s review, Journal of Bodywork & Movement Therapies 21, 2017, pp157-172 http://dx.doi.org/10.1016/j.jbmt.2016.06.018 [31] Afsharipour B; Petracca F; Gasparini G; Merletti R. Spatial distribution of surface EMG on trapezius and lumbar muscles of violin and cello players in single note playing, Journal of Electromyography and Kinesiology, 2016; 31 pp144–153 http://dx.doi.org/10.1016/j.jelekin.2016.10.003 [32] Bragge P, Bialocerkowski A, McMeekan J. A systematic review of prevalence and risk factors associated with playing-related musculoskeletal disorders in pianists. Occupational Medicine 2006;56:28-38. DOI: 10.1093/occmed/kqi177 [33] Baadjou VAE, Roussel NA, Verbunt JAMCF, Smeets RJEM, de Blie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occupational Medicine. 2016;66:614-622. [34] Smith C. The warm-up procedure: to stretch or not to stretch. A brief review. JOSPT 1994;19(1) [35] Wu SJ. Occupational risk factors for musculoskeletal disorders in musicians. Med Probl Perf Art. 2007;22(2):43-51. [36] Chan C. and Ackerman B., Evidence-informed physical therapy management of performance-related musculoskeletal disorders in musicians, Frontiers in Phycology, Vol. 5: 706, 2014. doi: 10.3389/fpsyg.2014.00706 [37] Encyclopaedia of Occupational Health and Safety 4th Ed, 2012. Chapter 6 – Musculoskeletal System. Available from: http://www.ilocis.org/documents/chpt6e.htm#JD_Ch6_1. [38] Quarrier NF. Survey of music teachers: Perceptions about music-related injuries. Med Probl Perform Art 1995;10:106-110. [39] Manchester RA. Artists and Athletes. Med Probl Perform Art 2011;26(1), pp. 1-2. [40] Engebretsen L, Bahr R, Cook JL, Derman W, Emery CA, Finch CF, Meeuwisse WH, Schwellnus M, Steffen K. The IOC Centres of Excellence bring prevention to Sports Medicine. Br J Sports Med 2014;48(17):1

PY - 2018/3/7

Y1 - 2018/3/7

N2 - Background: The literature related to Playing-related musculoskeletal disorders (PRMDs) primarily includes classical musicians and instrument-specific studies. Previous work by our team identified that PRMDs are an issue for Irish traditional fiddle players, however, the extent of the problem was not known. Objective: To identify the type and extent of PRMDs in the Irish traditional music population, specifically, fiddle players. Methods: A bespoke questionnaire was developed and administered to the faculty and students related to all the Irish traditional music courses in all the Higher Education Institutions (HEIs) on the island of Ireland. Results: Seven HEIs were included. There was a response rate of 77.5% (n = 79). A fifth of respondants never had a PRMD, 36.7% (n = 29) currently had a PRMD and 34.2% (n = 27) had a previous experience of a PRMD. The main symptoms were pain (62%, n = 49), stiffness (41.8%, n = 33) and tingling (35.4%, n = 28). There was a positive association between the development of PRMDs and increased hours of play (p = 0.017). Conclusions: PRMDs are a problem for Irish traditional fiddle players, especially during times of intense playing such as during festivals.

AB - Background: The literature related to Playing-related musculoskeletal disorders (PRMDs) primarily includes classical musicians and instrument-specific studies. Previous work by our team identified that PRMDs are an issue for Irish traditional fiddle players, however, the extent of the problem was not known. Objective: To identify the type and extent of PRMDs in the Irish traditional music population, specifically, fiddle players. Methods: A bespoke questionnaire was developed and administered to the faculty and students related to all the Irish traditional music courses in all the Higher Education Institutions (HEIs) on the island of Ireland. Results: Seven HEIs were included. There was a response rate of 77.5% (n = 79). A fifth of respondants never had a PRMD, 36.7% (n = 29) currently had a PRMD and 34.2% (n = 27) had a previous experience of a PRMD. The main symptoms were pain (62%, n = 49), stiffness (41.8%, n = 33) and tingling (35.4%, n = 28). There was a positive association between the development of PRMDs and increased hours of play (p = 0.017). Conclusions: PRMDs are a problem for Irish traditional fiddle players, especially during times of intense playing such as during festivals.

KW - PRMDs

KW - musculoskeletal injuries

KW - musicians

M3 - Article

VL - 33

SP - 49

EP - 57

JO - Medical Problems of Performing Artists

T2 - Medical Problems of Performing Artists

JF - Medical Problems of Performing Artists

SN - 0885-1158

IS - 1

ER -