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Assel C, Nugraha B, Kallusky N, Faßnacht-Lenz S, Altenmüller E, Gutenbrunner C, Sturm C. Effect of manual therapy on music students with playing-related musculoskeletal disorders: a prospective study. FRONTIERS IN PAIN RESEARCH 2023; 4:1151886. [PMID: 37449297 PMCID: PMC10338093 DOI: 10.3389/fpain.2023.1151886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 06/09/2023] [Indexed: 07/18/2023] Open
Abstract
Playing Related Musculoskeletal Disorders (PRMD) belong to the most prevalent medical ailments affecting musicians' health and career. This study documents the effect of a physiotherapeutic treatment as well as functional impairments of PRMD on the musculoskeletal system. In total, 32 music students suffering from PRMD were examined in Hanover Medical School (MHH) before and after they received twelve physiotherapeutic treatments, which were carried out over 20 min each over 6 weeks. Additionally, 32 healthy music students, matched by age and gender, were examined at one time point in the MHH to explore which musculoskeletal restrictions are associated with PRMD. The examination included the evaluation of the pain on the Visual Analogue Scale for pain (VAS), a body composition, and body posture measurement, the finger-to-floor distance, the range of motion of the cervical spine, the pressure pain and muscular hypertension examination, the temporomandibular joint-test, the Beighton score screening test, and the testing of the widespread pain score (WSP). After analyzing the data of the patient group (PG) a significant reduction of pain level on the VAS from an average pain of 6.31 to 3.53 was found (large effect). Additionally, a significant reduction of the pressure pain of the M. levator scapulae, the M. rhomboideus, the M. sternocleidomastoideus on the left side and the paravertebral muscles of the cervical spine on the right side after the treatment of the patients could be detected. Regarding the WSP, the positive testing significantly differed, showing a 28% positive testing in the patient group vs. a positive testing of 9% in the control group (CG). As hypermobility is a common phenomenon in musicians, the percentage of those being diagnosed with generalized hypermobility by using the Beighton score in both groups (PG: 37.5%; CG: 25%) was remarkably higher compared to previous studies. In this study, a short course of manual therapy, client tailored for each musician's specific problem, was shown to reduce pain levels in musicians with PRMD.
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Affiliation(s)
- Carolin Assel
- Department of Rehabilitation Medicine, Hanover Medical School, Hanover, Germany
| | - Boya Nugraha
- Department of Rehabilitation Medicine, Hanover Medical School, Hanover, Germany
| | - Nicolas Kallusky
- Institute of Music Physiology and Musicians’ Medicine, Hanover University of Music, Drama and Media, Hanover, Germany
| | | | - Eckart Altenmüller
- Institute of Music Physiology and Musicians’ Medicine, Hanover University of Music, Drama and Media, Hanover, Germany
| | | | - Christian Sturm
- Department of Rehabilitation Medicine, Hanover Medical School, Hanover, Germany
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Ballenberger N, Avermann F, Zalpour C. Musculoskeletal Health Complaints and Associated Risk Factors in Freshmen Music Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3169. [PMID: 36833864 PMCID: PMC9964731 DOI: 10.3390/ijerph20043169] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 01/31/2023] [Accepted: 02/05/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Evidence concerning the development of musculoskeletal health complaints (MHCs) among music students is limited due to inappropriate study designs. We aimed to assess the occurrences of MHCs and associated risk factors in freshmen music students compared to students from other disciplines. METHODS A prospective cohort study was conducted. Risk factors such as pain-related, physical, and psychosocial variables were measured at baseline. Episodes of MHCs were recorded monthly. RESULTS A total of 146 music students and 191 students from other disciplines were analyzed. In the cross-sectional comparison, pain-related, physical, and psychosocial variables were significantly altered in music students compared to students from other disciplines. Furthermore, music students with current MHCs differed significantly from music students without current MHCs with respect to physical health, pain, and history of MHCs. Our longitudinal analysis showed that monthly MHCs were higher in music students compared to students from other disciplines. Independent predictors for monthly MHCs in music students were current MHCs and reduced physical function. Predictors for MHCs in students from other disciplines were a history of MHCs and stress. CONCLUSIONS We provided insight into the development of MHCs and risk factors in music students. This may help in the creation of targeted, evidence-based prevention and rehabilitation.
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Affiliation(s)
- Nikolaus Ballenberger
- Faculty of Business Management and Social Sciences, Osnabrück University of Applied Sciences, 49090 Osnabrück, Germany
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Bruder J, Ballenberger N, Villas B, Haugan C, McKenzie K, Patel Z, Zalpour C, Mevawala A, Handl M, Guptill C. MusicCohort: Pilot feasibility of a protocol to assess students' physical and mental health in a Canadian post-secondary school of music. BMC Res Notes 2021; 14:441. [PMID: 34863309 PMCID: PMC8642914 DOI: 10.1186/s13104-021-05829-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 11/03/2021] [Indexed: 11/23/2022] Open
Abstract
Objective Music-related physical and mental health conditions are common among post-secondary music students, with many studies reporting a prevalence greater than 70%. However, there is currently no consensus on appropriate, validated assessments for this population. The aim of this pilot study was to test the feasibility of an assessment protocol developed for a German longitudinal study with Canadian post-secondary music students, and to compare the health of music students to non-music students. Using a cross-sectional design, first-semester music and non-music control students were recruited at two campuses at the same university. Both groups completed questionnaires and physical testing, including range of motion, core strength, and pressure pain threshold. Nineteen music students and 50 non-music student controls participated in this study. Results The German protocol is feasible in a Canadian post-secondary setting. Canadian music students demonstrated similar health outcomes to those in the parent study. All participants demonstrated poorer mental and physical quality of life than the Canadian norms, though this was not statistically significant. The results of this study should be confirmed in a larger study. Future studies with larger sample sizes can provide further insight into the health of Canadian music students, providing a basis for prevention and intervention. Supplementary Information The online version contains supplementary material available at 10.1186/s13104-021-05829-9.
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Affiliation(s)
- Julius Bruder
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Nikolaus Ballenberger
- Department of Economics and Social Sciences, Hochschule Osnabrück, Albrechtstr. 30, 49076, Osnabrück, Germany
| | - Bethany Villas
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Charlotte Haugan
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Kimiko McKenzie
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Zalak Patel
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Christoff Zalpour
- Department of Economics and Social Sciences, Hochschule Osnabrück, Albrechtstr. 30, 49076, Osnabrück, Germany
| | - Amynah Mevawala
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Melisa Handl
- Faculty of Law, University of Ottawa, Ottawa, Canada
| | - Christine Guptill
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, 3071 Guindon Hall, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada.
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