Risk of work-related musculoskeletal disorders and postural abnormalities in professional dulcimer and violin players comparing to non-musicians

Document Type : Research Paper

Authors

1 Faculty of Physical Education and Sport Sciences

2 Department of Health and Sports Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran

Abstract

Background and Aim: String musicians have the highest number of musculoskeletal disorders among different groups of musicians. Few studies have investigated the risk of work-related musculoskeletal disorders and postural abnormalities in these people comparing to non-musicians. Therefore, the aim of this study was to determine the risk of work-related musculoskeletal disorders and postural abnormalities in professional dulcimer and violin players and to compare them to non-musicians.
Methods: This is a descriptive comparative study. Seventy professional male dulcimer and violin players aged 18 to 40 years, and 35 male non-musicians were participated in this study. Flexible ruler and forward head goniometer were used to measure kyphosis, lordosis and forward head posture. Scoliosis were assessed with photogrammetry. Risk of musculoskeletal disorders for upper limb assessed using photogrammetry and RULA method. For the statistical analysis, the Shapiro-Wilk and U Mann-Whitney tests were used in SPSS version22 with the significance level of 0.05.
Results: The results showed that risk of work related musculoskeletal disorders, kyphosis, lordosis, forward head posture and scoliosis were significantly higher in dulcimer players comparing to non-musicians. In violin players, the risk of work related musculoskeletal disorders, kyphosis, lordosis and forward head posture were significantly higher comparing to non-musicians as well, but no significant difference were in their scoliosis.
Conclusion: According to the findings of the study, it can be said that the dulcimer and violin players are more vulnerable to work related musculoskeletal disorders and postural abnormalities compared to non-musicians and the corrective strategies are suggested for these disorders.

Keywords


Ajidahun, A. T., Mudzi, W., Myezwa, H., Wood, W. A. (2017). “Musculoskeletal problems among string instrumentalists in South Africa”. South African Journal of Physiotherapy, 73(1), 327.
Ajidahun, A. T., Phillips, J. (2013). “Prevalence of musculoskeletal disorders among instrumental musicians at a center for performing arts in South Africa”. Medical Problems of Performing Artists, 28(2), 96-99.
Amaral Corrêa, L., Teixeira dos Santos, L., Nogueira Paranhos, E. N., Minetti Albertini, A. I., do Carmo Silva Parreira, P., Calazans Nogueira, L. A. (2018). “Prevalence and Risk Factors for Musculoskeletal Pain in Keyboard Musicians: A Systematic Review”. Physical Medicine and Rehabilitation, 10(9), 942-950.
Ashkani Rad, G. (2015). [“The relationship between physical posture and mental fatigue and musculoskeletal disorders in string musicians”]. (MSc Thesis). University of social Welfare and Rehabilitation Sciences, Tehran (In Persian).
Cayea, D., Manchester, R. A. (1998). “Instrument-specific rates of upper-extremity injuries in music students”. Occupational Health and Industrial Medicine, 38(6), 308.
Choobineh, A. (2021). [Methods of postural assessment in occupational ergonomics]. Tehran: Fanavaran (In Persian).
Fishbein, M., Middlestadt, S. E., Ottati, V., Straus, S., Ellis, A. (1988). “Medical problems among ICSOM musicians: overview of a national survey”. Medical Problems of Performing Artists, 3(1), 1-8.
Holst, G. J., Paarup, H. M., Baelum, J. (2012). “A cross-sectional study of psychosocial work environment and stress in the Danish symphony orchestras”. International Archives of Occupational and Environmental Health, 85(6), 639-649.
Kaufman-Cohen, Y., Ratzon, N. Z. (2011). “Correlation between risk factors and musculoskeletal disorders among classical musicians”. Occupational Medicine, 61(2), 90-95.
Kok, L. M., Vlieland, T. P. M. V., Fiocco, M., Nelissen, R. G. H. H. (2013). “A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians”. BMC Musculoskeletal Disorders, 14(1), 9.
Lederman, R. J. (2003). “Neuromuscular and musculoskeletal problems in instrumental musicians”. Muscle & Nerve, 27(5), 549-561.
Münte, T. F., Altenmüller, E., Jäncke, L. (2002). “The musician's brain as a model of neuroplasticity”. Nature Reviews Neuroscience, 3(6), 473-478.
Nyman, T., Wiktorin, C., Mulder, M., Johansson, Y. L. (2007). “Work postures and neck–shoulder pain among orchestra musicians”. American Journal of Industrial Medicine, 50(5), 370-376.
Pourtorab, M. K. (2004). [Theory of music]. Tehran: Cheshmeh Publications (In Persian).
Rajabi, R., Samadi, H. (2022). [Corrective exercise laboratory]. Tehran: University of Tehran Press. (In Persian).
Saad, K. R., Colombo, A. S., João, S. M. (2009). “Reliability and validity of the photogrammetry for scoliosis evaluation: a cross-sectional prospective study”. Journal of Manipulative and Physiological Therapeutics, 32(6), 423-430.
Soleimani, O., Saraei, P., Khoiei, M. (2020). [“Comparative study of posture in piano and dulcimer with emphasis on  articulations, temporal and dynamic changes performance”]. Journal of Human Sciences Research, 31, 161-180. (In Persian).
Steinmetz, A., Scheffer, I., Esmer, E., Delank, K. S., Peroz, I. (2015). “Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany”. Clinical Rheumatology, 34(5), 965-973.
Trelha, C. S., Carvalho, R. P. d., Franco, S. S., Nakaoski, T., Broza, T. P., Fábio, T. d. L., Abelha, T. Z. (2004). A”rt and health: frequency of musculoskeletal symptoms in musicians of the symphonic orchestra of the state university of Londrina”. Semina: Ciências Biológicas e da Saúde, 25(1), 65-72.
Vedadhir, A., Aminian, E., Tabatabaei, A. S., Salmani, M. (2011). [“Youth and Pop Music: A Study of Socio-Cultural Factors Related to Tarbiat Moallem University Students' Tendency to Pop Music”]. Journal of Social Problems of Iran, 2(1), 167-193. (In Persian).
Wynn Parry, C. B. (2003). “Prevention of musicians' hand problems”. Hand Clinics, 19(2), 317-324.
Yip, C. H. T., Chiu, T. T. W., Poon, A. T. K. (2008). “The relationship between head posture and severity and disability of patients with neck pain”. Manual Therapy, 13(2), 148-154.
Yousefi, M., ilbeigi, S., Mehrshad, N., Afzalpour , M. E., & Naghibi, S. E. (2012). “Comparing the Validity of Non-Invasive Methods in Measuring Thoracic Kyphosis and Lumbar Lordosis”. Zahedan Journal of Research in Medical Sciences1, 4(4), e93492.
Zaza, C., Farewell, V. T. (1997). “Musicians' playing-related musculoskeletal disorders: An examination of risk factors”. American Journal of Industrial Medicine, 32(3), 292-300.
Zaza, C. H. (1995). “Musicians' playing-related musculoskeletal disorders: an examination of physical, psychological, and behavioural factors”. (Ph.D. Dissertation). University of Waterloo, Canada.