Occupational Disease in the Musicians
Physical Therapy Approach
DOI:
https://doi.org/10.34024/rnc.2000.v8.8938Keywords:
Occupational disease, musicians, physical therapeutic, neuromuscular disease, focal dystoniaAbstract
The musicians dedicate several hours daily studying the technique of their instrument, and professionally playing. The main types of injuries are: musculo-skeletical disorders, nerve compression, and motor dysfunction. The most common compressions are those of Interosseous Nerve, Thoracic Outlet and Carpal Tunnel Syndrome. They occur due to direct compression of the instrument over the traject of the nerve or to the incorrect posture while placing the instrument, or even by the narrowing of the nerve trajec due to repeated movements. Nine to 14% of the musicians have focal dystonia. It is necessary that professionals who treat physical disfunctions submit a preventive and healing implementation protocol. The techniques mostly used are: Proprioceptive Neuromuscular Facilitation, Miofasciotherapy, Feldenkrais, Rolfing, Iso-Stretching, Global Postural Reeducation, Hydrotherapy, Alexander Technique, Maitlland vertebral manipulation method. These techniques must be studied and compared through controlled trials, in order to select the best techniques to treat these dysfunctions.
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References
Liebernan JL. “You are your Instrument”. New York, Huiksi Music, 3 ed., 1991. pp. 14-75.
Moura RCR. Doenças Ocupacionais Relacionadas à Prática Violinística. Curso de Fisioterapeuta. Universidade Bandeirante de São Paulo [Trabalho de Conclusão de Curso] São Paulo, 1998.
Lockwood AH. Medical Problems of Musicians. N Engl J Med, 320(4):221-7, 1989.
Caldron PH, Calabrese LH, Clough JD, Ledereman RJ, Williams G, Leatherman J. A survey of musculoskeletal problems encountered in high-level musicians. Med Probl Perform Art, 1:136-9, 1986.
Brito AC, Orso MB, Gomes E. Lesões por esforços repetitivos e outros acometimentos reumáticos em músicos profissionais. Rev Bras de Reumatol, 32(2):79-83, 1992.
Gonik R. Afecções Neurológicas Ocupacionais dos Músicos. Rev Bras Neurol, 27(1):9-12, 1991.
Gonik R. Afecções Neurológicas Ocupacionais dos Músicos. Rev Bras Neurol, 27(2):63-6, 1991.
Gonik R. Afecções Neurológicas Ocupacionais dos Músicos. Rev Bras Neurol, 27(3):87-91, 1991.
Gonik R. Afecções Neurológicas Ocupacionais dos Músicos. Rev Bras Neurol, 27(4):125-32, 1991.
Fry HJH. Prevalence of Overuse (injury) Syndrome in Australian music schools. Br J Indust Med, 44:35-40, 1987.
Lederman RJ. Occupation cramp in instrumental musicians. Medical problems of performing Artists, 3:45-51, 1988.
Ferraz HB. Distonias: Análise clínica de 122 pacientes. Tese de Mestrado em Neurologia, Escola Paulista de Medicina (Unifesp), São Paulo, 1990, pp. 2-28.
Office of Scientific and Helth Reports. The Dystonias. The Dystonias Fact Sheet, 1998 (http://www.minds.nih.gov/healinfo/desorder/dystonia/dystonia.html), (25/6/98).
Adler SS, Beckers D, Buck M. PNF. Facilitação Neuromuscular Proprioceptiva. São Paulo, Manole, 1 ed., 1999, pp. 1-14.
Bienfait M. Os Desequilíbrios Estáticos, São Paulo, Summus, 1989, pp. 13-20.
Feldenkrais M. A consciência pelo movimento. São Paulo, Summus, 1977, pp. 27-42.
Rolf IP. A integração das Estruturas Humanas. São Paulo, Ed Martins Fontes, 1999, pp 15-40.
Redondo B. Gymnastique D’Equilibre. Paris, Chiron, 3 ed., 1990, pp. 5-16.
Souchard PE. O Stretching Global Ativo. São Paulo, Manole, 1 ed.,1996, pp. 47-60.
Skinner AT, Thompson AM. Duffield: Exercícios na água. São Paulo, Manole, 3 ed., 1985, pp. 4-22.
Barker S. A Técnica de Alexander. São Paulo, Summus, 1991, pp. 11-8.
Maitland GD. Manipulação Vertebral. São Paulo, Ed Panamericana, 1989, pp. 117-25.
