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Prevention of Musical Injuries: How Research Can Help

While not life-threatening, some . . . common miunes can be career-threatening if not treated and managed early on. Awareness of musical injuries in string players has risen sharply in the last ten years with the birth of the field of music medicine, and with media attention to similar types of injuries in those of other occupations such as computer operators and assembly-line workers. One recent study by Fishbein and Middlestadt (1988) suggested that as many as 78 percent of symphony string players report at least one medical complaint, usuallymusculoskeletal in nature. Almost all of us know someone or have students that are afflicted, whether or not we've been luckyenough to escape this problem ourselves. String players typically injure their backs and upper extremities-the neck, shoulders, arms, and hands. Some common injuries are: simple overuse, caused by chronically working the tissue beyond its limit; tendinitis, the swellingof a tendon or its sheath; and nerve entrapment syndromes such as carpal tunnel. While certainly not life-threatening, some of these problems can be career-threatening if not treated and managed early on. Luckily, more and more options in treatment are available. At the same time, the call for prevention is sounded with increasing frequency by medical practitioners, educators, and the injured. Every year more publications and clinics appear that are devoted to the cause of healthy, comfortable string playing. Research in music, medicine, and the movement sciences can contribute to the development of effectiveprevention strategies, although more research is needed in many areas. To date, most research has been conducted in the areas of equipment, exercise and practice habits, and pedagogy and technique.