Skip to main content
Top
Published in: Journal of Occupational Medicine and Toxicology 1/2017

Open Access 01-12-2017 | Methodology

Fit to play: posture and seating position analysis with professional musicians - a study protocol

Authors: Daniela Ohlendorf, Eileen M Wanke, Natalie Filmann, David A Groneberg, Alexander Gerber

Published in: Journal of Occupational Medicine and Toxicology | Issue 1/2017

Login to get access

Abstract

Background

Musical performance-associated musculoskeletal disorders (MSD) are a common health problem among professional musicians. Considering the manifold consequences arising for the musicians, they can be seen as a threat for their professional activity. String players are the most affected group of musicians in this matter. Faults in upper body posture while playing the instrument, causing un-ergonomic static strain on the back and unergonomic limp-movements, are a main reason for musculoskeletal disorders and pain syndromes.

Methods

A total of 66 professional musicians, divided into three groups, are measured.
The division is performed by average duration of performance, intensity of daily exercise and professional experience. Video raster stereography, a three-dimensional analysis of the body posture, is used to analyse the instrument-specific posture. Furthermore the pressure distribution during seating is analysed. Measurements are performed because the musician is sitting on varying music chairs differing in structure and/or construction of the seating surface. The measurements take place in habitual seating position as well as during playing the instrument.

Results

To analyse the influence of different chairs, ANOVA for repeated measurements or Friedman-test is used, depending on normality assumptions. Comparison of posture between amateur musicians, students, and professional orchestral musicians is carried out the non-parametric Jonckheere-Terpstra-test.

Conclusions

Our method attempts to give the musicians indications for the right music chair choice by analyzing the chair concepts, so that thereby preemptively MSD can be reduced or prevented.
Literature
1.
go back to reference Blum J, Ahlers J. Medinische Probleme bei Musikern. Stuttgart: Thieme Verlag; 1995. Blum J, Ahlers J. Medinische Probleme bei Musikern. Stuttgart: Thieme Verlag; 1995.
2.
go back to reference Guptill C, Golem MB. Case study: musicians’ playing-related injuries. Work (Reading, Mass). 2008;30:307–10. Guptill C, Golem MB. Case study: musicians’ playing-related injuries. Work (Reading, Mass). 2008;30:307–10.
3.
go back to reference Künzel E. Die Anatomie des Geigenspiels. Tutzing: Hans Schneider; 2002. Künzel E. Die Anatomie des Geigenspiels. Tutzing: Hans Schneider; 2002.
4.
go back to reference Moraes GF, Antunes AP. Musculoskeletal disorders in professional violinists and violists. Systematic review. Acta Ortopedica Brasileira. 2012;20:43–7.CrossRefPubMedPubMedCentral Moraes GF, Antunes AP. Musculoskeletal disorders in professional violinists and violists. Systematic review. Acta Ortopedica Brasileira. 2012;20:43–7.CrossRefPubMedPubMedCentral
5.
go back to reference Paarup HM, Baelum J, Holm JW, Manniche C, Wedderkopp N. Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians vary by gender: a cross-sectional study. BMC Musculoskelet Disord. 2011;12:223.CrossRefPubMedPubMedCentral Paarup HM, Baelum J, Holm JW, Manniche C, Wedderkopp N. Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians vary by gender: a cross-sectional study. BMC Musculoskelet Disord. 2011;12:223.CrossRefPubMedPubMedCentral
6.
go back to reference Zaza C. Playing-related musculoskeletal disorders in musicians: a systematic review of incidence and prevalence. CMAJ. 1998;158:1019–25.PubMedPubMedCentral Zaza C. Playing-related musculoskeletal disorders in musicians: a systematic review of incidence and prevalence. CMAJ. 1998;158:1019–25.PubMedPubMedCentral
7.
go back to reference Kok LM, Huisstede BM, Voorn VM, Schoones JW, Nelissen RG. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. Int Arch Occup Environ Health. 2016;89:373–96.CrossRefPubMed Kok LM, Huisstede BM, Voorn VM, Schoones JW, Nelissen RG. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. Int Arch Occup Environ Health. 2016;89:373–96.CrossRefPubMed
8.
go back to reference Steinmetz A, Scheffer I, Esmer E, Delank KS, Peroz I. Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany. Clin Rheumatol. 2015;34:965–73.CrossRefPubMed Steinmetz A, Scheffer I, Esmer E, Delank KS, Peroz I. Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany. Clin Rheumatol. 2015;34:965–73.CrossRefPubMed
9.
go back to reference Klein-Vogelbach S, Lahme A, Spirgi-Gantert I. Musikinstrument und Körperhaltung—Eine Herausforderung für Musiker, Musikpädagogen, Therapeuten und Ärzte. Gesund und fit im Musikeralltag. Berlin, Heidelberg: Springerverlag; 2000. Klein-Vogelbach S, Lahme A, Spirgi-Gantert I. Musikinstrument und Körperhaltung—Eine Herausforderung für Musiker, Musikpädagogen, Therapeuten und Ärzte. Gesund und fit im Musikeralltag. Berlin, Heidelberg: Springerverlag; 2000.
10.
go back to reference Soziales BfAu: Verordnung zur arbeitsmediinischen Vorsorge (ArbMedVV). In Book Verordnung zur arbeitsmediinischen Vorsorge (ArbMedVV) (Editor ed.^eds.). City: Bundesrepublik Deutschland; 2013. Soziales BfAu: Verordnung zur arbeitsmediinischen Vorsorge (ArbMedVV). In Book Verordnung zur arbeitsmediinischen Vorsorge (ArbMedVV) (Editor ed.^eds.). City: Bundesrepublik Deutschland; 2013.
11.
go back to reference Spahn C, Blum J. Musikermedizin: Diagnostik, Therapie und Prävention von musikerspezifischen Erkrankungen; mit 16 Tabellen. Stuttgart: Schattauer Verlag; 2011. Spahn C, Blum J. Musikermedizin: Diagnostik, Therapie und Prävention von musikerspezifischen Erkrankungen; mit 16 Tabellen. Stuttgart: Schattauer Verlag; 2011.
12.
go back to reference Sousa CM, Machado JP, Greten HJ, Coimbra D. Occupational diseases of professional orchestra musicians from northern Portugal: a descriptive study. Med Probl Perform Art. 2016;31:8–12.CrossRefPubMed Sousa CM, Machado JP, Greten HJ, Coimbra D. Occupational diseases of professional orchestra musicians from northern Portugal: a descriptive study. Med Probl Perform Art. 2016;31:8–12.CrossRefPubMed
13.
go back to reference Schmale H, Schmidtke H. Der Orchestermusiker : seine Arbeit u. seine Belastung; eine empirische Untersuchung. Mainz: Schott; 1985. Schmale H, Schmidtke H. Der Orchestermusiker : seine Arbeit u. seine Belastung; eine empirische Untersuchung. Mainz: Schott; 1985.
14.
go back to reference Fishbein M, Middlestadt S, Ottati V, Straus S, Ellis A. Medical problems among Icsom musicians - overview of a national survey. Med Probl Perform Art. 1988;3:1–8. Fishbein M, Middlestadt S, Ottati V, Straus S, Ellis A. Medical problems among Icsom musicians - overview of a national survey. Med Probl Perform Art. 1988;3:1–8.
15.
go back to reference Leaver R, Harris EC, Palmer KT. Musculoskeletal pain in elite professional musicians from British symphony orchestras. Occup Med (Oxford, England). 2011;61:549–55.CrossRef Leaver R, Harris EC, Palmer KT. Musculoskeletal pain in elite professional musicians from British symphony orchestras. Occup Med (Oxford, England). 2011;61:549–55.CrossRef
16.
go back to reference Picavet HS, Schouten JS. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain. 2003;102:167–78.CrossRefPubMed Picavet HS, Schouten JS. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain. 2003;102:167–78.CrossRefPubMed
17.
go back to reference Baadjou VA, Verbunt JA, van Eijsden-Besseling MD, Huysmans SM, Smeets RJ. The musician as (in)active athlete?: Exploring the association between physical activity and musculoskeletal complaints in music students. Med Probl Perform Art. 2015;30:231–7.PubMed Baadjou VA, Verbunt JA, van Eijsden-Besseling MD, Huysmans SM, Smeets RJ. The musician as (in)active athlete?: Exploring the association between physical activity and musculoskeletal complaints in music students. Med Probl Perform Art. 2015;30:231–7.PubMed
18.
go back to reference Larsson L, Baum J, Mudholkar G. Nature and impact of musculoskeletal problems in a population of musicians. Med Probl Perform Art. 1993;8:73–6. Larsson L, Baum J, Mudholkar G. Nature and impact of musculoskeletal problems in a population of musicians. Med Probl Perform Art. 1993;8:73–6.
19.
go back to reference Roach K, Martinez M, Anderson N. Musculoskeletal pain in student instrumentalists: a comparison with the general studen population. Med Probl Perform Art. 1994;9:125–30. Roach K, Martinez M, Anderson N. Musculoskeletal pain in student instrumentalists: a comparison with the general studen population. Med Probl Perform Art. 1994;9:125–30.
20.
go back to reference Cayea D, Manchester R. Instrument-specific rates of upper-extremity injuries in music students. Med Probl Perform Art. 1998;13:19–25. Cayea D, Manchester R. Instrument-specific rates of upper-extremity injuries in music students. Med Probl Perform Art. 1998;13:19–25.
21.
go back to reference Asamoah V, Mellerowicz H, Venus J, Klockner C. Measuring the surface of the back. Value in diagnosis of spinal diseases. Orthopade. 2000;29:480–9.CrossRefPubMed Asamoah V, Mellerowicz H, Venus J, Klockner C. Measuring the surface of the back. Value in diagnosis of spinal diseases. Orthopade. 2000;29:480–9.CrossRefPubMed
22.
go back to reference Spahn C, Richter B, Zschoke I. Health attitudes, preventive behavior, and playing-related health problems among music students. Med Probl Perform Art. 2002;17:22–8. Spahn C, Richter B, Zschoke I. Health attitudes, preventive behavior, and playing-related health problems among music students. Med Probl Perform Art. 2002;17:22–8.
23.
go back to reference Wasmer C, Eickhoff F. Vergleichende Untersuchungen zur Spielbewegung bei Geigern. Bochum: Projekt Verlag; 2011. Wasmer C, Eickhoff F. Vergleichende Untersuchungen zur Spielbewegung bei Geigern. Bochum: Projekt Verlag; 2011.
24.
go back to reference Drerup B. Improvements in measuring vertebral rotation from the projections of the pedicles. J Biomech. 1985;18:369–78.CrossRefPubMed Drerup B. Improvements in measuring vertebral rotation from the projections of the pedicles. J Biomech. 1985;18:369–78.CrossRefPubMed
25.
go back to reference Kelleher LK, Campbell KR, Dickey JP. Biomechanical research on bowed string musicians: a scoping study. Med Probl Perform Art. 2013;28:212–8.PubMed Kelleher LK, Campbell KR, Dickey JP. Biomechanical research on bowed string musicians: a scoping study. Med Probl Perform Art. 2013;28:212–8.PubMed
26.
go back to reference Kruta de Araújo NC. Analysis of the frequency of postural flaws during violin performance. Med Probl Perform Art. 2009;24:108–12. Kruta de Araújo NC. Analysis of the frequency of postural flaws during violin performance. Med Probl Perform Art. 2009;24:108–12.
27.
28.
go back to reference Tulchinsky E, Riolo L. A biomechanical motion analysis of the violinist’s bow arm. Med Probl Perform Art. 1994;9:125–30. Tulchinsky E, Riolo L. A biomechanical motion analysis of the violinist’s bow arm. Med Probl Perform Art. 1994;9:125–30.
29.
go back to reference Shan G, Visentin P. A quantitative three-dimensional analysis of arm kinematics in violin performance. Med Probl Perform Art. 2003;18:3–10. Shan G, Visentin P. A quantitative three-dimensional analysis of arm kinematics in violin performance. Med Probl Perform Art. 2003;18:3–10.
30.
go back to reference Yagisan N, Karabork H, Goktepe A, Karalezli N. Evalution of three-dimensional motion analysis of the upper right limb movements in the bowing arm of violinists through a digital photogrammetric method. Med Probl Perform Art. 2009;24:181–4. Yagisan N, Karabork H, Goktepe A, Karalezli N. Evalution of three-dimensional motion analysis of the upper right limb movements in the bowing arm of violinists through a digital photogrammetric method. Med Probl Perform Art. 2009;24:181–4.
31.
go back to reference Kruta de Araújo N, Gatto Gárdia M, Másculo F, Gomes LN. Analysis of the frequency of postural flaws during violin performance. Med Probl Perform Art. 2009;24:108–12. Kruta de Araújo N, Gatto Gárdia M, Másculo F, Gomes LN. Analysis of the frequency of postural flaws during violin performance. Med Probl Perform Art. 2009;24:108–12.
32.
go back to reference Drerup B, Hierholzer E. Objective determination of anatomical landmarks on the body surface: measurement of the vertebra prominens from surface curvature. J Biomech. 1985;18:467–74.CrossRefPubMed Drerup B, Hierholzer E. Objective determination of anatomical landmarks on the body surface: measurement of the vertebra prominens from surface curvature. J Biomech. 1985;18:467–74.CrossRefPubMed
33.
go back to reference Drerup B, Hierholzer E. Automatic localization of anatomical landmarks on the back surface and construction of a body-fixed coordinate system. J Biomech. 1987;20:961–70.CrossRefPubMed Drerup B, Hierholzer E. Automatic localization of anatomical landmarks on the back surface and construction of a body-fixed coordinate system. J Biomech. 1987;20:961–70.CrossRefPubMed
34.
go back to reference Marini I, Gatto MR, Bartolucci ML, Bortolotti F, Alessandri Bonetti G, Michelotti A. Effects of experimental occlusal interference on body posture: an optoelectronic stereophotogrammetric analysis. J Oral Rehabil. 2013;40:509–18.CrossRefPubMed Marini I, Gatto MR, Bartolucci ML, Bortolotti F, Alessandri Bonetti G, Michelotti A. Effects of experimental occlusal interference on body posture: an optoelectronic stereophotogrammetric analysis. J Oral Rehabil. 2013;40:509–18.CrossRefPubMed
35.
go back to reference Marini I, Alessandri Bonetti G, Bortolotti F, Bartolucci ML, Gatto MR, Michelotti A. Effects of experimental insoles on body posture, mandibular kinematics and masticatory muscles activity. A pilot study in healthy volunteers. J Electromyogr Kinesiol. 2015;25:531–9.CrossRefPubMed Marini I, Alessandri Bonetti G, Bortolotti F, Bartolucci ML, Gatto MR, Michelotti A. Effects of experimental insoles on body posture, mandibular kinematics and masticatory muscles activity. A pilot study in healthy volunteers. J Electromyogr Kinesiol. 2015;25:531–9.CrossRefPubMed
36.
go back to reference Ohlendorf D, Himmelreich M, Mickel C, Groneberg DA, Kopp S. Does a temporary leg length discrepancy have an influence on upper body posture and lower jaw position in competitive athletes? Sportverletzung Sportschaden. 2015;29:157–63.CrossRefPubMed Ohlendorf D, Himmelreich M, Mickel C, Groneberg DA, Kopp S. Does a temporary leg length discrepancy have an influence on upper body posture and lower jaw position in competitive athletes? Sportverletzung Sportschaden. 2015;29:157–63.CrossRefPubMed
37.
go back to reference Ohlendorf D, Lehmann C, Heil D, Horzer S, Kopp S. The impact of a total hip replacement on jaw position, upper body posture and body sway. Cranio. 2015;33:107–14.CrossRefPubMed Ohlendorf D, Lehmann C, Heil D, Horzer S, Kopp S. The impact of a total hip replacement on jaw position, upper body posture and body sway. Cranio. 2015;33:107–14.CrossRefPubMed
38.
go back to reference Ohlendorf D, Turbanski S, Kopp S, Piwowarczyk A. Effects of a temporary asymmetrical occlusion block on upper body posture. J Craniomandibular Function. 2011;3:293–308. Ohlendorf D, Turbanski S, Kopp S, Piwowarczyk A. Effects of a temporary asymmetrical occlusion block on upper body posture. J Craniomandibular Function. 2011;3:293–308.
39.
go back to reference Bingler K. Körperstatik auf dem Prüfstand. ORTHOpress. 2004, 1:33–4. Bingler K. Körperstatik auf dem Prüfstand. ORTHOpress. 2004, 1:33–4.
40.
go back to reference Zander M. Musiker zwischen Gesundheit und Krankheit: Evaluation des Freiburger Präventionsmodells. Bochum: Projektverlag; 2006. Zander M. Musiker zwischen Gesundheit und Krankheit: Evaluation des Freiburger Präventionsmodells. Bochum: Projektverlag; 2006.
41.
go back to reference Diers H. Optische Wirbelsäulen- und Haltungsvermessung. Orthopädie Technik. 2008;38:474–84. Diers H. Optische Wirbelsäulen- und Haltungsvermessung. Orthopädie Technik. 2008;38:474–84.
42.
go back to reference Mohokum M, Mendoza S, Udo W, Sitter H, Paletta JR, Skwara A. Reproducibility of rasterstereography for kyphotic and lordotic angles, trunk length, and trunk inclination: a reliability study. Spine. 2010;35:1353–8.CrossRefPubMed Mohokum M, Mendoza S, Udo W, Sitter H, Paletta JR, Skwara A. Reproducibility of rasterstereography for kyphotic and lordotic angles, trunk length, and trunk inclination: a reliability study. Spine. 2010;35:1353–8.CrossRefPubMed
43.
go back to reference Knott P, Mardjetko D, Hund R, Thompson S. The influence of body mass index (BMI) on the reproducibility of surface topography measurements. Scoliosis. 2012;7:18.CrossRef Knott P, Mardjetko D, Hund R, Thompson S. The influence of body mass index (BMI) on the reproducibility of surface topography measurements. Scoliosis. 2012;7:18.CrossRef
Metadata
Title
Fit to play: posture and seating position analysis with professional musicians - a study protocol
Authors
Daniela Ohlendorf
Eileen M Wanke
Natalie Filmann
David A Groneberg
Alexander Gerber
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Occupational Medicine and Toxicology / Issue 1/2017
Electronic ISSN: 1745-6673
DOI
https://doi.org/10.1186/s12995-017-0151-z

Other articles of this Issue 1/2017

Journal of Occupational Medicine and Toxicology 1/2017 Go to the issue