Skip to main content
Erschienen in: Clinical Rheumatology 4/2016

15.07.2015 | Original Article

Neck muscle function in violinists/violists with and without neck pain

verfasst von: Anke Steinmetz, Andrew Claus, Paul W. Hodges, Gwendolen A. Jull

Erschienen in: Clinical Rheumatology | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

Neck pain is associated with changes in neuromuscular control of cervical muscles. Violin and viola playing requires good function of the flexor muscles to stabilize the instrument. This study investigated the flexor muscle behaviour in violin/viola players with and without neck pain using the craniocervical flexion test (CCFT). In total, 12 violin/viola players with neck pain, 21 violin/viola players without neck pain in the preceding 12 weeks and 21 pain-free non-musicians were included. Activity of the sternocleidomastoid muscles (SCM) was measured with surface electromyography (EMG) during the CCFT. Violin/viola players with neck pain displayed greater normalised SCM EMG amplitudes during CCFT than the pain-free musicians and non-musicians (P < 0.05). Playing-related neck pain in violinists/violists is associated with altered behaviour of the superficial neck flexor muscles consistent with neck pain, despite the specific use of the deep and superficial neck flexors during violin playing.
Literatur
1.
Zurück zum Zitat Fishbein M, Middlestadt S, Ottati V, Straus S, Ellis A (1988) Medical problems among ICSOM musicians: overview of a national survey. Med Probl Perform Art 3(1):1–8 Fishbein M, Middlestadt S, Ottati V, Straus S, Ellis A (1988) Medical problems among ICSOM musicians: overview of a national survey. Med Probl Perform Art 3(1):1–8
2.
3.
Zurück zum Zitat Leaver R, Harris E, Palmer K (2011) Musculoskeletal pain in elite professional musicians from British symphony orchestras. Occup Med 61(8):549–555CrossRef Leaver R, Harris E, Palmer K (2011) Musculoskeletal pain in elite professional musicians from British symphony orchestras. Occup Med 61(8):549–555CrossRef
4.
Zurück zum Zitat Steinmetz A, Scheffer I, Esmer E, Delank KS, Peroz I (2014) Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany. Clin Rheumatol Steinmetz A, Scheffer I, Esmer E, Delank KS, Peroz I (2014) Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany. Clin Rheumatol
5.
Zurück zum Zitat Larsson L, Baum J, Mudholkar G, Kollia G (1993) Nature and impact of musculoskeletal problems in a population of musicians. Med Probl Perform Art 8(3):73–76 Larsson L, Baum J, Mudholkar G, Kollia G (1993) Nature and impact of musculoskeletal problems in a population of musicians. Med Probl Perform Art 8(3):73–76
6.
Zurück zum Zitat Roach K, Martinez M, Anderson N (1994) Musculoskeletal pain in student instrumentalists: a comparison with the general student population. Med Probl Perform Art 9(4):125–130 Roach K, Martinez M, Anderson N (1994) Musculoskeletal pain in student instrumentalists: a comparison with the general student population. Med Probl Perform Art 9(4):125–130
7.
Zurück zum Zitat Zaza C (1992) Playing-related health problems at a Canadian music school. Med Probl Perform Art 7(2):48–51 Zaza C (1992) Playing-related health problems at a Canadian music school. Med Probl Perform Art 7(2):48–51
8.
Zurück zum Zitat Zetterberg C, Backlund H, Karlsson J, Werner H, Olsson L (1998) Musculoskeletal problems among male and female music students. Med Probl Perform Arts 13(4):160–166 Zetterberg C, Backlund H, Karlsson J, Werner H, Olsson L (1998) Musculoskeletal problems among male and female music students. Med Probl Perform Arts 13(4):160–166
9.
Zurück zum Zitat Cayea D, Manchester R (1998) Instrument-specific rates of upper-extremity injuries in music students. Med Probl Perform Art 13(1):19–25 Cayea D, Manchester R (1998) Instrument-specific rates of upper-extremity injuries in music students. Med Probl Perform Art 13(1):19–25
10.
Zurück zum Zitat Hiner S, Brandt K, Katz B, French R, Beczkiewicz T (1987) Performance-related medical problems among premier violinists. Med Probl Perform Art 2(3):67–71 Hiner S, Brandt K, Katz B, French R, Beczkiewicz T (1987) Performance-related medical problems among premier violinists. Med Probl Perform Art 2(3):67–71
11.
Zurück zum Zitat Sommerich CM, McGlothlin JD, Marras WS (1993) Occupational risk factors associated with soft tissue disorders of the shoulder: a review of recent investigations in the literature. Ergonomics 36(6):697–717CrossRefPubMed Sommerich CM, McGlothlin JD, Marras WS (1993) Occupational risk factors associated with soft tissue disorders of the shoulder: a review of recent investigations in the literature. Ergonomics 36(6):697–717CrossRefPubMed
12.
Zurück zum Zitat Waersted M (2000) Human muscle activity related to non-biomechanical factors in the workplace. Eur J Appl Physiol 83(2-3):151–158CrossRefPubMed Waersted M (2000) Human muscle activity related to non-biomechanical factors in the workplace. Eur J Appl Physiol 83(2-3):151–158CrossRefPubMed
13.
Zurück zum Zitat Westgaard RH (1999) Muscle activity as a releasing factor for pain in the shoulder and neck. Cephalalgia : Int J Headache 19(Suppl 25):1–8CrossRef Westgaard RH (1999) Muscle activity as a releasing factor for pain in the shoulder and neck. Cephalalgia : Int J Headache 19(Suppl 25):1–8CrossRef
14.
Zurück zum Zitat Nyman T, Wiktorin C, Mulder M, Johansson YL (2007) Work postures and neck-shoulder pain among orchestra musicians. Am J Ind Med 50(5):370–376CrossRefPubMed Nyman T, Wiktorin C, Mulder M, Johansson YL (2007) Work postures and neck-shoulder pain among orchestra musicians. Am J Ind Med 50(5):370–376CrossRefPubMed
15.
Zurück zum Zitat Falla D, Farina D (2008) Neuromuscular adaptation in experimental and clinical neck pain. J Electromyogr Kinesiol 18(2):255–261CrossRefPubMed Falla D, Farina D (2008) Neuromuscular adaptation in experimental and clinical neck pain. J Electromyogr Kinesiol 18(2):255–261CrossRefPubMed
16.
Zurück zum Zitat Jull G, Kristjansson E, Dall’Alba P (2004) Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther 9(2):89–94CrossRefPubMed Jull G, Kristjansson E, Dall’Alba P (2004) Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther 9(2):89–94CrossRefPubMed
17.
Zurück zum Zitat Falla DL, Jull GA, Hodges PW (2004) Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine 29(19):2108–2114CrossRefPubMed Falla DL, Jull GA, Hodges PW (2004) Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine 29(19):2108–2114CrossRefPubMed
18.
Zurück zum Zitat Mayoux-Benhamou MA, Revel M, Vallee C, Roudier R, Barbet JP, Bargy F (1994) Longus colli has a postural function on cervical curvature. Surg Radiol Anat 16(4):367–371CrossRefPubMed Mayoux-Benhamou MA, Revel M, Vallee C, Roudier R, Barbet JP, Bargy F (1994) Longus colli has a postural function on cervical curvature. Surg Radiol Anat 16(4):367–371CrossRefPubMed
19.
Zurück zum Zitat Shan G, Visentin P (2003) A quantitative three-dimensional analysis of arm kinematics in violin performance. Med Probl Perform Art 18(1):3–10 Shan G, Visentin P (2003) A quantitative three-dimensional analysis of arm kinematics in violin performance. Med Probl Perform Art 18(1):3–10
20.
Zurück zum Zitat Shan G, Visentin P, Shultz A (2004) Understanding factors associated with repetitive use in violin performance. Med Probl Perform Art 19(3):129–139 Shan G, Visentin P, Shultz A (2004) Understanding factors associated with repetitive use in violin performance. Med Probl Perform Art 19(3):129–139
21.
Zurück zum Zitat Tulchinsky E, Riolo L (1994) A biomechanical motion analysis of the violinist’s bow arm. Med Probl Perform Art 9(4):125–130 Tulchinsky E, Riolo L (1994) A biomechanical motion analysis of the violinist’s bow arm. Med Probl Perform Art 9(4):125–130
22.
Zurück zum Zitat Visentin P, Shan G (2003) The kinetic characteristics of the bow arm during violin performance: an examination of internal loads as a function of tempo. Med Probl Perform Art 18(3):91–97 Visentin P, Shan G (2003) The kinetic characteristics of the bow arm during violin performance: an examination of internal loads as a function of tempo. Med Probl Perform Art 18(3):91–97
23.
Zurück zum Zitat Levy C, Lee W, Brandfonbrener A, Press J, Levy A (1992) Electromyographic analysis of muscular activity in the upper extremity generated by supporting a violin with and without a shoulder rest. Med Probl Perform Art 7(4):103–109 Levy C, Lee W, Brandfonbrener A, Press J, Levy A (1992) Electromyographic analysis of muscular activity in the upper extremity generated by supporting a violin with and without a shoulder rest. Med Probl Perform Art 7(4):103–109
24.
Zurück zum Zitat Okner M, Kernozek T, Wade M (1997) Chin rest pressure in violin players: musical repertoire, chin rests, and shoulder pads as possible mediators. Med Probl Perform Art 12(4):112–121 Okner M, Kernozek T, Wade M (1997) Chin rest pressure in violin players: musical repertoire, chin rests, and shoulder pads as possible mediators. Med Probl Perform Art 12(4):112–121
25.
Zurück zum Zitat Rabuffetti M, Converti R, Boccardi S, Ferrarin M (2007) Tuning of the violin-performer interface: an experimental study about the effects of shoulder rest variations on playing kinematics. Med Probl Perform Art 22(2):58–66 Rabuffetti M, Converti R, Boccardi S, Ferrarin M (2007) Tuning of the violin-performer interface: an experimental study about the effects of shoulder rest variations on playing kinematics. Med Probl Perform Art 22(2):58–66
26.
Zurück zum Zitat Steinmetz A, Seidel W, Muche B (2010) Impairment of postural stabilization systems in musicians with playing-related musculoskeletal disorders. J Manip Physiol Ther 33(8):603–611CrossRef Steinmetz A, Seidel W, Muche B (2010) Impairment of postural stabilization systems in musicians with playing-related musculoskeletal disorders. J Manip Physiol Ther 33(8):603–611CrossRef
27.
Zurück zum Zitat Berque P, Gray H (2002) The influence of neck-shoulder pain on trapezius muscle activity among professional violin and viola players: a electromyography study. Med Probl Perform Art 17(2):68–75 Berque P, Gray H (2002) The influence of neck-shoulder pain on trapezius muscle activity among professional violin and viola players: a electromyography study. Med Probl Perform Art 17(2):68–75
28.
Zurück zum Zitat Philipson L, Sörbye R, Larsson P, Kaladjev S (1990) Muscular load levels in performing musicians as monitored by quantitative electromyography. Med Probl Perform Art 5(2):79–82 Philipson L, Sörbye R, Larsson P, Kaladjev S (1990) Muscular load levels in performing musicians as monitored by quantitative electromyography. Med Probl Perform Art 5(2):79–82
29.
Zurück zum Zitat Park KN, Kwon OY, Ha SM, Kim SJ, Choi HJ, Weon JH (2012) Comparison of electromyographic activity and range of neck motion in violin students with and without neck pain during playing. Med Probl Perform Art 27(4):188–192PubMed Park KN, Kwon OY, Ha SM, Kim SJ, Choi HJ, Weon JH (2012) Comparison of electromyographic activity and range of neck motion in violin students with and without neck pain during playing. Med Probl Perform Art 27(4):188–192PubMed
30.
Zurück zum Zitat Jull GA, O'Leary SP, Falla DL (2008) Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manip Physiol Ther 31(7):525–533CrossRef Jull GA, O'Leary SP, Falla DL (2008) Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manip Physiol Ther 31(7):525–533CrossRef
31.
Zurück zum Zitat Vernon H, Mior S (1991) The neck disability index: a study of reliability and validity. J Manip Physiol Ther 14(7):409–415 Vernon H, Mior S (1991) The neck disability index: a study of reliability and validity. J Manip Physiol Ther 14(7):409–415
32.
Zurück zum Zitat Johnston V, Jull G, Souvlis T, Jimmieson NL (2008) Neck movement and muscle activity characteristics in female office workers with neck pain. Spine 33(5):555–563CrossRefPubMed Johnston V, Jull G, Souvlis T, Jimmieson NL (2008) Neck movement and muscle activity characteristics in female office workers with neck pain. Spine 33(5):555–563CrossRefPubMed
33.
Zurück zum Zitat Goldberg D (1978) Manual of the general health questionnaire. NFER-Nelson, Windsor Goldberg D (1978) Manual of the general health questionnaire. NFER-Nelson, Windsor
34.
Zurück zum Zitat Westaway MD, Stratford PW, Binkley JM (1998) The patient-specific functional scale: validation of its use in persons with neck dysfunction. J Orthop Sports Phys Ther 27(5):331–338CrossRefPubMed Westaway MD, Stratford PW, Binkley JM (1998) The patient-specific functional scale: validation of its use in persons with neck dysfunction. J Orthop Sports Phys Ther 27(5):331–338CrossRefPubMed
35.
Zurück zum Zitat Falla D, Dall’Alba P, Rainoldi A, Merletti R, Jull G (2002) Location of innervation zones of sternocleidomastoid and scalene muscles—a basis for clinical and research electromyography applications. Clin Neurophysiol 113(1):57–63CrossRefPubMed Falla D, Dall’Alba P, Rainoldi A, Merletti R, Jull G (2002) Location of innervation zones of sternocleidomastoid and scalene muscles—a basis for clinical and research electromyography applications. Clin Neurophysiol 113(1):57–63CrossRefPubMed
36.
Zurück zum Zitat Falla D, Jull G, Dall’Alba P, Rainoldi A, Merletti R (2003) An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther 83(10):899–906PubMed Falla D, Jull G, Dall’Alba P, Rainoldi A, Merletti R (2003) An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther 83(10):899–906PubMed
37.
Zurück zum Zitat IJmker S, Huysmans M, Blatter B, van der Beek A, van Mechelen W, Bongers P (2007) Should office workers spend fewer hours at their computer? A systematic review of the literature. Occup Environ Med 64(4):211–222CrossRefPubMedPubMedCentral IJmker S, Huysmans M, Blatter B, van der Beek A, van Mechelen W, Bongers P (2007) Should office workers spend fewer hours at their computer? A systematic review of the literature. Occup Environ Med 64(4):211–222CrossRefPubMedPubMedCentral
38.
Zurück zum Zitat Falla D, Jull G, Hodges PW (2004) Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 157(1):43–48CrossRefPubMed Falla D, Jull G, Hodges PW (2004) Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 157(1):43–48CrossRefPubMed
39.
Zurück zum Zitat Johnston V, Jull G, Darnell R, Jimmieson NL, Souvlis T (2008) Alterations in cervical muscle activity in functional and stressful tasks in female office workers with neck pain. Eur J Appl Physiol 103(3):253–264CrossRefPubMed Johnston V, Jull G, Darnell R, Jimmieson NL, Souvlis T (2008) Alterations in cervical muscle activity in functional and stressful tasks in female office workers with neck pain. Eur J Appl Physiol 103(3):253–264CrossRefPubMed
40.
Zurück zum Zitat Jull GA, Falla D, Vicenzino B, Hodges PW (2009) The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther 14(6):696–701CrossRefPubMed Jull GA, Falla D, Vicenzino B, Hodges PW (2009) The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther 14(6):696–701CrossRefPubMed
41.
Zurück zum Zitat Jull G, Sterling M, Kenardy J, Beller E (2007) Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic whiplash? A preliminary RCT. Pain 129(1-2):28–34CrossRefPubMed Jull G, Sterling M, Kenardy J, Beller E (2007) Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic whiplash? A preliminary RCT. Pain 129(1-2):28–34CrossRefPubMed
42.
Zurück zum Zitat Falla D, O’Leary S, Farina D, Jull G (2011) Association between intensity of pain and impairment in onset and activation of the deep cervical flexors in patients with persistent neck pain. Clin J Pain 27(4):309–314CrossRefPubMed Falla D, O’Leary S, Farina D, Jull G (2011) Association between intensity of pain and impairment in onset and activation of the deep cervical flexors in patients with persistent neck pain. Clin J Pain 27(4):309–314CrossRefPubMed
43.
Zurück zum Zitat O’Leary S, Falla D, Jull G (2011) The relationship between superficial muscle activity during the cranio-cervical flexion test and clinical features in patients with chronic neck pain. Man Ther 16(5):452–455CrossRefPubMed O’Leary S, Falla D, Jull G (2011) The relationship between superficial muscle activity during the cranio-cervical flexion test and clinical features in patients with chronic neck pain. Man Ther 16(5):452–455CrossRefPubMed
44.
Zurück zum Zitat Fjellman-Wiklund A, Grip H, Karlsson J, Sundelin G (2004) EMG trapezius muscle activity pattern in string players: part I—is there variability in the playing technique? Int J Ind Ergon 33:347–356CrossRef Fjellman-Wiklund A, Grip H, Karlsson J, Sundelin G (2004) EMG trapezius muscle activity pattern in string players: part I—is there variability in the playing technique? Int J Ind Ergon 33:347–356CrossRef
Metadaten
Titel
Neck muscle function in violinists/violists with and without neck pain
verfasst von
Anke Steinmetz
Andrew Claus
Paul W. Hodges
Gwendolen A. Jull
Publikationsdatum
15.07.2015
Verlag
Springer London
Erschienen in
Clinical Rheumatology / Ausgabe 4/2016
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-015-3000-4

Weitere Artikel der Ausgabe 4/2016

Clinical Rheumatology 4/2016 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.