Physiotherapy Offers Relief for Painful Musculoskeletal Disorders in Musicians

Playing a musical instrument can be a source of joy and passion, but for many musicians, it can also lead to painful musculoskeletal disorders (PRMDs). A study explores the effectiveness of physiotherapy in treating these conditions and identifies some of the common physical impairments associated with PRMDs.

The Struggles of Playing-Related Musculoskeletal Disorders

PRMDs are among the most common health problems faced by musicians. These conditions can cause pain, tightness, and weakness in various muscle groups, significantly impacting performance and even jeopardizing a musician’s career.

The Study: Physiotherapy’s Positive Impact

This study investigated the effects of physiotherapy on musicians with PRMDs. Researchers at Hanover Medical School (MHH) examined 32 music students suffering from PRMDs. These participants received a personalized physiotherapy treatment program for six weeks, with sessions lasting 20 minutes each.

Significant Pain Reduction and Improved Function

The results were encouraging:

  • Reduced Pain Levels: Following the physiotherapy program, participants reported a significant decrease in pain levels, with the average pain score dropping from 5.33 to 3.35 on a Visual Analogue Scale.
  • Improved Muscle Function: Physiotherapy also addressed specific muscle issues. Researchers observed a reduction in pressure pain sensitivity in several key muscle groups, including the shoulder blade muscles, neck muscles, and paraspinal muscles in the cervical spine.
  • Widespread Pain Reduction: The study also assessed a broader measure of pain, the Widespread Pain Score (WSP). The positive test rate for WSP was significantly higher in the PRMD group before treatment (28%) compared to the healthy control group (9%), indicating a more generalized pain experience. However, physiotherapy helped reduce this widespread pain as well.

Hypermobility: A Common Factor

The study also explored hypermobility, a condition characterized by increased joint flexibility. Interestingly, a significant portion of both the PRMD and control groups (37.5% and 25%, respectively) exhibited signs of hypermobility. This suggests that hypermobility might be a predisposing factor for developing PRMDs in musicians.

A Tailored Approach to Relief

This study highlights the effectiveness of a short, personalized physiotherapy program in reducing pain and improving muscle function in musicians with PRMDs. By addressing specific problem areas and considering factors like hypermobility, physiotherapists can develop targeted treatment plans to help musicians regain their strength, flexibility, and passion for playing.

Looking Ahead: Music and Movement in Harmony

Musicians with PRMDs no longer have to suffer in silence. Physiotherapy offers a promising non-invasive approach to managing pain and improving musculoskeletal function. This study paves the way for further research and wider adoption of physiotherapy as a valuable tool for promoting optimal health and performance among musicians.

Carolin Assel, Boya Nugraha, Nicolas Kallusky, Stephan Faßnacht-Lenz, Eckart Altenmüller, Christoph Gutenbrunner, Christian Sturm. Effect of manual therapy on music students with playing-related musculoskeletal disorders: a prospective studyFront Pain Res (Lausanne). 2023; 4: 1151886. doi: 10.3389/fpain.2023.1151886 

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