{"id":571,"date":"2018-06-17T04:56:20","date_gmt":"2018-06-17T04:56:20","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=571"},"modified":"2018-06-17T04:56:34","modified_gmt":"2018-06-17T04:56:34","slug":"ijpr-2018-138","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2018-138","title":{"rendered":"IJPR.2018.138"},"content":{"rendered":"

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<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n

Volume 6; Issue 3 (June 2018)<\/strong><\/h3>\n

Page No.:<\/strong>\u00a02759-2763<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2018.138<\/h3>\n

PREVALENCE OF CUMULATIVE HAND TRAUMA DISORDERS IN PIANISTS<\/h3>\n

Khushboo Tahilram 1<\/sup>, Sanket Nagrate *2<\/sup>, Ashok Shaym 3<\/sup>, Parag Sancheti 4<\/sup>.<\/strong><\/p>\n

1<\/sup>\u00a0BPTh student, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.<\/p>\n

*2<\/sup>\u00a0PT, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.<\/p>\n

3<\/sup>\u00a0MS ORTHO, Research officer, Sancheti Institute of Orthopedics And Rehabilitation, Pune, Maharashtra, India.<\/p>\n

4<\/sup>\u00a0MS ORTHO, Chairman, Sancheti Institute of Orthopedics And Rehabilitation, Pune, Maharashtra, India.<\/p>\n

Address for correspondence: <\/strong>Dr. Sanket Nagrate, Sancheti Institute of Orthopedics And Rehabilitation, Pune, Maharashtra, India. E-Mail: <\/strong>nagralesanket@gmail.com<\/p>\n

ABSTRACT<\/strong><\/p>\n

Background: <\/strong>The professional musician is required to practice daily for an average of about six to eight hours. Practice sessions would typically require the artist to use the same muscles repeatedly. Factors such as poor playing postures and inadequate rest periods predispose artists to repetitive stress injuries over a period of time.<\/p>\n

Context and purpose of study: <\/strong>The profession of piano playing involves the meticulous use of the various intrinsic muscles of the hand. Repeated exposure to micro trauma over a period of time has a direct effect on performance as a level of speed and precision has to be maintained at all times. Therefore this study was aimed at finding out the effect of the prevalence of cumulative hand trauma disorders faced by pianists.<\/p>\n

Results: <\/strong>The result of the study carried out showed that 68% of subjects experienced pain in the hand. A majority of 20% of the subjects experienced pain at the site of their wrist. Finkelsteins test was positive in 34% of subjects with pain. The average grip strength taken for males was 37.67 kg\u2019s and 20.18 kgs in females. Beighton\u2019s scale for hypermobility was taken and 76% of subjects tested positive.<\/p>\n

Conclusion: <\/strong>In conclusion this study reveals that pianists are predisposed to cumulative hand trauma disorders. With the help of the outcome measure\u2019s discussed in the results we are able observe that grip strength is significantly reduced, DeQuervain\u2019s is positive and hypermobility does occur in a particularly large amount of the subject population. Using Hoppmann\u2019s (1998) pain outcome measure we can conclude that pain does affect the professional performance in a negative way.<\/p>\n

Key words: <\/strong>Overuse Syndromes, Pianists, Hand Trauma.<\/p>\n

REFERENCES<\/strong><\/p>\n

    \n
  1. Peter Bragge,\u00a0Andrea Bialocerkowski\u00a0and\u00a0Joan McMeeken. A systematic review of prevalence and risk factors associated with playing-related musculoskeletal disorders in pianists. Occupational Medicine Journal (London),\u00a0 January 2006;56(1):28-38.<\/li>\n
  2. Warrington J. Hand therapy for the musician: instrument-focused Hand Clinics Journal, May 2003;19(2):287-301.<\/li>\n
  3. Sheibani-Rad,S. Wolfe,J. Jupiter. Hand disorders in musicians: The orthopaedic surgeons role. Bone and Joint Journal 2013 Feb;95-B(2):146-50.<\/li>\n
  4. Hoppmann RA (1998). Musculoskeletal Problems in Instrumental Musicians. In: Sataloff RT, Brandfonbrener AG, Lederman RJ ed. Textbook of Performing Arts Medicine. 2nd ed. New York: Raven \u00a0\u00a0Press, pp.71-110.<\/li>\n
  5. Anneli Peolsson,1 Rune Hedlund2 and Birgitta O\u00c8berg.<\/li>\n
  6. INTRA- AND INTER- TESTER RELIABILITY AND REFERENCE VALUES FOR HAND STRENGTH. Journal of Rehabilition Medicine 2001;33:36\u201341.<\/li>\n
  7. Spahn, Claudia, Sandra Strukely, and Andreas Lehmann. Health Conditions, Attitudes Toward Study, and Attitudes Toward Health at the Beginning of University Study: Music Students in Comparison with Other Student Medical Problems of Performing Artists 2004;19:26-33.<\/li>\n
  8. Lippmann, H.A. A fresh look at the overuse syndrome in musical performers: Is “overuse” or overused? Medical Problems of Performing Artists, 1991;6:57\u201060.<\/li>\n
  9. Stroller D, Brody GA. The wrist and hand\/carpal tunnel syndrome. In: Stroller DW, editor.MRIinorthopedics and sports medicine. 2nd edition. Philadelphia: Lippincott-Raven; 1997;852\u2013963.<\/li>\n<\/ol>\n

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    \n \t Cite this article:<\/strong><\/span> Khushboo Tahilram, Sanket Nagrate, Ashok Shaym, Parag Sancheti. PREVALENCE OF CUMULATIVE HAND TRAUMA DISORDERS IN PIANISTS . Int J Physiother\u00a0Res 2018;6(3):2759-2763. DOI: 10.16965\/ijpr.2018.138 \n <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"

    Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 3 (June 2018) Page No.:\u00a02759-2763 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2018.138 PREVALENCE OF CUMULATIVE HAND TRAUMA DISORDERS IN PIANISTS Khushboo Tahilram 1, Sanket Nagrate *2, Ashok Shaym 3, Parag Sancheti 4. 1\u00a0BPTh student, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India. *2\u00a0PT, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India. 3\u00a0MS ORTHO, Research
    + Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-571","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/571"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=571"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/571\/revisions"}],"predecessor-version":[{"id":573,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/571\/revisions\/573"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=571"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}