Advertisement

Orthopädie & Rheuma

, Volume 21, Issue 2, pp 19–22 | Cite as

Überlastung oder falsche Technik induzieren chronische Schmerzen

Leiden im Orchestergraben

  • Elena Romana Gasenzer
  • Marie J. Klumpp
  • Eberhard A. Lux
  • Edmund A. Neugebauer
Fortbildung
  • 23 Downloads

In den vergangenen 20 Jahren hat sich auch in Deutschland die Musikermedizin etabliert. Der nachfolgende Beitrag fokussiert auf chronische Schmerzen, insbesondere bei Berufsmusikern. Was sind die Ursachen, welche Therapieansätze gibt es und wo finden Sie die richtigen Ansprechpartner?

Literatur

  1. 1.
    Altenmüller E, Richter B, Spahn C: MusikerMedizin: Diagnostik, Therapie und Prävention von musikerspezifischen Erkrankungen. Schattauer Verlag; Stuttgart 2010Google Scholar
  2. 2.
    Klöppel R: Das Gesundheitsbuch für Musiker, 2. Aufl. Gustav Bosse Erlag, Kassel 2003. Die Kunst des Musizierens — Von den physiologischen und psychologischen Grundlagen. 3. Aufl. Schott Verlag, Mainz, 2003Google Scholar
  3. 3.
    Storm A: Assessing the instrumental interface: modifications, ergonomics and maintenance of play. Phys Med Rehabil Clni N Am. 2006 Nov; 17(4): 893–903.CrossRefGoogle Scholar
  4. 4.
    Studer R, Gomez P, Hildebrandt H, Arial M, Danuser B: Stage fright: its experience as a problem and coping with it. International Archives of Occupational and Environmental Health 2011, Volume 84, Issue 7, pp 761–771CrossRefGoogle Scholar
  5. 5.
    Hildebrandt H, Nübling M: Providing Further Training in Musicophysiology to Instrumental Teachers: Do Their Professional and Preprofessional Students Derive Any Benefit? Medical Problems of Performing Artists: 2004 Volume 19 Number 2: Page 62Google Scholar
  6. 6.
    Spahn C, Hildebrandt H, Seidenglanz K: Effectiveness of a Prophylactic Course to Prevent Playing-related Health Problems of Music Students. Medical Problems of Performing Artists: Volume 16 Number 1: 2001, p24Google Scholar
  7. 7.
    Engquist K, Orbaek P, Jakobsson K: Musculoskeletal Pain and Impact on Performance in Orchestra Musicians and Actors. Medical Problems of Performing Artists: 2004, Vol 19 No 2: p 55Google Scholar
  8. 8.
    Ackermann B, Driscoll T, Kenny DT: Musculoskeletal Pain and Injury in Professional Orchestral Musicians in Australia. Medical Problems of Performing Artists: 2012 Vol. 27 No 4: p 181PubMedGoogle Scholar
  9. 9.
    Berque P, Gray H,McFadyen A: Development and psychometric evaluation of the Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians. Manual Therapy. Available online 10 June 2014.Google Scholar
  10. 10.
    Flor H, Birbaumer N, Turk DC: The psychobiology of chronic pain. Advances in Behaviour Research and Therapy. Vol 12, Issue 2, 1990, p 47–84CrossRefGoogle Scholar
  11. 11.
    Kaneko Y, Lianza S, Dawson WJ: Pain as an incapacitating factor in symphony orchestra musicians in Sao Paulo, Brazil. Medical Problems of Performing Artists: 2005 Vol 20 No 4: p 168Google Scholar
  12. 12.
    Dommerholt J: Perfoming arts medicine — instrumentalist musicians, Part I — general considerations. J. Bodyw Mov Ther. 2009, Oct; 13(4): 311–9 Part II — examination, J Bodyw Mov Ther. 2010 Jan; 14(1): 65-72 Part III — case histories. J Bodyw Mov Ther. 2010 Apr; 14(2): 127-38CrossRefGoogle Scholar
  13. 13.
    Papandreou M, Vervainioti A. Work-related musculoskeletal disorders among percussionists in Greece: a pilot study. Med Probl Perf Art. 2010, Sep; 25(3): 116–9Google Scholar
  14. 14.
    Bruno S, Lorusso A, LÁbbate N, Playing realated musculoekelettal disorders in young and adult classical piano students. Int Arch Occuo Environ Health, 2008 Jul; 81 (7): 855–60.CrossRefGoogle Scholar
  15. 15.
    N. Ell: Handgelenksprobleme bei Musikern, In: Musikphysiologie und Musikermedizin, 10. Jg., Nr. 4 2003, S. 189Google Scholar
  16. 16.
    Shoup D: An osteopathic approach to performing arts medicine. Phys Med Rehabil Cin N Am. 2006 Nov; 17(4): 853–64.CrossRefGoogle Scholar
  17. 17.
    Steinmetz A, Ridder PH, Methfessel G, Muche B, Professional musicians with craniomandibular dysfunction treated with oral splits. Cranio, 2009, Oc; 27(4): 221–30CrossRefGoogle Scholar
  18. 18.
    Papandreou M, Vervainioti A. Work-related musculoskeletal disorders among percussionists in Greece: a pilot study. Med Probl Perf Art. 2010, Sep; 25(3): 116–9Google Scholar
  19. 19.
    Joensuu A, Vatamäki M: Musicians consulting a hand surgeon having special competence in musician’s medicine. A survey on 148 patients. Duodecim, 2010; 126 (24): 2865–70PubMedGoogle Scholar
  20. 20.
    Blum J: The musician’s hand: aspects of music physiology and performing arts medicine. Handchir Mikrochir Plast Chir. 2000 Sep; 32(5): 200–310CrossRefGoogle Scholar
  21. 21.
    Quartier NF: Is hypermobility syndrome (HMS) a contributing factor for chronic unspecific wrist pain in a musician? Work. 2011 Jan 1;40(3): 325–33Google Scholar
  22. 22.
    Altenmüller E, Jabusch HC: pathophysiology, triggering factor, and treatment. Med Probl Perform Art. 2010 Mar; 25(1):3–9PubMedGoogle Scholar
  23. 23.
    M. Bangert, E. Altenmüller: Funktionelle und dysfunktionelle Plastizität bei Musikern. Musikphysiologie und Musikermedizin, Nr. 3 2003, S. 131Google Scholar
  24. 24.
    Kadota H, Nakajima Y, Miyazaki M et al: An fMRI study of musicians with focal dystonia during tapping tasks. J Neurol. 2010, Jul; 257(7): 1092–8CrossRefGoogle Scholar
  25. 25.
    Rosenkranz K, Butler K, Williamon A et al: Sensorimotor reorganization by proprioceptive training in musician’s dystonia and writer’s cramp. Neurology. 2008 Jan 22; 70 (4): 304–15CrossRefGoogle Scholar
  26. 26.
    Lee A, Shinichi Furuya S, Matthias Karst M, Eckart Altenmüller E: Alteration in forward model prediction of sensory outcome of motor action in focal hand dystonia. Front Hum Neurosci. 2013; 7: 172.PubMedPubMedCentralGoogle Scholar
  27. 27.
    Altenmüller E, Müller D: A model of task-specific focal dystonia. Neural Netw. 2013 Jul 6;48C:25–31CrossRefGoogle Scholar
  28. 28.
    Moro E, Gross RE, Krauss JK: What’s new in surgical treatment for dystonia? Mov Disord. 2013 Jun 15;28(7):1013–20.CrossRefGoogle Scholar
  29. 29.
    Jabusch HC, Müller SV, Altenmüller E: Anxiety in musicians with focal dystonia and those with chronic pain. Mov Disord. 2004 Oct;19(10):1169–75.CrossRefGoogle Scholar
  30. 30.
    Steptoe A, Fidler H: Stage fright in orchestral musicians: a study of cognitive and behavioural strategies in performance anxiety. Br J Psychol. 1987 May;78 ( Pt 2):241–9.CrossRefGoogle Scholar
  31. 31.
    Studer R1, Danuser B, Hildebrandt H, Arial M, Gomez P: Hyperventilation complaints in music performance anxiety among classical music students. J Psychosom Res. 2011 Jun;70(6):557–64. doi: 10.1016/j.jpsychores.2010.11.004. Epub 2011 Jan 17.CrossRefGoogle Scholar
  32. 32.
    Kusserow M, Candia V, Amft O, Hildebrandt H, Folkers G, Tröster: Monitoring stage fright outside the laboratory: an example in a professional musician using wearable sensors. Med Probl Perform Art. 2012 Mar;27(1):21–30.PubMedGoogle Scholar
  33. 33.
    Meeus M, Van Oosterwijck J, Ickmans K, Baert I, Coppieters I, Roussel N, Struyf F, Pattyn N, Nijs J: Interrelationships between pain processing, cortisol and cognitive performance in chronic whiplash-associated disorders. Clin Rheumatol. 2013 Dec 13.Google Scholar
  34. 34.
    Jabusch HC, Müller SV, Altenmüller E: Anxiety in musicians with focal dystonia and those with chronic pain. Mov Disord. 2004 Oct; 19(10): 1169–75CrossRefGoogle Scholar
  35. 35.
    Hagber M, Thiringer G, Brandström L: Incidence of tinnitus, impaired hearing and musculoskeletal disorders among students enrolled in academic music education. Int Arch Occup Environ Heralth. 2005, Aug; 78(7): 575–83.CrossRefGoogle Scholar
  36. 36.
    Gasenzer E R, Neugebauer E A M: Zur Problematik der allergischen Kontaktdermatitis bei Instrumentalisten. Deutsche Medizinische Wochenschrift 2012; 137: 2715–2721. Thieme, Stuttgart dito in: Aktuelle Dermatologie 2013; 39:1-8. Zeitschrift für Musikphysiologie und Musikermedizin, Nr. 1, 2013CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • Elena Romana Gasenzer
    • 1
    • 3
  • Marie J. Klumpp
    • 1
  • Eberhard A. Lux
    • 1
  • Edmund A. Neugebauer
    • 2
  1. 1.Institut für Forschung in der Operativen Medizin, Lehrstuhl für Chirurgische Forschung und Fakultät für Gesundheit, Department für HumanmedizinPrivate Universität Witten/Herdecke, Campus Köln-MerheimKölnDeutschland
  2. 2.Universität Witten/Herdecke, Campus NeuruppinNeuruppinDeutschland
  3. 3.IFOM — Institut für Forschung in der Operativen Medizin, Lehrstuhl für Chirurgische Forschung und Fakultät für Gesundheit, Department für HumanmedizinPrivate Universität Witten/Herdecke gGmbhKölnDeutschland

Personalised recommendations