Evaluatıon of paın and functıonal dısabılıty body parts seen between musıcıans playıng strıng ınstruments

Abstract

Purpose: The most common discomforts in musicians are musculoskeletal injuries. Musicians who play advanced instruments use their musculoskeletal systems for long periods of time outside their normal position. Conventional treatment, including cold therapy, passive motion, parafine, contrast and circular bath with additional ESWT (Extracorporeal Shock Wave Therapy) and High Density Laser therapy are the treatment methods of wrist and elbow Problems in patients with musician. The aim of study is evaluated of pain and functional disability body parts seen between musicians playing string instruments. Method: Our randomized, blinded, controlled included 22 in musicans aged 16 to 50 years. Disabilities of the Arm, Shoulder and Hand Score (DASH) which has minimal 0 and maximal 100 points, Oxford Elbow Scale which has minimal 0 and maximal 48 points, Shoulder Pain and Disability Index (SPADI) which has minimal 0 and maximal 130 points. Our the last evaluation form is Functional Situation Scale (FSS) which has minimal 0 points and maximal 40 points. We compared conclusion of these forms total points because our main goal was to determine the locations of inflamation and pain seen substantially in musicians playing string instruments. We compared our conclusion of questionnare with literatüre. Result: Many studies have demonstrated in vivo and in vitro evidence of frequence musicians health problems. The main objective of the our study was to determine localization of the pain, functional disabilityand evaluate whether consisting of different reasons can lead to an improvement in activation of finger, wrist, elbow ability in patients with musician and whether the effects of treatment on pain and inflamation may persist or not. Also, mean and standart deviation of FSS was 36,18±1,43. According to these scores and literatür, problems seen frequently in musicians playing string instrument are inactivation of finger, wrist, elbow ability because of pain, functional impairment and epicondilit. Conclusion: In shortly, playing musical instruments requires that the stimuli enter a position contrary to the natural posture of the body according to the variety and cause of physical tension. It is essential that the tension in the instrument technique is destroyed. According to OES, FSS, Musicians playing string instrument have suffered from disability of finger, wrist, elbow because of pain and restriction of functions.