Clinical Assessment of Shoulder Impingement Factors in Violin and Viola Players
Objective: To describe several clinical tests and predisposing factors for shoulder impingement syndrome in violin and viola players. Subjects: Ten musicians (7 females, 3 males) and 18 controls (8 females, 10 males), all college-aged. Methods: Subjects were interviewed about their music-playing his...
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| Veröffentlicht in: | Medical problems of performing artists 2008-12, Vol.23 (4), p.155-163 |
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| creator | Moore, M DeHaan, L Ehrenberg, T Gross, L Magembe, C |
| description | Objective: To describe several clinical tests and predisposing factors for shoulder impingement syndrome in violin and viola players. Subjects: Ten musicians (7 females, 3 males) and 18 controls (8 females, 10 males), all college-aged. Methods: Subjects were interviewed
about their music-playing history and shoulder pain. Four clinical assessment tests were performed on both shoulders: Neer impingement text (maximal flexion +/- pain), shoulder internal rotation with over-pressure (end-feel and +/- pain), lower trapezius muscle strength (ft-lbs of torque from
manual dynamometer), and forward shoulder posture (height of acromion from plinth with subject supine). Analysis: Descriptive analysis of questionnaire data, plus two-sample t-tests for manual shoulder assessment tests in musicians versus controls. Also comparisons of music-playing
history in musicians with and without shoulder impingement. Results: Seventy percent of musicians reported pain somewhere in the upper limb, with 50% in the left shoulder and 30% in the right shoulder. Thirty percent of musicians had a positive Neer impingement test, while 0% of controls
did. There was a significant phi (Φ) correlation between being a musician and having a higher incidence of shoulder impingement (p |
| doi_str_mv | 10.21091/mppa.2008.4032 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_196339556</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>scimed/mppa/2008/00000023/00000004/art00003</ingid><galeid>A197797335</galeid><jstor_id>48710814</jstor_id><sourcerecordid>A197797335</sourcerecordid><originalsourceid>FETCH-LOGICAL-c556t-b52bea33118ae4e036279aa742d1ab6a52ff54a3783f4c78596c2490b12d80f33</originalsourceid><addsrcrecordid>eNp1Uk1v1DAQjRCVWApnTkgRnLO1PU5sH1crCpUqtRKFqzXr2ItXiRPsLFL59Tib8lGJ2gePZt57Y89zUbyhZM0oUfSiH0dcM0LkmhNgz4oVVSArJprmebEiUtYVpbV8UbxM6UAIKKFgVdxsOx-8wa7cpGRT6m2YysGVn78Nx661sbzqRx_29pS_RDMNMZU-lF_9kIklhvYUYnnb4b2N6VVx5rBL9vXDeV58ufxwt_1UXd98vNpuritT181U7Wq2swhAqUTLLYGGCYUoOGsp7hqsmXM1RxASHDdC1qoxjCuyo6yVxAGcF-8W3TEO3482TfowHGPILTVVDYDKbTLo_QLaY2e1D26YIpreJ6M3VAmhBECdUev_oPJube_NEKzzOf-IcLEQTBxSitbpMfoe472mRJ-80LMXevZCz15kxtuFcUh5gH_gXApKJOW5vl3q86jDhH8fk4zvbfuPHjktBg8B4RrjNAfzTG6fUPHmt9D8D-ZvoH8wCDxLzvfNsrQhjW6tw2M36Qmj3v_UCeAXgxK0xQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>196339556</pqid></control><display><type>article</type><title>Clinical Assessment of Shoulder Impingement Factors in Violin and Viola Players</title><source>JSTOR Archive Collection A-Z Listing</source><creator>Moore, M ; DeHaan, L ; Ehrenberg, T ; Gross, L ; Magembe, C</creator><creatorcontrib>Moore, M ; DeHaan, L ; Ehrenberg, T ; Gross, L ; Magembe, C</creatorcontrib><description>Objective: To describe several clinical tests and predisposing factors for shoulder impingement syndrome in violin and viola players. Subjects: Ten musicians (7 females, 3 males) and 18 controls (8 females, 10 males), all college-aged. Methods: Subjects were interviewed
about their music-playing history and shoulder pain. Four clinical assessment tests were performed on both shoulders: Neer impingement text (maximal flexion +/- pain), shoulder internal rotation with over-pressure (end-feel and +/- pain), lower trapezius muscle strength (ft-lbs of torque from
manual dynamometer), and forward shoulder posture (height of acromion from plinth with subject supine). Analysis: Descriptive analysis of questionnaire data, plus two-sample t-tests for manual shoulder assessment tests in musicians versus controls. Also comparisons of music-playing
history in musicians with and without shoulder impingement. Results: Seventy percent of musicians reported pain somewhere in the upper limb, with 50% in the left shoulder and 30% in the right shoulder. Thirty percent of musicians had a positive Neer impingement test, while 0% of controls
did. There was a significant phi (Φ) correlation between being a musician and having a higher incidence of shoulder impingement (p<0.01 for bowing arm, p<0.05 for left arm). Those musicians with a positive impingement test also had pain with over-pressure in internal
rotation, indicating a chronic condition. Musicians' mean playing time was 9.8 hr/wk, with 14 min/hr of rest. Musicians with impingement tended to play more hours per week, but differences in playing time and rest were not significant. t-Tests showed no significant difference in lower
trapezius strength or degree of forward shoulder between musicians and controls. Conclusions: Upper string players are at increased risk for shoulder impingement.</description><identifier>ISSN: 0885-1158</identifier><identifier>EISSN: 1938-2766</identifier><identifier>DOI: 10.21091/mppa.2008.4032</identifier><language>eng</language><publisher>Narberth: Science & Medicine, Inc</publisher><subject>Care and treatment ; Cumulative trauma disorders ; Diagnosis ; Medical examination ; Overuse injuries ; Physiological aspects ; Risk factors ; Shoulder pain ; Violists</subject><ispartof>Medical problems of performing artists, 2008-12, Vol.23 (4), p.155-163</ispartof><rights>COPYRIGHT 2008 Science & Medicine</rights><rights>Copyright Science & Medicine Inc. Dec 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c556t-b52bea33118ae4e036279aa742d1ab6a52ff54a3783f4c78596c2490b12d80f33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48710814$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48710814$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids></links><search><creatorcontrib>Moore, M</creatorcontrib><creatorcontrib>DeHaan, L</creatorcontrib><creatorcontrib>Ehrenberg, T</creatorcontrib><creatorcontrib>Gross, L</creatorcontrib><creatorcontrib>Magembe, C</creatorcontrib><title>Clinical Assessment of Shoulder Impingement Factors in Violin and Viola Players</title><title>Medical problems of performing artists</title><description>Objective: To describe several clinical tests and predisposing factors for shoulder impingement syndrome in violin and viola players. Subjects: Ten musicians (7 females, 3 males) and 18 controls (8 females, 10 males), all college-aged. Methods: Subjects were interviewed
about their music-playing history and shoulder pain. Four clinical assessment tests were performed on both shoulders: Neer impingement text (maximal flexion +/- pain), shoulder internal rotation with over-pressure (end-feel and +/- pain), lower trapezius muscle strength (ft-lbs of torque from
manual dynamometer), and forward shoulder posture (height of acromion from plinth with subject supine). Analysis: Descriptive analysis of questionnaire data, plus two-sample t-tests for manual shoulder assessment tests in musicians versus controls. Also comparisons of music-playing
history in musicians with and without shoulder impingement. Results: Seventy percent of musicians reported pain somewhere in the upper limb, with 50% in the left shoulder and 30% in the right shoulder. Thirty percent of musicians had a positive Neer impingement test, while 0% of controls
did. There was a significant phi (Φ) correlation between being a musician and having a higher incidence of shoulder impingement (p<0.01 for bowing arm, p<0.05 for left arm). Those musicians with a positive impingement test also had pain with over-pressure in internal
rotation, indicating a chronic condition. Musicians' mean playing time was 9.8 hr/wk, with 14 min/hr of rest. Musicians with impingement tended to play more hours per week, but differences in playing time and rest were not significant. t-Tests showed no significant difference in lower
trapezius strength or degree of forward shoulder between musicians and controls. Conclusions: Upper string players are at increased risk for shoulder impingement.</description><subject>Care and treatment</subject><subject>Cumulative trauma disorders</subject><subject>Diagnosis</subject><subject>Medical examination</subject><subject>Overuse injuries</subject><subject>Physiological aspects</subject><subject>Risk factors</subject><subject>Shoulder pain</subject><subject>Violists</subject><issn>0885-1158</issn><issn>1938-2766</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>A3D</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AVQMV</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DJMCT</sourceid><recordid>eNp1Uk1v1DAQjRCVWApnTkgRnLO1PU5sH1crCpUqtRKFqzXr2ItXiRPsLFL59Tib8lGJ2gePZt57Y89zUbyhZM0oUfSiH0dcM0LkmhNgz4oVVSArJprmebEiUtYVpbV8UbxM6UAIKKFgVdxsOx-8wa7cpGRT6m2YysGVn78Nx661sbzqRx_29pS_RDMNMZU-lF_9kIklhvYUYnnb4b2N6VVx5rBL9vXDeV58ufxwt_1UXd98vNpuritT181U7Wq2swhAqUTLLYGGCYUoOGsp7hqsmXM1RxASHDdC1qoxjCuyo6yVxAGcF-8W3TEO3482TfowHGPILTVVDYDKbTLo_QLaY2e1D26YIpreJ6M3VAmhBECdUev_oPJube_NEKzzOf-IcLEQTBxSitbpMfoe472mRJ-80LMXevZCz15kxtuFcUh5gH_gXApKJOW5vl3q86jDhH8fk4zvbfuPHjktBg8B4RrjNAfzTG6fUPHmt9D8D-ZvoH8wCDxLzvfNsrQhjW6tw2M36Qmj3v_UCeAXgxK0xQ</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Moore, M</creator><creator>DeHaan, L</creator><creator>Ehrenberg, T</creator><creator>Gross, L</creator><creator>Magembe, C</creator><general>Science & Medicine, Inc</general><general>Science & Medicine</general><general>Science & Medicine Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>A3D</scope><scope>A3F</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AVQMV</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DJMCT</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20081201</creationdate><title>Clinical Assessment of Shoulder Impingement Factors in Violin and Viola Players</title><author>Moore, M ; DeHaan, L ; Ehrenberg, T ; Gross, L ; Magembe, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c556t-b52bea33118ae4e036279aa742d1ab6a52ff54a3783f4c78596c2490b12d80f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Care and treatment</topic><topic>Cumulative trauma disorders</topic><topic>Diagnosis</topic><topic>Medical examination</topic><topic>Overuse injuries</topic><topic>Physiological aspects</topic><topic>Risk factors</topic><topic>Shoulder pain</topic><topic>Violists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moore, M</creatorcontrib><creatorcontrib>DeHaan, L</creatorcontrib><creatorcontrib>Ehrenberg, T</creatorcontrib><creatorcontrib>Gross, L</creatorcontrib><creatorcontrib>Magembe, C</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Music Periodicals Database</collection><collection>Performing Arts Periodicals Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Arts Premium Collection</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Music & Performing Arts Collection</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Medical problems of performing artists</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moore, M</au><au>DeHaan, L</au><au>Ehrenberg, T</au><au>Gross, L</au><au>Magembe, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Assessment of Shoulder Impingement Factors in Violin and Viola Players</atitle><jtitle>Medical problems of performing artists</jtitle><date>2008-12-01</date><risdate>2008</risdate><volume>23</volume><issue>4</issue><spage>155</spage><epage>163</epage><pages>155-163</pages><issn>0885-1158</issn><eissn>1938-2766</eissn><abstract>Objective: To describe several clinical tests and predisposing factors for shoulder impingement syndrome in violin and viola players. Subjects: Ten musicians (7 females, 3 males) and 18 controls (8 females, 10 males), all college-aged. Methods: Subjects were interviewed
about their music-playing history and shoulder pain. Four clinical assessment tests were performed on both shoulders: Neer impingement text (maximal flexion +/- pain), shoulder internal rotation with over-pressure (end-feel and +/- pain), lower trapezius muscle strength (ft-lbs of torque from
manual dynamometer), and forward shoulder posture (height of acromion from plinth with subject supine). Analysis: Descriptive analysis of questionnaire data, plus two-sample t-tests for manual shoulder assessment tests in musicians versus controls. Also comparisons of music-playing
history in musicians with and without shoulder impingement. Results: Seventy percent of musicians reported pain somewhere in the upper limb, with 50% in the left shoulder and 30% in the right shoulder. Thirty percent of musicians had a positive Neer impingement test, while 0% of controls
did. There was a significant phi (Φ) correlation between being a musician and having a higher incidence of shoulder impingement (p<0.01 for bowing arm, p<0.05 for left arm). Those musicians with a positive impingement test also had pain with over-pressure in internal
rotation, indicating a chronic condition. Musicians' mean playing time was 9.8 hr/wk, with 14 min/hr of rest. Musicians with impingement tended to play more hours per week, but differences in playing time and rest were not significant. t-Tests showed no significant difference in lower
trapezius strength or degree of forward shoulder between musicians and controls. Conclusions: Upper string players are at increased risk for shoulder impingement.</abstract><cop>Narberth</cop><pub>Science & Medicine, Inc</pub><doi>10.21091/mppa.2008.4032</doi><tpages>9</tpages></addata></record> |
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| source | JSTOR Archive Collection A-Z Listing |
| subjects | Care and treatment Cumulative trauma disorders Diagnosis Medical examination Overuse injuries Physiological aspects Risk factors Shoulder pain Violists |
| title | Clinical Assessment of Shoulder Impingement Factors in Violin and Viola Players |
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