Performing Arts Medicine, 3rd ed.Medical Problems of Performing Artists

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Therapeutic Management of the Injured Musician

Bronwen J. Ackermann
From: Performing Arts Medicine, 3rd ed.: Chapter 13 © 2010; page: 247

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Abstract: Therapeutic intervention plays an important role in the rehabilitation of the injured musician. This chapter covers the main physical therapeutic approaches used in the treatment of musicians' injuries. The first step in the musician's rehabilitation include addressing common risk factors and organizing appropriate intervention strategies, as well as educating the performer to understand the impact of common risk factors and to allow more effective therapeutic interventions. Therapy needs to take an active approach in addressing the relevant risk factors and modifying these when able, beginning with assessing and retraining postural faults, including sitting and standing postures, identifying and correcting biomechanical flaws, and retraining motor control strategies (using proprioceptive and sensorimotor retraining, muscle relaxation and feedback). Manual therapy approaches are used as necessary as a more passive adjunct to assist in reducing pain and restoring function of injured regions. There must be adequate muscle strength, control, and flexibility to perform the desired instrumental task, and the interface between the instrument and performer should be optimized to minimize musculoskeletal load. Following injury, a graduated return to play should be followed to ensure a successful return to performance.

Last Updated: 5 / 2010

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