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Journal ArticleDOI

Injured Professional Musicians and the Complex Relationship between Occupation and Health

05 Jul 2012-Journal of Occupational Science (Taylor & Francis Group)-Vol. 19, Iss: 3, pp 258-270

TL;DR: This mixed format (research and discussion) article addresses the relationship between occupation and health by including findings from a phenomenological study of the lived experience of professional musicians with playing-related injuries.

AbstractThis mixed format (research and discussion) article addresses the relationship between occupation and health. The conceptual discussion is deepened by including findings from a phenomenological study of the lived experience of professional musicians with playing-related injuries. Participants described decreased awareness of time and of their bodies when they were healthy, particularly when experiencing flow. Participants described flow as detrimental to their health, and used strategies to disrupt flow in order to continue in their chosen occupation. This choice can be seen as unhealthy, particularly in cases where the musician has been advised to decrease or stop playing for health reasons. However, occupational science theories favour individual choice in occupations. This apparent contradiction can be resolved if the definition of health is broad and includes justice and freedom to choose.

Topics: Occupational science (57%)

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2,422 citations



Journal ArticleDOI
TL;DR: The Sound Practice orchestral musicians work health and safety project used formative and process evaluation approaches to develop evidence-informed and clinically applicable physical therapy interventions, ultimately resulting in favorable outcomes.
Abstract: Playing a musical instrument at an elite level is a highly complex motor skill. The regular daily training loads resulting from practice, rehearsals and performances place great demands on the neuromusculoskeletal systems of the body. As a consequence, performance-related musculoskeletal disorders (PRMDs) are globally recognized as common phenomena amongst professional orchestral musicians. These disorders create a significant financial burden to individuals and orchestras as well as lead to serious consequences to the musicians’ performance and ultimately their career. Physical therapists are experts in treating musculoskeletal injuries and are ideally placed to apply their skills to manage PRMDs in this hyper functioning population, but there is little available evidence to guide specific injury management approaches. An Australia-wide survey of professional orchestral musicians revealed that the musicians attributed excessively high or sudden increase in playing-load as major contributors to their PRMDs. Therefore, facilitating musicians to better manage these loads should be a cornerstone of physical therapy management. The Sound Practice orchestral musicians work health and safety project used formative and process evaluation approaches to develop evidence-informed and clinically applicable physical therapy interventions, ultimately resulting in favourable outcomes. After these methodologies were employed, the intervention studies were conducted with a national cohort of professional musicians including: health education, onsite injury management, cross-training exercise regimes, performance postural analysis, and music performance biomechanics feedback. The outcomes of all these interventions will be discussed alongside a focussed review on the existing literature of these management strategies. Finally, a framework for best-practice physical therapy management of PRMDs in musicians will be provided.

49 citations


Cites background from "Injured Professional Musicians and ..."

  • ...Negative connotations of inferior technical competency are commonly directed at musicians suffering performance-related injuries by their peers (Guptill, 2011, 2012; Raymond et al., 2012)....

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Journal ArticleDOI
TL;DR: A tailored exercise program for musicians was effective at managing PR MDs, especially in reducing the frequency and severity of PRMDs.
Abstract: PURPOSE: To evaluate the effect of a purpose-designed exercise program on performance-related musculoskeletal disorders (PRMDs) and associated risk factors in a sample of professional orchestral musicians. METHODS: A 10-week exercise program was made available to full-time musicians employed by the eight premier symphony orchestras of Australia. Questionnaires were administered before, immediately after (T1), and 6 months after interventions (T2) containing questions relating to change in frequency and severity of PRMDs, ratings of perceived exertion (RPE) during rehearsal, private practice, and performance, as well as nine performancerelated factors. Participants were also asked to rate whether these performance-related factors affected their overall playing capacity during different playing situations. A comparative control group of musicians had no intervention and completed a modified questionnaire at the same time points. RESULTS: Exercise participants (n=30) reported a reduction in frequency (p<0.05) and severity (p<0.05) of PRMDs at T1 but not at T2 compared to controls (n=23). The exercise group reported a significant improvement in RPE during private practice at T1 (p<0.01) and T2 (p<0.01), but not during rehearsal and performance. At T1, the intervention was rated to be moderately to highly effective for three performancerelated factors: strengthening muscles that support playing, learning techniques that support playing, and posture. Further, participants reported an intervention effect on overall playing capacity during rehearsal at T1 and T2. CONCLUSIONS: A tailored exercise program for musicians was effective at managing PRMDs, especially in reducing the frequency and severity of PRMDs. Physical therapy exercises should be considered in modifying performance-related factors that have been reported to be predictors of PRMDs. Med Probl Perform Art 2014; 29(4):181–188.

44 citations


Journal ArticleDOI
TL;DR: It is suggested that occupational science may have a significant role to play in developing critical understandings of the social construction of occupations as moral or immoral, deviant or normal, and healthy or unhealthy.
Abstract: This critical analysis of occupational science examines the figured world of occupation. Figured worlds are ‘typical’ representations of a particular construct based on taken-for-granted theories and stories developed through experience and “guided, shaped, and normed” though social interactions (Gee, 2011, p. 76). Drawing on theoretical articles published primarily in the Journal of Occupational Science, a discussion regarding the values and assumptions underlying occupational science is presented. It is proposed that there are tendencies to identify occupations as “positive” and to focus on the relationship of occupational engagement to enhanced health and well-being. At the same time, there may be an implicit exclusion of activities that are considered ‘negative,’ ‘unhealthy’ or ‘deviant’ from the figured world of occupation, which has the potential to stigmatise and marginalise individuals or collectives. It is suggested that occupational science may have a significant role to play in developing criti...

41 citations


Cites background from "Injured Professional Musicians and ..."

  • ...A limited number also explore the complex nature of occupational engagement and focus on ‘detrimental,’ ‘unhealthy’ or ‘risky’ aspects, such as injury experienced by professional musicians (Guptill, 2012) and risk for injury from skateboarding (Haines, Smith, & Baxter, 2010)....

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References
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"Injured Professional Musicians and ..." refers background or methods in this paper

  • ...Analysis used the hermeneutic process initially outlined by Heidegger and developed by van Manen (1997)....

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  • ...This question lends itself well to a qualitative, phenomenological approach, which ‘‘aims at gaining a deeper understanding of the nature or meaning of our everyday experiences’’ (van Manen, 1997, p. 9)....

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  • ...Other sources of lived experience were also consulted when interpreting the findings (van Manen, 1997)....

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  • ...I also met with an experienced qualitative researcher who was a member of my dissertation committee, in order to determine whether the analysis was plausible (Cohen et al., 2000; van Manen, 1997)....

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Abstract: Preface to the 25th Anniversary Edition. Acknowledgements to the First Edition. Enjoyment and Intrinsic Motivation. Rewards of Autotelic Activities. Structure of Autotelic Activities. A Theoretical Model for Enjoyment. Enjoying Games: Chess. Deep Play and the Flow Experience in Rock Climbing. Measuring the Flow Experience in Rock Dancing. Enjoying Work: Surgery. Flow Patterns in Everyday Life. Effects of Flow Deprivation. Politics of Enjoyment. Tests and Procedures Used in Microflow. Experiments. References. Index.

4,610 citations


"Injured Professional Musicians and ..." refers background in this paper

  • ...Proposed by psychologist Csikszentmihalyi (1975, 1993), flow has been defined as ‘‘a subjective, psychological state that occurs when people become so immersed in an occupation that they forget everything except what they are doing’’ (Wright, 2004, p. 66)....

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