Article

OBJECTIVE: To investigate sensory and sensorimotor function in violin and viola
players with and without neck pain. DESIGN: Prospective, cross-sectional study.
SETTING: University laboratory. PARTICIPANTS: Convenience sample of violin
players with playing-related neck pain (n=22), violinists without neck pain
(n=21), and healthy nonmusician comparison subjects (n=21). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Measures include thermal pain thresholds (cold
and heat) and pressure pain thresholds (PPTs) over the cervical spine and over a
remote region (tibialis anterior muscle). Motor performance tests including
reaction times, speed of movement, accuracy, coordination, and tapping speed
assessed with a special upper-limb test battery. RESULTS: Musicians with neck
pain had significantly lower heat and elevated cold pain thresholds as well as
lower PPTs over C5-6 (P<.01) and over the tibialis anterior (P<.05). Motor
performance tests revealed no differences between the symptomatic and
asymptomatic musicians and nonmusician comparison groups (P>.05). CONCLUSIONS:
Violin players with neck pain demonstrated signs of sensory impairment,
suggesting that playing-related neck pain may be associated with augmented
central pain processing consistent with findings in other neck pain groups. No
differences were evident in the motor performance tests. Fine motor skills of
violin players may be better assessed in the context of playing their musical
instruments before definitive conclusions can be drawn about the presence or not
of sensorimotor impairments in this group of musicians with playing-related neck
pain.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.
- Musiciens

Langue : ANGLAIS