Pain Clinic, vol.15, no.3, pp.327-331, 2003 (Scopus)
Introduction: Overuse syndrome in musicians, a common disorder, is characterized by pain, tenderness, and loss of function in muscles and joint ligaments of the upper limb. The most prevalent problems involve overuse of muscles resulting from repetitive movements of playing, often in combination with prolonged weight bearing in an awkward position. Many authors have described other problems such as tightness, cramp, fatigue, loss of performance, crepitation, focal dystonia and performance anxiety in classical music performers. Purpose: The aim of this study was to evaluate overuse syndrome, pain intensity and other related problems of string players and to determine the relation between these conditions and performing times. Patients and methods: Twenty-seven professional string players (13 male, 14 female) from the Presidential Symphony Orchestra, ranging from 24 to 50 years of age (mean: 33. 00 ± 7.83 years), and 25 students (8 male, 17 female) from Hacettepe University Conservatory, ranging from 11 to 18 years of age (mean: 13.16 ± 2.28 years) were introduced into this study. In the evaluation, Fry's overuse grades, McGill Pain Questionnaire, and the Visual Analogue Scale (VAS) were used. In addition, the complaints of tightness, cramp, fatigue, loss of performance, crepitation, focal dystonia and performance anxiety were recorded. Results: Various levels of VAS and overuse problems were observed in both groups, but no significant correlation between instrument playing time, and overuse levels and VAS was found.