Object
Title: Long-term effects of playing wind instruments and preventive indications
Abstract:
Playing wind instruments is considered as a continuous training of respiratory muscles. It may have beneficial effects on respiratory muscle strength and higher respiratory performance parameters. However, there is a high risk of overstress conditions and pain associated with music performance. The aim of this study was to evaluate the efficiency of the respiratory system and the strength of respiratory muscles under conditions of excessive respiratory effort in brass instrumentalists compared to a control group and to create a physioprophylactic and educational program to prevent the negative effects of long-term playing of brass instruments. Material and Methods The study involved 40 professionally active musicians (34 men and 6 women) and 50 non-players of wind instruments (43 men and 7 women). All subjects were non-smokers and had no comorbidities. The mean age in the study group was 35 years and the mean instrument playing experience was 22.4 years. In the control group, the mean age was 33.8 years. Results Musicians had higher average percent due for parameters: FEV₁%VC, FVC EX, FEV1, MEF 50 and PEF than the control group. Statistically significant differences were observed for FEV₁%VC (musicians: 100.86 ± 8.0 vs control 91.56 ± 9.9, p<0.001), MEF 50 (musicians: 104.9 ± 31.0 vs control 86.14 ± 27.6, p=0.003) and PEF (musicians: 100.5 ± 20.15 vs control 85.9 ± 23.916, p ; =0.003). As for the VC parameter, higher values were presented by the control group. However, these differences were not statistically significant (p = 0.477). Musicians playing brass instruments were characterized by a higher average percentage due for the parameters: FVC EX, FEV1, VC and PEF than musicians playing wooden instruments. Statistically significant differences were observed for the parameters FVC EX (brass: 107.82 ± 12.4 vs. wood 96.17 ± 17.5, p = 0.025), FEV1 (brass: 107.35 ± 14. 4 vs wooden 92.43 ± 20.3, p=0.014), VC (tin: 113.0 ± 13.9 vs wooden 95.0 ± 23.3, p<0.025) and PEF (tin: 111.24 ± 21.6 vs wooden 92.61 ± 14.9, p=0.003). The only exception was the FEV1%VC parameter, where higher values were obtained by musicians playing woodwind instruments. However, differences were not statistically significant. The mean percent of MIP according to the mean age, gender and body composition norm was significantly higher in the musicians group than in the control group (MIP musicians: 143.4 ± 35.9 vs. control 122.9 ± 13.1 cmH2O, p<0.01). There were no significant differences for the MEP parameter (MEP musicians: 104.9 ± 23.6 vs control 97.7 ± 20.3 cmH2O, p=0.072). There were no statistically significant differences in parameters determining respiratory muscle strength between woodwind and brass instrument musicians. Musculoskeletal complaints were reported by as many as 95 ; % of the musicians studied. The most frequent pain areas were: lumbar spine, cervical spine, shoulder girdle and upper limbs, and thoracic spine. As many as 93% of instrumentalists reported that their posture had deteriorated since they began working as musicians, 80% reported pain symptoms in the temporomandibular joints, and 38% reported hearing disorders. Conclusions Long-term playing of wind instruments has a beneficial effect on some respiratory system performance parameters and respiratory muscle strength. Unfortunately, the forced position of the body and the long-lasting static type of work lead to chronic pain syndromes, which in turn may be the cause of degenerative changes in joints and the spine. Therefore, preventive measures and the search for effective corrective and therapeutic methods are crucial.
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Level of degree:
Degree discipline:
medycyna pracy ; rehabilitacja
Degree grantor:
Rada Dyscypliny Nauki o zdrowiu
Promoter:
Bilski, Jan ; Śliwka, Agnieszka
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Last modified:
Feb 29, 2024
In our library since:
Dec 17, 2022
Number of object content hits:
444
Number of object content views in PDF format
391
All available object's versions:
http://dl.cm-uj.krakow.pl:8080/publication/4911
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| Edition name | Date |
|---|---|
| ZB-135518 | Feb 29, 2024 |
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