This paper describes an evidenced-based framework for the assessment, prevention, and treatment of musculoskeletal musician injuries to provide clinicians with an instrument-specific, and musician-centered guide for practice. We synthesized available literature on instrumental ergonomics, biomechanical demands, and upper extremity injuries to highlight the risks and common upper-extremity pathologies, focusing on the specific demands of instrumental groups: piano, high strings (violin and viola), low strings (cello and bass), percussion, woodwinds, and brass. Targeted assessment, prevention, and treatment strategies are reviewed in this context to provide healthcare providers with an evidence- based framework to approach the treatment of PRMD to mitigate incidence of injury during practice and performance.
Hand Therapy for Musicians by Dr. Aviva Wolff
Aviva works with individual musicians and musical groups to educate, prevent and manage performance related injuries. She uses a customized approach that is based on the player’s specific instrument and performance demands to promote healthy habits and avoid injury. She is available for individual consultations and group presentations.