Health problems of musicians
Health conditions
The most common injury type suffered by musicians is repetitive strain injury (RSI). A survey of orchestral performers found that 64–76% had significant RSIs.[1] Other types of musculoskeletal disorders, such as carpal tunnel syndrome and focal dystonia, are also common.[2][3]
Non-musculoskeletal problems include:
- contact dermatitis,
- hearing problems due to exposure to loud music, such as tinnitus, hearing loss, hyperacusis and diplacusis,[4][5][6][7]
- respiratory disorders or pneumothorax,
- increased intraocular pressure,
- gastroesophageal reflux disease, and
- psychological issues such as performance anxiety.[2]
They are also at an increased risk of having problems with the stomatognathic system, in particular the mouth and teeth, which may in some cases lead to permanent injuries that prevent the musicians from playing.[8]
There is little consistency across the hearing healthcare sector with respect to the care of musicians' hearing and the provision of hearing protection.[9] However, the American Academy of Audiology has published a consensus document regarding best practices for hearing loss prevention with musicians.[10]
Playing a brass or woodwind instrument puts the musician at greater risk of inguinal hernia.[11] Woodwind instrumentalists, in rare cases, suffer a condition known as hypersensitivity pneumonitis, also referred to as saxophone lung, caused by Exophiala infection. It is held that this can occur if instruments are not cleaned properly.[12]
The risks for DJs working in nightclubs with loud music include noise-induced hearing loss and tinnitus.[13] Nightclubs constantly exceed safe levels of noise exposure, with average sound levels ranging from 93.2 to 109.7 dB.[14] Constant music exposure creates temporary and permanent auditory dysfunction for professional DJs, with average levels at 96 dB, which is above the level at which ear protection is mandatory for industry. Three-quarters of DJs have tinnitus[15] and are at risk of tenosynovitis in the wrists and other limbs. Tenosynovitis results from staying in the same position over multiple gigs for scratching motion and cueing; this would be related to a repetitive strain injury.[16] Gigs can last 4–5 hours in nightlife and the hospitality industry; as a result there are potential complications of prolonged standing which include slouching, varicose veins, cardiovascular disorders, joint compression, and muscle fatigue.[17][18] It is also common for other staff to experience these, such as bartenders and security staff.
The World Health Organization launched the Make Listening Safe initiative as part of the celebration of World Hearing Day on 3 March 2015.[19] WHO reviewed existing noise regulations for various entertainment sites – including clubs, bars, concert venues, and sporting arenas and released a global Standard for Safe Listening Venues and Events as part of World Hearing Day 2022.
See also
- Performing arts medicine
- Safe-In-Sound Award
- Safe listening
- Hyperacusis
- Diplacusis
- 2023 concert abuse spate
References
- ^ Mitchell T (2010). Longyear S (ed.). "A painful melody: repetitive strain injury among musicians" (PDF). Pittsburg State University.
- ^ S2CID 36408486.
- PMID 28167172.
- ^ https://www.audiology.org/sites/default/files/publications/resources/Musicians%20Consensus%20Doc_Final_1.23.20.pdf
- ^ Kardous CA, Themann CL, Morata TC, Reynolds J, Afanuh S (2015). "Workplace Solutions: Reducing the Risk of Hearing Disorders among Musicians" (PDF). National Institute for Occupational Safety and Health. Retrieved 12 July 2016.
- PMID 29676294.)
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: CS1 maint: DOI inactive as of January 2024 (link - PMID 30261653.
- PMID 21987070.
- S2CID 24276596.
- ^ "Musicians and Music Industry". Audiology. 19 November 2019. Retrieved 13 October 2020.
- PMID 28931767. Retrieved 31 December 2020.
- ^ Lallanilla M (8 November 2013). "What Is Saxophone Lung?". Live Science. Retrieved 16 January 2017.
- S2CID 21433591.
- S2CID 41798256.
- S2CID 19542748.
- PMID 21435409.
- PMID 25041875.
- S2CID 6791057.
- PMID 25913558.
External links
- Okoshi, Kae; Minami, Taro; Masahiro, Kikuchi; Tomizawa, Yasuko (2017). "Musical Instrument-Associated Health Issues and Their Management". The Tohoku Journal of Experimental Medicine. 243 (1): 49–56. PMID 28931767. Retrieved 31 December 2020.
- National Association of Schools of Music (NASM) and the Performing Arts Medicine Association (PAMA) Advisories on Hearing Health. [1]
- Make Listening Safe Campaign UK