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Peripheral Nerve Disorders in Instrumentalists
Ann Neurol 26:640-646, Lederman,R.J., 1989
See this aricle in Pubmed

Article Abstract
I evaluated 226 instrumentalists for playing-related symptoms.There were 103 players(46%)of string instruments,73 keyboard instrumentalists(32%),44 players(19%)of wind instruments,and 6 percussionists(3%).The mean age was 32 years;58%were women.Sixty-five patients(29%)had a peripheral nerve disorder;27 had symptoms of thoracic outlet syndrome,12 had median neuropathies(carpal tunnel syndrome in 9);9 had ulnar neuropathies;6 had cervical radiculopathy;5 had digital neuropathies;3 had cranial neuropathies;and 3 had other peripheral nerve disorders.Treatment consisted of modification of playing schedules and technique,plus physical and occupational therapy in 51 and surgical procedures in 9 patients;5 were not treated.Follow-up at 1 to 8 years showed 74%had a satisfactory result,14%had slight or minimal improvement,and 12%had no improvement.At the time of writing,all but 4 patients remained in the music profession.It is concluded that playing-related symptoms among instrumentalists are frequently neurological in origin and that the large majority can be helped by conservative or,on occasion,surgical means.
 
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carpal tunnel syndrome
compression neuropathy
cranial nerve palsies
digital neuropathy
entrapment neuropathy
finger numbness
median neuropathy
mononeuropathy
musicians
nerve injury
neurologic symptoms
neuropathy
occupational neurologic disorders
occupational neuropathies
radial nerve,palsy of
radiculopathy
review article
thoracic outlet syndromes
treatment of neurologic disorder
ulnar neuropathy
violinist

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