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University of Groningen

Musculoskeletal pain & dysfunction in musicians

Woldendorp, Kees Hein

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

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Publication date: 2019

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Woldendorp, K. H. (2019). Musculoskeletal pain & dysfunction in musicians. Rijksuniversiteit Groningen.

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Musculoskeletal pain & dysfunction

in musicians

Proefschrift

ter verkrijging van de graad van doctor aan de

Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken

en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op

24 april 2019 om 11.00 uur

door

Kees Hein Woldendorp

Geboren op 3 oktober 1963

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Promotores Prof. dr. M.F. Reneman Prof. dr. J.H. Arendzen. Copromotor Dr. A.M. Boonstra Beoordelingscommissie

Prof. dr. E.J.A. Scherder Prof. dr. A.M.C.F. Verbunt Prof. dr. L.H.V. van der Woude

Paranifmen:

Jonas F.E. Kleinbergen Antoine W. de Schipper

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Colophon

Musculoskeletal pain & dysfunction in musicians

The studies presented in this thesis were conducted at Revalidatie Friesland, Rehabilitation Center of Expertise (REC-MD) (Beetsterzwaag, The Netherlands), the Department of Rehabilitation Medicine and Movement Sciences of the University of Groningen (Groningen, The Netherlands), the faculties of Physiotherapy and Speech & Language therapy of the Hanze University of Applied Sciences Groningen (Groningen, The Netherlands), the faculty of Sports & Nutrition of the Amsterdam University of Applied Sciences (Amsterdam, the Netherlands), and Foundation Sailing Brass (Steenwijk, The Netherlands). Cover image :“Fiddler’s hand”, Geralien Bonnema

Inside work image :“A critical view on the content of this thesis”, Statler en Waldorf (the two elderly man from the balcony seats in the Muppet show)

Layout, typesetting : Robin de Vries, Printing Group Netherlands BV, Almere & printing (the Netherlands).

All rights are reserved. No part of this thesis may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording or otherwise, without written permission of the author.

© Kees Hein Woldendorp, Haulerwijk, the Netherlands, 2018.

This work was financially supported by Revalidatie Friesland. Revalidatie Friesland was not involved in collection, analysis and interpretation of data, neither in writing of the report.

The publication of this thesis was kindly supported by:

OIM-Orthopedie, Will Pharma Nederland, WE design, Nederlandse Vereniging voor Dans en Muziek Geneeskunde, Fijner lopen, D.H. Heijne Stichting, Ipsen, Allergan, Dystonie vereniging.

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Contents

Chapter 1 Introduction 7

Part I Assumptions about musculoskeletal complaints in musicians Chapter 2 Muscle activation pattern & musculoskeletal complaints 23

Chapter 3 Posture & musculoskeletal complaints 43

Chapter 4 Variation of occupational load & musculoskeletal complaints 61

Part II Measurement of motor functions & related body structures in musicians Posture Chapter 5 Clinical assessment of global posture in routine practise. 93

Hand Chapter 6 Assessment of anthropometric hand features 161

(‘Practical Hand Evaluation’) Embouchure Chapter 7 Fundamentals of Embouchure 183

Chapter 8 (Valid) Assessment of Embouchure 209

(‘CODE of Embouchure’) Chapter 9 General Discussion 259

Summary 279

Samenvatting 287

Curriculum vitae 297

List of Publications 301

Acknowledgements / Dankwoord 307

Previous dissertations Groningen Graduate School of 313

Medical Sciences (SHARE) EXPAND 315

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