University of Groningen
Musculoskeletal pain & dysfunction in musicians
Woldendorp, Kees Hein
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Publication date: 2019
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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
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