Selasa, 21 April 2015

Why A Violin Wrist Aid Is Important In Guarding Against Injury

By Stella Gay


A violin player is required to keep their arm and wrist in the same playing position for hours, either at a time or during the course of their practise roster. This is, understandably, an activity which places their wrist at risk of injury. Using a violin wrist aid can reduce or eliminate this risk.

A repetitive strain injury (RSI) is not uncommon among musicians, and happens to players of practically any instrument. It happens when the same specific motion is repeated many times through a sustained period of time, such as weeks or even months. The accumulated effect on the area in use is that the soft tissue (ligaments, tendons and muscles) becomes swollen and painful, and loses movement ability.

An RSI is insidious in its development. It does not exhibit symptoms until its acute onset. Sudden swollen appearance, pain and limited motion cannot be anticipated in advance, and the musician typically is not aware that the injury is developing. However, an injury that takes so long to arise also takes a long time to heal. This can suspend all musical practise and performance for a protracted period.

Concerning the wrist specifically, the potential for RSI is significant. In order to understand how the wrist gets injured, one needs to know its anatomy. Starting with the skeletal structure, there are the bones of the hand, the two long bones in the forearm, and the bones in the wrist that attached them to each other. These wrist bones are known as the carpals. The carpal area therefore comprises many small bones with irregular shapes that are packed together and joined to each other by ligaments. The forearm bones connect to them on one side, and the metacarpals, or bones of the palm, on the other.

The carpal formation allows the hand to perform the immense range of activity that it is able to. If the wrist is subjected to a repetitive and strenuous activity, though, the strong yet inflexible ligaments become swollen and painful, and the hand is more limited in how it moves.

It is not surprising that the continuously exerted position displayed by the violinist's wrist during playing of the instrument is a serious risk factor for RSI. A ligament cannot change its shape or length, unlike muscles or tendons. It is therefore prone to injury through repetitive strain. It also takes much longer than other tissue types to heal because, structurally, it is so dense and strong, and also because its circulation is so limited. Where a tendon is inflamed and hard, the condition is known as tendinitis, and this is also a common problem among musicians, not only on the violin.

Once RSI sets in, there is no possibility of the musician continuing in their usual practise or performance activities. They have limited movement in the injured area and they experience pain when they try to play their instrument.

Devoted musicians may argue that they should continue playing, regardless of pain or discomfort. But this is not as laudable as it may sound. An RSI becomes worse through continued performance of the original problematic exercise. It needs time to heal, and if it has no opportunity to do so, it may become more serious or even result in permanent damage to the affected tissue. In other words, the musician may never recover entirely. Those carrying such injuries should therefore consult a medical practitioner without hesitation and organize a rest interval in their practise routine.




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