Klarinet Archive - Posting 000094.txt from 1995/04

From: The UWIN Server <uwin@-----.EDU>
Subj: Re: tendonitis
Date: Sat, 8 Apr 1995 00:31:46 -0400

Document 60
Accession No.: 87089271.
Author: Fry-H-J.
Title: Overuse syndrome in musicians--100 years ago. An
historical review.
Source: Med-J-Aust. 1986 Dec 1-15. 145(11-12). P 620-5.
Journal Title: MEDICAL JOURNAL OF AUSTRALIA.
Abstract: Overuse syndrome in musicians was extensively reported
100 years ago. The clinical features and results of treatment,
which were recorded in considerable detail, match well the
condition that is described today. The medical literature that
is reviewed here extends from 1830 to 1911 and includes 21
books and 54 articles from the English language literature,
apart from two exceptions; however, the writers of the day
themselves reviewed French, German and Italian literature on
the subject. The disorder was said to result from the overuse
of the affected parts. Two theories of aetiology, not
necessarily mutually exclusive, were argued. The central theory
regarded the lesion as being in the central nervous system, the
peripheral theory implied a primary muscle disorder. No serious
case was put forward for a psychogenic origin, though emotional
factors were believed to aggravate the condition. Advances in
musical instrument manufacture--particularly the development of
the concert piano and the clarinet--may have played a part in
the prevalence of overuse syndrome in musicians. Total
rest from the mechanical use of the hand was the only effective
treatment recorded.
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