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Proper Playing Position Is Key to Comfort and Injury Prevention in Strings

by Claire Stefani

Playing any instrument means moving a lot. Musicians make a number of physical adjustments to play, often at the expense of optimal body mechanics. Given the asymmetric position of playing a violin or viola, properly fitted ergonomic solutions are critical to a healthy body and optimized posture. It is important to find the appropriate equipment for your body and periodically check that it’s still the best solution for you. Here are some tips from a chinrest fitting expert. 

Head Balance—Keeping the head balanced and free to move is critical. Chinrest height should permit the head to rest in a neutral position at the low point of nodding “yes,” but free to move laterally (shaking the head “no”). Some chinrests provide ergonomic benefits such as additional height or left/right tilt. Some custom models allow musicians to lower their instrument and rest it partly on the collarbone in a neutral head position.

Arm Balance—If not supported by the torso muscles, arms will hang and pull the instrument downward. If a musician is not keenly aware of back and shoulder muscles, especially in the development of arm support, any attempt to adjust the chin/shoulder rest setup to counterbalance this downward weight will only put more stress on the head and left shoulder. Also, work at allowing the shoulder blade to immediately follow the humerus while shifting and bowing—similar to how the femur swings freely from the hip joint when walking.

Instrument Position—Up or down, in or out, is an individual preference. The chinrests or shoulder rests should not dictate instrument position. By allowing the instrument to lean on the collarbone, instead of only on the left shoulder, you are less likely to clench, and will have more freedom in the left shoulder, as well as in the bow arm.

Shoulder Rests—Once the head is balanced, muscular work is redistributed throughout the torso to better support arm weight, and the left shoulder is relieved from its static role, you can determine what equipment, if any, to use under the instrument. A shoulder rest can result in overall stiffening of the entire left shoulder, but playing without one can lead to distress throughout the upper body. Changes may need to be progressive. Keep in mind:

  • If a shoulder rest is too squishy, it may encourage clenching.
  • Models designed to lean just below the contour of the collarbone prevent downward pressure over the left shoulder.
  • Anti-slip surfaces may add to comfort, especially when shifting to and from high positions.

Seating—Much of your playing is likely done sitting. Wedges, pads, and stools mounted on a convex base allow a slight pelvic tilt resulting in psoas muscle release. This pelvic tilt will improve awareness of balance around your lumbar core and address lower back pain linked to postural issues or ill-fitted chinrest/shoulder rest setups.

Listen to Your Body—Pain or fatigue often come from muscle tension. It is important to identify any postural imbalance in playing position (versus neutral position)—leading muscles to sustain a static position, instead of contributing to movement. Say “No!” to the mantra “no pain, no gain.” Pain only leads to injury!

Claire Stefani is a fitter for the Frisch and Denig chinrest line, she has helped more than 400 musicians with their setup. She is founder of Volute Service International and amateur chamber music violist and violinist in New York City, an affiliate Andover trainee, and an active member of the Performing Arts Medicine Association.

Electro-Harmonix Canyon Delay & Looper

The Electro-Harmonix Canyon Delay & Looper Pedal

Electro-Harmonix Canyon Delay & LooperThe Electro-Harmonix Canyon Delay & Looper pedal features 10 effects plus a fully featured looper. Canyon offers delay times of five milliseconds to three seconds, plus a tap tempo with tap divide controlled by the built-in (or external) footswitch. A Tails switch allows users to choose to have echoes repeat or stop immediately when the pedal is switched to bypass. Canyon’s 11 modes include: digital delay, modulated delay, multi-tap delay, reverse delay, Deluxe Memory Man emulation of the Bucket Brigade analog delay pedal, tape delay, reverb plus delay, octave delay, shimmer rich octave-shifted harmony wash effect, sample and hold, and 62-second looper.

www.ehx.com

Joe Pass 10 Choice Tunes

Hal Leonard’s Jazz Play Along: Joe Pass 10 Choice Tunes

Joe Pass 10 Choice TunesHal Leonard’s Jazz Play-Along series is the ultimate learning tool for jazz musicians. Joe Pass 10 Choice Tunes for Bb, Eb, C, and bass clef instruments includes lead sheets and play-along CD for improvisation study and performance. Included are: “Catch Me,” “C.E.D.,” “Chlo-e,” “Fleur d’Ennui,” “For Django,” “A Foxy Chick and a Cool Cat,” “Hang Tough,” “Just Friends,” “Lullaby of the Leaves,” and “Soon.” Each tune has a choice of CD backing tracks: split track with melody, removable bass and piano, or full stereo rhythm section.

Hal Leonard’s Jazz Play-Along: Joe Pass 10 Choice Tunes, arranged and produced by Mark Taylor and Jim Roberts, Hal Leonard Corporation, www.halleonard.com.

Hand Pain

Relieving Hand Pain: A Drummer’s Story

by Dr. Marc Brodsky, Dr. John (Jack) Dowdle, Michele Lenes, and Joseph Corsello

drummer-hand-painRepetitive use injuries, particularly in the hands, are common for instrumentalists. Hand pain can be a result of many different ailments and musicians seeking treatment should be cautious.

Diagnoses should always be made by medical professionals. A team approach, especially consultation with specialists in musician injuries, can often provide the best treatment options. As pain can often have more than one cause, you should consider the possibility of following more than one treatment option.

Case Study

A 69-year-old professional jazz drummer had pain, accompanied by numbness and tingling, in both hands and could not bend his fingers. He experienced moderate aching pain and difficulty holding his sticks both while practicing (two to three hours a day) and during two or three gigs a week. The pain was relieved by rest and breaks from drumming, though he sometimes woke up at night with a burning pain in both hands. 

A rheumatologist originally diagnosed the problems as psoriatic arthritis, an autoimmune disease of the joints and skin. Powerful medications did not improve his condition and the pain proved debilitating. An MRI then revealed osteoarthritis resulting from overuse and general wear-and-tear of the joints.

An exam by an orthopedic hand specialist included observation of the musician playing the drums, which showed bone deformity and swelling around the middle joints of the fingers. Because the musician also had stiffness, numbness, and tingling the physician used Tinel’s test—tapping his wrists near the palm of his hands—and detected possible nerve compression in the carpal tunnel.

In the end, a hand specialist, occupational hand therapist, and integrative medicine pain management specialist were all enlisted as part of the drummer’s comprehensive treatment program.

Orthopedic Treatment 

The orthopedic hand specialist fitted the musician with hand splints for use at night, while the occupational therapist began hand therapy twice a week. Sessions included a paraffin wax dip and moist heat packs, hand massage to decrease swelling and improve mobility of the fingers, and gentle manipulation of the wrist, hands, and fingers. In addition, the therapist applied joint distractions (gentle pulling of the affected fingers). The drummer was taught hand-strengthening exercises to prevent pain recurrence.    

Integrative Approach

The integrative medicine pain management specialist performed acupuncture once a week for four weeks, gradually reducing the treatment as the musician felt relief. Treatment focused on strategic points in the neck, arms, and hands. Acupuncture is not for everyone, however studies have shown it may restore resiliency by improving circulation and reducing muscle tension and inflammation around the placement of the needles. (Always consult with your primary care physician, and find a licensed practitioner with appropriate training and credentials.)

The integrative medicine physician recommended natural anti-inflammatories, namely ginger and curcumin (found in the Indian spice turmeric). In addition, topical capsaicin, a highly purified, heat-producing component in chili peppers, was applied to the top of the hands once a day. According to the clinical studies, capsaicin depletes the amount of substance P neurotransmitter that sends pain messages to the brain. 

The Moeller Technique

The drummer modified his hand technique using the Moeller method. This technique uses gravity to do most of the work, emphasizing hand speed, power, and stick control, as well as the complete relaxation of the hand and arm muscles. Enlisting a strong downward whipping motion, the musician transitioned from pressing or gripping the drumstick predominately with the forefinger and thumb of the left hand down to the little finger. With this approach, the fulcrum is the back of the hand, allowing the other fingers to curl gently around the drumstick. This technique took pressure off the middle joints of the drummer’s hands, decreasing the risk of injury. 

By employing the above treatments and techniques, the musician had dramatic relief of his hand pain, numbness, and tingling within four weeks. In addition, he had less swelling and was able to move his fingers with greater ease. Not only that, he experienced a higher degree of function, improved sound, and an overall sense of wellness.   

Marc Brodsky, MD; John (Jack) Dowdle, MD; and Michele Lenes, OTR/L, are part of the Musicians’ Wellness Clinic in the Stamford Health System and are 2017 members in good standing of the Performing Arts Medicine Association (PAMA).

The Musician Says

The Musician Says: Quotes, Quips, and Words of Wisdom

The Musician SaysThis collection of quotes from an eclectic group of revered musicians spanning centuries, genres, and continents, reminds us that the creative process bridges time and place, and that music is a universal language. Covering everything from the songwriting process to the excitement of a live performance, each pair of pages shows similar (or differing) opinions on various musical subjects. For example, Ani DiFranco of Local 1000 (Nongeographic) says, “You’ve got to ignore the facts to tell the truth,” while Paul Simon of Local 802 (New York City) says, “It’s very helpful to start with something that’s true. If you start with something false, you’re always covering your tracks.”

The Musician Says: Quote, Quips, and Words of Wisdom, compiled and edited by Benedetta LoBalbo, Princeton Architectural Press, www.papress.com

2015 Greatest Rock & Pop Hits for Piano

2015 Greatest Rock & Pop Hits for Piano

2015 Greatest Rock & Pop Hits for PianoContaining 21 of 2015’s most memorable songs with piano accompaniment, 2015 Greatest Rock & Pop Hits for Piano has vocal melodies, lyrics, and guitar chord diagrams. Included are: “All About that Bass”; “Compass”; “Cool Kids”; “Doin’ What She Likes”; “I See Fire”; “Let It Go”: and 15 more. Also available, 2015 Rock Charts Rock & Pop Hits for Guitar with guitar TAB arrangements for 19 hits that include the above songs, plus 11 others.

2015 Greatest Rock & Pop Hits for Piano and 2015 Rock Charts Rock and Pop Hits for Guitar, Alfred Music, www.alfred.com.

Health Care Open Enrollment

Don’t Miss Health Care Open Enrollment Now Through January 2017

Did you know that an unexpected trip to the hospital could cost you and your family more than $2,000 a day? The hefty price tag does not even include prescription drugs or medical procedures, which easily can add up to tens of thousands of dollars. Medical bills are the leading cause of all bankruptcies in the US. Health insurance can protect you from an unexpected financial hit due to accident or illness.

Not only that, as of 2014, you are required to have health insurance or pay a tax penalty. The period to shop for and switch coverage for next year, November 1-January 31, 2017, has just begun. Even if you already have coverage, you might want to re-evaluate your current plan.

Reasons to re-evaluate your current plan:

• It costs too much.

• It does not provide the coverage I (or my family) need.

• Your current health insurance company does not pay medical bills quickly and efficiently.

• Your current health insurance company does not provide good customer support.

• You do not have dental or vision coverage.

Plans fall into four categories, from lowest cost/least coverage to highest cost/most coverage they are: bronze, silver, gold, and platinum. Coverage also varies based on category, provider, and geographic area. If you feel confused when it comes to comparing plans, you are not alone. That’s one of the reasons the Working American Health Care (www.workingamericahealthcare.org) was launched.

AFM members and their families are eligible to shop for a plan through Working America Health Care. In partnership with Working America and Union Plus, AFL-CIO affiliate Working America Health Care connects union members to quality health insurance. The plans available through the marketplace include important consumer protections that meet or exceed coverage requirements to avoid the tax penalty. Unbiased, licensed professionals at Working America Health Care can help you:

• Figure out if you qualify for financial help in paying for a plan.

• Identify plans available to you in your geographic area.

• Evaluate plans to find the best fit (cost versus coverage) for you and your family.

Once signed up with a plan, you can access additional vision and dental discount programs. (Call 1-877-570-4845 or visit: workingamericahealthcare.org/why-working-america/dental-and-vision-coverage).

In addition, Working America Health Care Advocates (available 24/7) can help you coordinate medical care, locate the right providers, explain conditions and treatment, resolve claims, and answer coverage questions. Best of all, these advocates will help you understand your coverage and protect you from being wrongly charged or over-charged.

50 Deluxe Electric Guitar

Michael Kelly Custom Collection 50 Deluxe Electric Guitar

50 Deluxe Electric GuitarAt the intersection of modern and vintage the Michael Kelly Custom Collection 50 Deluxe electric guitar offers 12 different sonic options in a classic 1950s series look. A collaboration between teams at Michael Kelly and Seymour Duncan, the guitar features Duncan’s Hot Rail pickups and uses a four-way switch (instead of the normal three-way) to deliver neck, bridge, both, plus “series” options. Two push-pull pots on the master volume and master tone knob help expand tonal variations. The instrument is as beautiful as it is functional, featuring exotic striped ebony finish top on maple bound alder body with maple neck and rosewood fretboard.

www.michaelkellyguitars.com

Drawmer MC3.1

The Drawmer MC3.1 Monitor Controller

Drawmer MC3.1The Drawmer MC3.1 monitor controller includes upgraded features like 24/192 digital input, mono sub feed that can tap any of three monitor pairs with its own on/off, extensive assignable cue system, upgraded talkback system with external mic input and foot switch, “mix check” facility, and monitor level “preset” that assures playback at a specific user-defined level at any time. Priced under $1,000, the unit’s digital input, two stereo XLR analog inputs, stereo RCA, and 1/8-inch jack for iPods are all controllable from the front with separate volume control, and main mix and cue mix can separately select any combination. Three separate loudspeaker outputs are also selectable in any combination, as is the separate subwoofer output.

www.drawmer.com

Apogee MiC 96k USB Mike

Apogee MiC 96k USB Mike

Apogee MiC 96k USB MikeWith the Apogee MiC 96k USB mike you can easily record vocals and acoustic instruments on a Mac or Windows computer from anywhere. It features a wide dynamic range, preamp, and A/D converter for distortion-free, true tone recordings. The PureDIGITAL USB connection provides pristine sound quality for up to 96kHz, 24-bit analog to digital recordings. The mike is simple to set up and use and its control knob allows easy input level adjustment. Constructed in the USA of sturdy metal, it comes with a USB cable, desktop stand, and microphone stand adapter.

www.apogeedigital.com