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Joint hypermobility and its association with musicians’ performance-related pain: a scoping review

Thesis (MMus)--Stellenbosch University, 2025.

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Main Author: Huysamen, Nathan Gibb
Other Authors: Rennie-Salonen, Bridget
Format: Thesis
Language:English
Published: Stellenbosch : Stellenbosch University 2025
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access_status_str Open Access
author Huysamen, Nathan Gibb
author2 Rennie-Salonen, Bridget
author_browse Huysamen, Nathan Gibb
Rennie-Salonen, Bridget
author_facet Rennie-Salonen, Bridget
Huysamen, Nathan Gibb
author_sort Huysamen, Nathan Gibb
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MMus)--Stellenbosch University, 2025.
format Thesis
id oai:scholar.sun.ac.za:10019.1/134635
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:42:05.565Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/134635 Joint hypermobility and its association with musicians’ performance-related pain: a scoping review Huysamen, Nathan Gibb Rennie-Salonen, Bridget Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Music. Joints -- Hypermobility Musicians -- Diseases Musicians -- Health and hygiene Music -- Performance -- Physiological aspects Musculoskeletal system -- Wounds and injuries Music -- Instruction and study -- Health aspects Wounds and injuries -- Prevention UCTD Thesis (MMus)--Stellenbosch University, 2025. Huysamen, N. G. 2025. Joint hypermobility and its association with musicians’ performance-related pain: A scoping review. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/34864771-8aa0-4468-8c31-1e2cb089f1de ENGLISH ABSTRACT: Joint hypermobility (JH) is more prevalent in musicians than in the general population, but the specific association of JH with musicians’ performance-related pain is not well-researched. While performance-related pain among musicians is common, it is not commonly addressed in pedagogical training. Music teachers may lack knowledge of musicians’ musculoskeletal problems, which can limit their ability to teach with an understanding of the body and to guide students to the appropriate channels for treatment. When performance-related pain is left undiagnosed and untreated, it can lead to lifelong problems for the musician. Although musicians’ health literature documents the risk factors for performance-related injury, and the need for further research into musicians’ neuromusculoskeletal health complaints, a review of the research on the association of JH with performance-related pain in musicians has not been undertaken. The aim of this study is to investigate the published peer-reviewed research on JH and its association with performance-related pain in musicians, using a scoping review methodology. The results of the scoping review will synthesise the research evidence and highlight the current gaps in research; and provide a resource to inform music teachers on the impacts of JH in musicians; the recommended protective teaching strategies; and the recommended preventative, protective, and rehabilitative practising methods, such as mental practice approaches, to support injury prevention. This study’s conceptual framework draws from two theoretical points of departure, namely the biopsychosocial model and the concept of musicians’ performance-related pain. Results showed that JH in joints that require repetitive motion can be beneficial for musicians, while JH in joints that support a static load, can be a disadvantage. JH is frequently demonstrated as a contributing factor for performance-related pain in musicians, but the evidence varies across studies. Standard JH measurement tools are not accurate in determining JH in musicians, as many musicians show hypermobility in joints not commonly assessed for JH. Muscle strengthening, stable practising routines, regular breaks, warm-ups, and mental practice are some recommendations for musicians with JH, for prevention, rehabilitation, and management of performance-related pain. Musicians with JH are also advised to practice with ergonomic instrument adjustments and attachments to limit the instrument load. The music teacher has an important role to support their students’ development, regarding the provision of adequate information about body awareness and the biomechanics of playing. Early identification and intervention are recommended for musicians with JH, as they can be asymptomatic if proper preventative protocols are implemented. Recommendations for a new measurement tool are suggested, and health and medical professionals are advised to obtain skills and knowledge on instrument-specific physical playing requirements, to effectively support musician patients with JH and playing-related pain. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2025-12-19T11:44:35Z 2025-12-19T11:44:35Z 2025-12 Thesis https://scholar.sun.ac.za/handle/10019.1/134635 en Stellenbosch University iv, 70 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Joints -- Hypermobility
Musicians -- Diseases
Musicians -- Health and hygiene
Music -- Performance -- Physiological aspects
Musculoskeletal system -- Wounds and injuries
Music -- Instruction and study -- Health aspects
Wounds and injuries -- Prevention
UCTD
Huysamen, Nathan Gibb
Joint hypermobility and its association with musicians’ performance-related pain: a scoping review
title Joint hypermobility and its association with musicians’ performance-related pain: a scoping review
title_full Joint hypermobility and its association with musicians’ performance-related pain: a scoping review
title_fullStr Joint hypermobility and its association with musicians’ performance-related pain: a scoping review
title_full_unstemmed Joint hypermobility and its association with musicians’ performance-related pain: a scoping review
title_short Joint hypermobility and its association with musicians’ performance-related pain: a scoping review
title_sort joint hypermobility and its association with musicians performance related pain a scoping review
topic Joints -- Hypermobility
Musicians -- Diseases
Musicians -- Health and hygiene
Music -- Performance -- Physiological aspects
Musculoskeletal system -- Wounds and injuries
Music -- Instruction and study -- Health aspects
Wounds and injuries -- Prevention
UCTD
url https://scholar.sun.ac.za/handle/10019.1/134635
work_keys_str_mv AT huysamennathangibb jointhypermobilityanditsassociationwithmusiciansperformancerelatedpainascopingreview