Volume 14, January 2022
Musculoskeletal symptoms of double bassists: a literature synthesis

by Frances Levenderis and Bridget Rennie-Salonen


Abréu-Ramos, A. M., & Micheo, W. F. (2007). Lifetime prevalence of upper-body    musculoskeletal problems in a professional-level symphony orchestra: age, gender, and instrument-specific results. Medical Problems of Performing Artists, 22(3), 97–104.

Ackermann, B., Driscoll, T., & Kenny, D. T. (2012). Musculoskeletal pain and injury in professional orchestral musicians in Australia. Medical Problems of Performing Artists, 27(4), 181–187.

Ajidahun, A. T., Mudzi, W., Myezwa, H., & Wood, W.-A. (2016). Upper extremity disability among string instrumentalists use of the quick DASH and the NDI. Cogent Medicine, 3(1), 1–11. https://doi.org/10.1080/2331205x.2016.1234535

Ajidahun, A. T., Mudzi, W., Myezwa, H., & Wood, W.-A. (2017). Musculoskeletal problems among string instrumentalists in South Africa. South African Journal of Physiotherapy, 73(1), 1–7.

Barbé, T. (2017). Playing the double bass with little hands. Strad, 128(1525), 72–75.

Bejjani, F. J., Kaye, G. M., & Benham, M. (1996). Musculoskeletal and neuromuscular conditions of instrumental musicians. Archives of Physical Medicine and Rehabilitation, 77(4), 406–413. https://doi.org/10.1016/S0003-9993(96)90093-3

Benfield, W., & Dean, J. S. J. (1973). The Art of Double Bass Playing. USA: Summy-Birchard Music.

Bradetich, J. (2009). Double Bass: The ultimate challenge (3rd ed.). Miami: Music For All To Hear.

Brown, A. N. (1997). Musculoskeletal misuse among youth symphony string players. Medical Problems of Performing Artists, 12(1), 15–18.

Bruser, M. (1997). The Art of Practicing. New York: Three Rivers Press.

Burkholder, K. R., & Brandfonbrener, A. G. (2004). Performance-related injuries among student musicians at a specialty clinic. Medical Problems of Performing Artists, 19(3), 116–122.

Chou, Y. (2013). When the Mouse Meets the Elephant: a Manual for String Bass Players With Application of the Philosophy and Principles of the F. M. Alexander Technique. Louisiana State University and Agricultural and Mechanical College.

Conable, B., & Conable, B. (2000). What Every Musician Needs to Know about the Body. Oregon: Andover Press.

Črnivec, R. (2004). Assessment of health risks in musicians of the Slovene Philharmonic Orchestra, Ljubljana, Slovenia. Medical Problems of Performing Artists, 19(3), 140–145.

Davies, J., & Mangion, S. (2002). Predictors of pain and other musculoskeletal symptoms among professional instrumental musicians - Elucidating specific effects. Medical Problems of Performing Artists, 17(4), 155–168.

Dennis, A. (1984). The Effect of Three Methods of Supporting the Double Bass on Muscle Tension. Journal of Research in Music Education, 32(2), 95–103.

Dick, R. W., Berning, J. R., Dawson, W., Ginsburg, R. D., Miller, C., & Shybut, G. T. (2013). Athletes and the arts - The role of sports medicine in the performing arts. Current Sports Medicine Reports, 12(6), 397–403. https://doi.org/10.1249/JSR.0000000000000009

Fishbein, M. (1988, March). Medical problems among ICSOM musicians: Overview of a national survey. Medical Problems of Performing Artists, Vol. 3, p. 1.

Fishbein, M., Middlestadt, S., Ottati, V., Straus, S., & Ellis, A. (1988). Medical problems among ICSOM musicians: Overview of a national survey. Medical Problems of Performing Artists, 3(1), 1–8.

Gilbert, L. (2009). Results from "A Survey of, for and about Bassists." Bass World, 29–33.

Gómez-Rodríguez, R., Díaz-Pulido, B., Gutiérrez-Ortega, C., Sánchez-Sánchez, B., & Torres-Lacomba, M. (2020). Prevalence, disability and associated factors of playing-related musculoskeletal pain among musicians: A population-based cross-sectional descriptive study. International Journal of Environmental Research and Public Health, 17(11), 1–13. https://doi.org/10.3390/ijerph17113991

Green, B., & Gallwey, W. T. (1986). The Inner Game of Music. In Inner Game. New York: Doubleday.

Guettler, K. (1992). Electromyography and Muscle Activities in Double Bass Playing. Music Perception, 9(3), 303–310.

Heredia, L., Hinkamp, D., Brodsky, M., & Llapur, C. (2014). Playing-related problems among musicians of the Orquesta Buena Vista Social Club and supporting bands [Other]. Medical Problems of Performing Artists, 29(2), 80–85.

Hinkamp, D., Morton, J., Krasnow, D. H., Wilmerding, M. V., Dawson, W. J., Stewart, M. G., … McCann, M. (2017). Occupational Health and the Performing Arts. Journal of Occupational and Environmental Medicine, 59(9), 843–858. https://doi.org/10.1097/JOM.0000000000001052

Hohls, Q. R. (2010). An investigation into performance related musculoskeletal disorders of professional orchestral string musicians in South Africa. Durban University of Technology.

Kenny, D. T., & Ackermann, B. (2009). Optimising physical and psychological health in performing musicians. In The Oxford Handbook of Music Psychology.

Kertz, R. (2011). The Bassist's Guide to Injury Management, Prevention and Better Health (2nd ed.). Illinois: Musician's Health Resources.

Kochem, F. B., & Silva, J. G. (2017). Prevalence and associated factors of playing-related musculoskeletal disorders in Brazilian violin players. Medical Problems of Performing Artists, 32(1). https://doi.org/10.21091/mppa.2017.1006

Kok, L. M., Huisstede, B. M. A., Voorn, V. M. A., Schoones, J. W., & Nelissen, R. G. H. H. (2016). The occurrence of musculoskeletal complaints among professional musicians: a systematic review. International Archives of Occupational and Environmental Health, 89(3), 373–396.

Lee, H.-S., Park, H. Y., Yoon, J. O., Kim, J. S., Chun, J. M., Aminata, I. W., … Jeon, I.-H. (2013, September). Musicians' medicine: musculoskeletal problems in string players. Clinics In Orthopedic Surgery, Vol. 5, pp. 154–160.

Levenderis, F. (2018). Effective Practicing Techniques: Suggested methods for advanced solo double bass players. University of Pretoria.

Levenderis, F. (2020). Musculoskeletal symptoms in double bass and cello players: a literature review. Stellenbosch University.

Middlestadt, S., & Fishbein, M. (1989). The Prevalence of Severe Musculoskeletal Problems Among Male and Female Symphony Orchestra String Players. Medical Problems of Performing Artists, 4(1), 41–48.

Paarup, H., Baelum, J., Holm, J., Manniche, C., & Wedderkopp, N. (2011). Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians vary by gender: a cross-sectional study. BMC Musculoskeletal Disorders, 12(223).

Paull, B., & Harrison, C. (1997). The Athletic Musician. Lanham: Scarecrow Press, Inc.

Ranelli, S., Smith, A., & Straker, L. (2011). Playing-related musculoskeletal problems in child instrumentalists: The influence of gender, age and instrument exposure. International Journal of Music Education, 29(1), 28–44.

Ranelli, S., Straker, L., & Smith, A. (2008). Prevalence of Playing-related Musculoskeletal Symptoms and Disorders in Children Learning Instrumental Music. Medical Problems of Performing Artists, 23(4), 178–185.

Rennie-Salonen, B., & de Villiers, F. (2016). Towards a model for musicians' occupational health education at tertiary level in South Africa. Muziki, 13(2), 130–151. https://doi.org/10.1080/18125980.2016.1182823

Rennie-Salonen, B., & de Villiers, F. (2020). Musicians' occupational health in South Africa: Promoting awareness and understanding in music teaching. The South African Music Teacher, (154), 1–25.

Russell, J. A., & Benedetto, R. L. (2014). Perceived Musculoskeletal Discomfort Among Elementary, Middle, and High School String Players. Journal of Research in Music Education, 62(3), 259–276.

Salonen, B. L. (2018). Tertiary music students' experiences of an occupational health course incorporating the body mapping approach. University of the Free State.

Stanhope, J. (2016). Physical performance and musculoskeletal disorders: Are musicians and sportspeople on a level playing field? Performance Enhancement and Health, 4(1–2), 18–26. https://doi.org/10.1016/j.peh.2015.11.004

Stanhope, J., Tooher, R., Pisaniello, D., & Weinstein, P. (2019). Have musicians' musculoskeletal symptoms been thoroughly addressed? A systematic mapping review. International Journal of Occupational Medicine and Environmental Health, 32(3), 291–331. https://doi.org/10.13075/ijomeh.1896.01340

Stanhope, J., & Weinstein, P. (2020). Why do we need to investigate non-classical musicians to reduce the burden of musicians' musculoskeletal symptoms? Industrial Health, 58(3), 212–223. https://doi.org/10.2486/indhealth.2019-0094

Steinmetz, A., Scheffer, I., Esmer, E., Delank, K. S., & Peroz, I. (2014). Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany. Clinical Rheumatology, 34(5), 964–973. https://doi.org/10.1007/s10067-013-2470-5

Tambroni, P. (2014). An Introduction to Double Bass Playing (J. Goldsmith, J. Heath, & A. Albright, Eds.). Oak Park: Peter Tambroni.

Thaele, T. (2016). The prevalence of playing-related musculoskeletal disorders in selected Western classical music students at the South African College of Music, University of Cape Town. University of Cape Town.

Turner-stokes, L., & Reid, K. (1999). Three-dimensional motion analysis of upper limb movement in the bowing arm of string-playing musicians. Clinical Biomechanics, 14(6), 426–433.

Wahlstrom Edling, C., & Fjellman-Wiklund, A. (2009). Musculoskeletal disorders and asymmetric playing postures of the upper extremity and back in music teachers: A pilot study. Medical Problems of Performing Artists, 24(3), 113–118.

Waters, M. (2019). Perceptions of playing-related discomfort/pain among tertiary string students: A general overview of contributing factors. International Journal of Music Education, 37(2), 226–242. https://doi.org/10.1177/0255761419833078

Wijsman, S., & Ackermann, B. J. (2018). Educating Australian musicians: Are we playing it safe? Health Promotion International, 34(4), 869–876. https://doi.org/10.1093/heapro/day030

Woldendorp, K. H., Boonstra, A. M., Arendzen, J. H., & Reneman, M. F. (2018). Variation in occupational exposure associated with musculoskeletal complaints: a cross-sectional study among professional bassists. International Archives of Occupational and Environmental Health, 91(2). https://doi.org/10.1007/s00420-017-1264-5

Woldendorp, K. H., Boonstra, A. M., Tijsma, A., Arendzen, J. H., & Reneman, M. F. (2016). No association between posture and musculoskeletal complaints in a professional bassist sample. European Journal of Pain (London, England), 20(3).

Zaza, C. (1998). Playing-related musculoskeletal disorders in musicians: A systematic review of incidence and prevalence. Canadian Medical Association, 158(8), 1019–1025.

Zaza, C., Charles, C., & Muszynski, A. (1998). The meaning of playing-related musculoskeletal disorders to classical musicians. Social Science and Medicine, 47(12), 2013–2023. https://doi.org/10.1016/S0277-9536(98)00307-4