In The Neurology of String Instrument Performance: A Practical
Guide for Clinicians, Teachers and Performers, a noted
neurologist-researcher and classically trained string
instrumentalist offers the first in-depth and comprehensive
overview of the field, including detailed, practical advice for
string injury prevention and management. With the explosive
advances in neurological measurement and imaging technologies in
the last decade, research on the interplay between science and
music has expanded dramatically. One of these subfields, the
neurology of music, has grown significantly in recent years, and
the field of string instrumental performance is now benefitting
extensively from this burgeoning neurological research and
scholarship. As a result, the standard of clinical care for tens of
thousands of string instrument performers worldwide is rising
steadily. The neurology of string instrument performance is vibrant
because the creation of music uses so many of the neurological
structures, engaging many different areas of the body. From a
research and clinical standpoint, there are many questions to
consider: For example, do serious medical problems in string
performers arise from incorrect performing habits? This is just one
of the central and vitally important topics for medical
professionals caring for these patients-without correction of an
offending posture or technique, patients may recover from their
problem only to have it recur. Adding significant value to this
unique title is access to fascinating online video material that
provides a range of vignettes of selected clinical cases. Disorders
in string instrument performers demonstrated and discussed include
task-specific tremor, focal dystonia, Parkinson's disease,
essential tremor, enhanced physiologic tremor, focal atrophy, and
others. The online video material also includes illustrations of
the parameters of normal playing on violin, viola and violoncello.
The title is structured in three major parts: Part 1 -- Basic
Mechanics, Part 2 - Clinical Cases, and Part 3 - The Neurology of
Musical Performance. Thus the book begins with a review of the
background of string instrument instruction, the motor demands of
the instruments, the emerging literature on the biomechanics of
string instrument performance, and current thoughts on musical
pedagogy. The book includes the controversies surrounding the
nature vs. nurture arguments, reviews other "experiments of nature"
that impact musical processing (absolute pitch, synaesthesia,
William's syndrome, savants), reviews neuroimaging and
neurophysiologic studies of the development of cortical plasticity
and musical exposure, and discusses several historical examples of
musical prodigies. This volume also answers important questions of
string instrument performance and motor control of the hand,
including: How did the hand develop? What evolutionary forces
determined its present development and structure? How do these
characteristics help or hinder the mechanical requirements of
string instrument performance? The neurology of the human hand is
reviewed, with background dating back to Charles Bell, Darwin, and
Gowers, and to modern anthropological studies, including Napier and
others. Modern hand structure is related to current demands of
instrumental performance. Finally the book also investigates how
the motor system learns and the role of imitation or observation in
motor learning. The powerful discovery of the mirror neuron system
is reviewed, and the benefits and limitations of learning by action
observation are covered. Functional imaging studies of action
observation and learning are reviewed. The implications of these
findings are related to Suzuki instruction and to other modern
techniques of early childhood learning. Focal task-specific
dystonia of the musician's hand is one of the most unusual and
intriguing disorders in neurology. The clinical phenotype of focal
dystonia in string players is reviewed, along with recent
neuroimaging and genetic studies that inform our understanding of
this unusual disorder or motor control. Comprehensive and
engagingly written, The Neurology of String Instrument Performance:
A Practical Guide for Clinicians, Teachers and Performers is a
ground-breaking contribution to the field and an indispensable
guide for all physicians, researchers, teachers, and performers
interested in the neurological background and clinical concerns
surrounding string performance.
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