Jennifer Borkowski
The following post is an article I wrote a few years back. Today I just read a blog entry on deliberate practice where the author suggests practicing a passage five times correctly. When there is a mistake, the player goes back to zero and tries again. While in some contexts this can help focus practice sessions, in others it can be detrimental. For me, I draw a distinction between exercises and repertoire. I feel like the flute repertoire is so relatively small that we need to protect it (even from ourselves). We need to respect our repertoire as our personal expressive medium and leave the score keeping and testing for exercises. How sad it would be if Mozart became the place where we test whether or not we can play ascending thirds cleanly. And in the spirit of participating in a broader dialogue in the field, here is the article:
Looking for solutions to the health problems of musicians can lead one through many corridors of information. A new wing of interdisciplinary research has been opened which offers more possibilities to solving medical problems without traditional medicines or therapies. The following is a report on the Art in Motion Symposium held at the Universität für Musik und darstellende Kunst Graz in May 2008. This paper seeks to assimilate the physiological and medical research of Horst Hildebrandt, Victor Candia and Jane Ginsborg with the research in motor learning of Richard Schmidt and Gabrielle Wulf to advocate for healthier and more productive practice for musicians. Where the medical research was done by and musicians, the research in psychology and motor learning was done by sports scientists. This collaboration of information made this symposium unique in its output. The assimilation of this information is new and ongoing, providing musicians new food for thought as to how they incorporate healthier practice.
Early Years:
Hildebrandt presented information about preventative work with children in his presentation, “Teaching Music Physiology and Motor Learning Processes at a University: Experience and Evaluation”. Focusing first on the epidemiology of musician’s diseases and then moving to music physiology, he defined music physiology as “research and teaching in relation to the functionality of playing music.”
During the course of symposium, the following facts were discussed regarding the childhood roots of musician’s health.
1. Musicians’ problems are often archeological in nature. Many students assume that directions about how to play are meant for forever. For example, as children were told to hold their instrument in a certain way and they never changed this position to accommodate their growing bodies. In addition to this, students often suffer from having contradictory instructions about technique from various teachers over the years. (Hildebrandt)
2. Musicians coming from musical families, presumably also having begun at a young age, have more health problems than those who did not. The assumption here is that expectations are higher in such circumstances. (Hildebrandt)
3. Students who began early have better representations in the brain of instrument specific skills. (Candia) Candia then countered this with the statement that because those representations are in the brain does not mean that they are better musicians.
Gains in Research:
In a pilot project at the Lahr school of music in Germany between 1993 and 2001, Hildebrandt established models for students to practice in supervised settings along with their teachers and parents. The work in this setting is preventative in nature. Students practiced 2 hours a week at the school both individually and in groups. They were taught various training elements such as Feldenkreis[1] and Kinesiology.[2] The goal of the program was to help students help themselves to learn to practice with minimal health problems. Hildebrandt used dispokinesis[3] which includes:
a) teaching a natural position for each instrument,
b) individually adapting ergonomic aids and
c) fosters independence so that students are not dependent on teachers or equipment.
Hildebrandt’s work with dispokinesis builds a physiological foundation for practice. He offered some teaching suggestions about educating a more relaxed musician. He suggests that the teacher:
- Give instructions for a limited period of time. For example, until the next lesson so that students do not assume that these instructions are meant for forever. This will help to eliminate the belief that one can not, or should not alter their playing position. Corrections in posture become more malleable.
- Avoid including the analyzed problem when giving the corrective instruction. He asks for a “directly tangible solution.”
- Replace negative words like “grip” with words like “touch”.
- Use the mirror only for what can actually be seen.
- Ask for exaggerations. For example, have the student play with wet hands or a high pulse rate.
Professional Musicians:
Moving to health problems in professional musicians, the research presented was considerably longer. In a study of 2212 orchestral musicians, the following figures were quoted as to the prevalence of medical problems on the job.
14% reported I medical problem
14% reported 2 medical problems
12% reported 3 medical problems and
36% reported 4 medical problems (Fishbein 1988)
These problems were orthopedic, neurologic, psychological and psychosomatic in nature.
Jane Ginsborg presented a study, “Comparison of Healthy Lifestyles, Health Problems and Psychological Variables of Music and Non-Music Students“, done between music students and nursing students. Overall, music students scored less in the areas of health responsibility, physical activity and spiritual growth. Among musculoskeletal problems, she reported the following facts:
Lower Right Arm /Hand Head Neck Upper Left Shoulder Lower Left Arm/Hand
Musicians: 31.8% 24.7% 9.6% 10.1% 9.6%
Non-Musicians: 30.8% 15.4% 7.7% 3.1% 1.6%
In addition to these two studies reporting the prevalence of musician’s health problems; Victor Candia presented information in “Playing Beyond the Limits of Health: Loss and Regain of Hand Control in Professional Musicians Suffering from Musician’s Cramp“ about a crippling disorder known as focal hand dystonia. Although the disorder is not highly prevalent among musicians, Candia, along with frightening images of deformed looking fingers and hands, lead discussions about solutions to these problems.
Solutions:
Candia, a neuropsychologist, began by advocating for changes in behavior, calling behavior itself “the most prominent neuromodulator ever known.” The answer lies in brain plasticity and it’s (re)-organization of its neural networks. Candia lists the characteristic of this disorder as being the “amount of time in physical practice.” While this discussion will not focus on the details of treating focal hand dystonia, changing behavior is critical to changing harmful practice patterns prevalent among musicians. The behavior changes need to begin psychologically so that a) learning is maximized and that b) physical behavior changes will naturally follow. Candia said that he finds it astounding that everywhere in the world, musicians all say that they should practice 8 hours a day for 10 years.[4] Most in the symposium agreed that this is the set standard in required practice. We know that practicing in such an amount produces high level musicians. What we don’t know, is that if practicing less can produce higher level musicians with fewer instrument related health issues. As the following studies will show, changing behavior not only benefits health, but fosters more productive learning.
To discuss the various solutions offered, the following concepts will be discussed:
1. “Over” Syndromes: Over-practice and Over-use
2. Focus and Effort
1. Over-Practice and Over-Use:
The idea that one can practice too much is gaining attention because of work-related or instrument related injuries. Candia listed the only clear cause of focal hand dystonia as being related to a heavy work load. Other research shows that over-use is the cause of tendinitis and carpal tunnel syndrome.[5]
Beyond solving physical problems however, the work of Richard Schmidt shows that over-practice, or repetitive practice, slows learning as well. This point should be stressed since many musicians who do not have health problems may not feel that this rule is applicable to them.
His studies show a marked difference in blocked practice versus random practice.
Schmidt tested various motor skills by altering the way that they were practiced. For example, the participants in the blocked practice group were taught 3 skills, and practiced them in a row, a, a, a, then b, b, b, etc. The random practice group never knew which element would come next. They were given the same 3 tasks, but practiced a,c,b, b,c,a, etc. While one did not see great variations in their performance during theacquisition or practice phase, the random practice group scored much better during theretention or test phase. This is important because the goal of a musician is ultimately to perform under test-like conditions. Conditions in performance are never what they are in practice, so the results in practice are less important that the results in performance. During the test phase, the brain is involved in obtaining items from memory. When there has not been enough random or retrieval practice, this ability is diminished. Those who had more random practice had also made better connections between the similarities of the different skills. The blocked practice group had not made any such connections. Schmidt’s studies have been the catalyst for many others testing his (1975)schema theory hypothesis.[6] Ironically, random practice involves a higher degree of error during practice itself. However, varying practice is not only good for under test conditions, it fosters higher learning overall.
One can guess at why musicians historically practice such long repetitions of things. After being told that the most successful musicians practice 8 hours a day leaves a big gap of time to fill. Repetition also fosters a sense of security. Where musicians often expect themselves to play flawlessly, increasing repetition seems to put the odds in their favor. As a student, I was taught the following:
W=Wrong
R=Right
When on practices such patterns, W R R W R R R W R R R = W or ?
On the other hand, practicing W W R R R R R R R R = R
The teacher meant to illustrate that one must be careful not to learn mistakes, or encode mistakes into the memory. What this doesn’t show is that this type of model is unrealistic to achieve. It can easily send a student spiraling into a pattern of unhealthy practice, trying to get more “Rights” than “Wrongs”. When one has such a picture in mind, the effect can cause anxiety about the likelihood of a poor result in performance. This can increase muscle tension can hinder objective thinking. There is some validity in this teacher’s theory however. For example, one can have falsely encoded motor movements that are difficult to re-learn. However, the approach to this shouldn’t scare the student into doing more repetitions, but to reduce the tempo so that the patterns are correctly learned with minimal strain. Then, one can concentrate on increasing the tempo without this type of detrimental score-keeping.
In addition to this, research in over-learning of motor skills shows a “point of diminishing returns for (the) amount of practice”[7] time and that learning deficits can occur, “due to a decrease in the amount of cognitive effort applied.”[8] Again, to differentiate between this theory and how musicians practice, all repetition is not bad. Many musicians find a repetitive morning routine of technical work to be relaxing. Like a mantra, it brings feelings of security while waking up the body and mind to another practice day. The point is to draw clear line between repetitiveness that increases tension and that which relaxes.
Overall, musicians would benefit from the idea of restructuring their practice time. Focusing only on health, the evidence shows that over-practice is detrimental. Focusing on learning, one can not help but be convinced that musicians need to re-think the way they approach learning new works.
How practiced is structures is one area that warrants further thought and research.
What one actually thinks about during practice is discussed below.
2. Focus and Effort:
Moving back to the suggestions of Hildebrandt, he said that pianists who think of floating their fingertips over the keys are thinking something unrealistic. Technically, they move from the metacarpal. However, when they think of moving from the metacarpal, they suffer cramps.
Wulf conducted research to prove why this phenomenon is true. Wulf’s presentation, “The Role of Attentional focus in Motor Skill Learning” began by saying that experts who focus on the details of their movements suffer. Novices need to pay attention to step by step instructions, but after this phase of learning is complete, switching from an internal to an external focus economizes learning.
Wulf differentiated between internal and external focus by defining them as follows:
- Internal focus is focusing on your body movements.
- External focus is focusing on the effect you are trying to achieve.
In an experiment with subjects on a slalom ski trainer, three groups were formed. The first group was asked to focus on their outer foot (internal focus), the second was asked to focus on the outer wheels (external focus) and the third group (control) wasn’t given any focus instructions at all.
During the test phase, the groups performed in the following order.
- The external focus group achieved the highest amplitude for the task
- The control group was second
- The internal focus group came in third place.
This means that having no instructions was actually more beneficial than having someone focus on their own body. In addition to this, other groups performed better the further away their focus was from their body. For example, those who focused close to their feet did not achieve the same amplitude as those who focused on the edge of the apparatus.
In another study, subjects performing bicep curls were measured. By measuring EMG activity[9], the study showed that those who focused on their biceps actually used more muscle than those who focused on the bar, although they were lifting the same amount of weight. This explains why the pianists that Hildebrandt described felt a cramp in their arm when focusing on it as opposed to when they focused on their fingertips.
In the symposium, a discussion followed about the relative ease of doing this when there is an apparatus involved. Some thought that with music there were certain situations where this is not possible. The point was clarified in that musicians performing without an external source will employ metaphors focusing on a desired effect. Musicians can use focus words to bring their attention to the desired sound, rather than the desired movement.
In another study by Wulf, subjects were asked to pedal on wooden blocks, some with external focus, and another with internal. In the test trial, the instructions were taken away, and both groups were to pedal as fast as they could and count backwards by 3’s. Even with the focus instructions gone, the external group was faster at both tasks. With the pedaling task occurring automatically, the minds of the participants were less distracted to perform the counting task.
The summary of Wulf’s findings show that external focus promotes automaticity as well as faster reaction times by reducing “noise” in the motor system
Summary:
The research presented in motor learning can benefit musicians in structuring new practice schedules that reduce the amount of necessary practice hours and promote better learning. Reducing practice times is the first step in reducing over-use injuries. Using external focus can lessen muscular tension and require less physical practice overall. By implementing the recommendations gained from these studies, students and teachers are empowered to advocate for what they know to be healthy.
Questions for further research:
When would it help to randomize various aspect of practice and when not? How random, or far from each other, do we make the various elements of practice? Where do we lose continuity, and where do we gain heightened awareness?
What instrument specific elements could be studied regarding restructuring a practice program? What instrument specific elements could be studied regarding the use of external focus?
Where does one draw a line to cross over from giving step by step instructions to using metaphor?
How does one foster the development of this when the ability of the student to form an implement metaphor is lacking?
Additional References:
Expert Performance and Deliberate Practice: an updated excerpt from Ericsson (2000)http://www.psy.fsu.edu/faculty/ericsson/ericsson.exp.perf.html, Retrieved on June 9, 2008
L I E B E R T, Mary Ann, Exploring Feldenkreis Practitioners’ Attitudes Toward Clinical Research, The Journal of Alternative and Complimentary Medicine, Volume 13, No. 6, (2007), P. 593
M A G I L L, Richard A., Motor Learning and Control, 7th Edition, Mc Graw Hill, New York, 2004, P. 334
S A K A I, Naotaka, Hand pain attributed to overuse among professional pianists: a study of 200 cases, Medical Problems of Performing Artists: Volume 17 Number 4: Page 178 (December 2002)
www.dispokkinesis.com, Retrieved June 9, 2008
www.Kinesiology.net, Retrieved June 9, 2008.
1Feldenkreis is a system for developing self-awareness through movement, using the body as the learning instrument. Taken from Mary Ann L I E B E R T, Exploring Feldenkreis Practitioners’ Attitudes Toward Clinical Research, The Journal of Alternative and Complimentary Medicine, Volume 13, No. 6, (2007), P. 593 2 Kinesiolgy is the science of movement that is used to diagnose various health problems though muscle tests. From www.Kinesiology.net, Retrieved June 9, 2008. 3 „Dispokinesis is a scientifically based procedure to give students and performing artists […] a Re-educational Processing (REP- re-education of posture and motor capacity).“ From the International Center for Dispokinesis, www.dispokkinesis.com, Retrieved June 9, 2008
[4] This is confirmed in a study by Ericsson et al., 1993. This study documented the practice hours citing a remarkable diffference between the hours practiced by the „good“ and the „best“ students. (This information is quoted from classnotes of Mag. Anna Hofstätter in the course Psychologie für IGP, Kunst Uni Graz, 2008). The Ericsson study states, „For example, the critical difference between expert musicians differing in the level of attained solo performance concerned the amounts of time they had spent in solitary practice during their music development, which totaled around 10,000 hours by age 20 for the best experts, around 5,000 hours for the least accomplished expert musicians and only 2,000 hours for serious amateur pianists.” http://www.psy.fsu.edu/faculty/ericsson/ericsson.exp.perf.html, Retrieved on June 9, 2008
5 Naotaka S A K A I, Hand pain attributed to overuse among professional pianists: a study of 200 cases, Medical Problems of Performing Artists: Volume 17 Number 4: Page 178 (December 2002)
[6] Richard A. M A G I L L, Motor Learning and Control, 7th Edition, Mc Graw Hill, New York, 2004, pp. 61-62
[7] Ibid. P. 334
[8] Ibid.
[9] EMG, or electromyography is „a measurement technique that records the electrical activity of a muscle“ from Richard A. M A G I L L, Motor Learning and Control, 7th Edition, Mc Graw Hill, New York, 2004, P. 33
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