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From the Mailbag: Ouch, My Shoulder Hurts!

A question has come to me through private email about shoulder pain:

I’ve recently started playing horn again after many (many) years away, and I’ve developed quite a pain in my left shoulder. I think I can definitely attribute the pain to playing.

Is this common? Are there strengthening exercises I can do? I never had any pain when I was younger, but maybe being 50+ has something do to with it…or could it be the horn?

I am not a doctor and from a distance one can only guess at what might be causing the shoulder pain in this particular instance. That being said, here are some general ideas that I hope might help readers in a similar position.

As someone who has experienced periodic numbness myself (in my left hand and thumb), the first place that I look at is the angle of the instrument and the body parts in relation to the instrument.

With all things in the body being connected, the issue of shoulder pain may not even be related to the shoulder itself, but rather towards something else. Practicing in front of a mirror and/or consulting with a teacher is crucial in this discovery.

The angle of the fingers and hand

A good place to start would be to look at the angle of the fingers on the left hand – are they in a natural curved arch, or do they look flat and extended?

From an article I wrote in 2008, “Get a Grip for Better Comfort

One common, tell-tale sign for a strained left-hand position is something that I call “the claw.”

This hand position reminds me of how my cats wrestle and play-fight with their scooped paws raised in the air. It happens when the wrist of the left hand is bent at a forward angle and the fingers are extended beyond a natural curve. Players doing the “claw” are most likely over-reaching for the valve levers or straining to reach the range of the pinky hook and thumb valve.

For most people, the arm, wrist and hand work best when positioned in a straight line or at a slight angle. The spread of the hand should feel natural and not stretched. A large angle – the “claw” – in most cases indicates a mismatch between the instrument and its user. A mismatch like this impedes the player’s finger control and arm support, and may cause undo muscle strain.

(In this article I used to have pictures as illustrations and somehow they have gotten lost, but I hope that this written description makes some sense.)

Valve levers

The height and length of the valve levers can have a significant effect over the long haul.

From the same article mentioned earlier:

The height of each valve lever should relate to the player’s natural finger curvature. Personally, I prefer different levels for each lever, depending on the length of its corresponding finger. For example, my third valve lever is the lowest of the three as my pinkie is the shortest. My middle valve sticks up a little bit to compensate for the extra length of my middle finger. My first valve lever is slightly higher than the middle lever as this feels natural to me. This escalating system works for me, but others may prefer something different; for instance, all the levers positioned at an equal height. It is all a matter of personal preference and comfort.

The length of valve levers can vary greatly from instrument-to-instrument. While on my Patterson/Yamaha horn the length seems right, on my Conn 8D the stock levers are too short.

My solution is to solder extensions (US dimes to be exact) on the ends of the valve levers to expand their reach. A few horn and instrument manufacturers sell flat, brass discs specifically made for this purpose.

Besides looking cool, the dimes serve a practical purpose. As seen in the underside-view picture above, the dimes on my Conn 8D extend the pedal reach by several millimeters. As a result, I have a more relaxed and natural finger curvature and can avoid the “claw.”

Body angle

Is the horn itself angled to within 60 to 45 degrees? (In asking this question, I am not referring the angle of the leadpipe to the face, but rather to the horn’s position between the two hands.)

A horn that is angled too high or too low can cause problems in other areas of the body. A few players, myself included, benefit from turning at the waist level – either clockwise or counter-clockwise –  in order to reduce or increase the angle of the instrument.

A small shift at the waist can have a significant impact on the weight distribution of the horn. Turning the angle of the chair in tandem might also help.

Arm angle

Related to this, and perhaps more importantly, is the angle of the left arm itself. I have taught a few students whose left arm looked too spread out, like a bird getting ready to take flight. Some students would conduct with this arm in a misdirected attempt to “feel the music.”

In many instances this positioning seemed entirely psychological.

It seemed that in the attempt to get a big sound, to get a big breath or to “feel the music,” the student adopted a bigger body posture, one that manifested itself in a left arm angled outwards – at 45 degrees or more.

While this might work for a young student with extra energy to burn, for older players this may not work so well. Myself, I tend to keep my left arm as close as I can to a 80-90 degree vertical angle, as perpendicular as possible to the head and shoulders.

Other considerations

Of course there may be other factors to consider beyond the discussion of angles and the left-side and these will be points to explore in another article – for instance:

  • Using a hand strap or “flipper”
  • Right arm and leg support (I use a SockBlock for this reason.)
  • Warm-up stretching exercises
  • Strength-training with weights or yoga
  • Proper rest – before, during and after practice sessions
  • A more serious medical condition

On this final point, I would relate the story of a colleague of mine who experienced shoulder pain for several years. It ended tragically for this player as it turned out that he had developed cancer in that shoulder and it eventually took his life.

While this is an extreme case, it does illustrate that in some cases the problem may be medical. If pain persists over a long period of time, a medical professional should be consulted.

This extreme aside, a good place to start is to look at the angles, beginning with the left arm and left hand in particular.

FECHOPS: Some Brief Memories of Calvin Smith

FECHOPS — Iron Chops — that was on the license plate of Calvin Smith. It is with sadness we at Horn Matters report his passing. While perhaps best known to Horn Call readers as a recordings reviewer, he was Associate Professor of horn at the University of Tennessee Knoxville and Principal Horn of the Knoxville and Long Beach symphonies. Smith suffered a fatal heart attack on Sunday, leaving a wife and two sons. The image linked below is from the UTK Brass faculty page.

He was not that much older than me but my memories of him start way back when I was an undergrad, as he put out several recordings as a young hornist in the Crystal label. In particular my undergrad school owned a copy of his solo recording Horn of Plenty and also a recording of him with the Annapolis Brass Quintet. I lost my copy of the solo recording years ago but remember it well as I listened to over and over.

One thing is when you hear a recording at the right time it can make a deep impression. On that recording (LP only so far as I know) his Schubert Auf dem Strom is excellent with a faster than average tempo I really liked; the Hartley, Sonorites II for Horn & Piano is a work with horn chords that I performed later several times that was specifically written for Smith; the Nelhybel, Scherzo Concertante is a good sprited version; and finally the recording includes the Frank Levy Suite. That piece is not performed often but I think the string of short movements works well for an audience and I was planning to play it again this fall.

As to his background, his bios that I have found online don’t mention his education but I do know that he studied as an undergraduate at SUNY Fredonia. My understanding is he played trumpet in high school and switched to horn relatively late. His first teacher at Fredonia was none other than Lowell Shaw of Frippery fame. Later he went on to free lance in Los Angeles before the move to Knoxville.

Much later, when I was playing in Nashville, we had the chance to play jobs together occasionally and I also was able to come out to UT and present a session to his studio on the 19th century horn. I really enjoyed that visit, something that actually motivated me further toward leaving the orchestra and teaching full time.

His funeral is to be held on Wednesday, May 11. The best information I have seen online is in the Knoxville Symphony blog. There the heartfelt post closes with this brief story about his last concert on Saturday night.

The irony of it all is that Chris Botti’s arrangement of Time to Say Goodbye which we performed Saturday night begins with a beautiful horn solo. If you heard it on Saturday night at the Civic, you heard the best. Prayers and thoughts go out to his wife Paula and sons Nathan and Jeremy. The memorial service will be held Wednesday, May 11 at 6:00 pm at Cedar Springs Presbyterian Church.

In their post they link to a video of this work which we can’t embed but is very worth watching. It is of the Boston Symphony and not of Calvin performing but very fitting to hear in memory of a lost colleague.

UPDATE: The newspaper obituary is here, he was 61 at his passing.

Hornmasters: Kaslow on Support and Compression

By design I have not quoted much in this series from recent publications. I am a firm believer in actually reading books and especially so for recent publications that are in print; you should buy them!

With that said one author that stands out from the crowd among horn players that have written books is David Kaslow. In Living Dangerously with the Horn he says things really differently than Farkas. Thus, certain concepts will resonate with certain readers in very different ways, and there are entire topic areas he gets to that other writers barely touch.

One such topic is that of support and in particular the concept of compression. According to Kaslow, “Air support is the key technical element of horn playing.” He explains that

For the hornist, wind player, or singer, optimum air support consists of (1) taking the fullest possible breath, whether or not we plan to use all of it and (2) employing the breath appropriately, with sensitivity to all of the air column’s aspects that operate in tandem, such as quantity, compression, and velocity….

Many fine texts address air support…. We must beware, however, that in many otherwise excellent texts the term “air support” is sometimes used in a limited sense, referring only to quantity of air, ignoring the several other aspects of the concept mentioned here. This limited usage renders the phrase nearly meaningless—similar to describing what we are wearing as “clothes,” or what we are eating as “food.” In reading about air support, the, we ought to first strive to understand the writers’ particular interpretation, and then to compare that with our own definition: the fullest possible breath, and the appropriate use of all aspects of the air column.

The first aspect Kaslow examines is that of quantity. His approach is that “We must provide the largest possible quantity of support appropriate to every note.” He explains that “an abundance of potential energy—air support—yields the finest and most characteristic horn tone.”

The second aspect is compression.

Air compression is produced by the controlled contraction of the abdominal and back muscles. Air compression, like air quantity, plays a part in producing both dynamic levels and the large range of notes available on the horn. Soft notes require a higher degree of compression than do loud ones; high notes require a higher degree of compression than do low notes. Adjustments in both air quantity and compression must constantly be made, based upon the amount of air support needed for a particular range and dynamic.

The third aspect of support for Kaslow is velocity.

Velocity is simply the speed at which the air is driven through the instrument, and its most important role is in the production of dynamic levels. Soft playing requires slowly-moving air and loud playing requires quickly-moving air. Using air velocity to regulate dynamic levels assures the production of a consistent tone quality throughout the range of the horn.

Pondering compression

I was particularly interested to read his comments on compression, as it is an interesting take on the topic and one not often addressed.

Some years back now I played in groups regularly for several years with a colleague that often referred when it was not a great playing day that they could not get good compression. To this day I am not exactly sure what they meant, if it was truly a physiological thing they felt or more psychological in nature, but I feel sure it had something to do with the ideas in the quotations above.

As it is a fairly recent publication I won’t be quoting much from Kaslow in this series. My point being again to please support authors of recent books! Living Dangerously with the Horn is available from the publisher Birdalone Books, which was the source of the cover image linked here as well.

Continue in Hornmasters Series

Return to horn pedagogy course week 5

Ask Dave: Object Lessons

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Here are some cautionary tales about instruments that ended up in the repair shop because of objects that worked their way into the horns.  Horns don’t usually suffer from the extreme things found in old sousaphones, but they can get things stuck in them.

We used to have a card taped to the wall with a plastic bag stapled to it.  The card read, “Item found in horn”, and that item was a plastic “gem”, popular among the young set at the time.  This particular student had somehow allowed one of these “gems” to float loose in the case and get way up into the instrument.

We knew the horn was stuffed up somewhere but we couldn’t find the item, so we stuck the air compressor nozzle in the leadpipe and the plastic piece shot out of the horn and skittered across the room.

Plenty of unsecured mouthpieces rattle around in cases and dent instruments, but the oddest such was a horn that came in completely stuffed up.  It was purchased at an online auction, and it had problems.  Someone had “overhauled” it, and done some weird things.  After taking out all the tubes, I isolated the problem to the bell area.  Some inspection revealed that the bell had been reshaped and clearly had been filled with pitch prior to re-bending.

There was a lot of left over pitch down in the bell, so I surmised that it was the pitch that stuffed it up.   After severe efforts to get it all out, I was satisfied that quite a good deal was gone.

But the stuffiness remained.

Something was still in there, and I could not figure it out.  In desperation, I applied heat to hand guard area, hoping to remove it and see if there was something hidden under there, and “ssshhhh – plunk”, out slid a mouthpiece that had gotten wedged up in the bell tail.  The horn cost the owner $400 at the auction, but the repair bill when all was said and done was $250.  Not exactly the bargain the owner expected.

But the strangest thing I ever found in a horn was a pencil.  It’s not strange that a pencil could work its way in to a horn.  What was strange was where this pencil was, and how it got there.  It was in the leadpipe, just in the bend in front of the tuning slide.

In other words, there was no way this pencil could have gotten wedged in there without removing the tuning slide.  Someone put it in there on purpose.  It turns out that “someone” was a competitor of the owner, who must have sabotaged the horn at the previous weekend’s all-state tryouts.

Lessons learned:  Secure the objects in your case so they won’t damage your instrument.

And, never leave your horn unattended at a competition.

Hornmasters: What Etudes to Practice

Etude practice has long been a standard way to train and cross-train horn technique. The thing to think about though is the topic of are these actually effective materials or do we just keep using them because our teachers used them? Are there newer materials that would be better choices?

Conventional wisdom …

As to etudes Philip Farkas in The Art of French Horn Playing wrote that

…the study of etudes should occupy a large part of the practice time. The second hour or session of each day is undoubtedly the proper time to study these, as the embouchure should be at its best…. There are many fine etude books…. For instance, if a student were to study in one day from the Kopprasch, Gallay, and Maxime-Alphonse books, he would obtain a bit of Kopprasch’s careful mechanical discipline – Gallay’s melodious style and phrasing – and Maxime-Alphonse’s modern tonalities and rhythmic difficulties. Again, when there is a specific problem, the etudes chosen should be pointed directly at that problem. If staccato playing is difficult, by all means use a preponderance of etudes which contain staccato passages; legato etudes if legato playing needs improvement. As elementary as this suggestion may be, it is quite necessary to mention. Many students shy away from their difficulties, because the quality of their playing in their more successful techniques encourages them. However, this solves no problems.

A big issue with the old standard materials

Gunther Schuller in Horn Technique noted

There may be other study books as effective, but I doubt if any are superior to the old stand-bys for beginners: the Oscar Franz method, the two books of Kopprasch Etudes, and the Kling studies….

My only quarrel with most of the basic study material (including the Franz, Kopprasch, and Kling etudes) is that, for our era, it favours simple keys and the conventional I-IV-V progressions far too much. Everything is in F, C, and B flat…. That is why I recommend very much using the six books of Maxime-Alphonse studies. For in these exercises all keys are thoroughly investigated, sometimes even within one study piece…. The Alphonse studies are also remarkable in their avoidance of horn study clichés. A favourite Alphonse device is to set up a pattern or sequence and then, just as the student is lulled into contented relaxation, the pattern is broken in very original and unconventional ways. This is excellent training…. From the ear-training point of view alone, the Alphonse studies are highly recommended.

Verne Reynolds includes performance notes on etudes in The Horn Handbook. He begins,

We have seen how practice can be apportioned into three flexible categories of calisthenic, technical, and musical. Etudes, by definition and by their nature, belong mainly in the technical area. The traditional horn etudes of the 19th century, such as those of Gallay, Mueller, and Kopprasch, concentrate on scales, arpeggios, or articulation patterns, and an entire etude may be devoted to just one of these technical matters.

Inching into more contemporary materials

Reynolds discusses in-depth the etudes and studies of Kopprasch, Maxime-Alphonse, Alain Weber, Charles Chaynes, Georges Barboteu, Gunther Schuller, and of course his own 48 Etudes. Of these he explains

These etudes were written during 1954-59 while I was on the faculty of the Indiana University School of Music. At that time there was nothing beyond Book 6 of Maxime-Alphonse for the technical and musical training of gifted horn players. Instead of leading the advance of technique and musicianship, the writers of etudes and method books seemed content to reseed the ground harvested by Kopprasch, Mueller, Gallay, and Kling. Several of my students at Indiana practiced the 48 Etudes as they were being written and helped confirm that they were playable after a lot of practice and were rewarding.

A big challenge

Looking at this from a different angle, as a publisher of my own etudes, I would just close that it is such a challenge to get horn teachers interested in using new materials. I would challenge any one reading this who does teach, please, find some materials written less than 100 years ago that you can work into your teaching scheme. I feel my Modern Preparatory Etudes are one good choice, and there are many others out there if you take time to look.

Continue in Hornmasters Series

Why Did Van Gogh Cut Off His Ear?

In the paintings of Vincent van Gogh, intense color and passionate brush strokes are the key influential elements. His influence in the art world during his lifetime however, did not have a great impact; he is reported to have sold only one painting while he was alive!

From the Van Gogh Gallery web site:

Van Gogh’s finest works were produced in less than three years in a technique that grew more and more impassioned in brushstroke, in symbolic and intense color, in surface tension, and in the movement and vibration of form and line.

Van Gogh’s inimitable fusion of form and content is powerful; dramatic, lyrically rhythmic, imaginative, and emotional, for the artist was completely absorbed in the effort to explain either his struggle against madness or his comprehension of the spiritual essence of man and nature.

This great genius suffered from anxiety, depression and bouts of mental illness. He died at the young age of thirty-seven from a self-inflicted gunshot wound.

What exactly drove poor Van Gogh to madness and eventual suicide is a matter of some speculation. In this rendition of his work The Bedroom, 1888, we can perhaps find some clues.

Perhaps it was paralysis by analysis?

Conservatories and entrepreneurship

A few rays of hope shine in regards to the new realities of the classical music profession. At The Musician’s Way Blog, Gerald Klickstein points out new programs being spearheaded at Indiana University, The Eastman School of Music and the University of South Carolina.

One point that stood out however:

Hoverman, et al (2010) report that 61% of the music students they surveyed who had access to on-campus entrepreneurship resources and knew that they were available didn’t access them. A finding that matches what I’ve observed during my 30 years in higher education.

As I see it, entrepreneurship and career centers are necessary, but, in and of themselves, aren’t sufficient.

Conservatory cultures also need to evolve such that students can acquire expertise as independent artists via standard curricular activities.

[Extracted from a “Random Monday” post 2021, JE]

 

 

 

 

 

 

Review: Etudes for Horn by Paul Basler

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Back almost a year ago I was describing my teaching materials and the final article of that series was devoted to noting what materials I wished were available. There I wrote,

In the first post I mentioned the Reynolds etudes. I studied with Verne Reynolds and I end up using his etudes to a point with advanced students but to be honest, and this may sound like heresy again, what I really wish I could say is I have found is a book that is similar to Reynolds but the etudes are somewhat shorter and easier and could be attempted by younger students. Because that is the material I am still looking for.

Fast forward to the Midsouth Horn Workshop this year. Sitting right there on the table for RM Williams Publishing was a two volume collection of Etudes for Horn by Paul Basler. His name is one that should be familiar to Horn Matters readers as he has published a number of great works for horn and piano and is Professor of Horn at the University of Florida. Published in 1998 I must have walked right by his collection of 48 etudes (the magic number!) several times on the RM Williams sales table at horn events and never noticed. Because when I opened the books this time I knew immediately that I had found what I was looking for.

In the RMW website they are described as follows:

Etudes for Horn is a collection of solo pieces that deal with various aspects of modern horn playing. This book serves as a companion set to the etudes of Verne Reynolds, Gunther Schuller, and Kopprasch and will hopefully give the advanced hornist extra work in technical and lyrical playing, throughout the entire range. Many of the etudes can be used as solo horn pieces in recital. Etudes for Horn is dedicated to William Purvis whose performance and teaching inspired this book.

If you are looking for 48 etudes that are generally similar to the Reynolds 48 etudes but shorter and not as difficult then this really is that book. Most of the etudes are one page or less in length, they are clearly notated, and there are no bad page turns. They are published as already noted in two volumes, each costing $20 published in a booklet format. I recommend them highly and look forward to making more use of this book this next year. Again, they are available direct from RM Williams Publishing.

Hornmasters: More Recent Thoughts on the Warm-Up

While to this point this series has focused on older published sources on the horn, at this time we turn a corner toward three more recent publications, all of which are in print and I recommend serious students of the horn to purchase and read.

“To be warmed up is a state of mind”

Froydis-ThoughtsFrøydis Ree Wekre notes in Thoughts on Playing the Horn Well that there are two extremes when it comes to warm-up.

Brass players are often more obsessed with the physical side of playing than other musicians. Many “warm up” for many hours, and their daily total of playing hours consists of much more exercises than actual musical material. A few brass players, however, say that, “To be warmed up is a state of mind,” and they do live it, as well. I feel very much in between these two extremes. On one hand I can see and have also experienced for myself the need for physical training and some warm up. On the other hand, it is possible, and sometimes necessary, to start playing directly after a long interval. The best solution, in my opinion, is to be flexible and have some discipline, but keep all sorts of rules, such as “always’es” and “never’s”, from running your life….

Usually it is pleasant to start the day with some kind of warm up. Once in a while, surprise yourself by just picking up the horn and playing something before—or instead of—warming up….

Many players like to practise exactly the same things every day. That way, they claim, they can “measure” what shape they are in for the day as well as their progress. I feel somewhat restricted by this idea. On “heavier” days, when the lips are strange from too much or too little playing, or from the weather, the food, the drinking, the mood, the lack of sleep or whatever, I find it better to play something easy and pleasant to boost the self-confidence first.

Play long tones, but not in your warmup

Wekre also felt that long tones were important but she did not do them as a part of her morning warm-up routine.

Long tones can be practised in many different ways. Some people find them boring and stiffening, but I find them interesting and strengthening. I do prefer them, however, in the evening rather than in the morning.

The long tone routine she presents is to benefit air and embouchure control. Wekre additionally notes,

Take breaks between tones. Possibly combine this exercise with scales and arpeggios. Go often to your maximum low range to loosen up. Long tones can also be combined with a little reading or even watching TV between every tone!

The warmup for a beginner is very different than that of a professional player

“There are as many warm-up routines as there are players and teachers” is how Verne Reynolds begins his discussion of the warm up in The Horn Handbook.

This is as it should be. The beginner will obviously have a warm-up that differs greatly from that of the middle-aged professional. The warm-up should change and develop as the player changes and develops.

Reynolds views the warm-up as being about more than warming-up the embouchure.

The term warm-up is used here as a convenient way to encompass the mental and physical activities that precede the playing of the instrument in a musical sense. For horn players, the warm-up should gently and gradually awaken all of the elements of playing and particularly those related to response and flexibility.

It is interesting to observe the warm-up of professional tennis players. No match begins until the players have warmed up their forehands, backhands, overhands, and serves…. Athletic warm-up serves to refresh, remind, and rehearse the physical fundamentals of the game. It can also inform the player, and possibly the opponent, how the various shots feel on a particular day…. No athlete would continue with a warm-up that produces fatigue, but brass players often use a punishing ritual forced upon them by a well- meaning but rigid teacher. Athletes warm up easily and with minimum effort but practice with a controlled intensity. Athletes have a clear separation between warm-up and workout. Runners do a lot of stretching before they run so that leg and other muscles are ready for the dash or marathon; yet brass players tend to play before everything is flexible and responsive.

It should not be a punishing ritual

An aside as a former Reyonlds student reflecting on studies with him after his passing, the routine he gave students in the timeframe of my studies would I think fall into the category of being a “punishing ritual.” In any case, he further suggests that

During the training years, students with the help of their teachers should periodically examine and evaluate their warm-up. We have to find a balance between staying with a routine long enough to produce the desired results, and being willing to change when the warm-up is not satisfactory. A sixteen-year-old might have to adjust the warm-up every few months if the embouchure is gaining strength rapidly. The twenty-six year old professional might have to alter some of the patterns to conform to the demands of the job. The forty-six-year-old veteran will seek to preserve reliability and predictability and will probably be reluctant to change a routine that continues to work.

The warmup as a complete session

The introduction to the chapter titled “The Warm-Up as a Complete Session” makes the case for the extended warm-up in Douglas Hill, Collected Thoughts on Teaching and Learning, Creativity, and Horn Performance.

The original version of the following appeared as an article in The Horn Call and was written in response to an earlier published article in which the author considered most substantial warm-ups as paranoid head-trips and a waste of one’s time and endurance. My experience as a performer and teacher has taught me that such an attitude can be quite misleading, especially for the younger, developing student of the horn. We must take charge of our development as players, use our heads, and accept the physical reality that constantly requires great power and enormous subtleties from our muscles. There are no athletes or dancers who, after using their heads, would regularly perform without a workout or maintenance session. Such neglect would ruin their strength and flexibility in a very short time. As performers, we are using our facial muscles in a way that is quite contrary to what they were initially designed to do…. They require exercise—intelligent, progressive, consistent exercise. When you have learned that through your own hard work you have created a strong, dependable, and flexible set of muscles, the best of all head-trips will occur. You will have confidence, and it will be base on personal achievement.

The warm-up/maintenance session for Hill should “cover all of the basic technical needs of horn playing” and should be carefully planned and executed. He suggests use of additional equipment as well which could include “a mirror, a metronome, a chromatic tuner, a B.E.R.P. attachment for initial buzzing exercises, and occasionally a recording device.” Finally he suggests

Create your own warm-up/maintenance session. There are no magic notes that will work for everyone. If there were, we would all know them by now. We have to take this trip on our own, use our heads, learn from the patterns of others, and quickly establish some patterns based on our own successes. As you age in this profession, you will need consistent patterns to depend upon for maintenance. You will also find that the earliest patterns may need to be gradually modified as you gradually change.

Continue in Hornmasters Series

Details from the ‘Embouchure Dystonia: Mind Over Grey Matter’ Video

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A few days ago I posted an hour-long lecture video by Dr. Peter Iltis that spells out some of his research and personal experience with embouchure dystonia.

This is a very complicated condition involving many factors that fall on a sliding scale, both physical and psychological.

Previously in “Embouchure Focal Dystonia” I wrote:

Dystonia is a neuro-muscular disorder that causes muscles in the body to contract or spasm. “Focal” dystonia is generalized to one region of the body. For musicians, it typically affects the specific area of the body that is used to play the instrument.

Highlights

Here are a few highlights from Dr. Iltis‘ lecture-video (with minute/second timings):

14:30
With general dystonia the cases are fairly rare, something like 11 to 430 cases per million, but with musicians and task-specific dystonia, this figure is more like 1 in 100.

Video examples

16:00
We see video examples of generalized, focal and task-specific dystonia.

When muscles that are not involved in the task-at-hand start contracting uncontrollably, this is called co-contraction. These are symptoms of what Dr. Iltis specifies as task-specific dystonia.

22:00
The condition creeps in over time and it is not something that kicks in overnight.

Dr. Iltis relates a personal story of how he started to notice extra pulling in his facial muscles over a 4-month period. When demonstrating playing techniques for students his face would form into a grimace and his students, he noticed, would look away.

Who gets dystonia?

23:00
Who gets task-specific dystonia?

  • Males predominate 4 to 1
  • Ages mid 30’s to early 40’s
  • Family history may relate
  • It is specific to each instrument and the task involved to play it
  • It affects mainly classical musicians. Dr. Iltis postulates that there may be a connection to repetitive practice techniques; perfectionism and anxiety may be contributing factors
  • Piano, guitar, violin, flute and clarinet players are more commonly affected
  • Some people may be physically or mentally predisposed towards the condition

26:00 – 35:00
Looking into the neuro-scientific literature, Dr. Iltis looks at brain function and brain structure. The concept of maladaptive brain plasticity was particularly interesting to myself.

He describes dystonia as something akin to electrical overload – the connection between the brain and the muscles cranks out too much energy and it overloads the muscles. In some cases the brain incorrectly maps fine motor control to a larger group of muscles.

Treatment

41:20
The term geste antogoniste (sensory tricking) is introduced – a method of touching the face as a means to calm muscle spasms. This is something that I have unwittingly done myself with success, not to self-treat dystonia but rather to calm some incidental muscle twitches during a recent embouchure change.

46:00
Dr. Iltis discusses splinting and his own personal methods for calming his tremors. His dystonia is sensory-related:

  • lip buzzing – no tremors
  • mouthpiece buzzing – some tremors
  • horn playing – significant tremors

51:00
Video examples of Dr. Iltis and his condition.

Claims for a cure?

One final thought for players seeking counsel in diagnosing and treating this condition would be this – I would be very skeptical of any teacher (or doctor for that matter) that asserts a cure.

At this date, Botox injections and other oral medications are for the most part ineffective. (38:00)

As musicians have become very aware of this condition in recent years, Dr. Iltis suggests that it might be over-diagnosed. While he does point to some general techniques that helped him to alleviate his symptoms, he ends his lecture stating quite flatly that he still struggles with the condition on a daily basis.

Thankfully we have people in this field like Dr. Iltis who are able to disseminate fact from fiction in such an articulate and honest manner.

Authentic diagnosis is something that only a medical expert in the field is qualified to do. While visualization, mental discipline, medication and sensory-tricking techniques may indeed help to alleviate symptoms, a reliable, one-size-fits-all cure does not exist at this time.