Embouchure collapse

Embouchure collapse

Embouchure collapse is a generic term used by woodwind and brass players to describe a variety of conditions which result in the inability of the embouchure to function. The Embouchure is the purposeful arrangement of the facial muscles and lips to produce a sound on a wind or brass instrument. In brass playing the embouchure also involves vibration of the membrane area of the lips(for a full explanation of embouchure click on Embouchure).

Embouchure collapse in its various forms and extremities generally results in the following one of the following:

Difficulty in playing for extended periods (especially if playing loudly and/or in the high regiser) or in a complete inability to play altogether. The former applies mainly in less severe cases, the latter in the most severe cases.

This article will focus entirely on Embouchure Collapse in brass players.

Causes

There are a variety of causes for Embouchure Collapse, mainly Focal dystonia or Embouchure Overuse Syndrome. The Topic of mouthpiece pressure is also hotly debated amongst brass players as to whether or not excessive pressure is damaging to the embouchure.

Focal Dystonia

Dystonia is a neurological disease affeting the brain's ability to fire neurons(which control muscle movement) correctly. "Focal Dystonia" specifically affects one particular area of the body and is usually completely isolated, affecting only one activity. [http://www.embouchures.com/Medical.htm Embouchures.com Service 3 ] ] The disease basically renders the sufferer unable to control the muscles in the affected area. [http://en.wikipedia.org/wiki/Focal_dystonia]

If this disease is present in a brass player's facial muscles this results in an inability to form an embouchure because of the individual's loss of control over the relevant muscles.

Due to the neurological nature of the disease there is, in terms of brass playing at least, no effective cure. Several treatments using botox have been pioneered to treat Focal Dystonia in other parts of the body however this is found to be ineffective in treating embouchure collapse.This is possibly because botox causes the facial muscles to relax and although this lessens the uncontrolable twitching of the muscles this new relaxed status deprives the player of the lip flexibility needed to play a brass instrument.

For brass players diagnosis with Focal Dystonia it signals the end of their careers in the majority of cases.

Embouchure Overuse Syndrome

This is a far more common cause of Embouchure collapse. As the name suggets Embouchure Collapse may be caused by "overuse" or in simple terms, playing "too much".

Most brass players will at some time experience lip swelling or "stiff lips" however when a player is forced to continue playing even whilst experiencing lip swelling due to embouchure overuse this can result in a chain of injuries that lead to Embouchure Collapse. [http://abel.hive.no/trumpet/embouchure/Broken_Embouchures.html Broken Embouchures ] ]

The situations in which embouchure overuse might occur are:

Being in rehearsals with an unsympathetic conductor who is possibly not a brass player(and therefore doesn't fully understand embouchure overuse) and who "overworks" his/her players.

Committing to doing several jobs involving intensive playing in a short period of time.

Generally speaking the best way of overcomming swollen lips is to simply refrain from playing, or practicing for a shorter period of time and with a good warm-up in the days following any period of extensive playing. When a player is deprived of the opportunity to recuperate after a period of extensive playing the simple matter of swollen lips is not allowed to heal and the player is forced to work already tired lips harder and harder to compensate for his/her lip's diminshed strength. Eventually the player's facial muscles will literally collapse under the strain of playing.

Mouthpiece Pressure

The subject of mouthpiece pressure is closely related to the issue of Embouchure Collapse/ EmbouchureOveruse.

It has long been argued that excessive mouthpiece pressure is a cause of embouchureproblems and can be a factor in causing Embouchure Collapse.

However the pressure of the mouthpiece is not static during playing, it increases the higher in the register a player plays and the lounder the dynamic(volume level). [http://www.polyphonic.org/article.php?id=9 Mouthpiece Pressure - Fact or Myth - Polyphonic.org ] ] Also, a little mouthpiece pressure is "essential" to provide a seal between the player's embouchure and the instrument, without this all the air would escape before entering the instrument and no sound would be emitted(brass instruments are dependant on an airflow to produce sound). [ [http://www.jayfriedman.net/reflections/20041108Shifting_gears.php Jay Friedman: Principal Trombonist, Chicago Symphony Orchestra ] ]

What is certainly true is that Embouchure Collapse is far more common among trumpet and horn players. Both of these instruments have mouthpieces with a small circumference and therefore the pressure is presumably greater as the force of the mouthpiece on the face is more concentrated.This is in accordance with the principal of physics that pressure is the amount of force divided by the area on which the force is exerted.

Sadly, thanks to the lack of scientific evidence(no scientific study into mouthpiece pressure as a cause of Embouchure Collapse has ever been done) and the equally valid argument that "all" brass players can suffer Embouchure Collapse, and the subjective(not static) nature of mouthpiece pressure our knowledge of mouthpiece pressure as a cause of Embouchure Collapse is limited.

Diagnosis

Embouchure Collapse caused by Focal Dystonia is something which can be diagnosed medically.

Embouchure Collapse caused by embouchure overuse however is generally speaking not conisdered to be a specifically medical issue. One of the difficulties in diagnosis is that when a brass player describes their symptoms to their doctor or dentist (as is often the case)the physician is unable to fully understand what the patient means. This is because brass players learn their embouchure by "feel" and therefore words have a limited ability to describe embouchure problems, especially if the person listening to the description is not a brass player and has a limited knowledge of the embouchure.

Also in the less severe cases the player may only be able to feel what is wrong whilst they are playing. Many players with an embouchure problem will, once they have realisedthat it is more than a simple case of tired lips wish to refrain from playing.The fact that over 300 muscles are employed in forming a brass embouchure and that each will chage slightly as a player struggles to play when experiencing embouchure problems means that what they describe as being wrong will have not only worsened their condition when they play, but will be different each time they do so.

In the most severe cases the pain caused by embouchure overuse can be felt even when not playing and in some cases other symtoms will manifest such as loss of tissue and damaged nerves.

This however only occurs in the rarest and most extreme circumstances and unfortunately signals the almost definite end of the player's career.

Recovery

As already stated in this article, sufferes of Focal Dystonia have virtually no possibility or recovery from Embouchure Collapse.

Sufferes of embouchure overuse however have been known the recover. The simplest way of doing so is to simply refrain from playin for an extended period of time, possibly years, before attempting to play again. The exact amount of time needed and whether or not the player will have to completely re-learn the use of their embouchure is a largely subjective issue and depends on the individual.

Additional Information

Several books on the subject are available including "Broken Embouchures" by Lucinda Lewis,a professional hornist who has been successful in helping other brass players with embouchure problems. [ [http://www.embouchures.com/ Embouchures.com ] ]

References

1.http://www.embouchures.com/Medical.htm2. http://en.wikipedia.org/wiki/Focal_dystonia3.http://www.embouchures.com/Medical.htm4.http://abel.hive.no/trumpet/embouchure/Broken_Embouchures.html5.http://abel.hive.no/trumpet/embouchure/Broken_Embouchures.html6.http://www.polyphonic.org/article.php?id=97.http://www.jayfriedman.net/reflections/20041108Shifting_gears.php8.www.polyphonic.org/article.php?id=99.http://abel.hive.no/trumpet/embouchure/Broken_Embouchures10.http://www.embouchures.com/


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