• Performance injuries are preventable. A holistic approach that encourages wellness and personal responsibility is necessary for prevention. Schools of music should focus on Prevention Education in addition to supporting efforts directed at treating diseases once they have occurred.
• Schools of music do influence student behaviors through factors such as collective values, beliefs, and actions. These factors need to be considered and modified as crucial first steps toward reducing the rate and severity of performance injuries. A health promotion framework offers a common philosophical and practical basis for such efforts and would allow for effective and sustainable prevention-oriented educational efforts.
• Without diminishing the concerns for musculoskeletal, vocal, and mental health, schools of music should recognize that Noise-Induced Hearing Loss is a widespread and serious public health issue and that music is always implicated as a causal factor. This problem receives little or no recognition in schools of music. A high priority strategy is needed for informing all music students about the risks for noise-induced hearing loss.
•Because many of the physical, psychological, and sociological determinants for performance injuries are well established before young musicians attend college, schools of music must prepare health-conscious music educators and produce injury-free musicians. Music education faculty must acknowledge the possible negative consequences of learning and performing music and prepare future teachers accordingly.