Correlation between risk factors and musculoskeletal disorders among classical musicians
Correlation between risk factors and musculoskeletal disorders among classical musicians
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DOI：
10.1093/occmed/kqq196
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发表时间：
2011-03-01
影响因子：
5.1
通讯作者：
Ratzon, N. Z.
中科院分区：
文献类型：
--
作者：
Kaufman-Cohen, Y.;Ratzon, N. Z.
背景人类肌肉骨骼疾病可能源于工作环境中遇到的生物力学、环境、心理社会和个人风险因素。音乐家的这些疾病被指定为演奏相关的肌肉骨骼疾病 (PRMD)。 目的 调查生物力学、环境、心理社会和个人风险因素与专业古典音乐家中 PRMD 潜在发病率之间的相关性。 方法 对 59 名管弦乐古典音乐家进行观察：他们还填写了问卷，提供有关肌肉骨骼症状、心理社会因素和 结果 使用快速上肢评估 (RULA) 的临床观察显示，与木管乐器和铜管乐器演奏者相比，弦乐音乐家的得分明显更高（右侧 RULA 得分 F = 4.77，P < 0.05；左侧 RULA 得分，F = 3.90，P < 0.05）。多元回归模型显示，关于关节疼痛的患病率、肌肉骨骼症状的严重程度和功能限制的六个因变量中的五个具有统计显着性。回归分析显示，生物力学危险因素、感知物理环境危险因素、乐器重量和每周平均演奏时间是PRMD的主要预测因素。结论预测PRMD的生物力学危险因素主要与上肢相关。 PRMD 与临床观察之间的高度关联强调需要进一步调查这些风险因素并研究可能的实施方案，以便为古典音乐家所使用的音乐惯例和模式定义“预防策略”。
Background Musculoskeletal disorders in humans may originate from biomechanical, environmental, psychosocial and personal risk factors encountered in the working environment. These disorders in musicians are designated as playing related musculoskeletal disorders (PRMD).Aims To investigate the correlation between biomechanical, environmental, psychosocial and personal risk factors and potential incidence of PRMD arising in professional classical musicians.Methods Fifty-nine orchestral classical musicians were observed: They also filled out questionnaires providing information regarding musculoskeletal symptoms, psychosocial factors and demography.Results Clinical observation using the Rapid Upper Limb Assessment (RULA) showed significantly higher scores in string musicians compared with woodwind and brass players (right RULA score F = 4.77, P < 0.05; left RULA score, F = 3.90, P < 0.05). A multivariate regression model showed statistical significance for five of the six dependent variables regarding prevalence of painful joints, severity of musculoskeletal symptoms and functional limitation. The regression analysis revealed that biomechanical risk factors, perceived physical environment risk factors, instrument weight and average playing hours per week, were the main predictors of PRMD.Conclusions The biomechanical risk factors that predict PRMD are mainly associated with the upper limbs. A high association between PRMD and clinical observation emphasizes the need for further investigation of these risk factors and to study possible implementations in order to define 'prevention strategies' for musical routines and patterns, as used by classical musicians.