The occurrence of musculoskeletal complaints among professional musicians: a systematic review.
The occurrence of musculoskeletal complaints among professional musicians: a systematic review.
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DOI：
10.1007/s00420-015-1090-6
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发表时间：
2016-04
影响因子：
3
通讯作者：
Nelissen RG
中科院分区：
文献类型：
--
作者：
Kok LM;Huisstede BM;Voorn VM;Schoones JW;Nelissen RG
本研究对专业器乐演奏家肌肉骨骼疾病的文献进行了系统的综述。系统综述。于2015年6月25日无时间限制地检索了9个文献数据库，还检索了截至2015年6月的期刊Medical Problems of Performing Artists（MPPA）的完整索引（30;2），并对所选文章进行了引文跟踪和参考文献检查。搜索由三组关键词的组合组成：音乐家（例如，音乐家，小提琴，音乐学生，乐器演奏者）和肌肉骨骼（例如，肌肉骨骼、肌腱、肩关节、关节炎）和流行病学（例如，患病率、发病率、发生率）。初始文献检索策略共检索到1258篇潜在相关文章。最后，21篇文章描述了5424名音乐家被纳入本综述。专业音乐家肌肉骨骼疾病的点患病率在9%至68%之间; 12个月患病率在41%至93%之间;终身患病率在62%至93%之间。12项研究中有10项显示，妇女的肌肉骨骼疾病患病率较高。据报道，铜管乐器演奏者的肌肉骨骼疾病患病率最低。颈部和肩部是受影响最大的解剖区域;肘部受影响最小。虽然报告了一些关于年龄的信息，但这些研究中和研究之间的偏倚风险很高，因此无法就此提出可靠的声明。肌肉骨骼症状在音乐家中非常普遍，尤其是女性乐器演奏家。未来关于音乐家肌肉骨骼疾病流行病学的研究应关注相关的风险因素，并遵循现行指南，以优化科学质量。
This study gives a systematic overview of the literature on the occurrence of musculoskeletal complaints in professional instrumental musicians. A systematic review. Nine literature databases were searched without time limits on June 25, 2015, also the complete index of the journal Medical Problems of Performing Artists (MPPA) until June 2015 (30;2) was searched, and citation tracking and reference checking of the selected articles were performed. The search consisted of the combination of three groups of keywords: musician (e.g., musician, violin, music student, instrument player) AND musculoskeletal (e.g., musculoskeletal, tendon, shoulder, arthritis) AND epidemiology (e.g., prevalence, incidence, occurrence). The initial literature search strategy resulted in 1258 potentially relevant articles. Finally, 21 articles describing 5424 musicians were included in this review. Point prevalences of musculoskeletal complaints in professional musicians range between 9 and 68 %; 12-month prevalences range between 41 and 93 %; and lifetime prevalences range between 62 and 93 %. Ten out of 12 studies show a higher prevalence of musculoskeletal complaints among women. Brass instrumentalists are reported to have the lowest prevalence rates of musculoskeletal complaints. The neck and shoulders are the anatomic areas most affected; the elbows are least affected. Although some information is reported concerning age, the high risk of bias in and between these studies makes it impossible to present reliable statements with respect to this. Musculoskeletal symptoms are highly prevalent among musicians, especially among women instrumentalists. Future research concerning the epidemiology of musculoskeletal complaints among musicians should focus on associated risk factors and follow the current guidelines to optimize scientific quality.