Musical impact: A study of the effects of music making on musicians' health and wellbeing

很少有追求像制作音乐那样充满活力和令人愉快。在英国，每天都有成千上万的人参加某种形式的音乐活动。这些努力的核心是良好的健康。从初学者到专业人士，身心健康可以影响音乐家追求艺术的方式以及从中获得的乐趣。然而，最近的研究结果表明，受伤和健康状况不佳在音乐家中很普遍，健康的音乐培训和工作方法远非统一。该项目调查音乐家的健康和福祉。在这样做的过程中，它产生了新的知识，音乐制作的身体和精神的需求，并阐明了在各级音乐家满足这些需求的方式，无论是建设性的还是破坏性的。虽然音乐家通常在管理表演挑战方面有着悠久的自给自足历史，但该项目旨在通过提供全面的，以证据为导向的资源来补充音乐家自己的独创性，以帮助最大限度地提高教育和职业机会。音乐影响是英国音乐学院（CUK）的一个项目，与卡迪夫大学，卡迪夫城市大学，英国音乐家协会（ABO），英国表演艺术医学协会（BAPAM），音乐家联盟和国际健康人文网络（IHHN）合作。 音乐影响力通过三个相互关联的工作包（WP）运作。WP1包括一项为期四年的研究，研究音乐家的身体和心理健康状况。虽然以前的研究主要着眼于音乐家的横截面，但WP1采取了与音乐学院学生，员工和校友进行大规模纵向研究的形式，试图了解英国音乐家受伤和健康状况不佳的发生率，程度和发展。WP1采用了健康促进、焦虑、完美主义、心血管健康、体力和灵活性的标准化措施，并辅之以对音乐家健康文化的定性探索。 WP2将练习和表演置于调查之下，记录他们的身心需求以及成功满足这些需求的音乐家的特征。生理和生物力学评估将在音乐家的练习和表演过程中进行，包括使用肌电图记录和分析肌肉活动，以及使用便携式气体分析仪监测能量消耗。 第三工作计划以第一及第二工作计划为基础，探讨在音乐教育及专业方面促进健康的工作，并探讨实际应用，以加强培训及支援服务。第三工作方案包括制定两个促进健康方案：一个针对音乐学院的初级学生，另一个针对音乐学院的高级学生。这些课程将通过案例研究，问卷调查和访谈进行试点和评估，然后在所有CUK音乐学院的初级和高级课程中全面交付。 音乐影响是全球同类研究中最大的研究项目。它超越了现有的研究，有助于深入了解慢性和急性健康问题及其随时间的影响（WP 1），音乐制作的身心需求（WP 2），以及促进健康的有效策略（WP 3）。该项目的成果将通过学术产出（包括一本编辑的书）、为音乐教师和学生举办的六个讲习班以及两个免费提供的资源包来实现。

Few pursuits are as dynamic and enjoyable as making music. Each day, thousands of people in the UK engage in some sort of musical activity. Central to these endeavours is good health. Physical and mental wellbeing can shape how musicians, from beginners to professionals, pursue their art and the pleasure they take from it. The results of recent research, however, suggest that injury and ill health are widespread among musicians and that healthy approaches to training and working in music are far from uniform. This project investigates the health and wellbeing of musicians. In doing so, it generates new knowledge of the physical and mental demands of music making and sheds light on the ways in which musicians at all levels meet those demands, both constructively and destructively. While musicians typically have a long history of self-sufficiency in managing the challenges of performing, this project aims to complement musicians' own ingenuity by providing comprehensive, evidence-led resources to help maximise educational and professional opportunities. Musical Impact is a project of Conservatoires UK (CUK), in association with Cardiff University, Cardiff Metropolitan University, Association of British Orchestras (ABO), British Association for Performing Arts Medicine (BAPAM), the Musicians' Union, and the International Health Humanities Network (IHHN). Musical Impact operates through three interrelated work packages (WPs). WP1 comprises a four-year study of musicians' physical and mental fitness for performance. While previous research has largely looked at cross-sections of musicians, WP1 takes the form of a large-scale longitudinal study with conservatoire students, staff and alumni, seeking to understand the incidence, extent and development of injuries and ill-health among British musicians. WP1 employs standardized measures of health promotion, anxiety, perfectionism, cardiovascular fitness and physical strength and flexibility, complemented by qualitative exploration of the cultures of musicians' health. WP2 places practice and performance under investigation, documenting their physical and mental demands and the characteristics of musicians who successfully meet those demands. Physiological and biomechanical assessments will be made during the practice and performance of musicians, including the recording and analysis of muscle activity using electromyography and the monitoring of energy expenditure with portable gas analysers. WP3 builds upon WPs 1 and 2, exploring health promotion in music education and the profession and exploring practical applications to enhance training and support services. WP3 includes the development of two programmes of health promotion: one for junior conservatoire students and one for senior conservatoire students. These programmes will be piloted and evaluated through case studies, a questionnaire survey and interviews, before being delivered in full at junior- and senior-programmes across all CUK conservatoires. Musical Impact is the largest research initiative of its kind worldwide. It moves beyond existing research to contribute needed insight into chronic and acute health problems and their impact over time (WP1), the physical and mental demands of music making (WP2), and effective strategies for health promotion (WP3). The project's outcomes will be delivered through a combination of scholarly outputs (including an edited book), six workshops held for music teachers and students, and two freely-available resource packs.