Zaza C, Charles C, Muszynski A
Department of Oncology, University of Western Ontario, Canada.
Soc Sci Med. 1998 Dec;47(12):2013-23. doi: 10.1016/s0277-9536(98)00307-4.
In creating and performing music, musicians can experience health problems from the high physical and psychological demands of their profession. Musculoskeletal disorders related to playing are painful, chronic and disabling conditions which are prevalent among classical musicians. The widespread study of the prevalence, etiology, and management of playing-related musculoskeletal disorders (PRMDs) is a recent development known as performing arts medicine. Despite the rapid development of this new field, it is unclear how musicians identify themselves as injured, and how they make decisions about what, if anything, to do about these disabling injuries. The aims of our study were two-fold. First, we aimed to provide musicians with the opportunity to define a PRMD in their own words. Second, we sought to understand the subjective meaning of the PRMD experience to musicians. Two key informants identified 30 study participants in Ontario and Quebec, Canada. As a form of data triangulation, participants included 27 musicians and three health professionals. Data were collected in semi-structured interviews which lasted, on average, 40 min. Data were transcribed, and were manually coded and analyzed. Participants defined a PRMD as pain and other symptoms which are chronic, are beyond their control, and which interfere with their ability to play their instrument at their usual level. Participants distinguished between "normal", mild everyday aches and pains, and a PRMD. Although a PRMD is not a medically serious or life-threatening illness, it is devastating to musicians physically, emotionally, socially, and financially. The overall theme of suffering captures the meaning of these problems which threaten the identity of the musician. The findings of this study are consistent with other studies of the experience of work-related musculoskeletal disorders, and other illnesses.
在创作和演奏音乐的过程中，音乐家可能会因其职业对身体和心理的高要求而出现健康问题。与演奏相关的肌肉骨骼疾病是痛苦、慢性且致残的病症，在古典音乐家中很普遍。对与演奏相关的肌肉骨骼疾病（PRMDs）的患病率、病因及管理的广泛研究是一个新发展领域，即表演艺术医学。尽管这一新领域发展迅速，但尚不清楚音乐家如何认定自己受伤，以及他们如何决定针对这些致残性损伤采取何种措施（如果有的话）。我们研究的目的有两个。首先，我们旨在为音乐家提供机会，让他们用自己的语言定义PRMD。其次，我们试图了解PRMD经历对音乐家的主观意义。两名关键信息提供者在加拿大安大略省和魁北克省确定了30名研究参与者。作为一种数据三角测量形式，参与者包括27名音乐家和三名健康专业人员。通过半结构化访谈收集数据，平均每次访谈持续40分钟。数据被转录，并进行人工编码和分析。参与者将PRMD定义为慢性的、超出他们控制范围且干扰他们以正常水平演奏乐器能力的疼痛和其他症状。参与者区分了“正常的”、轻微的日常疼痛和PRMD。尽管PRMD并非医学上严重或危及生命的疾病，但它在身体、情感、社交和经济方面对音乐家都是毁灭性的。痛苦这一总体主题抓住了这些威胁音乐家身份认同的问题的本质。本研究的结果与其他关于与工作相关的肌肉骨骼疾病及其他疾病经历的研究一致。
