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管弦乐队演奏者的工作姿势与颈肩痛

Work postures and neck-shoulder pain among orchestra musicians.

作者信息

Nyman Teresia, Wiktorin Christina, Mulder Marie, Johansson Yvonne Liljeholm

机构信息

Department of Occupational and Environmental Health, Stockholm County Council, Sweden.

出版信息

Am J Ind Med. 2007 May;50(5):370-6. doi: 10.1002/ajim.20454.

Abstract

BACKGROUND

The purpose of the present study was to identify associations between a work posture with elevated arm position, duration of active playing time, and neck-shoulder pain among orchestra musicians.

METHODS

In this study, with a cross-sectional study design, a total of 235 subjects from 12 Swedish orchestras were categorized into four exposure groups according to arm position and duration of active playing time. Logistic regression analysis was used to calculate odds ratios (OR) for neck-shoulder pain in the four exposure groups.

RESULTS

A higher prevalence of neck-shoulder pain were found in the groups "elevated arm position, <2 hr per workday" [OR 4.15 (1.30-13.22)], and "elevated arm position, >3 hr per workday" [OR 5.35 (1.96-14.62)] compared to the group "neutral arm position, <2 hr per workday".

CONCLUSIONS

Musicians working in an elevated arm position (e.g., violinists, violists, flutists, and trumpet players) had a higher prevalence of neck-shoulder pain than those working in a more neutral position.

摘要

背景

本研究旨在确定管弦乐队音乐家手臂抬高的工作姿势、活跃演奏时间的长短与颈肩痛之间的关联。

方法

在本研究中,采用横断面研究设计,将来自12个瑞典管弦乐队的235名受试者根据手臂位置和活跃演奏时间的长短分为四个暴露组。采用逻辑回归分析计算四个暴露组中颈肩痛的比值比(OR)。

结果

与“手臂中立位,每天工作<2小时”组相比,“手臂抬高位,每天工作<2小时”组[OR为4.15(1.30 - 13.22)]和“手臂抬高位,每天工作>3小时”组[OR为5.35(1.96 - 14.62)]的颈肩痛患病率更高。

结论

与处于更中立姿势工作的音乐家相比,以抬高手臂姿势工作的音乐家(如小提琴手、中提琴手、长笛手和小号手)颈肩痛的患病率更高。

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