INAIL, Italy.
J Biol Regul Homeost Agents. 2013 Jul-Sep;27(3):853-9.
Although musculoskeletal disorders are the most frequent cause of occupational diseases in musicians, very few studies have focused attention on a single category of instruments, in particular on the violin. This involves, in its practice, almost all the areas of the body, besides being in the category of strings which is the most numerous in an orchestra. A specific protocol, investigating postural and clinical profiles of the musculoskeletal apparatus as well as job stress, was utilized in a conservatory on graduates in the tenth year of violin study, who regularly participated in activities of orchestras or string quartets. The investigation revealed target segments of osteoarticular apparatus (jaw, vertebral spine, shoulders, elbows, hands and fingers, lower limbs) electively subjected to overuse, as well as muscle contracture of trapezoids and hyperkeratosis of fingers and clavicle. Although the work environment was comfortable, most violinists claimed to undergo intense rhythms and competitiveness. This study, highlighting subclinical occupational diseases in young musicians (violinists) suggests adequate prevention measures.
尽管肌肉骨骼疾病是音乐家职业病中最常见的原因,但很少有研究关注单一乐器类别,特别是小提琴。在实践中,小提琴演奏几乎涉及身体的所有部位,而且它属于管弦乐队中数量最多的弦乐器类别。在一所音乐学院,对学习小提琴 10 年的毕业生进行了一项专项研究,调查了肌肉骨骼系统的姿势和临床状况以及工作压力,这些毕业生定期参加管弦乐队或弦乐四重奏的活动。调查显示,颌骨、脊柱、肩部、肘部、手部和手指、下肢等关节选择性地过度使用,以及斜方肌肌肉挛缩和手指和锁骨过度角化。尽管工作环境舒适,但大多数小提琴手都表示要承受紧张的节奏和竞争压力。这项研究强调了年轻音乐家(小提琴手)亚临床职业疾病,提示应采取适当的预防措施。