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冰岛音乐专业学生中与演奏相关的肌肉骨骼疾病:演奏古典音乐与节奏音乐的学生之间的差异。

Playing-related musculoskeletal disorders among icelandic music students: differences between students playing classical vs rhythmic music.

作者信息

Arnason Kári, Arnason Arni, Briem Kristín

机构信息

The University of Iceland, Sæmundargata 2, 101 Reykjavik, Iceland. Tel +354 697 8114, fax +354 525 4008.

出版信息

Med Probl Perform Art. 2014 Jun;29(2):74-9. doi: 10.21091/mppa.2014.2017.

Abstract

Most research studies investigating the prevalence of musculoskeletal disorders affecting musicians and music students have focused on classical music, while less is known about their prevalence in other music genres. The purpose of this study was to document cumulative and point prevalence of playing-related musculoskeletal disorders (PRMD) among music students in Iceland and, specifically, to identify differences between those studying classical vs rhythmic music. We hypothesized that students of classical music would report more frequent and more severe musculoskeletal disorders than students involved in rhythmic music, as classical instruments and composition typically require more demanding, sustained postures during practice and performance. A total of 74 students from two classical music schools (schools A and B) and 1 rhythmic school (school C) participated in the study by answering a questionnaire assessing PRMDs. The results showed that 62% of participants had, at some point in their musical career, suffered a PRMD. The cumulative prevalence was highest in music school A (71.4%) and lowest in music school C (38.9%). A statistically significant difference was identified between the cumulative prevalence of PRMD from schools A and B combined compared to music school C (p=0.019). Over 40% of participants reported a "current PRMD," and a significant difference was identified between the three schools (p=0.011), with the highest point prevalence being registered in music school A (66.6%) and the lowest in music school C (22.2%). The prevalence of PRMDs among Icelandic music students was high. The difference found between students who play classical vs rhythmic music may be explained by different demands of the instruments and composition on playing posture.

摘要

大多数针对影响音乐家和音乐专业学生的肌肉骨骼疾病患病率的研究都集中在古典音乐领域,而对于这些疾病在其他音乐类型中的患病率了解较少。本研究的目的是记录冰岛音乐专业学生中与演奏相关的肌肉骨骼疾病(PRMD)的累积患病率和时点患病率,特别是要确定学习古典音乐和节奏音乐的学生之间的差异。我们假设,古典音乐专业的学生报告的肌肉骨骼疾病比从事节奏音乐的学生更频繁、更严重,因为古典乐器和作曲在练习和表演过程中通常需要更苛刻、更持久的姿势。来自两所古典音乐学校(A校和B校)和一所节奏音乐学校(C校)的74名学生通过回答一份评估PRMD的问卷参与了这项研究。结果显示,62%的参与者在其音乐生涯的某个阶段患有PRMD。累积患病率在A音乐学校最高(71.4%),在C音乐学校最低(38.9%)。与C音乐学校相比,A校和B校合并后的PRMD累积患病率存在统计学上的显著差异(p = 0.019)。超过40%的参与者报告了“当前PRMD”,三所学校之间存在显著差异(p = 0.011),时点患病率最高的是A音乐学校(66.6%),最低的是C音乐学校(22.2%)。冰岛音乐专业学生中PRMD的患病率很高。演奏古典音乐和节奏音乐的学生之间发现的差异可能是由于乐器和作曲对演奏姿势的不同要求所致。

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