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巴西小提琴演奏者中与演奏相关的肌肉骨骼疾病的患病率及相关因素

Prevalence and Associated Factors of Playing-Related Musculoskeletal Disorders in Brazilian Violin Players.

作者信息

Kochem Frederico B, Silva Julio G

机构信息

Rehabilitation Sciences Program, Lab. of Human Movement Analysis, Centro Universitário Augusto Motta, Praças das Nações, no 34, Bonsucesso, Rio de Janeiro, CEP 21041- 010, Brazil. Tel +55 21 98121-4557.

出版信息

Med Probl Perform Art. 2017 Mar;32(1):27-32. doi: 10.21091/mppa.2017.1006.

Abstract

OBJECTIVE

To investigate the prevalence of playing-related musculoskeletal disorders (PRMD) and associated factors among violinists from the state of Rio de Janeiro, Brazil.

METHODS

This cross-sectional study included 106 violinists from eight cities in the state of Rio de Janeiro. Sociodemographic and musical characteristic data, pain symptoms, and upper-limb functionality were collected using the DASH and the Standardized Nordic Questionnaires. The associations between musculoskeletal complaints and possible predictors were analyzed by binary logistic regression.

RESULTS

Of the 106 surveyed violin players, 86.8% reported at least one painful area in the last 12 months and 77.4% in the last week. These symptoms were responsible for the temporary interruption of musical activity in 8.1% of musicians. More than 50% of violinists showed dysfunctional upper limbs according to the DASH optional module. Women were more likely to develop musculoskeletal disorders (OR 4.4, CI 1.9-10.0, p<0.001). In addition, older musicians were more likely to report pain in the last 7 days (OR 3.3, CI 5.1-10.97; p=0.04) and also had higher scores on the DASH (OR 1.8, CI 1.1-3.1; p=0.01). Other factors associated with the development of PRMD were body mass index, practice hours per week, and final DASH score.

CONCLUSION

Violinists living and working in the state of Rio de Janeiro have a high prevalence of PRMD, especially women and older musicians.

摘要

目的

调查巴西里约热内卢州小提琴演奏者中与演奏相关的肌肉骨骼疾病(PRMD)的患病率及相关因素。

方法

这项横断面研究纳入了来自里约热内卢州八个城市的106名小提琴演奏者。使用DASH和标准化北欧问卷收集社会人口统计学和音乐特征数据、疼痛症状以及上肢功能。通过二元逻辑回归分析肌肉骨骼疾病与可能的预测因素之间的关联。

结果

在106名接受调查的小提琴演奏者中,86.8%报告在过去12个月中至少有一个疼痛部位,77.4%报告在过去一周中有疼痛部位。这些症状导致8.1%的音乐家暂时中断音乐活动。根据DASH可选模块,超过50%的小提琴演奏者显示上肢功能障碍。女性患肌肉骨骼疾病的可能性更高(比值比4.4,置信区间1.9 - 10.0,p<0.001)。此外,年龄较大的音乐家在过去7天内报告疼痛的可能性更高(比值比3.3,置信区间5.1 - 10.97;p = 0.04),并且在DASH上的得分也更高(比值比1.8,置信区间1.1 - 3.1;p = 0.01)。与PRMD发展相关的其他因素包括体重指数、每周练习时间和最终DASH得分。

结论

在里约热内卢州生活和工作的小提琴演奏者中PRMD患病率很高,尤其是女性和年龄较大的音乐家。

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