Amaral Corrêa Leticia, Teixeira Dos Santos Luciano, Nogueira Paranhos Edmur Nelson, Minetti Albertini Alfredo Ignacio, do Carmo Silva Parreira Patrícia, Calazans Nogueira Leandro Alberto
Rehabilitation Science Postgraduation Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil(∗).
Rehabilitation Science Postgraduation Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil(†).
PM R. 2018 Sep;10(9):942-950. doi: 10.1016/j.pmrj.2018.04.001. Epub 2018 Apr 26.
To identify the prevalence and risk factors for musculoskeletal pain in keyboard musicians.
Systematic review METHODS: A systematic review was conducted according to the MOOSE recommendations and it was registered with the PROSPERO database under registration number CRD42016042913. We included observational studies through the electronic databases PubMed, Scopus, ScienceDirect, Web of Science, Répertoire International de Littérature Musicale (RILM), Retrospective Index to Music Periodicals (RIPM), Scielo, and Google Scholar, with combinations of the keywords pianists, keyboard players, musculoskeletal pain, muscular disease, tendinitis, tendinopathy, observational, case-control, prevalence, and risk factors. Data from population, information about pain, and risk factors were extracted from studies that fulfilled the eligibility criteria. The methodological quality of the studies was classified through the Newcastle-Ottawa Scale. The risk of bias and quality of evidence was assessed using the GRADE system.
Twelve articles (case-controls) were included for the qualitative synthesis. The quality of the studies was classified as fair (n = 6) and good (n = 6). Prevalence was observed between 25.8% and 77.0% of musculoskeletal pain among keyboard musicians, with a higher prevalence in wrists and hands (13.8%-65.8%), neck (9.8%-64.2%), and shoulders (9.8%-59.8%). The only consistent risk factor found in the 4 studies was being female, with OR ranging from 1.05-1.90. Age greater than 18 years; weekly training more than 20 hours; training for more than 60 minutes without a rest break; not having a habit of practicing sports; and playing despite the pain were also described as risks factors for musculoskeletal pain. It was not possible to perform the meta-analysis due to the heterogeneity of the studies.
Keyboard musicians presented a high prevalence of musculoskeletal pain, especially in the upper extremity regions of the body. Female, ageing, playing behaviors, and sedentary lifestyle showed an increased likelihood to report musculoskeletal pain.
II.
确定键盘乐器演奏者肌肉骨骼疼痛的患病率及危险因素。
系统评价
根据MOOSE建议进行系统评价，并在PROSPERO数据库注册，注册号为CRD42016042913。我们通过电子数据库PubMed、Scopus、ScienceDirect、Web of Science、国际音乐文献目录（RILM）、音乐期刊回顾索引（RIPM）、Scielo和谷歌学术搜索纳入观察性研究，关键词组合为钢琴家、键盘乐器演奏者、肌肉骨骼疼痛、肌肉疾病、肌腱炎、肌腱病、观察性研究、病例对照研究、患病率和危险因素。从符合纳入标准的研究中提取人群数据、疼痛信息和危险因素。通过纽卡斯尔-渥太华量表对研究的方法学质量进行分类。使用GRADE系统评估偏倚风险和证据质量。
纳入12篇文章（病例对照研究）进行定性综合分析。研究质量分为中等（n = 6）和良好（n = 6）。观察到键盘乐器演奏者中肌肉骨骼疼痛的患病率在25.8%至77.0%之间，手腕和手部（13.8%-65.8%）、颈部（9.8%-64.2%）和肩部（9.8%-59.8%）的患病率较高。在4项研究中发现的唯一一致的危险因素是女性，比值比范围为1.05-1.90。年龄大于18岁；每周训练超过20小时；连续训练超过60分钟无休息；没有运动习惯；以及忍痛演奏也被描述为肌肉骨骼疼痛的危险因素。由于研究的异质性，无法进行荟萃分析。
键盘乐器演奏者肌肉骨骼疼痛的患病率较高，尤其是在身体上肢部位。女性、年龄增长、演奏行为和久坐不动的生活方式显示出报告肌肉骨骼疼痛的可能性增加。
II级
