Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Engineering, Tel Aviv University, Tel Aviv, Israel.
PLoS One. 2018 Dec 19;13(12):e0208788. doi: 10.1371/journal.pone.0208788. eCollection 2018.
We aimed to investigate the correlations between Upper Extremity Musculoskeletal Symptoms (MSD) and joint kinematics while playing the piano, as well as correlations between MSD and psychosocial, professional and personal habits, and bio-demographic risk factors of piano students.
This cross-sectional study included 15 piano students. The research tools included 3D motion capture, anthropometric measurements, and questionnaires for obtaining data about MSD, psychological, and personal factors.
The piano students recruited for this study experienced a variety of MSD during the past 12 months, with a particularly high prevalence of neck pain (80%). Extreme wrist extension and/or elbow flexion while playing the piano also correlated with MSD. Additionally, this study identified correlations between MSD and hand span (r = -.69, p≤.004) and number of playing hours per week (r = .58, p≤.024).
Anthropometric factors and playing patterns should be considered together with well-known MSD risk factors, like extreme and repetitive movements. However, considering each joint singularly might not be sufficient to prevent the development of MSD when instructing the piano player; accordingly, joint synchronization should also be considered.
本研究旨在探讨钢琴演奏者上肢肌肉骨骼症状（MSD）与关节运动学之间的相关性，以及 MSD 与心理社会、职业和个人习惯以及钢琴学生生物人口学风险因素之间的相关性。
这是一项横断面研究，共纳入 15 名钢琴学生。研究工具包括 3D 运动捕捉、人体测量学测量和问卷调查，以获取 MSD、心理和个人因素的数据。
本研究中招募的钢琴学生在过去 12 个月中经历了各种 MSD，其中颈部疼痛的患病率特别高（80%）。在演奏钢琴时极度伸展手腕和/或弯曲肘部也与 MSD 相关。此外，本研究还发现 MSD 与手宽（r = -.69，p≤.004）和每周演奏小时数（r =.58，p≤.024）之间存在相关性。
在指导钢琴演奏者时，除了已知的 MSD 风险因素（如极端和重复运动）外，还应考虑人体测量因素和演奏模式。然而，单独考虑每个关节可能不足以预防 MSD 的发生，因此也应考虑关节同步性。
