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欧洲音乐学生与演奏相关的肌肉骨骼疾病的流行情况及其相关因素。风险中的音乐学生(RISMUS)纵向多中心研究的基线结果。

Prevalence and associated factors of playing-related musculoskeletal disorders among music students in Europe. Baseline findings from the Risk of Music Students (RISMUS) longitudinal multicentre study.

机构信息

Department of Business Economics, Rehabilitation Research Laboratory 2rLab, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.

Centre for Health, Activity and Rehabilitation Research, Queen Margaret University, Edinburgh, United Kingdom.

出版信息

PLoS One. 2020 Dec 9;15(12):e0242660. doi: 10.1371/journal.pone.0242660. eCollection 2020.

Abstract

Musculoskeletal (MSK) conditions among professional musicians and music students are frequent and may have significant physical and psychosocial consequences on their lives and/or on their playing abilities. The Risk of Music Students (RISMUS) research project was set up in 2018 to longitudinally identify factors associated with increased risk of playing-related musculoskeletal disorders (PRMDs) in a large sample of music students enrolled in pan-European institutions. The aim of this cross-sectional study was to describe the prevalence of playing-related musculoskeletal disorders (PRMDs) in this novel population at baseline of the RISMUS project. A further goal was to begin to identify variables that might be associated with the self-reported presence of PRMDs among music students. Eight hundred and fifty students from fifty-six conservatories and music universities in Europe completed a web-based questionnaire on lifestyle and physical activity participation levels, musical practice habits, health history and PRMDs, psychological distress, perfectionism and fatigue. A total of 560 (65%) out of 850 participants self-reported a positive history of painful MSK conditions in the last 12 months, 408 (48%) of whom self-reported PRMDs. Results showed that coming from West Europe, being a first- or a second-year Masters student, having more years of experience and higher rates of perceived exertion after 45 minutes of practice without breaks were factors significantly associated with self-reported presence of PRMDs. According to the authors' knowledge, a large-scale multicentre study investigating prevalence and associated factors for PRMDs among music students at different stages of their education (from Pre-college to Masters levels) has not been conducted before. The high prevalence of PRMDs among music students, especially those studying at university-level, has been confirmed in this study and associated factors have been identified, highlighting the need for relevant targeted interventions as well as effective prevention and treatment strategies.

摘要

肌肉骨骼(MSK)疾病在专业音乐演奏者和音乐学生中较为常见,可能对他们的生活和/或演奏能力产生重大的身体和心理社会影响。风险中的音乐学生(RISMUS)研究项目于 2018 年成立,旨在通过对来自欧洲各地机构的大量音乐学生进行纵向研究,确定与演奏相关的肌肉骨骼疾病(PRMD)风险增加相关的因素。本横断面研究的目的是描述 RISMUS 项目基线时这一新群体中与演奏相关的肌肉骨骼疾病(PRMD)的流行情况。另一个目的是开始确定与音乐学生自我报告的 PRMD 存在相关的变量。欧洲的 56 所音乐学院和音乐大学的 850 名学生完成了一份关于生活方式和体育活动参与度、音乐练习习惯、健康史和 PRMD、心理困扰、完美主义和疲劳的在线问卷。在 850 名参与者中,共有 560 名(65%)自我报告在过去 12 个月内有过肌肉骨骼疼痛病史,其中 408 名(48%)自我报告有 PRMD。结果表明,来自西欧、处于硕士一年级或二年级、有更多年的经验、练习 45 分钟没有休息后感知的努力程度更高,这些因素与自我报告的 PRMD 存在显著相关。据作者所知,以前没有进行过针对不同教育阶段(从大学预科到硕士)音乐学生 PRMD 流行率及相关因素的大规模多中心研究。本研究证实了音乐学生 PRMD 发生率较高,特别是那些在大学阶段学习的学生,并且确定了相关因素,突出了需要采取相关针对性干预措施以及有效的预防和治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0534/7725387/572226b611e1/pone.0242660.g001.jpg

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