Leon Root, MD Motion Analysis Laboratory, Department of Rehabilitation, Hospital for Special Surgery, New York, NY, USA; The Juilliard School, New York, NY, USA; Physical Medicine and Rehabilitation, Weill Cornell Medicine, New York, NY, USA.
Global and Academic Affairs, Hospital for Special Surgery, New York, NY, USA.
J Hand Ther. 2021 Apr-Jun;34(2):315-322. doi: 10.1016/j.jht.2021.05.008. Epub 2021 May 28.
Musician health and wellness, a fundamental requirement for safe, effective and optimal musical performance, is not guaranteed. Performance related musculoskeletal disorders (PRMD) affect between 60% and 90% of all musicians, and have serious consequences on musculoskeletal health, performance ability and the overall healthcare burden of musculoskeletal injury. The high prevalence of PRMD in musicians can be prevented and reduced via health-education programs designed to address risk factors and practice habits. Multiple studies demonstrate the efficacy of education and instructional exercises in reducing PRMD symptoms in musicians. Despite the awareness of risk and the substantial consequence of non-adherence, implementation of health-education programs is complex and challenging and is rarely offered in music institutions. For successful adoption of musculoskeletal health programs, it is important to identify system level barriers and facilitators and it is important to develop and pilot effective strategies to guide successful implementation of musculoskeletal health programs for musicians.
This paper proposes a conceptual framework using implementation science methodology to study the factors that influence adoption of musician health education programs to prevent performance related injury. The overall goal of this methodology is to identify determinants of implementation by engaging key stakeholders, developing strategies for adoption of injury prevention programs and generate hypotheses for future studies.
The research plan is designed to accomplish the specific aims of this study. Through a mixed-method study we will use qualitative and quantitative methods to address potential barriers, and design and test implementation feasibility of health-education programs for musicians.
RESULTS/CONCLUSIONS: Our findings will inform the development of a large-scale participant randomized hybrid trial to assess effectiveness and implementation outcomes of health education programs and ultimately reduce injury and promote musculoskeletal longevity and performance in musicians.
音乐家的健康和福利是安全、有效和优化音乐表演的基本要求，但这一要求并不总能得到保证。与演奏相关的肌肉骨骼疾病（PRMD）影响着 60%至 90%的音乐家，对肌肉骨骼健康、演奏能力以及肌肉骨骼损伤的整体医疗保健负担都有着严重影响。通过旨在解决风险因素和练习习惯的健康教育计划，PRMD 在音乐家中的高患病率是可以预防和减少的。多项研究证明了教育和指导练习在减少音乐家 PRMD 症状方面的功效。尽管人们已经意识到风险，并且不遵守规定会造成严重后果，但健康教育计划的实施仍然很复杂，具有挑战性，并且在音乐机构中很少提供。为了成功采用肌肉骨骼健康计划，确定系统层面的障碍和促进因素非常重要，并且需要开发和试点有效的策略来指导针对音乐家的肌肉骨骼健康计划的成功实施。
本文使用实施科学方法学提出了一个概念框架，以研究影响采用音乐家健康教育计划预防与演奏相关损伤的因素。这种方法学的总体目标是通过让主要利益相关者参与、制定预防损伤计划的采用策略以及为未来研究提出假设，来确定实施的决定因素。
研究计划旨在实现本研究的具体目标。通过混合方法研究，我们将使用定性和定量方法来解决潜在障碍，并设计和测试针对音乐家的健康教育计划的实施可行性。
结果/结论：我们的研究结果将为一项大规模参与者随机混合试验提供信息，以评估健康教育计划的有效性和实施结果，并最终减少损伤，促进音乐家的肌肉骨骼长寿和表现。
