Fry H J
Med J Aust. 1986;145(11-12):620-5. doi: 10.5694/j.1326-5377.1986.tb139514.x.
Overuse syndrome in musicians was extensively reported 100 years ago. The clinical features and results of treatment, which were recorded in considerable detail, match well the condition that is described today. The medical literature that is reviewed here extends from 1830 to 1911 and includes 21 books and 54 articles from the English language literature, apart from two exceptions; however, the writers of the day themselves reviewed French, German and Italian literature on the subject. The disorder was said to result from the overuse of the affected parts. Two theories of aetiology, not necessarily mutually exclusive, were argued. The central theory regarded the lesion as being in the central nervous system, the peripheral theory implied a primary muscle disorder. No serious case was put forward for a psychogenic origin, though emotional factors were believed to aggravate the condition. Advances in musical instrument manufacture--particularly the development of the concert piano and the clarinet--may have played a part in the prevalence of overuse syndrome in musicians. Total rest from the mechanical use of the hand was the only effective treatment recorded.
100年前，音乐家过度使用综合征就有大量报道。当时记录得相当详细的临床特征和治疗结果，与如今所描述的病症非常吻合。这里回顾的医学文献涵盖了1830年至1911年，除两篇文献外，包括21本英文书籍和54篇英文文章；不过，当时的作者们自己也回顾了关于该主题的法语、德语和意大利语文献。据说这种病症是由受影响部位的过度使用导致的。病因有两种理论，不一定相互排斥。中枢理论认为病变位于中枢神经系统，外周理论则暗示原发性肌肉疾病。虽然认为情绪因素会加重病情，但并未提出严重病例是由心理因素引起的观点。乐器制造的进步——尤其是音乐会钢琴和单簧管的发展——可能在音乐家过度使用综合征的流行中起到了一定作用。手部机械性使用的完全休息是记录中唯一有效的治疗方法。
