Nair Rahul, Tanikawa Chihiro, Ferreira Joao N
Department of Dentistry-Quality and Safety of Oral Healthcare, Radboud University Medical Centre, Radboud Institute for Health Sciences, 6525 Nijmegen, The Netherlands.
Faculty of Dentistry, National University of Singapore, Singapore 119085, Singapore.
J Clin Med. 2023 Feb 6;12(4):1271. doi: 10.3390/jcm12041271.
Musicians often report orofacial pain (OFP) and performance-related psychological distress related to occupational neuromuscular overuse, but to date, no study has been performed in Asian musicians to assess these factors. This study evaluated OFP, psychological distress, coping behaviors, and disability among Asian musical performers. A total of 201 participants in Singaporean music ensembles were surveyed from which 159 met the inclusion criteria for vocalists or instrumentalist musicians (mean age 20.26 ± 2.20 years). Self-administered questionnaires assessed musical practices, jaw/neck pre-conditioning exercises, pain-related temporomandibular disorders (TMD), OFP descriptors, pain chronicity and disability, coping behaviors and psychological distress. Univariate and multi-variate analyses were carried out. OFP, while performing, was more than two-fold higher in instrumentalists when compared to vocalists (41.4-48% vs. 17.2%, = 0.002). A similar trend occurred for OFP that progresses while playing ( = 0.035) and for persistent OFP that reduces playing ( = 0.001). There were no differences in psychological distress, pain coping and disability between groups. Vocalists were found to practice jaw/neck pre-conditioning exercises more frequently (75% vs. 4-12.9% in instrumentalists, < 0.0001). While performing, Asian vocalists reported less OFP when compared to instrumentalists. Future prospective studies are needed to confirm if pre-conditioning exercises play a protective role against OFP in vocalists.
音乐家经常报告与职业性神经肌肉过度使用相关的口面部疼痛（OFP）以及与表演相关的心理困扰，但迄今为止，尚未在亚洲音乐家群体中开展研究来评估这些因素。本研究评估了亚洲音乐表演者的口面部疼痛、心理困扰、应对行为和残疾情况。对新加坡音乐团体中的201名参与者进行了调查，其中159人符合声乐或器乐演奏者的纳入标准（平均年龄20.26±2.20岁）。通过自行填写问卷来评估音乐练习情况、颌部/颈部预处理练习、与疼痛相关的颞下颌关节紊乱症（TMD）、口面部疼痛描述、疼痛慢性化及残疾情况、应对行为和心理困扰。进行了单变量和多变量分析。与声乐演唱者相比，器乐演奏者在表演时口面部疼痛的发生率高出两倍多（41.4 - 48%对17.2%，P = 0.002）。在演奏过程中逐渐加重的口面部疼痛（P = 0.035）以及因口面部疼痛持续而减少演奏的情况（P = 0.001）也呈现出类似趋势。两组在心理困扰、疼痛应对和残疾方面没有差异。发现声乐演唱者更频繁地进行颌部/颈部预处理练习（75%对器乐演奏者的4 - 12.9%，P < 0.0001）。与器乐演奏者相比，亚洲声乐演唱者在表演时报告的口面部疼痛较少。未来需要进行前瞻性研究，以确认预处理练习是否对声乐演唱者的口面部疼痛起到保护作用。
