J Orthop Sports Phys Ther. 2024 Sep;54(9):584-593. doi: 10.2519/jospt.2024.12277.
To evaluate the effect of a workplace injury prevention and wellness program compared to no intervention (control) on musicians' playing-related musculoskeletal pain intensity. The hypothesis was that musicians who completed the program would have a greater reduction in pain intensity than the control group. Pragmatic parallel randomized controlled trial. Sixty-five orchestra musicians were recruited and completed patient-reported outcome measures (primary outcome: pain intensity over 11 months, using the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians; range: 0-40; lower is better) at baseline, 14 weeks (T1), and 11 months (T2). Following baseline assessment, participants were randomly assigned to the intervention (n = 33) or control (n = 32) groups, stratified by instrument and pain prevalence. The intervention group received a 14-week injury prevention and wellness program including education and exercise; the control group received no intervention. Pain intensity means (standard deviation) were 7.8 (6.2), 8.0 (7.5), and 8.6 (5.7) in the control group, and 9.0 (6.6), 5.0 (4.2), and 6.7 (6.6) in the intervention group at T0, T1, and T2, respectively. Using intention-to-treat analyses (3 dropouts, n = 65 analyzed), between-group differences in pain intensity (95% confidence interval) were T1-T0: -4.2 (-7.5, -0.9); T2-T0: -3.7 (-7.1, -0.3), type III (overall) = .03, favoring the intervention group. No adverse events were reported. A workplace injury prevention and wellness program may have a clinically meaningful effect on reducing orchestra musicians' pain intensity. .
评估与无干预（对照组）相比，工作场所伤害预防和健康计划对音乐家演奏相关肌肉骨骼疼痛强度的影响。假设是完成该计划的音乐家的疼痛强度会比对照组有更大的降低。 实用平行随机对照试验。 招募了 65 名管弦乐队音乐家，并在基线、14 周（T1）和 11 个月（T2）时完成了基于患者报告的结局测量（主要结局：使用音乐家肌肉骨骼疼痛强度和干扰问卷测量的 11 个月内的疼痛强度；范围：0-40；数值越低越好）。在基线评估后，参与者按乐器和疼痛发生率分层，随机分为干预组（n = 33）或对照组（n = 32）。干预组接受了为期 14 周的伤害预防和健康计划，包括教育和锻炼；对照组未接受干预。 对照组的疼痛强度平均值（标准差）分别为 T0、T1 和 T2 时的 7.8（6.2）、8.0（7.5）和 8.6（5.7），干预组分别为 9.0（6.6）、5.0（4.2）和 6.7（6.6）。使用意向治疗分析（3 名脱落者，n = 65 进行分析），组间疼痛强度差异（95%置信区间）分别为 T1-T0：-4.2（-7.5，-0.9）；T2-T0：-3.7（-7.1，-0.3），总体 III 型（）=.03，有利于干预组。未报告不良事件。 工作场所伤害预防和健康计划可能对降低管弦乐队音乐家的疼痛强度具有临床意义。 。
