Zaza C, Farewell V T
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Am J Ind Med. 1997 Sep;32(3):292-300. doi: 10.1002/(sici)1097-0274(199709)32:3<292::aid-ajim16>3.0.co;2-q.
Several studies have shown that playing-related musculoskeletal disorders (PRMDs) present a significant health problem for musicians. To examine physiological, psychological, and behavioral risk factors of musicians' PRMDs, data for a case-control analysis were collected from classically-trained professional and university student musicians in the Canadian province of Ontario in 1994. Two-hundred and eighty-one subjects completed a self-report questionnaire and hypermobility and hand-span measurements. Cases were identified according to an operational PRMD definition developed by musicians and health care professionals in a qualitative study. Logistic regression was used to compare data from 44 prevalent PRMD cases who had no previous history of a PRMD, and 90 controls who had never experienced a PRMD. Data from all subjects were analyzed to examine the role of a prior PRMD on the risk of a current PRMD. This study suggests that females and string players were at a higher PRMD risk. A number of other individual characteristics were also important determinants of the development of a PRMD. Warming up before and taking breaks during practice sessions protected the subject from a PRMD. Given the high proportion of musicians who experience PRMDs, prevention programs are warranted.
多项研究表明，与演奏相关的肌肉骨骼疾病（PRMDs）给音乐家带来了重大的健康问题。为了研究音乐家PRMDs的生理、心理和行为风险因素，1994年从加拿大安大略省接受古典音乐训练的专业和大学生音乐家中收集了病例对照分析的数据。281名受试者完成了一份自我报告问卷以及关节活动过度和手跨度测量。根据音乐家和医疗保健专业人员在一项定性研究中制定的操作性PRMD定义来确定病例。使用逻辑回归比较44例无PRMD既往史的PRMD现患病例和90例从未经历过PRMD的对照的数据。对所有受试者的数据进行分析，以研究既往PRMD对当前PRMD风险的作用。这项研究表明，女性和弦乐演奏者患PRMD的风险更高。许多其他个体特征也是PRMD发生的重要决定因素。练习前热身和练习期间休息可使受试者免受PRMD困扰。鉴于经历PRMDs的音乐家比例很高，有必要开展预防项目。
