악기연주자에서 나타나는 만성 근골격성 동통의 발생양상
The prevalence of chronic musculoskeletal pain among musical instrument players
유달준, 최재갑,
소속 상세정보
유달준 ( Yoo Dal-Joon ) - 경북대학교 치과대학 구강내과학교실
최재갑 ( Choi Jae-Kap ) - 경북대학교 치과대학 구강내과학교실
KMID : 0386219960080010039
Abstract
The present epidemiological study was designed to examine the prevalence of chronic musculoskeletal pain among musical instrument players according to type of instrument played. 300 instrumental musicians and 159 non-musicians were included in this study for an experimental group and a control group respectively. The experimental group was divided into 4 subgroups according to their major instrument played : Group Ⅰ for brasswind instruments, including trumpet, trombone, cornet, French horn, and tuba ; Group Ⅱ for woodwind instruments, including clarinet, oboe, and bassoon : Group Ⅲ for violin and viola : Group Ⅳ for other instruments.
After completing questionnaire about health problems they frequently suffer from, location of chronic musculoskeletal pain, physical or emotional symptoms they feel just before or during performance, and the symptoms related to temporomandibular disorders, each subject was examined for verification of subjective symptoms. The results obtained were as follows :
1. The prevalence of chronic musculoskeletal pain was 93.0% in violin-viola group, 89.8% in woodwind group, 68.0% in brasswind group, and 59.2% in non-musician group. Comparing to non-musician group, the statistical significance was found in violin-viola group and woodwind group (P<0.05).
2. The first 4 prevalent sites of chronic musculoskeletal pain were shoulder-finger-chestarm in brasswind group, shoulder-finger-wrist-upper back in woodwind group, shoulder-upper back-wrist-arm and neck in violin-viola group, and shoulder-neck-upper back-leg in non-musician group.
3. The prevalence of chronic musculoskeletal pain is likely to be higher as the length of time as an instrument player increases.
4. The prevalence of symptoms of temporomandibular disorders was 60% in violin-viola group, 59% in woodwind group, 50% in brasswind group, and 45% in non-musician group. However, there was no statistical significance in any of musician groups when compared to non-musician group.
5. The most prevalent symptom of temporomandibular disorders in instrumental musicians was TMJ noise, of which prevalence was 51% in violin-viola group, 47% in woodwind group, 46% in brasswind group, and 25% in non-musician group. There was statistical significance between each one of musician groups and non-musician group respectively(P<0.05).
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