本文調查國內339位研習古典音樂人士,包括國立師大附中音樂班,國立藝術學院音樂系及其他音樂從業人員,統計及分析長期演練樂器所可能造成之傷害,俾供醫學界及音樂界人士參考,進而重視音樂傷害,發展音樂醫學。結果發現61%在其演奏生涯中有過一次以上因演奏而造成的身體不適。且症狀持續達一週以上。其中最常發生之症狀是慢性疼痛(72%)最易發生症狀之部位為頸部(48%),且以右側居多。最易發生症狀的是鋼琴(70%),尤其採用高指位彈法(89%)。症狀發生與演練年數無正向關係。
We describe out experience with 339 musical students in whom occupation related chronic injuries developed. We analyzed and discussed the possibilities of chronic injuries on account of longterm instrument t-performing in order to emphasize the importance of musical medicine and to draw attention to musical injuries of musical fields. We found that 61% of the examines com-planed of at least one instance of somatic discomforts. These symptoms persisted at lest one week and were directly due to instrument-performing. Most commonly found symptom was chronic pain (72%). Most common lesion was in cervical area (48%) with right side predominance. Most symptom-inducing instrument was piano (70%), most especially those using high finger group. There was no obviously positive correlation between chronic injuries and the total number of years practiced.