大專音樂系學生肩頸疼痛之形成－音樂系與非音樂系女大學生之比較

The Development of Neck-Shoulder Pain in Musicians-The Comparison between Music and Non-music Majored Female College Students

陳文玲(Wen-Ling Chen) ； 王君仙(Kuan-Sin Vong) ； 劉培鈴(Pei-Ling Liu) ； 程琡敏(Shu-Min Chen)

《物理治療》 27卷4期 (2002/08) Pp. 183-190

摘要

目的：調查音樂系女大學生肩頸疼痛之盛行率及其疼痛程度，並與非音樂系女學生做比較；針對生活型態與心理特質，檢定此二族群肩頸疼痛之危險因子。方法：針對音樂系及非音樂系女大學生，調查肩頸部位疼痛強度、生活型態、與心理特質、以及音樂系學生之演奏習慣。之後檢定音樂系與非音樂系間及患者與非患者間之差異，並以羅吉斯迴歸法分析肩頸疼痛之危險因子。結果：音樂系與非音樂系女大學生肩頸各部位疼痛盛行率都很高（音樂系：47-75%，非音樂系：49-74%）。非音樂系學生每日讀書、使用電腦時間顯著長於音樂系學生，每日靜站時間則顯著短於音樂系學生。心理特質方面，兩組間無顯著差異。危險因子分析結果，音樂系為每日靜站與使用電腦時間、以及演奏時頸用力習慣；非音樂系則為緊張焦慮度。患者與非患者間之差異僅呈現在緊張焦慮度上。結論：音樂系與非音樂系女大學生均是肩頸疼痛高危險群，建議音樂系學生修正其不良演奏習慣，而非音樂系學生調整其生活壓力，以減少肩頸疼痛的機會。

關鍵字

肩頸疼痛 ； 音樂系 ； 大學生 ； 危險因子

並列摘要

Purposes: The aim's of this study were (1) to investigate the prevalence and intensity of neck and shoulder pain among college students majoring in music or non-music, (2) to describe their life styles and associated psychological factors, and (3) to explore the risk factors. Methods: Two-Hundreds and abeven music majored and 216 non-music majored students completed a questionnaire concerning neck and shoulder pain intensity, life style, psychological factors and the habits of music practice routine. Differences between music and non-music majored students and between symptomatic and asymptomatic students were examined. Associations were explored using logistic regression, and the resultant odds ratios were collected. Results: High prevalence of neck and shoulder pain was found in college students (music: 47-75%, non-music: 49-74%). Significantly longer time spent on static standing, and significantly shorter time spent on the computer or reading were found in music students, compared with non-music majored students (p＜0.05). No significant differences in psychological factors were found between music majored and non-music majored students. However, the symptomatic group exhibited significantly higher degree of stress and anxiety than the asymptomatic group, in music or non-music majored students. For music students, the time spent on daily standing and on computer using, and especially, the self-perceived exertion in the upper trapezius during routine practice (OR 28.5) were associated with a significantly increased risk for neck and shoulder pain. For non-music students, the degree of stress and anxiety was significantly associated with their symptoms. Conclusions: Duration of sedentary posture and the self-perceived exertion in the upper trapezius during the performance were considered as risk factors for neck and shoulder pain in music majored students. Self-relaxation training during routine practice might therefore be helpful in reducing neck pain for music majored students. On the other hand, stress in daily living is the main risk factor for neck and shoulder pain in non-music students. Proper coping mechanisms to manage stress in daily life appear to be needed for the non-music-majored stuents to reduce the risk of neck pain.

並列關鍵字

Prevalence ； Music related neck pain ； College students ； Risk factors