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物理治療

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篇名 青少年絃樂練習者其上肢疼痛之相關因素探討
卷期 29:3
並列篇名 Factors for the Development of Neck and Upper Limb Pain in Adolescent String Players
作者 陳怡蓁林燕慧
頁次 169-175
關鍵字 AdolescentPainString instruments青少年疼痛弦樂TSCI
出刊日期 200406

中文摘要

目的:本研究目的在於探討青少年絃樂練習者上肢疼痛與其練琴時相關因子的關係。研究方法:以練習絃樂器之青少年和青年共一百二十九名,進行問卷調查。問卷內容,以類别與次序選項進行,包括基本資料的姓名、性別、國中或大學、樂器、開始學習年齡、每週練習次數、每日練琴時間、練習前暖身、練習後的冷卻運動、疼痛部位、容易導致疼痛的曲目類型、其疼痛等級、疼痛類型等。結果:發現大於20%的受訪者,疼痛部位主要發生於左頸與兩側肩部,雖然年齡不是發生疼痛的主要因子,但與是否為音樂科班有關。同時樂曲類型的不同所引發疼痛的相關因素各有所異。發現每週練習次數是最常見因素。其他如練習時中場休息、冷卻運動、學習樂器的時間與經驗等都是可能與所產生疼痛的相關因素以及可能相關。結論:本研究中發現年齡間未明顯出現疼痛的產生類型與部位。疼痛的發生主要的可能因素有練習相關的因子如音樂科班背景、樂曲、中場休息、冷卻運動等。因此對於樂器的練習所引起的疼痛,應加強評估練習特性,以作為治療的參考。

英文摘要

The purpose of this study was to investigate the pain happening to the upper extremities in young strings players. Seventy-five adolescents strings players were recruited into the study to investigate the playing habits and the irritation due to instrumental practice. The data were also compared with those of 54 youth instrument players. Soreness of the neck, the shoulder, low back, and stiff of the left neck happened to the string instrument players. There were three main factors (1) playing techniques, (2) types of instruments, and (3) specialization in string players which were identified as high risks for those subjects interviewed might be to the occurrence of soreness over shoulder and neck. The risk factors should be identified in the evaluation procedures of physical therapy.

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