职业音乐家和学生颞下颌关节疼痛症状的普遍性：在线调查。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2024-09-30 DOI:10.1111/joor.13868

Suzanne Z'Graggen, Dominik A. Ettlin, Elena Alessandri, Werner J. Z'Graggen, Martin Schimmel

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引用次数: 0

摘要

背景：在医学和音乐领域，越来越多的证据表明，音乐表演是颞下颌关节紊乱症（TMD）的职业风险因素：评估学生和职业音乐家自我报告的 TMD 疼痛症状：使用 Survey Monkey 软件，以电子方式向欧洲的专业音乐家和学生分发德文版 "TMD-疼痛筛查器"。补充问题涉及年龄、性别、每日演奏时间、乐器类型和专业实践类型。结果以中位数[四分位数间距]表示：结果：492 名参与者完成了 TMD 疼痛筛查。其中，96 人（19.5%）报告 TMD 疼痛（Pain_pos），396 人无疼痛感（80.5%，Pain_neg）。Pain_pos参与者明显更年轻（Pain_pos：34岁 [26；46]，Pain_neg：44岁 [30；56]，P = 0.0003），工作经验更少（Pain_pos：15.5年 [6；25]，Pain_neg：20年 [10；32]，P = 0.009），表演次数/年较少（Pain_pos：20/年 [10；45]，Pain_neg：30/年 [12；53.5]，P = 0.03），且以女性为主（OR = 3.22 [1.87，5.74]，P 结论：TMD 疼痛的患病率为 0.0003：TMD疼痛在缺乏经验的年轻女性音乐家中发病率最高。演奏键盘乐器（管风琴除外）或上弦乐器经常与 TMD 疼痛筛查有关。提高对病因的认识、实施预防措施、提供专业指导以及从生物心理社会保健的角度看问题，可以降低这种职业风险，同时保持音乐对健康的益处。

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Prevalence of Painful Temporomandibular Disorder Symptoms Among Professional and Student Musicians: An Online Survey

Background

Within the fields of medicine and music, increasing attention is given to evidence indicating music performance being an occupational risk factor for temporo-mandibular disorders (TMD).

Objectives

Assessment of self-reported painful TMD symptoms among student and professional musicians.

Methods

Using Survey Monkey software, the German version of the ‘TMD-Pain-Screener’ was distributed electronically to professional and student musicians in Europe. Supplementary questions addressed age, gender, daily playtime, instrument type and type of professional practice. Results are presented as median [interquartile range].

Results

The TMD-pain-screener was completed by 492 participants. Among them, 96 (19.5%) reported painful TMD (Pain_pos) and 396 did not experience pain (80.5%, Pain_neg). Pain_pos participants were significantly younger (Pain_pos: 34 years [26; 46], Pain_neg: 44 years [30; 56], p = 0.0003), had less work experience (Pain_pos: 15.5 years [6; 25], Pain_neg: 20 years [10; 32], p = 0.009), had fewer performances/year (Pain_pos: 20/year [10; 45], Pain_neg: 30/year [12; 53.5], p = 0.03) and were predominantly female (OR = 3.22 [1.87, 5.74], p < 0.0001). Comparisons among music performance types revealed no statistical significance in the overall test (p = 0.13), although ‘keyboard’ (OR = 2.99 [0.58, 30.12]), ‘upper string’ (OR = 2.31 [0.43, 23.63]) and ‘singer’ (OR = 2.14 [0.44, 20.75]) stood out compared to the reference group ‘lower string’ (OR 1.00). Organ players formed the largest group and showed a comparatively low prevalence of Pain_pos (16%), compared to other keyboard instruments (Pain_pos 30.2%).

Conclusions

Prevalence of TMD pain was highest among young inexperienced female musicians. Playing keyboard instruments (other than organ) or upper strings instruments were frequently associated with painful TMD screening. An improved understanding of causes, implementation of preventive measures, professional guidance and a biopsychosocial health care perspective may decrease this occupational risk while maintaining the health benefits of music.

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.