手工治疗对器乐音乐家与演奏相关的肌肉骨骼疾病的影响：系统回顾

IF 2 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2025-09-01 DOI:10.1016/j.arrct.2025.100486

Giulio Cherubini PT, MSc , Mario De Marco PT, MSc , Rosa Maria Converti MD , Marina Ramella MD , Claudio Macchi MD , Laura Perucca MD , Marco Baccini PT, MSc , Francesca Cecchi MD

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引用次数: 0

摘要

目的探讨手工疗法对器乐音乐家演奏相关肌肉骨骼疾病（PRMDs）的影响。数据来源：pubmed， MEDLINE， CINAHL, Scopus， Web of Science和EMBASE从成立到2024年12月17日。研究选择随机对照试验（rct），非对照试验，病例报告评估任何手工治疗对仪器师prmd的影响。数据提取：两位独立作者根据研究设计，使用不同的偏倚风险评估工具提取数据并评估质量。在检索到的529篇文献中，包括9篇：2篇随机对照试验的3篇文章（其中一篇有69名弦乐/管乐/打击乐演奏者，另一篇有30名管乐演奏者，年龄18-30岁），1篇病例系列（689名乐器演奏者），1篇前后试验（32名弦乐/管乐/键盘/打击乐/其他乐器演奏者，年龄18-30岁），4篇病例报告（4名弦乐/管乐/键盘演奏者，年龄25-64岁）。第一项随机对照试验显示，与单纯进行体位练习相比，采用软组织和活动技术联合体位练习能显著减轻管乐器学生颞下颌关节功能障碍的疼痛和残疾。另一项随机对照试验报告了在专业音乐家的prmd中，与假推拿相比，按摩后的即时和中期疼痛显著减轻。病例系列、前后研究和1例报告为低-极低质量，3例报告为良好质量。然而，应该指出的是，对治疗的支持非常有限；这两项随机对照试验的效果都不足，存在较高的偏倚风险，而其他研究的证据则受到低质量和/或设计的限制。异质性不允许进行meta分析。结论支持手工疗法治疗乐器师pmrd的证据不足且质量不高。需要高质量的随机对照试验来调查这些干预措施的风险和益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Impact of Manual Therapy on Instrumentalist Musicians With Playing-Related Musculoskeletal Disorders: A Systematic Review

Objective

To investigate the effects of manual therapy on playing-related musculoskeletal disorders (PRMDs) in instrumentalist musicians.

Data Sources

PubMed, MEDLINE, CINAHL, Scopus, Web of Science, and EMBASE were searched from inception until December 17, 2024.

Study Selection

Randomized controlled trials (RCTs), noncontrolled trials, case reports evaluating the effects of any manual therapy on PRMDs of instrumentalists were selected.

Data Extraction

Two independent authors extracted data and assessed quality using different risk of bias assessment tools, depending on study design.

Data Synthesis

Of the 529 retrieved titles, 9 were included: 3 articles on 2 RCTs (one with 69 string/wind/percussion players and the other with 30 wind players, aged 18-30y), 1 case series (689 instrumentalists), 1 pre-post trial (32 string/wind/keyboard/percussion/other instrumentalists, aged 18-30y), and 4 case reports (4 string/wind/keyboard players, aged 25-64y). The first RCT showed significantly reduced pain and disability after soft tissue and mobilization techniques along with postural exercises versus postural exercises alone in temporomandibular dysfunction of wind instrument students. The other RCT reported immediate and medium-term significant pain reduction after Tuina versus sham Tuina in PRMDs in professional musicians. The case series, pre-post study, and 1 case report were of low-very low quality, while 3 case reports were of good quality. However, it should be noted that support for treatment was very limited; both RCTs were underpowered and had a high risk of bias, whereas the evidence from the other studies was limited by low quality and/or design. Heterogeneity did not allow for meta-analysis.

Conclusions

The evidence supporting manual therapy for PMRDs in instrumentalists is scarce and of low quality. High-quality RCTs are needed to investigate the risks and benefits of these interventions.

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来源期刊

Archives of rehabilitation research and clinical translation Medicine and Dentistry (General)

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

8 weeks