Simetrik ve Asimetrik Pozlarda Çalan Müzisyenlerde Kas-İskelet Sistemi Sorunlarının Araştırılması

Abstract

Enstrüman çalarken tekrarlayan hareketler ve enstrümanların omurgada oluşturduğu asimetrik duruşlar kas-iskelet sistemi rahatsızlıklarına neden olmaktadır. Enstrümanın türü de kas-iskelet sistemi sorunlarının sıklığını etkileyen bir diğer faktördür. Bu çalışmada, erken yaşlardan itibaren simetrik duruşlarda (klarnet, obua, fagot, trompet, piyano, perküsyon vb.) ve asimetrik duruşlarda (keman, viyolonsel, flüt, gitar, bağlama, kontrbas vb.) çalan müzisyenlerin kas-iskelet sistemi ağrıları üzerine enstrümanların etkilerinin araştırılması amaçlanmıştır. Çalışmaya en az 10 yıldır enstrüman çalan 50 müzisyen dahil edilmiştir. Müzisyenler ağrı ve duruş açısından değerlendirilmiştir. Ağrı sorunları The Extended Version of the Nordic Musculoskeletal Questionnaire adı verilen özel bir anket ile değerlendirilmiş ve duruş değerlendirmesi gözlem tabanlı duruş değerlendirmesi kullanılarak yapılmıştır. Mevcut çalışma, asimetrik duruşlarda çalan müzisyenler ile simetrik duruşlarda çalan müzisyenler arasında duruşlarda önemli farklılıklar tespit edildiğini buldu. (p<0,05). Bu çalışma, asimetrik duruşlarda çalan müzisyenlerin duruşlarının, simetrik duruşlarda çalan müzisyenlerin duruşlarından daha fazla etkilendiğini ortaya koydu. Dahası, mevcut çalışma, asimetrik duruşlarda çalan müzisyenlerin, simetrik duruşlarda çalanlara kıyasla alt sırt, eller, üst sırt ve pelviste daha şiddetli ağrıya sahip olduğunu gösterdi.

Keywords

• kas iskelet sistemi bozuklukları
• müzisyenler
• ağrı
• postür
• işle ilgilili problemler

Investigation of Musculoskeletal Problems in Musicians Playing in Symmetrical and Asymmetrical Postures

Abstract

Repetitive movements while playing instruments, and the asymmetrical postures of the spine created by the instruments, cause musculoskeletal disorders. The type of the instrument is likely to be another factor affecting the frequency of musculoskeletal problems. This study aimed to investigate the effects of instruments on musicians’ musculoskeletal pain which have been played from an early age in symmetrical postures (clarinet, oboe, bassoon, trumpet, piano, percussion, etc.) and asymmetrical postures (violin, cello, flute, guitar, baglama [Turkish lute], double bass, etc.). This study included 50 musicians who played instrument for at least 10 years. Musicians were assessed about pain and posture. Pain problems was evatulated by special questionnaire called The Extended Version of the Nordic Musculoskeletal Questionnaire and posture assesment were evaluated using observation-based posture assessment. The current study found that a significant differences were detected in postures between musicians playing in asymmetrical postures and musicians playing in symmetrical postures. (p<0.05). This study revealed that postures of musicians playing in asymmetrical postures were affected more than those of the musicians playing in symmetrical postures. Moreover, the present study showed that musicians playing in asymmetrical postures had more severe pain in the lower back, hands, upper back, and pelvis compared to those playing in symmetrical postures.

Keywords

• musculo-skeletal disorders
• musicians
• pain
• posture
• working related problems

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