EVALUATION OF PAIN AND FUNCTIONAL DISABILITY BODY PARTS SEEN BETWEEN MUSICIANS PLAYING STRING INSTRUMENTS

Yıl 2018, Cilt: 4 Sayı: 1, 1 - 8, 12.02.2018

Elisa Çalışgan Ünal İmik Burcu Talu

https://doi.org/10.22252/ijca.393667

Öz

Purpose: The most common
discomforts in musicians are musculoskeletal injuries. Musicians who play
advanced instruments use their musculoskeletal systems for long periods of time
outside their normal position. Conventional treatment, including cold therapy,
passive motion, parafine, contrast and circular bath with additional ESWT
(Extracorporeal Shock Wave Therapy) and High Density Laser therapy are the
treatment methods of wrist and elbow Problems in patients with musician. The
aim of study is evaluated of pain and functional disability body parts seen
between musicians playing string instruments.

Method: Our randomized,
blinded, controlled included 22 in musicans aged 16 to 50 years. Disabilities
of the Arm, Shoulder and Hand Score (DASH) which has minimal 0 and maximal 100
points, Oxford Elbow Scale which has minimal 0 and maximal 48 points, Shoulder
Pain and Disability Index (SPADI) which has minimal 0 and maximal 130 points.
Our the last evaluation form is Functional Situation Scale (FSS) which has
minimal 0 points and maximal 40 points. We compared conclusion of these forms
total points because our main goal was to determine the locations of
inflamation and pain seen substantially in musicians playing string
instruments. We compared our conclusion of questionnare with literatüre.

Result: Many studies have demonstrated in vivo and in vitro evidence of frequence
musicians health problems. The main objective of the our study was to determine
localization of the pain, functional disabilityand evaluate whether consisting
of different reasons can lead to an improvement in activation of finger, wrist,
elbow ability in patients with musician and whether the effects of treatment on
pain and inflamation may persist or not. Also, mean
and standart deviation of FSS was 36,18±1,43.
According to these scores and literatür, problems seen frequently in
musicians playing string instrument are inactivation of finger, wrist, elbow
ability because of pain, functional impairment and epicondilit.

Conclusion: In shortly, playing musical
instruments requires that the stimuli enter a position contrary to the natural
posture of the body according to the variety and cause of physical tension. It
is essential that the tension in the instrument technique is destroyed. According
to OES, FSS, Musicians playing string instrument have suffered from disability
of finger, wrist, elbow because of pain and restriction of functions.

Anahtar Kelimeler

Musicians, Elbow, Wrist, Pain, Function, Rehabilitation

EVALUATION OF PAIN AND FUNCTIONAL DISABILITY BODY PARTS SEEN BETWEEN MUSICIANS PLAYING STRING INSTRUMENTS / YAYLI ÇALGI ÇALAN MÜZİSYENLERDE AĞRILI VE FONKSİYONEL OLARAK YETERSİZ OLAN VÜCUT BÖLGELERİNİN TESPİTİ VE DEĞERLENDİRİLMESİ

Öz

Amaç: Müzisyenlerde en sık görülen rahatsızlıklar kas-iskelet sistemi
yaralanmalarıdır. İleri düzeydeve uzun süre enstrüman çalan müzisyenler kas
iskelet sistemlerini normal pozisyonlarının dışında uzun süre kullanırlar.
Ekstansör Şok Dalga Terapisi ve Ek Yoğunluk Lazer Terapisi, müzisyen hastaların
bilek ve dirsek sorunlarının önlenmesi ile ağrı ve fonksiyonel zorlanmalarda
kullanılır. Bu çalışmanın amacı, yaylı çalgı çalan müzisyenlerin ağrılı ve
fonksiyonel olarak yetersiz olan vücut bölgelerinin tespit edilerek
değerlendirilmesidir.

Yöntem:Araştırmaya, randomize, körleştirilmiş, kontrollü 16-50 yaş arası 22
müzisyen dahil edilmiştir. Minimum 0 ve maksimal skoru 100 olan Kol, Omuz ve El
Skoru (DASH), en az 0 ve en fazla 48 puan olan Oxford Dirsek Ölçeği, Omuz
Ağrısı ve Özürlülük İndeksi (SPADI) en az 0 ve en fazla 130 puan olan. Son
değerlendirme formumuz, en az 0 puan ve en fazla 40 puan içeren Fonksiyonel
Durum Ölçeği (FSS) 'dir. Araştırmada, bu formların toplam puanlarının
sonuçlarını karşılaştırdık, çünkü asıl amacımız yaylı enstrümanlarını çalan
müzisyenlerde görülen enflamasyon ve ağrıların yerlerini belirlemekti. Bu
sebeple, anket sonuçlarını literatür ile karşılaştırdık.

Sonuç: Birçok çalışmada (canlıda ve canlı dışında) ileri düzey müzisyenlerdeki
sağlık sorunları kanıtlamıştır. Çalışmamızın amacı, yaylı çalgı çalan
müzisyenlerdeoluşan ağrıların nedenlerini, lokalizasyonunu saptamak ve
fonksiyonel olarak yetersiz olan vücut bölümünü tespit etmektir. Ayrıca,
DİE'nin ortalama ve standart sapması 36,18 ± 1,43 idi. Bu puanlara ve literatüre
göre, yaylı çalgı çalan müzisyenlerde sık görülen problemler, ağrı, fonksiyonel
yetersizlikve epikondilit nedeniyle parmak, bilek, dirsek
hareketlerininkısıtlanmasıdır.

Anahtar Kelimeler

Müzisyen, Dirsek, El bileği, Ağrı, Fonksiyon, Rehabilitasyon

Kaynakça

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