Health Conditions affecting Musicians: an MPPA Scoping Review
No Thumbnail Available
Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Kopsavilkums
Ievads
Mākslas izpildītāju medicīna (angl. Performance Arts Medicine, PAM), kas pievēršas mūziķiem (PAM-m), ir salīdzinoši jauna medicīnas joma, kurā trūkst vispusīga literatūras pārskata. Šī literatūras apskata mērķis bija sniegt sākuma punktu attiecībā uz pierādījumu kopumu PAM ietvaros, lai noteiktu zināšanu nepilnības un formulētu vajadzību pēc nākotnes pētījumu tematiem.
Metodes
Trīs elektroniskās datu bāzes (PubMed, EBSCOhost un ProQuest) tika izmantotas sistemātiskai meklēšanai, lai atrastu publicētos rakstus par veselības stāvokli, kas ietekmē mūziķus. Iekļaušanas kritēriji bija: publicēts žurnālā Medical Problems of Performing Artists (MPPA); pētījumā iekļautas ar veselību saistītās problēmas, kas skar mūziķus viņu spējā pilnvērtīgi darboties; pētāmās metodes, kuru mērķis ir ar mūziķu veselību saistīto problēmu novēršana. Analizētie dati ietvēra pētījuma dizainu, pētījuma dalībnieku skaitu, pētījuma populāciju kontinentu, instrumentu grupu, ziņotos simptomus, sūdzības, klīniskās pazīmes, diagnozes, iejaukšanās veidus un iesaistītas medicīnas specialitātes /ar veselību saistītās profesijas. Tricco et al. metodika tika izmantota, lai veidotu literatūras apskatu.
Rezultāti
480 zinātnisko rakstu atbilda iekļaušanas kritērijiem. Lielākā daļa pētījumu bija šķērsgriezuma, pētīja profesionālus un konservatorijas mūziķus un galvenokārt ieskatījās stīgu instrumentos. Pētījumu dalībnieki galvenokārt atradās Ziemeļamerikā un Eiropā. Starp medicīnas specialitātēm un veselības aprūpes profesijām visvairāk tika pārstāvēta arodmedicīna, kam sekoja ar fizikālo terapiju saistīto apakšspecialitāšu kopums. Visbiežākās sūdzības, kas izraisīja veselības aprūpes sniedzēja apmeklējumu, bija sāpes, kam sekoja muskuloskeletālas un psiholoģiskas sūdzības. No diagnozēm visizplatītākās bija muskuloskeletālas, kam sekoja neiroloģiskas/distoniskas un psiholoģiskas diagnozes. Izplatītākās iejaukšanās bija farmakoloģiskas, fizioterapija un iejaukšanās, kuru mērķis ir mainīt vai pielāgot muzikālo sniegumu.
Secinājumi
Pierādījumu kvalitāte, šķiet, stagnē šķērsgriezuma pētījumu līmenī. Ir vajadzīgi vairāk zinātniski vērtīgi pētniecības projekti. Maz informācijas var atrast par PAM-m problēmu cēloņsakarību, mērīšanas rīku klinimetriskām īpašībām un to, kura terapija ir visefektīvākā. Autori nav pietiekami ņēmuši vērā sistemātisku pārskatu ieteikumus, lai gan bija sniegti skaidri ieteikumi, kā uzlabot zināšanu kopumu PAM ietvaros.
Abstract Background Performing Arts Medicine focusing on musicians (PAM-m) is a relatively new field of medicine lacking a comprehensive overview of literature. The aim of this scoping review was to provide a starting point towards an overview of body of evidence within PAM-m, to identify gaps of knowledge and to formulate needs for future study topics. Methods Three electronic databases (PubMed, EBSCOhost and ProQuest) were systematically searched for relevant published articles on health conditions affecting musicians. Inclusion criteria were: published in Medical Problems of Performing Artists (MPPA), investigating health-related problems affecting musicians in their ability to perform optimally and investigating methods aimed at the prevention of health-related problems affecting musicians in their ability to perform optimally. Data extracted included study design, number of study participants, study population continent, instrument group, reported symptoms/complaints/clinical features, diagnosis/diagnoses, intervention/interventions and involved medical specialties/allied health professions. The methodology framework by Tricco et al. was used to guide the scoping review process. Results 480 articles met the inclusion criteria. The majority of studies were cross-sectional, studied professional and conservatory musicians and primarily looked into string instruments. Subjects were predominantly situated in North America and Europe. The medical specialties/allied health professions most involved were occupational medicine followed by a cluster of physical-therapy related subdisciplines. The most common complaint precipitating a visit to a healthcare provider was pain, followed by musculoskeletal and psychological complaints. From the diagnoses, the most common were of musculoskeletal nature, followed by neurological/dystonic and psychological diagnoses. The most common interventions were pharmacological, physical-therapeutical and interventions aimed at changing or adapting musical performance. Conclusion The quality of evidence seems to be stagnating at the cross-sectional level. More scientifically valuable research designs are needed. Little information could be found about causality of PAM-m-related problems, the clinimetric characteristics of measurement tools and which therapy is the most effective. Advice from systematic reviews is not sufficiently adopted by authors even though clear recommendations have been made to improve the body of knowledge within PAM-m.
Abstract Background Performing Arts Medicine focusing on musicians (PAM-m) is a relatively new field of medicine lacking a comprehensive overview of literature. The aim of this scoping review was to provide a starting point towards an overview of body of evidence within PAM-m, to identify gaps of knowledge and to formulate needs for future study topics. Methods Three electronic databases (PubMed, EBSCOhost and ProQuest) were systematically searched for relevant published articles on health conditions affecting musicians. Inclusion criteria were: published in Medical Problems of Performing Artists (MPPA), investigating health-related problems affecting musicians in their ability to perform optimally and investigating methods aimed at the prevention of health-related problems affecting musicians in their ability to perform optimally. Data extracted included study design, number of study participants, study population continent, instrument group, reported symptoms/complaints/clinical features, diagnosis/diagnoses, intervention/interventions and involved medical specialties/allied health professions. The methodology framework by Tricco et al. was used to guide the scoping review process. Results 480 articles met the inclusion criteria. The majority of studies were cross-sectional, studied professional and conservatory musicians and primarily looked into string instruments. Subjects were predominantly situated in North America and Europe. The medical specialties/allied health professions most involved were occupational medicine followed by a cluster of physical-therapy related subdisciplines. The most common complaint precipitating a visit to a healthcare provider was pain, followed by musculoskeletal and psychological complaints. From the diagnoses, the most common were of musculoskeletal nature, followed by neurological/dystonic and psychological diagnoses. The most common interventions were pharmacological, physical-therapeutical and interventions aimed at changing or adapting musical performance. Conclusion The quality of evidence seems to be stagnating at the cross-sectional level. More scientifically valuable research designs are needed. Little information could be found about causality of PAM-m-related problems, the clinimetric characteristics of measurement tools and which therapy is the most effective. Advice from systematic reviews is not sufficiently adopted by authors even though clear recommendations have been made to improve the body of knowledge within PAM-m.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
mūziķis medicīna medicīnas veselība darbības jomas pārskats "mākslas izpildītāju medicīna", musician medicine medical health "scoping review" "performing arts medicine"