Ergonomics of tuba playing. Survey on complaints and coping strategies using focus groups
##plugins.pubIds.doi.readerDisplayName##:
https://doi.org/10.47513/mmd.v12i4.761摘要
Although tubists describe ailments, their causes have not yet been investigated. Therefore, the aim of this study was to use focus groups to assess the ergonomics of the tuba, musculoskeletal complaints of professional tubists, their preventive or rehabilitative coping strategies and the impact of the instrument on the musician.
This study forms part of a project with an overall goal to measure and digitize the human-tuba system and uses a survey to record typical patterns of stress. To answer the study question it was considered appropriate to apply a phenomenological design with an idealistic perspective. Focus groups were chosen to collect data, whereas knowledge mapping technics were used to evaluate the focus groups. One woman and 11 men were recruited. Saturation was reached after three focus groups. From all of the transcripts 7 main categories and 7 subcategories could be extracted: Individual factors, performance as a goal (physical and emotional, mental performance), external factors (concert, social), instrument (influenceable factors, tuba construction, suggestions for improvement), physical aids, physical problems, coping strategies and other factors. Both the high impact of playing a tuba and the importance of finding solutions to adapt the tuba to the tubist could be shown.
参考
Blanco-Pineiro, P., M.P. Diaz-Pereira, and A. Martinez, Musicians, postural quality and musculoskeletal health: A literature's review. J Bodyw Mov Ther., 2017. 21(1): p. 157-172. doi: 10.1016/j.jbmt.2016.06.018. Epub 2016 Jul 6.
Zaza, C. and V.T. Farewell, Musicians' playing-related musculoskeletal disorders: an examination of risk factors. Am J Ind Med., 1997. 32(3): p. 292-300. doi: 10.1002/(sici)1097-0274(199709)32:3<292::aid-ajim16>3.0.co;2-q.
Steinmetz, A., W. Seidel, and B. Muche, Impairment of postural stabilization systems in musicians with playing-related musculoskeletal disorders. J Manipulative Physiol Ther., 2010. 33(8): p. 603-11. doi: 10.1016/j.jmpt.2010.08.006. Epub 2010 Oct 12.
Gasenzer, E.R., et al., The prevalence of chronic pain in orchestra musicians. Ger Med Sci., 2017. 15:Doc01.(doi): p. 10.3205/000242. eCollection 2017.
Zięba, E., G. Zieliński, and M. Ginszt, Etiology and epidemiology of playing-related musculoskeletal disorders – a systematic review. Journal of Education, Health and Sport, 2019. 9(7): p. 115-135.
Rensing, N., H. Schemmann, and C. Zalpour, Musculoskeletal Demands in Violin and Viola Playing: A Literature Review. Med Probl Perform Art., 2018. 33(4): p. 265-274. doi: 10.21091/mppa.2018.4040.
Nyman, T., et al., Work postures and neck-shoulder pain among orchestra musicians. Am J Ind Med., 2007. 50(5): p. 370-6. doi: 10.1002/ajim.20454.
Baadjou, V.A.E., et al., Systematic review: risk factors for musculoskeletal disorders in musicians. Occup Med (Lond). 2016. 66(8): p. 614-622. doi: 10.1093/occmed/kqw052.
Wahlström Edling, C. and A. Fjellman-Wiklund, Musculoskeletal Disorders and Asymmetric Playing Postures of the Upper Extremity and Back in Music Teachers: A Pilot Study. Digital Vetenkapliga Arkivet, 2009. 24(3): p. 113-118.
Lederman, R.J., Neuromuscular problems in musicians. Neurologist., 2002. 8(3): p. 163-74. doi: 10.1097/00127893-200205000-00003.
Inesta Mena, C., Demanda fisiologica en musicos profesionales in Functional Biology Department. 2006, University of Oviedo, Asturias, Spain.
Starks, H. and S.B. Trinidad, Choose your method: a comparison of phenomenology, discourse analysis, and grounded theory. Qual Health Res., 2007. 17(10): p. 1372-80. doi: 10.1177/1049732307307031.
Patton, M.Q., Qualitative Research & Evaluation Methods Integrating Theory and Practice. Fourth Edition ed. 2014, Newbury Park, Calif: SAGE Publishing.
Jones, K., The turn to a narrative knowing of persons: One method explored. NT Research, 2003. 8(1): p. 60-71.
Stalmeijer, R.E., N. McNaughton, and W.N. Van Mook, Using focus groups in medical education research: AMEE Guide No. 91. Med Teach., 2014. 36(11): p. 923-39. doi: 10.3109/0142159X.2014.917165. Epub 2014 Jul 29.
Pelz, C., M. Schmitt, and M. Meis, Knowledge Mapping as a Tool for Analyzing Focus Groups and Presenting Their Results in Market and Evaluation Research Forum Qualitative Social Research, 2004. 5(2).
Bongers, P.M., A.M. Kremer, and J. ter Laak, Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A review of the epidemiological literature. Am J Ind Med., 2002. 41(5): p. 315-42. doi: 10.1002/ajim.10050.