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

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

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

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.

Keywords:

Musicians, Elbow, Wrist, Pain, Function, Rehabilitation,

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