The impact of injury definitions on measures of injury occurrence in classical music students: a prospective cohort study.
Identifieur interne : 000128 ( Main/Exploration ); précédent : 000127; suivant : 000129The impact of injury definitions on measures of injury occurrence in classical music students: a prospective cohort study.
Auteurs : Suze Steemers [Pays-Bas] ; Marienke Van Middelkoop [Pays-Bas] ; Gideon G. De Boks [Pays-Bas] ; Rogier M. Van Rijn [Pays-Bas] ; Sita M A. Bierma-Zeinstra [Pays-Bas] ; Janine H. Stubbe [Pays-Bas]Source :
- BMC musculoskeletal disorders [ 1471-2474 ] ; 2020.
Abstract
BACKGROUND
Multiple definitions are used to investigate injuries in musicians, resulting in a wide range of prevalence rates. The aim of this study is to establish the impact of different injury definitions on the prevalence of injuries and disability in classical music students. Moreover, the practical implications of using different injury definitions are considered.
METHODS
A prospective cohort study among first-year classical music students was performed using bi-monthly questionnaires focusing on injuries. Three injury definitions were used: 1) all MSK complaints injury (any MSK complaint resulting in a VAS pain score > 0 in the past eight weeks), 2) medical attention injury (any MSK complaint that resulted in a student consulting a health provider in the past eight weeks), 3) time-loss injury (any MSK complaint that resulted in partly/completely missing music classes or activities in the past eight weeks). For all injury definitions prevalences were calculated and compared. Furthermore, the Disabilities of the Arm, Shoulder and Hand performing arts module (DASH-pa) was used to calculate disability scores for all three injury definitions.
RESULTS
Twenty-nine classical music students participated in the current study. The total response rate over one academic year was 85.3%. One year prevalences of all MSK complaints, medical attention and time-loss were 96.6, 17.2 and 13.8% respectively. The bi-monthly prevalences ranged from 74.1 to 96.0% for all MSK complaints, from 5.6 to 11.5% for medical attention injuries and from 0 to 11.5% for time loss injuries. Scores on the DASH-pa ranged from 15.6 to 26.9 for MSK complaints, 33.3 to 50 for medical attention and 47.9 to 62.5 for time-loss injuries.
CONCLUSION
The choice of injury definition is a critical factor affecting the outcome of music injury surveillance studies. To reach a consensus, it is therefore important to consider the different injury definitions depending on the goal of the injury surveillance and the practical implications.
DOI: 10.1186/s12891-020-03490-0
PubMed: 32781988
PubMed Central: PMC7418301
Affiliations:
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3012 CC, Rotterdam, The Netherlands. ssteemers@codarts.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands. ssteemers@codarts.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands. ssteemers@codarts.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Van Middelkoop, Marienke" sort="Van Middelkoop, Marienke" uniqKey="Van Middelkoop M" first="Marienke" last="Van Middelkoop">Marienke Van Middelkoop</name><affiliation wicri:level="3"><nlm:affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="De Boks, Gideon G" sort="De Boks, Gideon G" uniqKey="De Boks G" first="Gideon G" last="De Boks">Gideon G. De Boks</name><affiliation wicri:level="3"><nlm:affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Van Rijn, Rogier M" sort="Van Rijn, Rogier M" uniqKey="Van Rijn R" first="Rogier M" last="Van Rijn">Rogier M. Van Rijn</name><affiliation wicri:level="3"><nlm:affiliation>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Bierma Zeinstra, Sita M A" sort="Bierma Zeinstra, Sita M A" uniqKey="Bierma Zeinstra S" first="Sita M A" last="Bierma-Zeinstra">Sita M A. Bierma-Zeinstra</name><affiliation wicri:level="3"><nlm:affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Stubbe, Janine H" sort="Stubbe, Janine H" uniqKey="Stubbe J" first="Janine H" last="Stubbe">Janine H. Stubbe</name><affiliation wicri:level="3"><nlm:affiliation>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Rotterdam Arts and Sciences Lab (RASL), Nieuwemarkt 1A, 3011, HP, Rotterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Rotterdam Arts and Sciences Lab (RASL), Nieuwemarkt 1A, 3011, HP, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author></analytic><series><title level="j">BMC musculoskeletal disorders</title><idno type="eISSN">1471-2474</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Multiple definitions are used to investigate injuries in musicians, resulting in a wide range of prevalence rates. The aim of this study is to establish the impact of different injury definitions on the prevalence of injuries and disability in classical music students. Moreover, the practical implications of using different injury definitions are considered.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A prospective cohort study among first-year classical music students was performed using bi-monthly questionnaires focusing on injuries. Three injury definitions were used: 1) all MSK complaints injury (any MSK complaint resulting in a VAS pain score > 0 in the past eight weeks), 2) medical attention injury (any MSK complaint that resulted in a student consulting a health provider in the past eight weeks), 3) time-loss injury (any MSK complaint that resulted in partly/completely missing music classes or activities in the past eight weeks). For all injury definitions prevalences were calculated and compared. Furthermore, the Disabilities of the Arm, Shoulder and Hand performing arts module (DASH-pa) was used to calculate disability scores for all three injury definitions.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Twenty-nine classical music students participated in the current study. The total response rate over one academic year was 85.3%. One year prevalences of all MSK complaints, medical attention and time-loss were 96.6, 17.2 and 13.8% respectively. The bi-monthly prevalences ranged from 74.1 to 96.0% for all MSK complaints, from 5.6 to 11.5% for medical attention injuries and from 0 to 11.5% for time loss injuries. Scores on the DASH-pa ranged from 15.6 to 26.9 for MSK complaints, 33.3 to 50 for medical attention and 47.9 to 62.5 for time-loss injuries.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The choice of injury definition is a critical factor affecting the outcome of music injury surveillance studies. To reach a consensus, it is therefore important to consider the different injury definitions depending on the goal of the injury surveillance and the practical implications.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32781988</PMID><DateRevised><Year>2020</Year><Month>08</Month><Day>14</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2474</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>11</Day></PubDate></JournalIssue><Title>BMC musculoskeletal disorders</Title><ISOAbbreviation>BMC Musculoskelet Disord</ISOAbbreviation></Journal><ArticleTitle>The impact of injury definitions on measures of injury occurrence in classical music students: a prospective cohort study.</ArticleTitle><Pagination><MedlinePgn>534</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12891-020-03490-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Multiple definitions are used to investigate injuries in musicians, resulting in a wide range of prevalence rates. The aim of this study is to establish the impact of different injury definitions on the prevalence of injuries and disability in classical music students. Moreover, the practical implications of using different injury definitions are considered.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A prospective cohort study among first-year classical music students was performed using bi-monthly questionnaires focusing on injuries. Three injury definitions were used: 1) all MSK complaints injury (any MSK complaint resulting in a VAS pain score > 0 in the past eight weeks), 2) medical attention injury (any MSK complaint that resulted in a student consulting a health provider in the past eight weeks), 3) time-loss injury (any MSK complaint that resulted in partly/completely missing music classes or activities in the past eight weeks). For all injury definitions prevalences were calculated and compared. Furthermore, the Disabilities of the Arm, Shoulder and Hand performing arts module (DASH-pa) was used to calculate disability scores for all three injury definitions.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-nine classical music students participated in the current study. The total response rate over one academic year was 85.3%. One year prevalences of all MSK complaints, medical attention and time-loss were 96.6, 17.2 and 13.8% respectively. The bi-monthly prevalences ranged from 74.1 to 96.0% for all MSK complaints, from 5.6 to 11.5% for medical attention injuries and from 0 to 11.5% for time loss injuries. Scores on the DASH-pa ranged from 15.6 to 26.9 for MSK complaints, 33.3 to 50 for medical attention and 47.9 to 62.5 for time-loss injuries.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The choice of injury definition is a critical factor affecting the outcome of music injury surveillance studies. To reach a consensus, it is therefore important to consider the different injury definitions depending on the goal of the injury surveillance and the practical implications.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Steemers</LastName><ForeName>Suze</ForeName><Initials>S</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-7592-2953</Identifier><AffiliationInfo><Affiliation>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands. ssteemers@codarts.nl.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands. ssteemers@codarts.nl.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands. ssteemers@codarts.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Middelkoop</LastName><ForeName>Marienke</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Boks</LastName><ForeName>Gideon G</ForeName><Initials>GG</Initials><AffiliationInfo><Affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Rijn</LastName><ForeName>Rogier M</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bierma-Zeinstra</LastName><ForeName>Sita M A</ForeName><Initials>SMA</Initials><AffiliationInfo><Affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stubbe</LastName><ForeName>Janine H</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012 CC, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of General Practice, Erasmus MC Medical University Center, Wytemaweg 80, 3015, CN, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Performing artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Rotterdam Arts and Sciences Lab (RASL), Nieuwemarkt 1A, 3011, HP, Rotterdam, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>SPR.VG01.007</GrantID><Agency>Nationaal Regieorgaan Praktijkgericht Onderzoek SIA</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Musculoskelet Disord</MedlineTA><NlmUniqueID>100968565</NlmUniqueID><ISSNLinking>1471-2474</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Injury</Keyword><Keyword MajorTopicYN="N">Medical attention</Keyword><Keyword MajorTopicYN="N">Musculoskeletal complaints</Keyword><Keyword MajorTopicYN="N">Music students</Keyword><Keyword MajorTopicYN="N">Time-loss</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>01</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32781988</ArticleId><ArticleId IdType="doi">10.1186/s12891-020-03490-0</ArticleId><ArticleId IdType="pii">10.1186/s12891-020-03490-0</ArticleId><ArticleId 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IdType="pubmed">30018784</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Musculoskelet Disord. 2013 Jan 04;14:9</Citation><ArticleIdList><ArticleId IdType="pubmed">23289849</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Sports Med. 2009 Dec;43(13):966-72</Citation><ArticleIdList><ArticleId IdType="pubmed">19945978</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Méridionale</li></region><settlement><li>Rotterdam</li></settlement></list><tree><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Steemers, Suze" sort="Steemers, Suze" uniqKey="Steemers S" first="Suze" last="Steemers">Suze Steemers</name></region><name sortKey="Bierma Zeinstra, Sita M A" sort="Bierma Zeinstra, Sita M A" uniqKey="Bierma Zeinstra S" first="Sita M A" last="Bierma-Zeinstra">Sita M A. Bierma-Zeinstra</name><name sortKey="De Boks, Gideon G" sort="De Boks, Gideon G" uniqKey="De Boks G" first="Gideon G" last="De Boks">Gideon G. De Boks</name><name sortKey="Steemers, Suze" sort="Steemers, Suze" uniqKey="Steemers S" first="Suze" last="Steemers">Suze Steemers</name><name sortKey="Steemers, Suze" sort="Steemers, Suze" uniqKey="Steemers S" first="Suze" last="Steemers">Suze Steemers</name><name sortKey="Stubbe, Janine H" sort="Stubbe, Janine H" uniqKey="Stubbe J" first="Janine H" last="Stubbe">Janine H. Stubbe</name><name sortKey="Stubbe, Janine H" sort="Stubbe, Janine H" uniqKey="Stubbe J" first="Janine H" last="Stubbe">Janine H. Stubbe</name><name sortKey="Stubbe, Janine H" sort="Stubbe, Janine H" uniqKey="Stubbe J" first="Janine H" last="Stubbe">Janine H. Stubbe</name><name sortKey="Stubbe, Janine H" sort="Stubbe, Janine H" uniqKey="Stubbe J" first="Janine H" last="Stubbe">Janine H. Stubbe</name><name sortKey="Van Middelkoop, Marienke" sort="Van Middelkoop, Marienke" uniqKey="Van Middelkoop M" first="Marienke" last="Van Middelkoop">Marienke Van Middelkoop</name><name sortKey="Van Rijn, Rogier M" sort="Van Rijn, Rogier M" uniqKey="Van Rijn R" first="Rogier M" last="Van Rijn">Rogier M. Van Rijn</name><name sortKey="Van Rijn, Rogier M" sort="Van Rijn, Rogier M" uniqKey="Van Rijn R" first="Rogier M" last="Van Rijn">Rogier M. Van Rijn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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