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研究生:黃瀞慧
研究生(外文):Ching Hui,Huang
論文名稱:音樂演奏傷害盛行率及危險因子分析
論文名稱(外文):Prevalence and Risk Factor Analysis of Musician’s Injuries
指導教授:蘇郁惠蘇郁惠引用關係
指導教授(外文):Yu-Huei Su
學位類別:碩士
校院名稱:國立新竹教育大學
系所名稱:音樂學系碩士班
學門:藝術學門
學類:綜合藝術學類
論文種類:學術論文
畢業學年度:96
語文別:中文
論文頁數:112
中文關鍵詞:演奏傷害危險因子SF-36上肢功能評估問卷挪威肌肉骨骼問卷
外文關鍵詞:Injury in Musical PerformanceRisk FactorSF-36Evaluation of theDisability of the ArmShoulderand Hand (Dash) QuestionnaireNordic Musculoskeletal Questionnaire (NMQ)
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本研究旨在探討大學音樂系學生的演奏傷害盛行率及危險因子。以「演奏傷害
調查問卷—大學版」為研究工具,探討大學音樂系學生的生心理健康狀況、上肢功能健康狀況及肌肉骨骼疼痛狀況。以一般大學(n=161)、藝術大學(n=377)、教育大學(n=80)音樂系學生為調查對象,共有618 位學生參與問卷調查,透過單因子變異數分析、獨立樣本t 檢定及卡方檢定等統計方法來探究三組不同大學類型、不同主修與不同性別在演奏傷害的差異情形。研究結果顯示:(一)大學音樂系學生在神經肌肉骨骼系統以肩膀部位產生不適比例為最高,其次為脖子及手部。(二)大學音樂系學生在神經肌肉骨骼系統不適的差異方面,教育大學不適比率顯著高於其他大學;女性不適比率顯著高於男性;中國弦樂器學生不適比率顯著高於西洋弦樂器學生;中國管樂器學生不適比率顯著高於西洋管樂器學生。(三)大學音樂系學生的生心理健康狀況均沒有顯著差異;但與1998 年美國常模、2001 年台灣常模等相比,現階段大學音樂系學生的生心理健康狀況明顯較差。(四)大學音樂系學生在上肢功
能健康狀況上,主修中國弦樂與西洋弦樂學生無明顯差異;但主修中國管樂與西洋管樂學生有明顯差異,亦即主修中國管樂學生在上肢功能健康狀況較佳。最後依據研究結果,針對演奏者、教學者以及教育行政單位提出具體建議,以供未來後續研究之參考。
This study is mainly focused on the exploration of the prevalence and risk factor ofinjuries in musical performance for the students in the music department of universities.Utilized the “Injury in Musical Performance Questionnaire — University Version” as the research tool to investigate those conditions of physical and mental health, upper limb functions and pain in muscle and bones for the students in the music department of universities. Taking the students from the music department of general universities(n=161), art universities (n=377) and education universities (n=80) as the survey subjects.There were totaled 618 students who participated in this questionnaire survey, and adopted these statistical approaches, such as One-way ANOVA, T-test independent
samples and Chi-Square Test to investigate the different conditions of the injury in musical performance among these three different groups: different types of universities,
different majors and different genders.
The results of this study have shown: (1) As for the students in the music department of universities, the shoulder part has the highest ratio of occurring uncomfortableness within the nerve, muscle and bone systems, next one is the neck and hand. (2) As for the
students in the music department of universities, in the difference between the uncomfortablenesses within the nerve, muscle and bone systems, students from the
education universities have a significantly higher ratio of uncomfortableness than other universities; the occurrence ratio in female students was significantly higher than male
students; students who majored in Chinese Stringed Instruments have a significantly higher ratio of uncomfortableness than students who majored in Western Stringed Instruments; and students who majored in Chinese Wind Instruments have a significantly higher ratio of uncomfortableness than students who majored in Western Wind
Instruments. (3) As for the students in the music department of universities, there is no significant difference between their physical and mental health conditions, but it has showed a decreasing trend in recent years with comparing to the constant model. (4) As
for the upper limb functions health, there is no significant difference between students who majored in Chinese Stringed Instruments and Western Stringed Instruments; however,there is a significant difference between students who majored in Chinese Wind Instruments indicated that these students have a better health condition for upper limb function. In Conclusion, according to the research results, this study has proposed some concrete suggestions with aiming at musical performers, educators and educational competent authorities to provide the referent for the follow-up researches.
中文摘要 Ⅰ
英文摘要 Ⅱ
目次 Ⅳ
表次 Ⅵ
圖次 Ⅷ
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與問題 3
第三節 名詞釋義 5
第二章 文獻探討 7
第一節 演奏傷害的類型 7
第二節 演奏傷害的盛行率與相關危險因子分析 17
第三節 演奏傷害的相關問卷 29
第三章 研究方法 43
第一節 研究架構 43
第二節 研究對象 44
第三節 研究工具 45
第四節 研究流程與步驟 49
第五節 資料處理與分析 52
第四章 結果與討論 54
第一節 一般大學、藝術大學、教育大學音樂系學生的演奏傷害差異之探討54
第二節 主修中國弦樂與西洋弦樂、中國管樂與西洋管樂學生的演奏傷害差
異之探討 59
第三節 男女生的演奏傷害差異之探討 65
第五章 結論與建議 71
第一節 結論 71
第二節 建議參考文獻 72
附錄 84
附錄一 本研究中樂vs.西樂各樂器人數與百分比 84
附錄二 第四章參考資料 85
附錄三 本研究之專家效度名單一覽表 92
附錄四 專家效度信函 93
附錄五 專家授權信函 94
附錄六 IQQLA SF-36 英文版使用同意書 95
附錄七 IQQLA SF-36 中文版使用同意書 99
附錄八 演奏傷害調查問卷-大學版 100
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