演奏乐器可以给人们带来欢乐,但也会引起各种各样的健康问题,从轻度疾病到潜在的致命疾病。虽然运动医学是一个既定的医学亚专业,很少有研究调查与乐器相关的健康问题。在这里,我们概述了这些健康问题。这些包括由于微生物引起的感染,过敏反应,以及口腔内持续高压造成的机械损伤,纵隔,胸廓,和腹腔。例如,管乐器可能藏有数千种致病生物。如果几个玩家共享同一乐器,这些仪器在感染传播中存在潜在危险。风笛手过敏性肺炎的致命病例尤其值得注意。同样,一个动物皮鼓手的胃肠道炭疽病病例提醒人们这种罕见但致命的疾病。虽然不是致命的,听力相关疾病,神经肌肉问题,肌肉骨骼问题,接触性皮炎在乐器演奏家中也很常见。这篇综述旨在通过强调常见疾病和罕见但致命的病例来阐明这些未被认识到的健康问题。
Playing musical instruments can bring joy to people, but can also cause a wide variety of health issues that range from mild disorders to potentially fatal conditions. Although sports medicine is an established medical subspecialty, relatively few studies have investigated the health issues associated with musical instruments. Here we present an overview of these health issues. These include infections due to microorganisms, allergic reactions, as well as mechanical injuries from sustained high pressures within the oral, mediastinal, thoracic, and abdominal cavities. For example, wind instruments can potentially harbor thousands of pathogenic organisms. If several players share the same instrument, these instruments present potential hazards in the spread of infections. A fatal case of hypersensitivity pneumonitis in a bagpiper is particularly noteworthy. Similarly, a case of gastrointestinal anthrax in an animal-hide drummer is a reminder of this rare but highly fatal disease. Although not fatal, hearing-related disorders, neuromuscular issues, musculoskeletal problems, and contact dermatitis are also very common among instrumentalists. This review aims to illuminate these under-recognized health issues by highlighting both the common conditions and the rare but fatal cases.