Evidence map›Paper›PMID 26563718›Full record

SynthesisInternational archives of occupational and environmental health2016

The occurrence of musculoskeletal complaints among professional musicians: a systematic review.

Laura M Kok, Bionka M A Huisstede, Veronique M A Voorn, Jan W Schoones, Rob G H H Nelissen

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in International archives of occupational and environmental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06758349 (OPErA Orchestral Posture Egonomic Assessment), which is not on this map. Cited by 71 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 5 pooled it
10.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06758349 recruitingnot on this mapstarted 2023, after this paper: background citation

OPErA Orchestral Posture Egonomic Assessment

TypeobservationalSponsorFondazione Don Carlo Gnocchi ETSRan2023 to 2025Enrolled250ConditionsAbnormal PostureArmsGeneral questionnaire, Pain Questionnaire, Postural assessment without musical instrument in sitting position, Postural assessment with the instrument in sitting position.
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 5 syntheses or guidelines pooled it, 205 citations in OpenAlex.

  1. Pooled it
  2. Patient-reported outcome measures of musculoskeletal symptoms and psychosocial factors in musicians: a systematic review of psychometric properties.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
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  6. Three-dimensional spinal and pelvic posture in professional saxophone players.International journal of occupational medicine and environmental health · 2026
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Laura M KokDepartment of Orthopedics, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands. laura.m.kok@gmail.com.
Bionka M A HuisstedeDepartment of Orthopedics, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Veronique M A VoornDepartment of Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands.
Jan W SchoonesWalaeus Library, Leiden University Medical Center, Leiden, The Netherlands.
Rob G H H NelissenDepartment of Orthopedics, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study gives a systematic overview of the literature on the occurrence of musculoskeletal complaints in professional instrumental musicians.

methodsA systematic review. Nine literature databases were searched without time limits on June 25, 2015, also the complete index of the journal Medical Problems of Performing Artists (MPPA) until June 2015 (30;2) was searched, and citation tracking and reference checking of the selected articles were performed. The search consisted of the combination of three groups of keywords: musician (e.g., musician, violin, music student, instrument player) AND musculoskeletal (e.g., musculoskeletal, tendon, shoulder, arthritis) AND epidemiology (e.g., prevalence, incidence, occurrence).

resultsThe initial literature search strategy resulted in 1258 potentially relevant articles. Finally, 21 articles describing 5424 musicians were included in this review. Point prevalences of musculoskeletal complaints in professional musicians range between 9 and 68 %; 12-month prevalences range between 41 and 93 %; and lifetime prevalences range between 62 and 93 %. Ten out of 12 studies show a higher prevalence of musculoskeletal complaints among women. Brass instrumentalists are reported to have the lowest prevalence rates of musculoskeletal complaints. The neck and shoulders are the anatomic areas most affected; the elbows are least affected. Although some information is reported concerning age, the high risk of bias in and between these studies makes it impossible to present reliable statements with respect to this.

conclusionMusculoskeletal symptoms are highly prevalent among musicians, especially among women instrumentalists. Future research concerning the epidemiology of musculoskeletal complaints among musicians should focus on associated risk factors and follow the current guidelines to optimize scientific quality.

Indexed as

MusicAdultCohort StudiesCross-Sectional StudiesFemaleHumansIncidenceMaleMusculoskeletal DiseasesOccupational DiseasesPrevalenceRisk FactorsArtsEpidemiologyMusicMusicianOccupationalPRMD

Identifiers

PMID26563718
PMCPMC4786597
OpenAlexW2128003259

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.