Evidence map›Paper›PMID 40994285›Full record

ArticleEuropean journal of pain (London, England)2025

Performance-Related Pain Among Professional Orchestra Musicians-The First Portuguese Nationwide Study (POMPS).

A Zão, E Altennmüller, L Azevedo

Abstract readMulticenter Study
In one paragraph

Article in European journal of pain (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

A ZãoFaculty of Medicine-University of Porto (FMUP), Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Porto, Portugal.ORCID https://orcid.org/0000-0001-6937-1553
E AltennmüllerInstitute of Music Physiology and Musician's Medicine, University of Music, Drama, and Media, Hannover, Germany.
L AzevedoFaculty of Medicine-University of Porto (FMUP), Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain is a major health problem among musicians. However, data concerning pain in a nationwide perspective are scarce, particularly among Portuguese musicians. Therefore, we aim to evaluate performance-related pain among professional orchestra musicians throughout a nationwide characterisation of all Portuguese orchestras.

methodsWe performed a multicenter cross-sectional study involving all Portuguese professional orchestras, which included 432 musicians (response rate of 72.1%). The main outcome was performance-related pain (evaluated by the Performance-related Pain among Musicians Questionnaire-PPAM). The secondary outcomes were: pain approach, physical activity levels, fatigue, distress, perfectionism, and health-related quality of life. We calculated the prevalence of PRP and performed a descriptive analysis of the main characteristics of our sample (distinguishing musicians with and without PRP) and of PRP, fatigue, distress, perfectionism, and health-related quality of life among musicians with pain, comparing full-time and partial-time musicians.

resultsThe lifetime and point prevalence of performance-related pain were 71.8% and 33.3%, respectively. Pain intensity score was 14.9 (out of 40), pain interference in general activities was 21.8 (out of 70) and pain interference in performance was even higher (28.3 out of 50). Pain intensity and interference, fatigue, and perfectionism were higher, and quality of life was lower among full-time musicians. Pain was significantly more prevalent among full-time musicians, string instrumentalists, older and more sedentary musicians, with longer careers, and those who play more hours per week. Multivariate logistic regression defined a model containing five factors significantly associated with higher probability of performance-related pain.

conclusionsWe highlight the high prevalence of pain and the significant negative impact of pain on performance and quality of life. SIGNIFICANCE STATEMENT: This first Portuguese nationwide study demonstrated that pain is a highly disabling condition among professional orchestra musicians, particularly among full-time musicians, supporting the integration of healthcare professionals in the professional orchestra framework for a closed follow-up, early assessment and treatment, and implementation of preventive programs. The proper evaluation and management of pain seems to still be neglected, contributing to significant impairments and reduced quality of life.

Indexed as

MusicOccupational DiseasesPainAdultCross-Sectional StudiesFatigueFemaleHumansMaleMiddle AgedPain MeasurementPortugalPrevalenceQuality of LifeSurveys and QuestionnairesYoung Adultdisability evaluationmusicianspain

Identifiers

PMID40994285
PMCPMC12461234

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LicenceCC BY-NC-ND
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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.