Evidence map›Paper›PMID 41483384›Full record

SynthesisSports medicine - open2026

Do Esports Players Experience Pain? Pain Prevalence of Esports Players: a Systematic Review and Meta-analysis.

Markus Soffner, Alexander Schmidt, Fabian Tomschi, Thomas Hilberg

Abstract readSystematic Review
In one paragraph

Synthesis in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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

1 citing paper in PubMed.

  1. Trial
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

4 authors.

Markus Soffner *Department of Sports Medicine, University of Wuppertal, Moritzstr. 14, D-42117, Wuppertal, Germany. soffner@uni-wuppertal.de.ORCID http://orcid.org/0009-0000-6748-5370
Alexander Schmidt *Department of Sports Medicine, University of Wuppertal, Moritzstr. 14, D-42117, Wuppertal, Germany.ORCID http://orcid.org/0009-0001-5577-7306
Fabian Tomschi *Department of Sports Medicine, University of Wuppertal, Moritzstr. 14, D-42117, Wuppertal, Germany.ORCID http://orcid.org/0000-0003-1738-4891
Thomas Hilberg *Department of Sports Medicine, University of Wuppertal, Moritzstr. 14, D-42117, Wuppertal, Germany.ORCID http://orcid.org/0000-0002-0935-2526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsports, defined as competitive video gaming, has grown significantly in popularity, drawing global audiences comparable to traditional sports. However, the sedentary and repetitive nature of esports activities raises concerns about musculoskeletal health. While some studies have examined pain prevalence in esports players, no comprehensive synthesis exists. This systematic review and meta-analysis investigated the overall pain prevalence of esports players, as well as its occurrence in different body regions.

methodsFollowing PRISMA guidelines, studies reporting pain prevalence in esports players were identified via PubMed, Web of Science, and Google Scholar. Random-effects meta-analyses were used to calculate one-year and seven-day prevalence rates, as well as pain by body region. Meta-regressions explored potential moderators.

resultsThirteen studies met the inclusion criteria, with six (553 participants) contributing to the meta-analysis. One-year pain prevalence was 73% ([95% CI: 0.58-0.89], I² = 61%, k = 2), while the seven-day prevalence was 44% ([95% CI: 0.38-0.49], I² = 0%, k = 3). The spine was the most affected region (41%, [95% CI: 0.26, 0.55], I² = 96%, k = 11), with neck pain being particularly prevalent (48%, [95% CI: 0.26, 0.70], I² = 94%, k = 4). Upper extremities were also frequently affected (31%, [95% CI: 0.18, 0.44], I² = 96%, k = 12), with the wrists being notably affected by pain (37%, [95% CI: 0.09, 0.66], I² = 97%, k = 4). Meta-regression suggested higher pain prevalence among mobile players and Asian participants compared to computer players and European participants, though these findings are exploratory due to the limited number of studies.

conclusionsIn this meta-analysis a considerable prevalence of pain among esports players was observed, especially in the spine and upper extremities. However, the results should be interpreted with caution due to methodological heterogeneity and limited study numbers. Nevertheless, they emphasize the need for preventive strategies, such as regular breaks during prolonged sitting, ergonomic interventions and load management programs to optimize training volume and recovery, thereby reducing the risk of musculoskeletal strain. Future research should distinguish between acute and chronic pain, use standardized tools, and explore device-specific pain patterns to inform targeted interventions. Registration number PROSPERO ID: CRD42024599339.

Indexed as

Digital gamesEsports playersGamingHealthMusculoskeletal painPain prevalence

Identifiers

PMID41483384
PMCPMC12764727

What OpenQuestion holds

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Registered trials

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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.