Evidence map›Paper›PMID 42039003›Full record

ArticleFrontiers in psychology2026

Viola ergonomics for thriving and health promotion: the influence of an instrument's dimensions, positioning, and biomechanics on muscular effort.

Oliver Margulies, Martin Faller, Matthias Nübling, Joshua Avery, William Verheul, Wulf Hildebrandt, Horst Hildebrandt

Abstract read
In one paragraph

Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Oliver MarguliesMusic Physiology/Musicians' and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland.
Martin FallerMusic Physiology/Musicians' and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland.
Matthias NüblingMusic Physiology/Musicians' and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland.
Joshua AveryGDB mbH, Data and Consulting, Denzlingen, Germany.
William VerheulGDB mbH, Data and Consulting, Denzlingen, Germany.
Wulf HildebrandtInstitute for Anatomy and Cell Biology, Philipps-University Marburg, Marburg, Germany.
Horst HildebrandtMusic Physiology/Musicians' and Preventive Medicine Section, Department of Music, Institute for Music Research (IMR), Zurich University of the Arts (ZHdK), Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The great variability of viola dimensions is known. Contrary to the violin, a lack of scientific knowledge remains on how dimensions, positioning, and biomechanical parameters contribute to the high incidence of medical complaints in violists. Aims: This project investigated how an instrument's dimensions affect objective and subjective levels of muscular effort in a player's left hand and arm, together with the instrument's position and biomechanical parameters. Methods: In a laboratory setting, a quantitative, intra-individual comparison between two violas, V1 and V4, predefined in dimensions and positions, and the participants' own instrument was carried out. Muscle activation (EMG) and perceived effort (BORG) of 31 violists (15 m/16w, mean age 24.8 years, SD = 3.6) were recorded while playing a 16-s tune. Measurements with instruments V1 and V4 were conducted in standardized positions (A1, A2, B1, B2) without and with the players' own instruments with ergonomic aids. EMG/BORG data were associated with individual biomechanical parameters (BHM). Results: Positional changes of the instruments' longitudinal and lateral axes significantly affect target parameter values. Between the extreme positions A1 vs. B2, the mean delta for EMG decreased 29% relative to A1 ( Conclusion: Results for the viola reconfirm that instrument positioning affects muscle activation and subjectively perceived effort, highly significantly. This expands possibilities to deduce individualized ergonomic solutions, benefiting playing posture, practicing, and performance. The prevention and solution of Playing-Related Musculoskeletal Disorders (PRMDs) could be facilitated, permitting this group of musicians to thrive. Future sub-analysis aims to identify instrument build effects at the single-muscle level and for the hand positions under test. Further research in real-life settings will be needed to understand how longer durations of playing affect the same target parameters.

Indexed as

biomechanicselectromyographymuscular effortmusicians’ medicinepreventionviola ergonomics

Identifiers

PMID42039003
PMCPMC13107652

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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.