{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:39:05Z","timestamp":1784673545675,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009068","name":"University of Bern","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009068","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Within the fields of medicine and music, increasing attention is given to evidence indicating music performance being an occupational risk factor for temporo\u2010mandibular disorders (TMD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Assessment of self\u2010reported painful TMD symptoms among student and professional musicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using Survey Monkey software, the German version of the \u2018TMD\u2010Pain\u2010Screener\u2019 was distributed electronically to professional and student musicians in Europe. Supplementary questions addressed age, gender, daily playtime, instrument type and type of professional practice. Results are presented as median [interquartile range].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The TMD\u2010pain\u2010screener was completed by 492 participants. Among them, 96 (19.5%) reported painful TMD (Pain_pos) and 396 did not experience pain (80.5%, Pain_neg). Pain_pos participants were significantly younger (Pain_pos: 34\u2009years [26; 46], Pain_neg: 44\u2009years [30; 56],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0003), had less work experience (Pain_pos: 15.5\u2009years [6; 25], Pain_neg: 20\u2009years [10; 32],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009), had fewer performances\/year (Pain_pos: 20\/year [10; 45], Pain_neg: 30\/year [12; 53.5],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) and were predominantly female (OR\u2009=\u20093.22 [1.87, 5.74],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Comparisons among music performance types revealed no statistical significance in the overall test (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.13), although \u2018keyboard\u2019 (OR\u2009=\u20092.99 [0.58, 30.12]), \u2018upper string\u2019 (OR\u2009=\u20092.31 [0.43, 23.63]) and \u2018singer\u2019 (OR\u2009=\u20092.14 [0.44, 20.75]) stood out compared to the reference group \u2018lower string\u2019 (OR 1.00). Organ players formed the largest group and showed a comparatively low prevalence of Pain_pos (16%), compared to other keyboard instruments (Pain_pos 30.2%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Prevalence of TMD pain was highest among young inexperienced female musicians. Playing keyboard instruments (other than organ) or upper strings instruments were frequently associated with painful TMD screening. An improved understanding of causes, implementation of preventive measures, professional guidance and a biopsychosocial health care perspective may decrease this occupational risk while maintaining the health benefits of music.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13868","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T04:17:13Z","timestamp":1727669833000},"page":"9-16","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence of Painful Temporomandibular Disorder Symptoms Among Professional and Student Musicians: An Online Survey"],"prefix":"10.1111","volume":"52","author":[{"given":"Suzanne","family":"Z'Graggen","sequence":"first","affiliation":[{"name":"School of Music, Lucerne University of Applied Sciences and Arts  Lucerne Switzerland"},{"name":"Department of Restorative, Preventive and Pediatric Dentistry School of Dental Medicine, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik A.","family":"Ettlin","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Dentistry and Gerodontology School of Dental Medicine, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Alessandri","sequence":"additional","affiliation":[{"name":"School of Music, Lucerne University of Applied Sciences and Arts  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner J.","family":"Z'Graggen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Inselspital, University Hospital Bern, University of Bern  Bern Switzerland"},{"name":"Department of Neurology Inselspital, University Hospital Bern, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9700-5534","authenticated-orcid":false,"given":"Martin","family":"Schimmel","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Dentistry and Gerodontology School of Dental Medicine, University of Bern  Bern Switzerland"},{"name":"Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"46","article-title":"Music as Medicine","volume":"44","author":"Novotney A.","year":"2014","journal-title":"Monitor on Psychology"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41583-022-00578-5"},{"key":"e_1_2_10_4_1","volume-title":"Kulturverhalten in der Schweiz","author":"Moeschler 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