{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:32:07Z","timestamp":1787023927859,"version":"build-2736575974"},"reference-count":0,"publisher":"Science and Medicine, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Problems of Performing Artists"],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:p>BACKGROUND: Violinists and violists are prone to musculoskeletal pain due to repetitive movements, sustained postures, and long hours of practice. While performance-related musculoskeletal disorders are well documented internationally, little is known about their prevalence and psychosocial\n correlates among Brazilian professional musicians. OBJECTIVES: To (1) describe the prevalence, intensity, and interference of musculoskeletal pain across 12-month, 4-week, and 7-day time frames, together with perceived quality of working life; (2) examine correlations between pain, psychological\n distress, and work-related quality of life; and (3) test whether pain severity was independently associated with psychological distress and work-related quality of life in multivariate regression models adjusting for demographic and professional covariates. METHODS: In this cross-sectional\n study, 122 musicians from 10 orchestras completed validated questionnaires, including the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM-Br), the Depression Anxiety and Stress Scale (DASS-21), and the abbreviated Quality of Work Life Questionnaire (QWLQ-bref).\n Statistical analyses comprised descriptive statistics, Spearman correlations, and multivariate linear and logistic regression models adjusting for age, sex, and years of professional experience. RESULTS: Nearly all participants (95.1%) reported having experienced musculoskeletal pain affecting\n their playing, with the shoulders (44.2%), wrists (36.5%), scapulas (21.2%), and cervical region (21.2%) most affected. Although overall quality of working life was rated satisfactory, 13.1% reported moderate to severe psychological distress, particularly stress symptoms. Higher pain interference\n was consistently associated with greater psychological distress (b = +0.30, p = 0.013) and lower work-related quality of life (b = \u20130.28, p = 0.015). Pain intensity alone was not a significant independent predictor when controlling for covariates. CONCLUSIONS: Musculoskeletal pain is\n highly prevalent among Brazilian violinists and violists and is closely linked to psychological distress and reduced work-related quality of life. These findings highlight the need for comprehensive strategies addressing both physical and psychosocial aspects of musicians\u2019 health.<\/jats:p>","DOI":"10.21091\/mppa.2025.04014","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T04:31:42Z","timestamp":1763440302000},"page":"114-125","source":"Crossref","is-referenced-by-count":2,"title":["Relationship Between Musculoskeletal Pain, Psychosocial Aspects, and Quality of Work Life in Violinists and Violists: A Cross-Sectional Study in Rio de Janeiro, Brazil"],"prefix":"10.21091","volume":"40","author":[{"given":"Aretuza","family":"Cesar Santos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederico Barreto","family":"Kochem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana","family":"Crepaldi Lunkes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8662","container-title":["Medical Problems of Performing Artists"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/scimed\/mppa\/2025\/00000040\/00000004\/art00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T04:30:39Z","timestamp":1763872239000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.21091\/mppa.2025.04014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12,1]]}},"alternative-id":["0885-1158(20251201)40:4L.114;1-"],"URL":"https:\/\/doi.org\/10.21091\/mppa.2025.04014","relation":{},"ISSN":["0885-1158"],"issn-type":[{"value":"0885-1158","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,1]]}}}