{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:38:14Z","timestamp":1789177094664,"version":"build-2803163510"},"reference-count":41,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,6,4]],"date-time":"2020-06-04T00:00:00Z","timestamp":1591228800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Playing-related musculoskeletal disorders are the most frequent complaints among instrumental musicians. The aims of this study were: to assess the prevalence of musculoskeletal pain; to evaluate neck, shoulder, and lower back disability; and to determine the associated factors with the presence of musculoskeletal pain among musicians. Methods: A population-based, cross-sectional descriptive study was conducted. We selected Spaniard musicians over 16 years old who played a musical instrument for at least five hours per week. They answered the Spanish versions of the Standardised Nordic Questionnaire, the Oswestry Disability Index, Neck Disability Index and Shoulder Pain and Disability Index. Results: We found 94.8% of musicians presented at least one symptomatic region in the last 12 months, and 72.3% in the last seven days. Female musicians (OR 4.38, CI 2.11\u22129.12), musicians with overweight or obesity (OR 5.32, CI 2.18\u221212.97), and musicians who play more than 14 h per week (OR 3.86, CI 1.80\u22128.29)were shown to be a higher risk of suffering musculoskeletal pain. Conclusions: Musculoskeletal disorders symptoms are highly prevalent in musicians. The main risk factors related to musculoskeletal disorders symptoms were gender (being female), overweight, obesity, and spending playing more than 14 h a week practicing. This study highlights the need to provide strategies to prevent occupational disabilities among musicians. Further studies are needed to analyse the prevalence of pain in the musician using other sampling methods.<\/jats:p>","DOI":"10.3390\/ijerph17113991","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T03:32:21Z","timestamp":1591327941000},"page":"3991","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Prevalence, Disability and Associated Factors of Playing-Related Musculoskeletal Pain among Musicians: A Population-Based Cross-Sectional Descriptive Study"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3565-8625","authenticated-orcid":false,"given":"Rosa","family":"G\u00f3mez-Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Physiotherapist in private clinic, 28850 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9318-4045","authenticated-orcid":false,"given":"Bel\u00e9n","family":"D\u00edaz-Pulido","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, University of Alcal\u00e1, Alcal\u00e1 de Henares, 28805 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Guti\u00e9rrez-Ortega","sequence":"additional","affiliation":[{"name":"Medical Statistics Unit, Department of Epidemiology, Hospital Central de la Defensa, 28047 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0223-9707","authenticated-orcid":false,"given":"Beatriz","family":"S\u00e1nchez-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Physiotherapy in Women\u2019s Health Research Group, Faculty of Medicine and Health Sciences, University of Alcal\u00e1, Alcal\u00e1 de Henares, 28805 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7051-3130","authenticated-orcid":false,"given":"Mar\u00eda","family":"Torres-Lacomba","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Physiotherapy in Women\u2019s Health Research Group, Faculty of Medicine and Health Sciences, University of Alcal\u00e1, Alcal\u00e1 de Henares, 28805 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,4]]},"reference":[{"key":"ref_1","first-page":"247","article-title":"Health problems in musicians\u2014A review","volume":"13","author":"Zuskin","year":"2005","journal-title":"Acta Dermatovenerol. Croat."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/S0749-0712(02)00100-2","article-title":"Musculoskeletal problems of instrumental musicians","volume":"19","author":"Brandfonbrener","year":"2003","journal-title":"Hand Clin."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/s00420-015-1090-6","article-title":"The occurrence of musculoskeletal complaints among professional musicians: A systematic review","volume":"89","author":"Kok","year":"2016","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1186\/1471-2474-12-223","article-title":"Prevalence and consequences of musculoskeletal symptoms in symphony orchestra musicians vary by gender: A cross-sectional study","volume":"12","author":"Paarup","year":"2011","journal-title":"BMC Musculoskelet. Disord."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"27","DOI":"10.21091\/mppa.2017.1006","article-title":"Prevalence and associated factors of playing-related musculoskeletal disorders in Brazilian violin players","volume":"32","author":"Kochem","year":"2017","journal-title":"Med. Probl. Perform. Art."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"193","DOI":"10.21091\/mppa.2016.4035","article-title":"Prevalence and associated factors for musculoskeletal pain and disability among Spanish music conservatory students","volume":"31","year":"2016","journal-title":"Med. Probl. Perform. Art."},{"key":"ref_7","first-page":"e1","article-title":"Musculoskeletal problems among string instrumentalists in South Africa","volume":"73","author":"Ajidahun","year":"2017","journal-title":"South Afr. J. Physiother."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2946","DOI":"10.1080\/09638288.2017.1362707","article-title":"Psychometric properties of the performing arts module of the Disabilities of the Arm, Shoulder, and Hand questionnaire","volume":"40","author":"Baadjou","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref_9","first-page":"11","article-title":"Las enfermedades profesiones de los m\u00fasicos, el precio de la perfecci\u00f3n","volume":"21","year":"2018","journal-title":"Arch. Prev. Riesgos Labor."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"151","DOI":"10.21091\/mppa.2016.3028","article-title":"Playing-related health problems among instrumental music students at a university in Malaysia","volume":"31","author":"Lonsdale","year":"2016","journal-title":"Med. Probl. Perform. Art."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1002\/ejp.740","article-title":"No association between posture and musculoskeletal complaints in a professional bassist sample","volume":"20","author":"Woldendorp","year":"2016","journal-title":"Eur. J. Pain"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Kok, L.M., Vlieland, T.P., Fiocco, M., and Nelissen, R.G. (2013). A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians. BMC Musculoskelet. Disord., 14.","DOI":"10.1186\/1471-2474-14-9"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"G\u00f3mez-Rodr\u00edguez, R., D\u00edaz-Pulido, B., Guti\u00e9rrez-Ortega, C., S\u00e1nchez-S\u00e1nchez, B., and Torres-Lacomba, M. (2020). Cultural Adaptation and Psychometric Validation of the Standardised Nordic Questionnaire Spanish Version in Musicians. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17020653"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.2196\/jmir.6.3.e34","article-title":"Improving the quality of web surveys: The checklist for reporting results of internet E-surveys (CHERRIES)","volume":"6","author":"Eysenbach","year":"2004","journal-title":"J. Med. Internet Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/0003-6870(87)90010-X","article-title":"Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms","volume":"18","author":"Kuorinka","year":"1987","journal-title":"Appl. Ergon."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The Oswestry Disability Index","volume":"25","author":"Fairbank","year":"2000","journal-title":"Spine (Phila Pa. 1976)"},{"key":"ref_17","first-page":"409","article-title":"The Neck Disability Index: A study of reliability and validity","volume":"14","author":"Vernon","year":"1991","journal-title":"J. Manip. Physiol. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1002\/art.1790040403","article-title":"Development of a shoulder pain and disability index","volume":"4","author":"Roach","year":"1991","journal-title":"Arthritis Care Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/s12955-015-0256-y","article-title":"Spanish cultural adaptation and validation of the shoulder pain and disability index, and the oxford shoulder score after breast cancer surgery","volume":"13","year":"2015","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1157\/13115352","article-title":"Validaci\u00f3n de una versi\u00f3n espa\u00f1ola del \u00cdndice de Discapacidad Cervical","volume":"130","year":"2008","journal-title":"Med. Clin. (Barc.)"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/S0048-7120(06)74881-2","article-title":"Escala de incapacidad por dolor lumbar de Oswestry","volume":"40","year":"2006","journal-title":"Rehabilitaci\u00f3n"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1093\/occmed\/kqr129","article-title":"Musculoskeletal pain in elite professional musicians from British symphony orchestras","volume":"61","author":"Leaver","year":"2011","journal-title":"Occup. Med. (Lond.)"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Hosmer, D.W., and Lemeshow, S. (2008). Applied Logistic Regression, Wiley.","DOI":"10.1002\/9780471462422.eoct964"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1093\/oxfordjournals.aje.a115409","article-title":"The impact of confounder selection criteria on effect estimation","volume":"130","author":"Greenland","year":"1989","journal-title":"Am. J. Epidemiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"8","DOI":"10.21091\/mppa.2016.1002","article-title":"Occupational Diseases of Professional Orchestra Musicians from Northern Portugal: A Descriptive Study","volume":"31","author":"Sousa","year":"2016","journal-title":"Med. Probl. Perform. Art."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"135","DOI":"10.21091\/mppa.2015.3027","article-title":"Approaches to and treatment strategies for playing-related pain problems among Czech Instrumental music students: An epidemiological study","volume":"30","author":"Ioannou","year":"2015","journal-title":"Med. Probl. Perform. Art."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1007\/s10067-013-2470-5","article-title":"Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany","volume":"34","author":"Steinmetz","year":"2015","journal-title":"Clin. Rheumatol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1769","DOI":"10.1016\/j.pain.2013.05.039","article-title":"Patterns of multisite pain and associations with risk factors","volume":"154","author":"Coggon","year":"2013","journal-title":"Pain"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1079\/BJN2001487","article-title":"Anthropometric measurements in the elderly: Age and gender differences","volume":"87","author":"Perissinotto","year":"2002","journal-title":"Br. J. Nutr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1007\/s12603-015-0566-0","article-title":"Body composition assessment and nutritional status evaluation in men and women Portuguese centenarians","volume":"20","author":"Matos","year":"2016","journal-title":"J. Nutr. Health Aging"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1111\/acel.12661","article-title":"Estrogenic regulation of skeletal muscle proteome: A study of premenopausal women and postmenopausal MZ cotwins discordant for hormonal therapy","volume":"16","author":"Laakkonen","year":"2017","journal-title":"Aging Cell"},{"key":"ref_32","first-page":"186","article-title":"Changes in muscle mass and strength after menopause","volume":"9","author":"Maltais","year":"2009","journal-title":"J. Musculoskelet. Neuronal Interact."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1002\/(SICI)1097-0274(199709)32:3<292::AID-AJIM16>3.0.CO;2-Q","article-title":"Musicians\u2019 playing-related musculoskeletal disorders: An examination of risk factors","volume":"32","author":"Zaza","year":"1997","journal-title":"Am. J. Ind. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"387","DOI":"10.3233\/BIR-2008-0485","article-title":"Why is obesity associated with osteoarthritis? Insights from mouse models of obesity","volume":"45","author":"Griffin","year":"2008","journal-title":"Biorheology"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.atherosclerosis.2005.03.010","article-title":"The implication of obesity and central fat on markers of chronic inflammation: The ATTICA study","volume":"183","author":"Panagiotakos","year":"2005","journal-title":"Atherosclerosis"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"2131","DOI":"10.1001\/jama.282.22.2131","article-title":"Elevated C-Reactive Protein Levels in Overweight and Obese Adults","volume":"282","author":"Visser","year":"1999","journal-title":"JAMA"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1177\/0148607104028006410","article-title":"Serum Levels of Interleukin-6 and C-Reactive Protein Correlate With Body Mass Index Across the Broad Range of Obesity","volume":"28","author":"Khaodhiar","year":"2004","journal-title":"J. Parenter. Enter. Nutr."},{"key":"ref_38","unstructured":"Sjogaard, G. (1990). Work-Induced Muscle Fatigue and Its Relation to Muscle Pain, National Institute of Occupational Health."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/0306-9877(91)90233-O","article-title":"Pathophysiology mechanisms involved in genesis and spread of muscular tension in occupational muscle pain and in chronic musculoskeletal pain syndromes:a hypothesis","volume":"35","author":"Johansson","year":"1991","journal-title":"Med. Hypotheses"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1002\/ajim.20454","article-title":"Work postures and neck-shoulder pain among orchestra musicians","volume":"50","author":"Nyman","year":"2007","journal-title":"Am. J. Ind. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"43","DOI":"10.31052\/1853.1180.v21.n2.16889","article-title":"Validaci\u00f3n del Cuestionario N\u00f3rdico Estandarizado de S\u00edntomas Musculoesquel\u00e9ticos para la poblaci\u00f3n trabajadora chilena, adicionando una escala de dolor","volume":"21","year":"2017","journal-title":"Rev. Salud P\u00fablica"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/11\/3991\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:35:38Z","timestamp":1760175338000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/11\/3991"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,4]]},"references-count":41,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,6]]}},"alternative-id":["ijerph17113991"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17113991","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,4]]}}}