{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:00:31Z","timestamp":1782511231267,"version":"3.54.5"},"reference-count":31,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T00:00:00Z","timestamp":1675641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"American Equilibration Society","award":["2015-02"],"award-info":[{"award-number":["2015-02"]}]},{"name":"American Equilibration Society","award":["UROP 2014-13"],"award-info":[{"award-number":["UROP 2014-13"]}]},{"name":"American Equilibration Society","award":["UROP 2015-04"],"award-info":[{"award-number":["UROP 2015-04"]}]},{"name":"American Equilibration Society","award":["17\/2566"],"award-info":[{"award-number":["17\/2566"]}]},{"name":"National University of Singapore Faculty of Dentistry","award":["2015-02"],"award-info":[{"award-number":["2015-02"]}]},{"name":"National University of Singapore Faculty of Dentistry","award":["UROP 2014-13"],"award-info":[{"award-number":["UROP 2014-13"]}]},{"name":"National University of Singapore Faculty of Dentistry","award":["UROP 2015-04"],"award-info":[{"award-number":["UROP 2015-04"]}]},{"name":"National University of Singapore Faculty of Dentistry","award":["17\/2566"],"award-info":[{"award-number":["17\/2566"]}]},{"name":"Ratchadaphiseksomphot Endowment Fund","award":["2015-02"],"award-info":[{"award-number":["2015-02"]}]},{"name":"Ratchadaphiseksomphot Endowment Fund","award":["UROP 2014-13"],"award-info":[{"award-number":["UROP 2014-13"]}]},{"name":"Ratchadaphiseksomphot Endowment Fund","award":["UROP 2015-04"],"award-info":[{"award-number":["UROP 2015-04"]}]},{"name":"Ratchadaphiseksomphot Endowment Fund","award":["17\/2566"],"award-info":[{"award-number":["17\/2566"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Musicians often report orofacial pain (OFP) and performance-related psychological distress related to occupational neuromuscular overuse, but to date, no study has been performed in Asian musicians to assess these factors. This study evaluated OFP, psychological distress, coping behaviors, and disability among Asian musical performers. A total of 201 participants in Singaporean music ensembles were surveyed from which 159 met the inclusion criteria for vocalists or instrumentalist musicians (mean age 20.26 \u00b1 2.20 years). Self-administered questionnaires assessed musical practices, jaw\/neck pre-conditioning exercises, pain-related temporomandibular disorders (TMD), OFP descriptors, pain chronicity and disability, coping behaviors and psychological distress. Univariate and multi-variate analyses were carried out. OFP, while performing, was more than two-fold higher in instrumentalists when compared to vocalists (41.4\u201348% vs. 17.2%, p = 0.002). A similar trend occurred for OFP that progresses while playing (p = 0.035) and for persistent OFP that reduces playing (p = 0.001). There were no differences in psychological distress, pain coping and disability between groups. Vocalists were found to practice jaw\/neck pre-conditioning exercises more frequently (75% vs. 4\u201312.9% in instrumentalists, p &lt; 0.0001). While performing, Asian vocalists reported less OFP when compared to instrumentalists. Future prospective studies are needed to confirm if pre-conditioning exercises play a protective role against OFP in vocalists.<\/jats:p>","DOI":"10.3390\/jcm12041271","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T03:34:30Z","timestamp":1675654470000},"page":"1271","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Orofacial Pain, Musical Performance and Associated Coping Behaviors, Psychological Distress and Disability among Asian Young Adults"],"prefix":"10.3390","volume":"12","author":[{"given":"Rahul","family":"Nair","sequence":"first","affiliation":[{"name":"Department of Dentistry\u2014Quality and Safety of Oral Healthcare, Radboud University Medical Centre, Radboud Institute for Health Sciences, 6525 Nijmegen, The Netherlands"},{"name":"Faculty of Dentistry, National University of Singapore, Singapore 119085, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chihiro","family":"Tanikawa","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Osaka 565-0871, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4230-4593","authenticated-orcid":false,"given":"Joao N.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, National University of Singapore, Singapore 119085, Singapore"},{"name":"Avatar Biotechnologies for Oral Health and Healthy Longevity Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/0304-3959(88)90066-8","article-title":"An epidemiologic comparison of pain complaints","volume":"32","author":"Dworkin","year":"1988","journal-title":"Pain"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1177\/00220345950740110401","article-title":"Jaw pain prevalence among French-speaking Canadians in Quebec and related symptoms of temporomandibular disorders","volume":"74","author":"Goulet","year":"1995","journal-title":"J. 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