The high prevalence of playing-related musculoskeletal disorders (PRMDs) and its associated factors in amateur musicians playing in student orchestras: A cross-sectional study

Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related...

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Published inPloS one Vol. 13; no. 2; p. e0191772
Main Authors Kok, Laura M., Groenewegen, Karlijn A., Huisstede, Bionka M. A., Nelissen, Rob G. H. H., Rietveld, A. Boni M., Haitjema, Saskia
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 14.02.2018
Public Library of Science (PLoS)
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Online AccessGet full text
ISSN1932-6203
1932-6203
DOI10.1371/journal.pone.0191772

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Abstract Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras. A cross-sectional study. 357 members of eleven Dutch student orchestras across the Netherlands were included in this study. A paper-based questionnaire on PRMDs was used. Sociodemographic characteristics and PRMDs were evaluated using an adaptation of the Nordic Musculoskeletal Questionnaire (NMQ) and the music module of the Disabilities of Shoulder and Hand (DASH) questionnaire. The year prevalence of PRMDs among amateur musicians was 67.8%. Female gender, younger age, higher BMI and playing a string instrument were independently associated with a higher prevalence of PRMDs. The left shoulder was affected more frequently in violinists and violists, whereas the right hand and wrist were more frequently affected in woodwind instrumentalists. Of the subjects with PRMDs during the last week, the score of the music module of the DASH was 18.8 (6.3-31.2). This study is the first to report on PRMDs and its associated factors in a large group of amateur musicians. The prevalence of PRMDs in amateur musicians is high, however the DASH scores reflect a confined impact of these PRMDs on their functioning as a musician. Preventive measures are needed aiming at reducing PRMDs among amateur musicians.
AbstractList Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras.A cross-sectional study.357 members of eleven Dutch student orchestras across the Netherlands were included in this study.A paper-based questionnaire on PRMDs was used.Sociodemographic characteristics and PRMDs were evaluated using an adaptation of the Nordic Musculoskeletal Questionnaire (NMQ) and the music module of the Disabilities of Shoulder and Hand (DASH) questionnaire.The year prevalence of PRMDs among amateur musicians was 67.8%. Female gender, younger age, higher BMI and playing a string instrument were independently associated with a higher prevalence of PRMDs. The left shoulder was affected more frequently in violinists and violists, whereas the right hand and wrist were more frequently affected in woodwind instrumentalists. Of the subjects with PRMDs during the last week, the score of the music module of the DASH was 18.8 (6.3-31.2).This study is the first to report on PRMDs and its associated factors in a large group of amateur musicians. The prevalence of PRMDs in amateur musicians is high, however the DASH scores reflect a confined impact of these PRMDs on their functioning as a musician. Preventive measures are needed aiming at reducing PRMDs among amateur musicians.
Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras. A cross-sectional study. 357 members of eleven Dutch student orchestras across the Netherlands were included in this study. A paper-based questionnaire on PRMDs was used. Sociodemographic characteristics and PRMDs were evaluated using an adaptation of the Nordic Musculoskeletal Questionnaire (NMQ) and the music module of the Disabilities of Shoulder and Hand (DASH) questionnaire. The year prevalence of PRMDs among amateur musicians was 67.8%. Female gender, younger age, higher BMI and playing a string instrument were independently associated with a higher prevalence of PRMDs. The left shoulder was affected more frequently in violinists and violists, whereas the right hand and wrist were more frequently affected in woodwind instrumentalists. Of the subjects with PRMDs during the last week, the score of the music module of the DASH was 18.8 (6.3-31.2). This study is the first to report on PRMDs and its associated factors in a large group of amateur musicians. The prevalence of PRMDs in amateur musicians is high, however the DASH scores reflect a confined impact of these PRMDs on their functioning as a musician. Preventive measures are needed aiming at reducing PRMDs among amateur musicians.
Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras.OBJECTIVEDespite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras.A cross-sectional study.DESIGNA cross-sectional study.357 members of eleven Dutch student orchestras across the Netherlands were included in this study.PARTICIPANTS357 members of eleven Dutch student orchestras across the Netherlands were included in this study.A paper-based questionnaire on PRMDs was used.INTERVENTIONA paper-based questionnaire on PRMDs was used.Sociodemographic characteristics and PRMDs were evaluated using an adaptation of the Nordic Musculoskeletal Questionnaire (NMQ) and the music module of the Disabilities of Shoulder and Hand (DASH) questionnaire.OUTCOME MEASURESSociodemographic characteristics and PRMDs were evaluated using an adaptation of the Nordic Musculoskeletal Questionnaire (NMQ) and the music module of the Disabilities of Shoulder and Hand (DASH) questionnaire.The year prevalence of PRMDs among amateur musicians was 67.8%. Female gender, younger age, higher BMI and playing a string instrument were independently associated with a higher prevalence of PRMDs. The left shoulder was affected more frequently in violinists and violists, whereas the right hand and wrist were more frequently affected in woodwind instrumentalists. Of the subjects with PRMDs during the last week, the score of the music module of the DASH was 18.8 (6.3-31.2).RESULTSThe year prevalence of PRMDs among amateur musicians was 67.8%. Female gender, younger age, higher BMI and playing a string instrument were independently associated with a higher prevalence of PRMDs. The left shoulder was affected more frequently in violinists and violists, whereas the right hand and wrist were more frequently affected in woodwind instrumentalists. Of the subjects with PRMDs during the last week, the score of the music module of the DASH was 18.8 (6.3-31.2).This study is the first to report on PRMDs and its associated factors in a large group of amateur musicians. The prevalence of PRMDs in amateur musicians is high, however the DASH scores reflect a confined impact of these PRMDs on their functioning as a musician. Preventive measures are needed aiming at reducing PRMDs among amateur musicians.DISCUSSIONThis study is the first to report on PRMDs and its associated factors in a large group of amateur musicians. The prevalence of PRMDs in amateur musicians is high, however the DASH scores reflect a confined impact of these PRMDs on their functioning as a musician. Preventive measures are needed aiming at reducing PRMDs among amateur musicians.
Objective Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras. Design A cross-sectional study. Participants 357 members of eleven Dutch student orchestras across the Netherlands were included in this study. Intervention A paper-based questionnaire on PRMDs was used. Outcome measures Sociodemographic characteristics and PRMDs were evaluated using an adaptation of the Nordic Musculoskeletal Questionnaire (NMQ) and the music module of the Disabilities of Shoulder and Hand (DASH) questionnaire. Results The year prevalence of PRMDs among amateur musicians was 67.8%. Female gender, younger age, higher BMI and playing a string instrument were independently associated with a higher prevalence of PRMDs. The left shoulder was affected more frequently in violinists and violists, whereas the right hand and wrist were more frequently affected in woodwind instrumentalists. Of the subjects with PRMDs during the last week, the score of the music module of the DASH was 18.8 (6.3-31.2) Discussion This study is the first to report on PRMDs and its associated factors in a large group of amateur musicians. The prevalence of PRMDs in amateur musicians is high, however the DASH scores reflect a confined impact of these PRMDs on their functioning as a musician. Preventive measures are needed aiming at reducing PRMDs among amateur musicians.
Objective Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras. Design A cross-sectional study. Participants 357 members of eleven Dutch student orchestras across the Netherlands were included in this study. Intervention A paper-based questionnaire on PRMDs was used. Outcome measures Sociodemographic characteristics and PRMDs were evaluated using an adaptation of the Nordic Musculoskeletal Questionnaire (NMQ) and the music module of the Disabilities of Shoulder and Hand (DASH) questionnaire. Results The year prevalence of PRMDs among amateur musicians was 67.8%. Female gender, younger age, higher BMI and playing a string instrument were independently associated with a higher prevalence of PRMDs. The left shoulder was affected more frequently in violinists and violists, whereas the right hand and wrist were more frequently affected in woodwind instrumentalists. Of the subjects with PRMDs during the last week, the score of the music module of the DASH was 18.8 (6.3–31.2) Discussion This study is the first to report on PRMDs and its associated factors in a large group of amateur musicians. The prevalence of PRMDs in amateur musicians is high, however the DASH scores reflect a confined impact of these PRMDs on their functioning as a musician. Preventive measures are needed aiming at reducing PRMDs among amateur musicians.
Audience Academic
Author Kok, Laura M.
Rietveld, A. Boni M.
Nelissen, Rob G. H. H.
Haitjema, Saskia
Huisstede, Bionka M. A.
Groenewegen, Karlijn A.
AuthorAffiliation 4 Medical Center for Dancers and Musicians, Haaglanden Medical Center, The Hague, The Netherlands
2 Department of Geriatrics, MC Slotervaart, Amsterdam, The Netherlands
University of Sydney, AUSTRALIA
3 Department of Rehabilitation, Physical Therapy Science & Sports, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
1 Department of Orthopedics, Leiden University Medical Center, Leiden, The Netherlands
AuthorAffiliation_xml – name: 1 Department of Orthopedics, Leiden University Medical Center, Leiden, The Netherlands
– name: 3 Department of Rehabilitation, Physical Therapy Science & Sports, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
– name: 4 Medical Center for Dancers and Musicians, Haaglanden Medical Center, The Hague, The Netherlands
– name: University of Sydney, AUSTRALIA
– name: 2 Department of Geriatrics, MC Slotervaart, Amsterdam, The Netherlands
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  givenname: Saskia
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  fullname: Haitjema, Saskia
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29444093$$D View this record in MEDLINE/PubMed
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2018 Kok et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Snippet Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a...
Objective Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians....
Objective Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians....
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SubjectTerms Biology and Life Sciences
Body mass
Cross-sectional studies
Disabilities
Disorders
Health aspects
Health risks
Medicine and Health Sciences
Musculoskeletal diseases
Music
Musical instruments
Musical performances
Musicians
Musicians & conductors
Orchestras
Orthopedics
Pain
Physical Sciences
Population
Questionnaires
Research and Analysis Methods
Risk factors
Shoulder
Social Sciences
Sports injuries
Systematic review
University students
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Title The high prevalence of playing-related musculoskeletal disorders (PRMDs) and its associated factors in amateur musicians playing in student orchestras: A cross-sectional study
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