A systematic review of playing-related musculoskeletal disorders (PRMD) among tertiary-level professional music students: Exploring gender, psychological, and physiological determinants.
Vol 10, Issue 1, 2025, Article identifier:
VIEWS - 5 (Abstract) 2 (PDF)
Abstract
Objective: The aim of this systematic review was to assess the methodological quality of articles on the prevalence of playing-related musculoskeletal disorders (PRMD) in music students tertiary, and to determine the prevalence rate and associated factors of PRMD.
Methods: This review included crosssectional studies that described data on music students and were published in English between 1/1/2000 and 9/20/2024. Databases used in this study included, Web of Science (core collection), MEDLINE, sciELO, PubMed and Scopus. Reviewers used the Loney scale to assess methodological quality, and only studies that scored 5 were included.
Results: A total of 479 articles have been identified, among which 11 cross - sectional studies were selected for methodological assessment. All of these studies achieved satisfactory scores regarding methodological quality. The prevalence rate of PRMD was remarkably high, varying from 28.9% to 80.7%. Female student musicians were more susceptible compared to those of other genders. Students lacking exercise habits were at higher risk. String and keyboard instrument players had the highest probabilities of PRMD. The traits of anxiety and perfectionism among music students were closely associated with PRMD.
Conclusions: Music students are generally affected by PRMD. The gender, exercise habits and emotional traits of students are highly correlated with PRMD. Low response rates are a prevalent issue, and researchers from different continents tend to use different survey tools.
Keywords
Full Text:
PDFReferences
1. Mariyam Farzana S. Effect of Finger and Hand Exercises among Amateur Pianist. Indian Journal of Forensic Medicine & Toxicology. 2021;15(1).
2. Altenmüller E, Kopiez R. Suffering for her art: the chronic pain syndrome of pianist Clara Wieck-Schumann. Neurological Disorders in Famous Artists-Part 3. 27: Karger Publishers; 2010. p. 101-18.
3. Truelove C. The Evolution of Solo Violin Performers In Film Music History: Syracuse University; 2017.
4. Khalsa S, Butzer B, Shorter SM, Reinhardt KM, Cope S. Yoga reduces performance anxiety in adolescent musicians. Alternative Therapies in Health and Medicine. 2013;19(2):34-45.
5. Steinmetz A, Möller H, Seidel W, Rigotti T. Playing-related musculoskeletal disorders in music students-associated musculoskeletal signs. Eur J Phys Rehabil Med. 2012;48(4):625-33.
6. STRENÁČIKOVÁ M. HEALTH PROBLEMS OF PROFESSIONAL MUSICIANS AND MUSIC STUDENTS. University Review (1337-6047). 2020;14(3).
7. Kenny D, Ackermann B. Performance-related musculoskeletal pain, depression and music performance anxiety in professional orchestral musicians: a population study. Psychology of Music. 2015;43(1):43-60.
8. Austen C. 'I’m not injured, this is just my life': an exploration of the experiences of conservatoire students with chronic playing-related musculoskeletal disorders: Royal College of Music; 2020.
9. Wang X, Cheng Z. Cross-sectional studies: strengths, weaknesses, and recommendations. Chest. 2020;158(1):S65-S71.
10. Haug U, Riedel O, Cholmakow-Bodechtel C, Olsson L. First-degree relatives of cancer patients: a target group for primary prevention? A cross-sectional study. British journal of cancer. 2018;118(9):1255-61.
11. Adorno M, Garbee D, Marix ML. Improving literature searches. Clinical Nurse Specialist. 2016;30(2):74-80.
12. Tate RL, Douglas J. Use of reporting guidelines in scientific writing: PRISMA, CONSORT, STROBE, STARD and other resources. Brain Impairment. 2011;12(1):1-21.
13. Baadjou VA, Roussel NA, Verbunt J, Smeets R, de Bie R. Systematic review: risk factors for musculoskeletal disorders in musicians. Occupational Medicine. 2016;66(8):614-22.
14. Shea BJ, Hamel C, Wells GA, Bouter LM, Kristjansson E, Grimshaw J, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. Journal of clinical epidemiology. 2009;62(10):1013-20.
15. Kochem FB, Silva JG. Prevalence of playing-related musculoskeletal disorders in string players: a systematic review. Journal of manipulative and physiological therapeutics. 2018;41(6):540-9.
16. Loney PL, Chambers LW, Bennett KJ, Roberts JG, Stratford PW. Critical appraisal of the health research literature: prevalence or incidence of a health problem. Chronic Dis Can. 1998;19(4):170-6.
17. Kok LM, Huisstede BM, Voorn VM, Schoones JW, Nelissen RG. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. International archives of occupational and environmental health. 2016;89:373-96.
18. Kitsiou S, Pare G, Jaana M. Systematic reviews and meta-analyses of home telemonitoring interventions for patients with chronic diseases: a critical assessment of their methodological quality. Journal of Medical Internet Research. 2013;15(7):e2770.
19. Lonsdale K, Boon OK. Playing-related health problems among instrumental music students at a university in Malaysia. Medical problems of performing artists. 2016;31(3):151-9.
20. Árnason K, Árnason Á, Briem K. Playing-related musculoskeletal disorders among icelandic music students: differences between students playing classical vs rhythmic music. Medical Problems of Performing Artists. 2014;29(2):74-9.
21. Kok LM, Nelissen RG, Huisstede B. Prevalence and consequences of arm, neck, and/or shoulder complaints among music academy students: a comparative study. Medical problems of performing artists. 2015;30(3):163-8.
22. Kirkham JJ, Altman DG, Chan A-W, Gamble C, Dwan KM, Williamson PR. Outcome reporting bias in trials: a methodological approach for assessment and adjustment in systematic reviews. bmj. 2018;362.
23. Rodríguez-Romero B, Pérez-Valiño C, Ageitos-Alonso B, Pértega-Díaz S. Prevalence and associated factors for musculoskeletal pain and disability among Spanish music conservatory students. Medical Problems of Performing Artists. 2016;31(4):193-200.
24. Zão A, Altenmüller E, Azevedo L. Factors Associated with Performance-Related Pain Among Musicians: A Multicenter Study Using Validated Tools. Journal of Occupational Rehabilitation. 2024:1-22.
25. Ling C-Y, Loo F-C, Hamedon TR. Playing-related musculoskeletal disorders among classical piano students at tertiary institutions in Malaysia: proportion and associated risk factors. Medical problems of performing artists. 2018;33(2):82-9.
26. Z'Graggen S, Ettlin DA, Alessandri E, Z'Graggen WJ, Schimmel M. Prevalence of Painful Temporomandibular Disorder Symptoms Among Professional and Student Musicians: An Online Survey. Journal of Oral Rehabilitation. 2024.
27. Steinmetz A, Seidel W, Muche B. Impairment of postural stabilization systems in musicians with playing-related musculoskeletal disorders. Journal of manipulative and physiological therapeutics. 2010;33(8):603-11.
28. Stanek JL, Komes KD, Murdock FA. A cross-sectional study of pain among US college music students and faculty. Medical Problems of Performing Artists. 2017;32(1):20-6.
29. Sternbach DJ. Stress in the lives of music students. Music educators journal. 2008;94(3):42-8.
30. Kostka MJ. Practice expectations and attitudes: A survey of college-level music teachers and students. Journal of Research in Music Education. 2002;50(2):145-54.
31. Miksza P. The development of a measure of self-regulated practice behavior for beginning and intermediate instrumental music students. Journal of Research in Music Education. 2012;59(4):321-38.
32. Guo Y, Kopec JA, Cibere J, Li LC, Goldsmith CH. Population survey features and response rates: a randomized experiment. American journal of public health. 2016;106(8):1422-6.
33. Cruder C, Barbero M, Koufaki P, Soldini E, Gleeson N. Prevalence and associated factors of playing-related musculoskeletal disorders among music students in Europe. Baseline findings from the Risk of Music Students (RISMUS) longitudinal multicentre study. PloS one. 2020;15(12):e0242660.
DOI: https://doi.org/10.59429/esp.v10i1.3377
(5 Abstract Views, 2 PDF Downloads)
Refbacks
- There are currently no refbacks.
Copyright (c) 2025 Yu Fu, Fung Chiat Loo

This work is licensed under a Creative Commons Attribution 4.0 International License.