Eliassen Irem, Trouli Hara, Steder Frank Brundtland
Performing Arts Medicine, University College London, Norway.
Performing Arts Medicine Programme Lead, Division of Surgery/University College London, UK.
Scand J Public Health. 2025 Jun;53(4):421-428. doi: 10.1177/14034948241248496. Epub 2024 Jun 6.
Orchestra musicians have a high risk of experiencing musculoskeletal problems. These problems may lead to sleep and psychological disturbance.
This study investigated the occurrence of musculoskeletal pain (MSP) among orchestra musicians and the coherence between pain and predictors such as gender, age and instrument. Further, the impact of pain on sleep and mental health was analysed to assess pain as a predictor threatening musicians' wellbeing.
Some 358 musicians in eight different professional orchestras in Norway completed a questionnaire. Questions about pain experienced within the last 30 days were based on a national survey. Standardised screening tools like the Hopkins Symptom Checklist-25 (HSCL-25) and Bergen Insomnia Scale (BIS) were used to assess psychological distress and sleeping problems. Kruskal-Wallis tests were used to analyse the differences in the pain-related variables: experienced pain severity (EPS), number of pain areas, and work being perceived as the source of pain based on age. Mann-Whitney U tests were conducted to evaluate the statistical significance between gender and the pain-related variables. Spearman's rank correlations were used to examine the relationship between EPS and BIS, HSCL-25 and pain area. Additionally, simple linear regression models were employed to determine whether EPS can predict higher scores on the HSCL-25 and BIS scales.
The prevalence of MSP experienced in the last 30 days among orchestra musicians in Norway was 85%. Musicians experienced frequent pain regardless of their gender, age or instrument group. Neck, shoulders and upper back represented the most reported pain areas. Further, it was observed that increased EPS was correlated with an increase in the number of pain areas and in work being perceived as the source of pain. EPS significantly predicted sleep- and psychological distress.
Orchestra musicians have a high risk of encountering MSP. Furthermore, their psychological distress and sleeping problems seem to be related to experienced MSP. To deliver optimal health, these problems should be handled simultaneously.
管弦乐队音乐家患肌肉骨骼问题的风险很高。这些问题可能导致睡眠和心理障碍。
本研究调查了管弦乐队音乐家中肌肉骨骼疼痛（MSP）的发生情况，以及疼痛与性别、年龄和乐器等预测因素之间的相关性。此外，分析了疼痛对睡眠和心理健康的影响，以评估疼痛作为威胁音乐家健康的预测因素。
挪威八个不同专业管弦乐队的约358名音乐家完成了一份问卷。关于过去30天内经历的疼痛的问题基于一项全国性调查。使用霍普金斯症状清单-25（HSCL-25）和卑尔根失眠量表（BIS）等标准化筛查工具来评估心理困扰和睡眠问题。使用Kruskal-Wallis检验分析与疼痛相关的变量差异：经历的疼痛严重程度（EPS）、疼痛区域数量以及根据年龄将工作视为疼痛来源的情况。进行Mann-Whitney U检验以评估性别与疼痛相关变量之间的统计学显著性。使用Spearman等级相关性检验来检查EPS与BIS、HSCL-25和疼痛区域之间的关系。此外，采用简单线性回归模型来确定EPS是否可以预测HSCL-25和BIS量表上的更高分数。
挪威管弦乐队音乐家中在过去30天内经历MSP的患病率为85%。无论性别、年龄或乐器组如何，音乐家都经常经历疼痛。颈部、肩部和上背部是报告最多的疼痛区域。此外，观察到EPS的增加与疼痛区域数量的增加以及工作被视为疼痛来源的情况相关。EPS显著预测睡眠和心理困扰。
管弦乐队音乐家遭遇MSP的风险很高。此外，他们的心理困扰和睡眠问题似乎与经历的MSP有关。为了实现最佳健康，这些问题应同时得到处理。
