Temporomandibular disorders in instrumentalist musicians

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-05-23 DOI:10.1016/j.msksp.2025.103358

Danillo Abrantes Clementino Da Silva, Lenita Marangoni-Lopes, Giovana Venezian, Vivian Fernandes Furlleti de Góes

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Abstract

Objective

To verify the association between temporomandibular disorders (TMD) and age, time of activity and type of instrument, in instrumentalist musicians.

Methods

This was a cross-sectional observational study conducted with 173 musicians, aged 16–40 years, of both sexes. TMD data were collected using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) assessment instrument. Analyses of associations with the outcomes presence of local myalgia and joint disorders were performed using simple and multiple logistic regression models. Those that remained associated with outcomes with p ≤ 0.10 remained in the final model.

Results

The prevalence of local myalgia was 20.2 % and of joint disorders, 21.4 %. Musicians over 19 years of age had a higher prevalence of local myalgia (34.2 %) and joint disorders (32.9 %), with risks 3.26 times higher for local myalgia and 3.28 times higher for joint disorders (p < 0.10 and p = 0.002). Regarding the type of instrument, wooden musicians had a higher prevalence of local myalgia (28.8 %) than string musicians (14.0 %, p < 0.10). Regarding the time of practice, musicians over three years of age had a higher prevalence of local myalgia (34.4 %) and joint disorders (32.8 %), with a 2.32 times higher risk of local myalgia (p < 0.10). Sex and type of instrument did not show a significant association with joint disorders.

Conclusion

The age of the musicians showed an association with TMD, and participants over 19 years of age were more susceptible to the presence of TMD, however local myalgias did not show significant association.

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器乐音乐家的颞下颌紊乱

目的探讨器乐音乐家颞下颌关节疾病（TMD）与年龄、活动时间和乐器类型的关系。方法：这是一项对173名年龄在16-40岁的男女音乐家进行的横断面观察研究。使用颞下颌疾病诊断标准（DC/TMD）评估仪收集TMD数据。使用简单和多元逻辑回归模型分析局部肌痛和关节疾病的存在与结果的关联。那些仍然与p≤0.10的结果相关的患者保留在最终模型中。结果局部肌痛患病率为20.2%，关节疾病患病率为21.4%。19岁以上音乐家局部肌痛（34.2%）和关节疾病（32.9%）的患病率较高，局部肌痛和关节疾病的风险分别是前者的3.26倍和3.28倍(p <；0.10和p = 0.002)。就乐器类型而言，木乐音乐家的局部肌痛患病率（28.8%）高于弦乐音乐家（14.0%），p <；0.10)。就练习时间而言，3岁以上音乐家的局部肌痛患病率（34.4%）和关节疾病患病率（32.8%）较高，局部肌痛风险高出2.32倍(p <；0.10)。性别和器械类型与关节紊乱无显著关联。结论音乐家的年龄与TMD有一定的相关性，其中19岁以上的音乐家易患TMD，而局部肌痛与TMD无显著相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.