Performance-Related Pain Among Professional Orchestra Musicians—The First Portuguese Nationwide Study (POMPS)

IF 3.4 2区医学 Q1 ANESTHESIOLOGY

European Journal of Pain Pub Date : 2025-09-25 DOI:10.1002/ejp.70124

A. Zão, E. Altennmüller, L. Azevedo

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Abstract

Background

Pain is a major health problem among musicians. However, data concerning pain in a nationwide perspective are scarce, particularly among Portuguese musicians. Therefore, we aim to evaluate performance-related pain among professional orchestra musicians throughout a nationwide characterisation of all Portuguese orchestras.

Methods

We performed a multicenter cross-sectional study involving all Portuguese professional orchestras, which included 432 musicians (response rate of 72.1%). The main outcome was performance-related pain (evaluated by the Performance-related Pain among Musicians Questionnaire—PPAM). The secondary outcomes were: pain approach, physical activity levels, fatigue, distress, perfectionism, and health-related quality of life. We calculated the prevalence of PRP and performed a descriptive analysis of the main characteristics of our sample (distinguishing musicians with and without PRP) and of PRP, fatigue, distress, perfectionism, and health-related quality of life among musicians with pain, comparing full-time and partial-time musicians.

Results

The lifetime and point prevalence of performance-related pain were 71.8% and 33.3%, respectively. Pain intensity score was 14.9 (out of 40), pain interference in general activities was 21.8 (out of 70) and pain interference in performance was even higher (28.3 out of 50). Pain intensity and interference, fatigue, and perfectionism were higher, and quality of life was lower among full-time musicians. Pain was significantly more prevalent among full-time musicians, string instrumentalists, older and more sedentary musicians, with longer careers, and those who play more hours per week. Multivariate logistic regression defined a model containing five factors significantly associated with higher probability of performance-related pain.

Conclusions

We highlight the high prevalence of pain and the significant negative impact of pain on performance and quality of life.

Significance Statement

This first Portuguese nationwide study demonstrated that pain is a highly disabling condition among professional orchestra musicians, particularly among full-time musicians, supporting the integration of healthcare professionals in the professional orchestra framework for a closed follow-up, early assessment and treatment, and implementation of preventive programs. The proper evaluation and management of pain seems to still be neglected, contributing to significant impairments and reduced quality of life.

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专业管弦乐队音乐家的演奏相关疼痛——葡萄牙第一项全国性研究（POMPS）。

背景：疼痛是音乐家的主要健康问题。然而，从全国范围来看，关于疼痛的数据很少，特别是在葡萄牙音乐家中。因此，我们的目标是在所有葡萄牙管弦乐团的全国特征中评估专业管弦乐团音乐家与表演相关的疼痛。方法：我们进行了一项多中心横断面研究，涉及所有葡萄牙专业管弦乐团，其中包括432名音乐家（回复率为72.1%）。主要结果是表演相关疼痛（通过音乐家表演相关疼痛问卷- ppam评估）。次要结果是：疼痛方法、身体活动水平、疲劳、痛苦、完美主义和健康相关的生活质量。我们计算了PRP的患病率，并对样本的主要特征（区分有和没有PRP的音乐家）和PRP、疲劳、痛苦、完美主义和与健康相关的生活质量进行了描述性分析，比较了全职和兼职音乐家。结果：运动相关疼痛的终生患病率为71.8%，穴位患病率为33.3%。疼痛强度评分为14.9分（满分40分），疼痛干扰一般活动得分为21.8分（满分70分），疼痛干扰表演得分更高（满分50分28.3分）。全职音乐家的疼痛强度、干扰、疲劳和完美主义更高，生活质量更低。疼痛在全职音乐家、弦乐器演奏家、年龄较大、久坐不动的音乐家、职业生涯较长的音乐家以及每周演奏时间较长的音乐家中更为普遍。多元逻辑回归定义了一个包含五个因素的模型，这些因素与表现相关疼痛的高概率显著相关。结论：我们强调了疼痛的高患病率以及疼痛对工作表现和生活质量的显著负面影响。重要声明：这是葡萄牙第一个全国性的研究，表明疼痛是专业乐团音乐家，特别是全职音乐家的高度致残状况，支持在专业乐团框架中整合医疗专业人员，进行密切的随访，早期评估和治疗，并实施预防方案。对疼痛的适当评估和管理似乎仍然被忽视，这导致了严重的损伤和生活质量的降低。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.