Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2019

Open Access 01-12-2019 | Study protocol

A longitudinal investigation of the factors associated with increased RISk of playing-related musculoskeletal disorders in MUsic students (RISMUS): a study protocol

Authors: Cinzia Cruder, Pelagia Koufaki, Marco Barbero, Nigel Gleeson

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

Login to get access

Abstract

Background

The achievement and improvement of skills in musical techniques to reach the highest levels of performance may expose music students to a wide range of playing-related musculoskeletal disorders (PRMDs).
In order to establish effective solutions for PRMDs and to develop future preventive measures, it is fundamental to firstly identify the main risk factors that play a significant role in the development of musculoskeletal conditions and symptoms.
The aim of the study is to identify those factors associated with increased risk of PRMDs among music students.
A further goal is to characterise this population and describe the clinical features of PRMDs, as well as to determine the evolving course of PRMDs in music students during their training.

Methods

One hundred and ninety schools have been invited to participate in this study, sixty of which have already confirmed officially their support for the investigation’s recruitment procedures, by means of a subsequent distribution of the link to a web-based questionnaire to their student groups (total potential student numbers available: n = 12,000 [based on ~ 200 students per school on average, and 60 volunteering schools]; expected number of students: n = 3000 [based on a 25% response rate from the 12,000 students attending the 60 volunteering schools]).
The web-based questionnaire includes questions about any PRMD that students have experienced during their training, and different potential risk factors (i.e. lifestyle and physical activity, practice habits, behaviour toward prevention and health history, level of stress, perfectionism, fatigue and disability).
Overall recurrence or new onsets of PRMDs will be assessed at 6 and 12 months after the first data collection to investigate and record the development of new incidents within a period of a year and to enable characterisation of the nature and the evolving course of PRMDs.

Discussion

To the best of our knowledge, no other longitudinal studies on risk factors for PRMDs among music students have been conducted so far. Therefore, this study can be considered as an opportunity to begin filling the gaps within current research in this field and to generate new knowledge within musical contexts in education and employment.

Trial registration

ClinicalTrials.gov (NCT03622190), registration date 09/08/2018.
Appendix
Available only for authorised users
Literature
1.
go back to reference Roquelaure Y, Ha C, Leclerc A, Touranchet A, Sauteron M, Melchior M, et al. Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 2006;55(5):765–78.CrossRef Roquelaure Y, Ha C, Leclerc A, Touranchet A, Sauteron M, Melchior M, et al. Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 2006;55(5):765–78.CrossRef
2.
go back to reference Sim J, Lacey RJ, Lewis M. The impact of workplace risk factors on the occurrence of neck and upper limb pain: a general population study. BMC Public Health. 2006;6:234.CrossRef Sim J, Lacey RJ, Lewis M. The impact of workplace risk factors on the occurrence of neck and upper limb pain: a general population study. BMC Public Health. 2006;6:234.CrossRef
3.
go back to reference Cote P, van der Velde G, Cassidy JD, Carroll LJ, Hogg-Johnson S, Holm LW, et al. The burden and determinants of neck pain in workers: results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Spine (Phila Pa 1976). 2008;33(4 Suppl):S60–74.CrossRef Cote P, van der Velde G, Cassidy JD, Carroll LJ, Hogg-Johnson S, Holm LW, et al. The burden and determinants of neck pain in workers: results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Spine (Phila Pa 1976). 2008;33(4 Suppl):S60–74.CrossRef
4.
go back to reference Kok LM, Vlieland TP, Fiocco M, Nelissen RG. A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians. BMC Musculoskelet Disord. 2013;14:9.CrossRef Kok LM, Vlieland TP, Fiocco M, Nelissen RG. A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians. BMC Musculoskelet Disord. 2013;14:9.CrossRef
5.
go back to reference Kok LM, Vliet Vlieland TP, Fiocco M, Kaptein AA, Nelissen RG. Musicians' illness perceptions of musculoskeletal complaints. Clin Rheumatol. 2013;32(4):487–92.CrossRef Kok LM, Vliet Vlieland TP, Fiocco M, Kaptein AA, Nelissen RG. Musicians' illness perceptions of musculoskeletal complaints. Clin Rheumatol. 2013;32(4):487–92.CrossRef
6.
go back to reference Chan C, Driscoll T, Ackermann BJ. Effect of a musicians' exercise intervention on performance-related musculoskeletal disorders. Med Probl Perform Art. 2014;29(4):181–8.CrossRef Chan C, Driscoll T, Ackermann BJ. Effect of a musicians' exercise intervention on performance-related musculoskeletal disorders. Med Probl Perform Art. 2014;29(4):181–8.CrossRef
7.
go back to reference Kok LM, Huisstede BM, Voorn VM, Schoones JW, Nelissen RG. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. Int Arch Occup Environ Health. 2016;89(3):373–96.CrossRef Kok LM, Huisstede BM, Voorn VM, Schoones JW, Nelissen RG. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. Int Arch Occup Environ Health. 2016;89(3):373–96.CrossRef
8.
go back to reference Zaza C, Charles C, Muszynski A. The meaning of playing-related musculoskeletal disorders to classical musicians. Soc Sci Med. 1998;47(12):2013–23.CrossRef Zaza C, Charles C, Muszynski A. The meaning of playing-related musculoskeletal disorders to classical musicians. Soc Sci Med. 1998;47(12):2013–23.CrossRef
9.
go back to reference Spahn C, Strukely S, Lehmann A. Health conditions, attitudes towards study and health at the beginning of university study: student musicians in comparison with other student populations. Med Probl Perform Art. 2004;19:26–33. Spahn C, Strukely S, Lehmann A. Health conditions, attitudes towards study and health at the beginning of university study: student musicians in comparison with other student populations. Med Probl Perform Art. 2004;19:26–33.
10.
go back to reference Zaza C. Playing-related health problems at a Canadian music school. Med Probl Perform Art. 1992;7:48–51. Zaza C. Playing-related health problems at a Canadian music school. Med Probl Perform Art. 1992;7:48–51.
11.
go back to reference Brandfonbrener AG. History of playing-related pain in 330 university freshman music students. Med Probl Perform Art. 2009;24:30–6. Brandfonbrener AG. History of playing-related pain in 330 university freshman music students. Med Probl Perform Art. 2009;24:30–6.
12.
go back to reference Zander MF, Spahn C. Epidemiology of medical problems in musicians— risk and protective factors. Die Medizinische Welt. 2006;57(12):545–9. Zander MF, Spahn C. Epidemiology of medical problems in musicians— risk and protective factors. Die Medizinische Welt. 2006;57(12):545–9.
13.
go back to reference Berque P, Gray H, McFadyen A. Playing-related musculoskeletal problems among professional orchestra musicians in Scotland: a prevalence study using a validated instrument, the musculoskeletal pain intensity and interference questionnaire for musicians (MPIIQM). Med Probl Perform Art. 2016;31(2):78–86.CrossRef Berque P, Gray H, McFadyen A. Playing-related musculoskeletal problems among professional orchestra musicians in Scotland: a prevalence study using a validated instrument, the musculoskeletal pain intensity and interference questionnaire for musicians (MPIIQM). Med Probl Perform Art. 2016;31(2):78–86.CrossRef
14.
go back to reference Baadjou VA, Roussel NA, Verbunt JA, Smeets RJ, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occup Med (Lond). 2016;66(8):614–622. Baadjou VA, Roussel NA, Verbunt JA, Smeets RJ, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occup Med (Lond). 2016;66(8):614–622.
15.
go back to reference Kaufman-Cohen Y, Ratzon NZ. Correlation between risk factors and musculoskeletal disorders among classical musicians. Occup Med (Lond). 2011;61(2):90–5.CrossRef Kaufman-Cohen Y, Ratzon NZ. Correlation between risk factors and musculoskeletal disorders among classical musicians. Occup Med (Lond). 2011;61(2):90–5.CrossRef
16.
go back to reference Leaver R, Harris EC, Palmer KT. Musculoskeletal pain in elite professional musicians from British symphony orchestras. Occup Med (Lond). 2011;61(8):549–55.CrossRef Leaver R, Harris EC, Palmer KT. Musculoskeletal pain in elite professional musicians from British symphony orchestras. Occup Med (Lond). 2011;61(8):549–55.CrossRef
17.
go back to reference Kenny DT, Ackermann B. Performance-related musculoskeletal pain, depression and music performance anxiety in professional orchestral musicians: a population study. Psychol Music. 2015;43(1):43–60.CrossRef Kenny DT, Ackermann B. Performance-related musculoskeletal pain, depression and music performance anxiety in professional orchestral musicians: a population study. Psychol Music. 2015;43(1):43–60.CrossRef
18.
go back to reference Rickert DL, Barrett MS, Ackermann BJ. Injury and the orchestral environment: part II. Organisational culture, behavioural norms, and attitudes to injury. Med Probl Perform Art. 2014;29(2):94–101.CrossRef Rickert DL, Barrett MS, Ackermann BJ. Injury and the orchestral environment: part II. Organisational culture, behavioural norms, and attitudes to injury. Med Probl Perform Art. 2014;29(2):94–101.CrossRef
19.
go back to reference Subramanian SV, Huijts T, Avendano M. Self-reported health assessments in the 2002 world health survey: how do they correlate with education? Bull World Health Organ. 2010;88(2):131–8.CrossRef Subramanian SV, Huijts T, Avendano M. Self-reported health assessments in the 2002 world health survey: how do they correlate with education? Bull World Health Organ. 2010;88(2):131–8.CrossRef
20.
go back to reference Germann G, Wind G, Harth A. The DASH (disability of arm-shoulder-hand) questionnaire--a new instrument for evaluating upper extremity treatment outcome. Handchir Mikrochir Plast Chir. 1999;31(3):149–52.CrossRef Germann G, Wind G, Harth A. The DASH (disability of arm-shoulder-hand) questionnaire--a new instrument for evaluating upper extremity treatment outcome. Handchir Mikrochir Plast Chir. 1999;31(3):149–52.CrossRef
21.
go back to reference Tait RC, Chibnall JT, Krause S. The pain disability index: psychometric properties. Pain. 1990;40(2):171–82.CrossRef Tait RC, Chibnall JT, Krause S. The pain disability index: psychometric properties. Pain. 1990;40(2):171–82.CrossRef
22.
go back to reference Chibnall JT, Tait RC. The pain disability index: factor structure and normative data. Arch Phys Med Rehabil. 1994;75(10):1082–6.CrossRef Chibnall JT, Tait RC. The pain disability index: factor structure and normative data. Arch Phys Med Rehabil. 1994;75(10):1082–6.CrossRef
23.
go back to reference Pollard CA. Preliminary validity study of the pain disability index. Percept Mot Skills. 1984;59(3):974.CrossRef Pollard CA. Preliminary validity study of the pain disability index. Percept Mot Skills. 1984;59(3):974.CrossRef
24.
go back to reference Nicholas MK, McGuire BE, Asghari A. A 2-item short form of the pain self-efficacy questionnaire: development and psychometric evaluation of PSEQ-2. J Pain. 2015;16(2):153–63.CrossRef Nicholas MK, McGuire BE, Asghari A. A 2-item short form of the pain self-efficacy questionnaire: development and psychometric evaluation of PSEQ-2. J Pain. 2015;16(2):153–63.CrossRef
25.
go back to reference Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233–7.CrossRef Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233–7.CrossRef
26.
go back to reference Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the international physical activity questionnaire short form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.CrossRef Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the international physical activity questionnaire short form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.CrossRef
27.
go back to reference Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRef Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRef
28.
go back to reference Hewitt PL, Flett GL. Perfectionism and depression: a multidimensional analysis. J Soc Behav Pers. 1990;5:423–38. Hewitt PL, Flett GL. Perfectionism and depression: a multidimensional analysis. J Soc Behav Pers. 1990;5:423–38.
29.
go back to reference Hewitt PL, Flett GL. Dimensions of perfectionism in unipolar depression. J Abnorm Psychol. 1991;100:98–101.CrossRef Hewitt PL, Flett GL. Dimensions of perfectionism in unipolar depression. J Abnorm Psychol. 1991;100:98–101.CrossRef
30.
go back to reference Hewitt PL, Flett GL, Turnbull-Donovan W, Mikail S. The multidimensional perfectionism scale: reliability, validity, and psychometric properties in psychiatric samples. Psychol Assess. 1991;3:464–8.CrossRef Hewitt PL, Flett GL, Turnbull-Donovan W, Mikail S. The multidimensional perfectionism scale: reliability, validity, and psychometric properties in psychiatric samples. Psychol Assess. 1991;3:464–8.CrossRef
31.
go back to reference Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, et al. Development of a fatigue scale. J Psychosom Res. 1993;37(2):147–53.CrossRef Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, et al. Development of a fatigue scale. J Psychosom Res. 1993;37(2):147–53.CrossRef
Metadata
Title
A longitudinal investigation of the factors associated with increased RISk of playing-related musculoskeletal disorders in MUsic students (RISMUS): a study protocol
Authors
Cinzia Cruder
Pelagia Koufaki
Marco Barbero
Nigel Gleeson
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-019-2440-4

Other articles of this Issue 1/2019

BMC Musculoskeletal Disorders 1/2019 Go to the issue