Pain-related and performance anxiety and their contribution to pain in music students: a pilot study

Abstract

Pain complaints are common among musicians, whose occupation is highly demanding on both a physical and a psychological level. The purpose of the present study was to better understand the severity of musculoskeletal pain in orchestra musicians by measuring the potential contributions of biological (medical diagnosis), psychosocial (age, gender, instrument, practice and exercising history, and occupational satisfaction), and psychological (pain-related anxiety, performance anxiety, and affect) variables. participants and procedureData were collected from 59 music students playing in a symphonic orchestra. Univariate analyses were performed to assess differences in biological, psychosocial, and psychological predictors, using the presence or absence of pain as the dependent variable. Regression analyses were performed to develop a model of variance to explain the severity of pain. resultsThe results revealed lower occupational satisfaction to be associated with the presence of pain. However, a greater proportion of variance (31%) in pain severity was explained by pain-related anxiety combined with performance anxiety. Thus, the model that would best explain playing-related pain in musicians would need to focus mainly on psychological variables, namely pain-related and performance anxiety. conclusionsFurther investigation is needed to determine how treatment of musculoskeletal pain in musicians should address these psychological variables.key words musculoskeletal pain; pain-related anxiety; performance anxiety; orchestra musicians Valérie Lamontagne

Have musicians’ musculoskeletal symptoms been thoroughly addressed? A systematic mapping review

“…This classification refers to the target population that was not necessarily the same as those from whom data were collected (e.g., Rickert et al [61][62][63]151], Ackermann and Driscoll [175], Ajidahun and Phillips [186], and McKechnie and Jacobs [177]). , and university orchestral students with those who had not played any music for at least the past year [116]. Kok et al [54,55] also compared the medical students who did and did not play a musical instrument.…”

“…Despite the large number of prevalence studies identified, few statistically compared the MSS prevalence of musicians with other populations [28, [53][54][55]70,75,116,123,161,171]. Such comparisons are required to contextualize the findings of prevalence studies.…”

“…Some 22 studies also investigated the association between different MSS outcomes. Similar to the extent/severity studies, the majority (86%) of the studies of risk factors reported general symptom outcomes[27,28,30,38,[40][41][42][43][44][45][46][47][48][49][50]53,54,60,64,65,69,71,74,76,[79][80][81][82][83][84][85][86][87][88][91][92][93][95][96][97][106][107][108]110,111,115,116,119,122,125,126,[129][130][131][133][134][135][138][139][140][141][142][154][155]…”

How do we assess musicians’ musculoskeletal symptoms?: a review of outcomes and tools used

“…The specific musical tasks reported were: playing27,28,29, 38, 39, 43, 45, 46, 49, 50, 57, 60, 75, 79, 80, 91,92,93, 116, 118, 120, 121, 125, 128, 135, 136, 138, 142,143,144,145, 147, 149,150,151,152,153, 155, 157, 159 ) , performance30, 31, 34,35,36,37, 77, 127, 133, 140,141,142, 146, 148, 154, 156, 158, 160 ) , practice/performance133 ) , marching140 ) , drum-corp140 ) , instrument135 ) , flute148, 150 ) , trombone89 ) , piano166 ) , and ‘voice usage’161 ) . Two studies used the term ‘music-related’113, 139 ) .…”

“…pain or injuries, appear to have been used interchangeably in 25 articles (21 studies)34,35,36,37,38,39, 43, 50, 57, 60, 75, 80, 89, 118, 121, 124, 136, 138, 140, 142, 146, 150, 151, 161, 166 ) . How musical activity and MSS were related was not clear in 31 studies34, 38, 39, 43, 46, 50, 57, 60, 75, 77, 89, 91, 92, 113, 120, 121, 125, 139,140,141,142, 145,146,147,148,149,150,151, 157,158,159, 162 ) . A total of 17 studies defined ‘music-related’ MSS as MSS that interfered with musical activity27,28,29,30,31, 35,36,37, 45, 46, 79, 93, 116, 118, 124, 128, 135, 136, 138, 143, 153, 154, 156, 160 ) (all bar one,143 ) using Zaza et al.…”