Palavras-chave
Dolor musculoesquelético
Ejercicio terapéutico Musicians
Musculoskeletal pain
Therapeutic exercise Músicos
Dor musculoesquelética
Exercício terapêutico
Como Citar
Resumo
Esta revisão sistemática analisa as evidências sobre a eficácia do exercício terapêutico em músicos instrumentais, uma população equiparada a atletas de alto desempenho, mas tradicionalmente negligenciada no campo da biossaúde. Utilizando critérios PRISMA e a escala PEDro, foram selecionados ensaios clínicos randomizados extraídos do banco de dados PubMed. Os resultados mostram uma redução significativa na dor e melhora funcional, embora ainda existam dúvidas sobre a segurança e aplicabilidade desses protocolos. Destaca-se a necessidade de pesquisas adicionais para consolidar estratégias terapêuticas baseadas em evidências para otimizar a saúde dos músicos. Palavras-chave: Músicos. Dor musculoesquelética. Exercício terapêutico.
Referências
Aapmr&r (2024). “PM&R Journal”, The Journal of Injury, Function anda Rehabilitation.
https://www.aapmr.org/members-publications/pm-r-journal
Ackermann, Bronwen, Christine Guptill, Clay Miller, Randall Dick y J. Matt McCrary (2022). “Assessing Performing Artists in Medical and Health Practice-The Dancers, Instrumentalists, Vocalists, and Actors Screening Protocol”, Current Sports Medicine Reports, 21(12) pp. 460-462. https://doi.org/10.1249/JSR.0000000000001022
Akau, Cedric, Mark A. Harrast, Seneca A. Storm, Jonathan T. Finnoff y Stuart Willick (2009). “Sports and Performing Arts Medicine: 1. Upper Extremity Injuries”, PM&R, 1(3S), S51-S59. https://doi.org/10.1016/j.pmrj.2009.01.019
American Collegue of Sports Medicine (2026). “Current Sports Medicine Reports”.
https://journals.lww.com/acsm-csmr/Pages/aboutthejournal.aspx.
Athletes and the Arts (s.f.). https://athletesandthearts.com/
Bouhassira, Didier (2019). “Neuropathic pain: Definition, assessment and epidemiology”, Revue Neurologique, 175(1), pp. 16-25. https://doi.org/10.1016/j.neurol.2018.09.016.
Chan, Cliffton, Tim Driscoll y Bronwen J. Ackermann (2014). “Effect of a Musicians’ Exercise Intervention on Performance-Related Musculoskeletal Disorders”, Medical Problems of Performing Artists, 29(4), pp. 181-188. https://doi.org/10.21091/mppa.2014.4038
Cholbi Llobell, Francisco, Vicente Marimón-Hoyos y José María Climent-Barberá (2021). “Dolor musculoesquelético ligado a la interpretación musical en la Comunidad Valenciana”, Rehabilitación, 55(1), pp. 15-21. https://doi.org/10.1016/j.rh.2020.05.005
Collard, Xavier, Jean-François Kaux y Bénédicte Forthomme (2022). “Les pathologies neuro-musculo-squelettiques en lien avec la pratique musicale. Une revue de la littérature”, Revue médicale de Liège, 77(4), pp. 231-235. https://pubmed.ncbi.nlm.nih.gov/35389007/
Cruder, Cinzia, Marco Barbero, Emiliano Soldini y Nigel Gleeson (2021). “Patterns of Pain Location in Music Students: A Cluster Analysis”, BMC Musculoskeletal Disorders, 22(184), pp. 1-13. https://doi.org/10.1186/s12891-021-04046-6
Dalager, Tina, Alyssa Welch, Shaun Patrick O’Leary, Venerina Johnston y Gisela Sjøgaard (2023). “Clinically Relevant Decreases in Neck/Shoulder Pain Among Office Workers Are Associated With Strength Training Adherence and Exercise Compliance: Explorative Analyses From a Randomized Controlled Trial”, Physical Therapy, 103(2), pzac166. https://doi.org/10.1093/ptj/pzac166
Dandale, Charul, Priyanka A. Telang y Pooja Kasatwar (2023). “The Effectiveness of Ergonomic Training and Therapeutic Exercise in Chronic Neck Pain in Accountants in the Healthcare System: A Review”, Cureus, 15(3), e35762. https://doi.org/10.7759/cureus.35762
Dick, Randall, Bronwen J. Ackermann, J. Matt McCrary, Clay Miller y Christine Guptill (2022). “Athletes and the Arts and Performing Arts Medicine: Leveraging Sports Medical Expertise to Improve the Care of Performing Artists”, Current Sports Medicine Report, 21(12), pp. 418-419. https://doi.org/10.1249/JSR.0000000000001023
Dick, Randall, Jacqueline Berning, William Dawson, Richard D Ginsburg, Clay Miller y
George T Shybut (2013). “Athletes and the Arts V The Role of Sports Medicine in the Performing Arts”, Current Sports Medicine Reports, 12(6), pp. 397-403. https://doi.org/doi:10.1249/JSR.0000000000000009
Escala PEDro. Phisiotherapy Evidence Database (2016). https://pedro.org.au/spanish/resources/pedro-scale/
Estévez Montes, Felícitas (2009). “Sistema consciente para la técnica del movimiento”, Entre líneas. Revista Especializada en Psicomotricidad, (24), pp. 27-32. https://app-psicomotricistas.net/wp-content/uploads/2022/04/EL_2009_24_37-42.pdf
Foxman, Irina y Barbara J. Burgel (2006). “Musician Health and Safety: Preventing Playing-Related Musculoskeletal Disorders”, AAOHN Journal, 54(7), pp. 309-316. https://doi.org/10.1177/216507990605400703
Gasenzer, Elena, Marie-Juliana Klumpp, Dawid Pieper y Edmund Neugebauer (2017). “The prevalence of chronic pain in orchestra musicians”, GMS German Medical Science, 15, Doc01. https://doi.org/10.3205/000242
Gómez-Rodríguez, Rosa, Belén Díaz-Pulido, Carlos Gutiérrez-Ortega, Beatriz Sánchez-Sánchez, y María Torres-Lacomba (2020). “Prevalence, Disability and Associated Factors of Playing-Related Musculoskeletal Pain among Musicians: A Population-Based Cross-Sectional Descriptive Study”, International Journal of Environmental Research and Public Health, 17(11), pp. 3991. https://doi.org/10.3390/ijerph17113991.
Goodman, Glenn y Sheryl Staz (1989). “Occupational Therapy for Musicians with Upper Extremity Overuse Syndrome: Patient Perceptions Regarding Effectiveness of Treatment”, Medical Problems of Performing Artists, 4(1), pp. 9-14. https://www.jstor.org/stable/45440188
Huang, Xiaoli, Jimmy Lin, y Dina Demner-Fushman (2006). “Evaluation of PICO as a Knowledge Representation for Clinical Questions”, Annual Symposium Proceedings AMIA Symposium, 2006, pp. 359-363. https://pubmed.ncbi.nlm.nih.gov/17238363/
Johnston, Venerina, Xiaoqi Chen, Alyssa Welch, Gisela Sjøgaard, Tracy Comans, Megan McStea, Leon Straker, Markus Melloh, Michelle Pereira y Shaun O'Leary (2021). “A Cluster-Randomized Trial of Workplace Ergonomics and Neck-Specific Exercise versus Ergonomics and Health Promotion for Office Workers to Manage Neck Pain - a Secondary Outcome Analysis”, BMC Musculoskeletal Disorders, 22(68), pp. 1-12. https://doi.org/10.1186/s12891-021-03945-y
Lee, Sang-Hie, Stephanie Carey, Rajiv Dubey, y Rachel Matz (2012). “Intervention Program in College Instrumental Musicians, with Kinematics Analysis of Cello and Flute Playing: A Combined Program of Yogic Breathing and Muscle Strengthening-Flexibility Exercises”, Medical Problems of Performing Artists, 27(2) pp. 85-94. https://doi.org/10.21091/mppa.2012.2016
Loeser, John D. y Ronald Melzack (1999). “Pain: An Overview”, The Lancet 353(9164), pp. 1607-1609. https://doi.org/10.1016/S0140-6736(99)01311-2
Mirshahi, Maryam, Rezvaneh Najafi, Mohammadreza Golbakhsh, Afsaneh Mirshahi, y Ahmadi Pishkuhi (2023). “Effectiveness of a Core Stability Exercise Program on Pain and Function in Musicians with Chronic Low Back Pain: A Randomized Controlled Trial”, Medical Problems of Performing Artists, 38(4), pp. 207-213. https://doi.org/10.21091/mppa.2023.4025
National Association of Schools of Music (2024). “National Association of Schools of Music”.
https://nasm.arts-accredit.org/
Nygaard Andersen, Lotte, Stephanie Mann, Birgit Juul-Kristensen y Karen Søgaard (2017). “Comparing the Impact of Specific Strength Training vs General Fitness Training on Professional Symphony Orchestra Musicians: A Feasibility Study”, Medical Problems of Performing Artists, 32(2), pp. 94-100. https://doi.org/10.21091/mppa.2017.2016.
Roos, Marianne y Jean-Sébastien Roy (2018). “Effect of a Rehabilitation Program on Performance-Related Musculoskeletal Disorders in Student and Professional Orchestral Musicians: A Randomized Controlled Trial”, Clinical Rehabilitation, 32(12), pp. 1656-1665. https://doi.org/10.1177/0269215518785000
Schaefer, Paul T. y Jennine Speier (2012). “Common Medical Problems of Instrumental Athletes”, Current Sports Medicine Reports, 11(6), pp. 316-322. https://doi.org/10.1249/JSR.0b013e318272c8ae
Sciascia, Aaron y Robin Cromwell (2012). “Kinetic Chain Rehabilitation: A Theoretical Framework”, Rehabilitation Research and Practice, 853037, pp. 1-9. https://doi.org/10.1155/2012/853037
Sihawong, Rattaporn, Pooriput Waongenngarm, y Prawit Janwantanakul (2021). “Efficacy of Risk Factor Education on Pain Intensity and Disability in Office Workers with Nonspecific Neck or Low Back Pain: A Pilot Cluster Randomized Clinical Trial”, Journal of Back and Musculoskeletal Rehabilitation, 34(2), pp. 251-259. https://doi.org/10.3233/BMR-191716
Silva, Anabela, Filipa Mb Lã y Vera Afreixo (2015). “Pain Prevalence in Instrumental Musicians: A Systematic Review”, Medical Problems of Performing Artists, 30(1), pp. 8-19. https://doi.org/10.21091/mppa.2015.1002
Sousa, Cláudia Maria, Jorge Pereira Machado, Henry Johannes Greten y Daniela Coimbra (2017). “Playing-Related Musculoskeletal Disorders of Professional Orchestra Musicians from the North of Portugal: Comparing String and Wind Musicians”, Acta Médica Portuguesa, 30(4), pp. 302-306. https://doi.org/10.20344/amp.7568
Stanhope, Jessica, Dino Pisaniello y Philip Weinstein (2022). “The Effect of Strategies to Prevent and Manage Musicians’ Musculoskeletal Symptoms: A Systematic Review”, Archives of Environmental & Occupational Health, 77(3), pp. 185-208. https://doi.org/10.1080/19338244.2020.1860879
Storm, Seneca A., Jonathan T. Finnoff, Stuart Willick, Cedric K. Akau y Mark A. Harrast (2009). “Sports and Performing Arts Medicine: 3. Spine and Neurologic Injuries”, PM&R, 1(3S), pp. S67-S72. https://doi.org/10.1016/j.pmrj.2009.01.020
Universidad de Valencia, Biblioteca (2026). “Biblioguies Universidad de Valencia: Revisiones sistemáticas en Ciencias de la Salud: Pregunta de investigación: modelo PICO”.
https://uv-es.libguides.com/revisiones_sistematicas_Salud/pregunta_inves/PICO
Van Dillen, Linda R., Vanessa M. Lanier y Karen Steger-May (2021). “Effect of Motor Skill Training in Functional Activities vs Strength and Flexibility Exercise on Function in People With Chronic Low Back Pain”, JAMA Neurology, 78(4), pp. 1-11. https://doi.org/10.1001/jamaneurol.2020.4821
Wilson, Robert J., Jeffry T. Watson y Donald H. Lee (2014). “Nerve Entrapment Syndromes in Musicians”, Clinical Anatomy, 27(6), pp. 861-865. https://doi.org/10.1002/ca.22377
Wolff, Aviva L., Daphne I. Ling, Ellen K. Casey, Brett G. Toresdahl y Alfred C. Gellhorn (2021). “Feasibility and Impact of a Musculoskeletal Health for Musicians (MHM) Program for Musician Students: A Randomized Controlled Pilot Study”, Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists, 34(2), pp.
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