We would like to thank the clarinet professors at the “Niccolò Paganini” State Conservatory of Music (Genoa, Italy), Professor Piero Paolo Fantini and Professor Beatrice Cattaneo for supporting this project. Finally, we would like to thank all clarinet students who actively responded to the questionnaire.
Lucio Marinelli, who is the Editorial Board Member of Exploration of Neuroprotective Therapy, had no involvement in the decision-making or the review process of this manuscript. The other authors declare no conflicts of interest.
Ethical approval
The study was approved by the Ethics Committee of the University of Genoa (number 2024/74).
Consent to participate
Informed consent to participate in the study was obtained from all participants.
Consent to publication
The data do not involve subject privacy, and therefore consent to publication is not required.
Availability of data and materials
The full dataset is available as Supplementary materials.
Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.
References
Lucas PW. Dental functional morphology: how teeth work. Cambridge: Cambridge University Press; 2004. [DOI]
Messina G. The Tongue, Mandible, Hyoid System.Eur J Transl Myol. 2017;27:74–76. [DOI] [PubMed] [PMC]
Fink M, Wähling K, Stiesch-Scholz M, Tschernitschek H. The functional relationship between the craniomandibular system, cervical spine, and the sacroiliac joint: a preliminary investigation.Cranio. 2003;21:202–8. [DOI] [PubMed]
Stiesch-Scholz M, Fink M, Tschernitschek H. Comorbidity of internal derangement of the temporomandibular joint and silent dysfunction of the cervical spine.J Oral Rehabil. 2003;30:386–91. [DOI] [PubMed]
Steinmetz A, Möller H, Seidel W, Rigotti T. Playing-related musculoskeletal disorders in music students-associated musculoskeletal signs.Eur J Phys Rehabil Med. 2012;48:625–33. [PubMed]
Kok LM, Huisstede BMA, Voorn VMA, Schoones JW, Nelissen RGHH. The occurrence of musculoskeletal complaints among professional musicians: a systematic review.Int Arch Occup Environ Health. 2016;89:373–96. [DOI] [PubMed] [PMC]
Steinmetz A, Zeh A, Delank KS, Peroz I. Symptoms of craniomandibular dysfunction in professional orchestra musicians.Occup Med (Lond). 2014;64:17–22. [DOI] [PubMed]
Campos LGN, Pedrosa BH, Cavalcanti RVA, Stechman-Neto J, Gadotti IC, de Araujo CM, et al. Prevalence of temporomandibular disorders in musicians: A systematic review and meta-analysis.J Oral Rehabil. 2021;48:632–42. [DOI] [PubMed]
Baadjou VAE, Roussel NA, Verbunt JAMCF, Smeets RJEM, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians.Occup Med (Lond). 2016;66:614–22. [DOI] [PubMed]
Niarchou M, Lin GT, Lense MD, Gordon RL, Davis LK. Medical phenome of musicians: an investigation of health records collected on 9803 musically active individuals.Ann N Y Acad Sci. 2021;1505:156–68. [DOI] [PubMed] [PMC]
Berque P, Gray H, McFadyen A. Development and psychometric evaluation of the Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians.Man Ther. 2014;19:575–88. [DOI] [PubMed]
Lamontagne V, Bélanger C. Development and validation of a questionnaire on musculoskeletal pain in musicians.Med Probl Perform Art. 2012;27:37–42. [PubMed]
Lacerda F, Barbosa C, Pereira S, Manso MC. Estudo de prevalência das disfunções temporomandibulares articulares em estudantes de instrumentos de sopro.Rev Port Estomatol Med Dent Cir Maxilofac. 2015;56:25–33. [DOI]
Wiesenfeld-Hallin Z. Sex differences in pain perception.Gend Med. 2005;2:137–45. [DOI] [PubMed]
Rischer KM, González-Roldán AM, Montoya P, Gigl S, Anton F, van der Meulen M. Distraction from pain: The role of selective attention and pain catastrophizing.Eur J Pain. 2020;24:1880–91. [DOI] [PubMed] [PMC]
Zieliński G, Ginszt M, Zawadka M, Rutkowska K, Podstawka Z, Szkutnik J, et al. The Relationship between Stress and Masticatory Muscle Activity in Female Students.J Clin Med. 2021;10:3459. [DOI] [PubMed] [PMC]
Franz L, Travan L, Isola M, Marioni G, Pozzo R. Facial Muscle Activity Patterns in Clarinet Players: A Key to Understanding Facial Muscle Physiology and Dysfunction in Musicians.Ann Otol Rhinol Laryngol. 2020;129:1078–87. [DOI] [PubMed]
Howard JA, Lovrovich AT. Wind Instruments: Their Interplay with Orofacial Structures.Med Probl Perform Art. 1989;4:59–72.
Santos Da Silva CJ, Valério P, Borges Do Nascimento IJ, Araújo Da Silva Simoura J. Temporomandibular disorders among wind musical instrument players: an integrative review.J Funct Orthop Craniofac Growth. 2021;1:4–11. [DOI]
Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients.Int J Med Sci. 2012;9:539–44. [DOI] [PubMed] [PMC]
Ferreira CLP, da Silva MAMR, de Felício CM. Sinais e sintomas de desordem temporomandibular em mulheres e homens.CoDAS. 2016;28:17–21. [DOI]
Bueno CH, Pereira DD, Pattussi MP, Grossi PK, Grossi ML. Gender differences in temporomandibular disorders in adult populational studies: A systematic review and meta-analysis.J Oral Rehabil. 2018;45:720–9. [DOI] [PubMed]