“…Conversely, the existing evidence reveals a high incidence of playing-related musculoskeletal disorders (PRMDs) (Joubrel et al, 2001;Wu, 2007;Brusky, 2010;Ackermann et al, 2012;Moraes and Antunes, 2012;Kok et al, 2013) and pain in the upper body (Engquist et al, 2004;Cruder et al, 2017), as well as pressure to perform and performance anxiety among musicians from early ages (Wesner et al, 1990;van Kemenade et al, 1995;Kenny et al, 2004;Kenny and Ackermann, 2015;Gembris et al, 2018). Research has identified numerous risk factors associated with reported PMRDs and pain, such as playing posture (Nyman et al, 2007;Cruder et al, 2017), hypermobile joints (Dawson, 2002), extended time playing instruments in constrained working conditions (Leaver et al, 2011), and performance anxiety (Kenny and Ackermann, 2015). Previous studies have also suggested that musicians' health-promoting behaviors, including engagement with physical activity, are limited (Kreutz et al, 2008(Kreutz et al, , 2009Nawrocka et al, 2013;Panebianco-Warrens et al, 2015;Araújo et al, 2017).…”