Prevalence of Upper Extremity Pain among Tabla Players working in Islamabad/Rawalpindi

Abstract

Background: Upper extremity pain is a significant concern among musicians, particularly those involved in repetitive and high-stress activities such as playing the tabla. This study aims to assess the prevalence and risk factors of upper extremity pain and associated functional disabilities in tabla players based in Islamabad and Rawalpindi. Objective: To determine the prevalence of upper extremity pain and functional disability among tabla players and to identify associated risk factors. Methods: A cross-sectional descriptive survey was conducted at music schools, academies, and churches in Islamabad and Rawalpindi. The study spanned five months from June 23, 2023, following the approval of the synopsis. A sample size of 100 male tabla players aged 19-38 years, with at least two years of playing experience and a minimum of two practice sessions per week, was selected using a non-probability convenient sampling technique. Data collection tools included the Visual Analogue Scale (VAS) for pain assessment and the Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire for evaluating functional limitations. Participants with a history of upper extremity diseases, surgical history, trauma, or congenital deformities were excluded. Descriptive analysis was performed using SPSS version 25, with frequencies, percentages, and p-values calculated to determine statistical significance. Results: Among the participants, 40% were aged 19-23 years, 26% were aged 24-28 years, 31% were aged 29-33 years, and 3% were aged 34-38 years. The prevalence of upper extremity pain was 89%, and functional disability was 88%. Pain levels varied with playing hours per week: 11% reported no pain, 16% had mild pain, 67% experienced moderate pain, and 6% had severe pain. Functional disability scores were similarly distributed across playing hours, with 11% reporting no disability, 16% mild disability, 67% moderate disability, and 6% severe disability. The relationship between playing hours and both VAS and DASH scores was statistically significant (p-values 0.045 and 0.032, respectively). Conclusion: The study revealed a high prevalence of upper extremity pain and functional disability among tabla players, significantly impacting their quality of life. Key risk factors included repetitive movements, abnormal posture, prolonged practice hours, poor technique, age, and gender. These findings underscore the need for preventive strategies and targeted interventions to reduce musculoskeletal disorders in this population.