This systematic review aimed to evaluate whether muscle activity and playing-related musculoskeletal disorders are associated with musicians’ anthropometrics and their instrument size or set-up during violin and piano performance. Studies were retrieved systematically from six databases on 1 April 2019 combined with hand searching results. The Appraisal tool for Cross-Sectional Studies (AXIS tool) was used to evaluate the methodological quality of the included papers. A total of twenty articles were identified. Most included studies focussed on either the adjustment of the shoulder rest in violinists, or the hand size in pianists. However, methodological quality was inconsistent. The electromyography data reported by the included studies were not appropriately processed and interpreted. Studies generally reported the use of a shoulder rest changes muscle activity and smaller hand size is correlated to increased playing-related musculoskeletal disorders incidence. However, no conclusions can be drawn due to heterogeneity and low quality of methodology in the available literature.

这项系统的评估旨在评估肌肉活动和与演奏有关的肌肉骨骼疾病是否与音乐家的人体测量学及其在小提琴和钢琴演奏中的乐器尺寸或设置有关。在2019年4月1日从六个数据库中系统检索了研究结果，并结合了人工搜索结果。跨学科研究评估工具（AXIS工具）用于评估所包括论文的方法学质量。总共确定了二十篇文章。大多数纳入的研究都集中在小提琴手的肩托调整或钢琴手的手大小上。但是，方法学质量并不一致。纳入研究报告的肌电图数据未得到适当处理和解释。研究通常报告说，使用肩垫会改变肌肉活动，较小的手掌尺寸会增加与运动相关的肌肉骨骼疾病的发生率。然而，由于现有文献中的异质性和低质量的方法，无法得出任何结论。