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Musculoskeletal disorders in eSports athletes: A systematic review
Ludwig Schlesiger1, Jakub Oronowicz2,3, Christoph Lutter3
1Clinic for Orthopaedics and Trauma Surgery Diako Hospital Bremen Bremen Germany.
Journal of Experimental Orthopaedics
|June 8, 2026
Summary
Professional e-athletes experience high rates of musculoskeletal disorders due to prolonged sitting and repetitive movements. Preventive measures like ergonomic setups and physical training are crucial for eSports health.
Area of Science:
- Sports Medicine
- Occupational Health
- eSports Medicine
Background:
- eSports is growing professionally, raising concerns about player physical health.
- Prolonged sitting and repetitive movements in eSports may impact the musculoskeletal system.
- Research on eSports player musculoskeletal disorders and prevention is limited.
Purpose of the Study:
- To review scientific evidence on musculoskeletal disorder prevalence in professional eSports players.
- To identify potential preventative measures for eSports-related musculoskeletal issues.
Main Methods:
- Systematic literature search following PRISMA guidelines.
- Included studies published from 2005 onwards on professional e-athletes.
- Assessed study quality using adapted Newcastle-Ottawa Scale.
Main Results:
- Ten studies (789 e-athletes) found high musculoskeletal disorder prevalence (26.8%-86.2%).
- Commonly affected areas: lower back, shoulders, neck, wrists; eye fatigue also reported.
- Longer training and poor ergonomics correlated with symptoms; few sought medical help.
Conclusions:
- Musculoskeletal disorders significantly impact eSports performance.
- Preventive strategies include ergonomic stations, physical training, and regular check-ups.
- High-quality prospective studies are needed to establish causality.
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