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Self-Reported Temporomandibular Disorder Symptoms and Related Knowledge Among Polish Opera Singers
Cezary Roman1, Mateusz Cybulski2, Anna Zalewska3
1Department of Clinical Phonoaudiology and Speech Therapy, Faculty of Health Sciences, Medical University of Bialystok, 15-295 Bialystok, Poland.
Journal of Clinical Medicine
|July 15, 2026
Summary
Many opera singers experience temporomandibular disorders (TMD) symptoms, with significant knowledge gaps about this condition. Early education and clinical assessment are crucial for vocalists to manage TMD effectively.
Area of Science:
- Oral and Maxillofacial Medicine
- Vocal Pedagogy
- Musculoskeletal Health
Background:
- Temporomandibular disorders (TMD) are prevalent musculoskeletal conditions affecting adults.
- The demanding nature of operatic singing, including technique and training, may contribute to TMD symptoms.
- Understanding TMD and its warning signs is vital for singers to seek timely medical attention.
Purpose of the Study:
- To evaluate self-reported TMD symptoms in Polish opera singers.
- To assess the level of TMD-related knowledge among this population.
- To identify potential correlations between TMD knowledge, symptoms, and vocal technique impact.
Main Methods:
- An online cross-sectional survey was administered to 241 Polish classically trained singers in 2024.
- The Fonseca Anamnestic Index (FAI) was used to screen for TMD symptoms and severity.
- A custom questionnaire addressed TMD knowledge and its perceived effect on vocal technique.
Main Results:
- A high prevalence of TMD symptoms was reported, with 78.4% falling into mild, moderate, or severe categories based on FAI scores.
- 87.1% of participants considered their TMD knowledge poor or only sufficient.
- Despite knowledge gaps, 89.6% recognized TMD's potential negative impact on vocal technique.
Conclusions:
- Frequent TMD-related symptoms were observed in Polish opera singers, highlighting a need for increased awareness.
- Gaps in TMD knowledge were identified, suggesting a need for targeted educational interventions.
- Previous TMD diagnosis correlated with symptom severity, underscoring the importance of early detection and management for vocal health.
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