BackgroundDespite increasing recognition of the physical and psychological demands of professional music-making, the occupational health of orchestral musicians remains under-researched compared to other high-performance professions (Musgrave, 2022; Rickert et al., 2013). Research highlights pressures such as performance anxiety, irregular schedules, physical strain from instrumental playing, and complex social dynamics within ensembles (Berque et al., 2016; Holst et al., 2012; Kenny & Ackermann, 2015; Williamon & Thompson, 2006). These factors contribute to musculoskeletal problems and stress-related mental health concerns (Rickert et al., 2013). However, the mechanisms through which work environments shape musicians’ wellbeing are still insufficiently theorised.AimThis study investigates how orchestral musicians’ work environments influence their health outcomes, with a focus on the mediating role of Sense of Coherence (SOC). SOC, drawn from Antonovsky’s (1988) salutogenic model, describes an individual’s capacity to perceive stressors as comprehensible, manageable, and meaningful. Another focus of this research is the moderating role of Higher Music Education (HME), where pedagogical practices may influence musicians’ capacity to cope with occupational demands. This is particularly significant given recent calls for HME institutions to better prepare students for the psychological and physical realities of professional careers (Musgrave, 2022; Perkins et al., 2015; Rickert et al., 2013).ApproachThe study will employ a mixed-methods design. Quantitative data will be gathered through surveys assessing musicians’ perceptions of work environment stressors, their health outcomes, and SOC levels. These measures will allow for statistical modelling of mediation and moderation effects. To complement this, qualitative interviews will be conducted with professional orchestral musicians to provide rich accounts of their experiences and insights into the influence of educational preparation on coping strategies. This dual approach is intended to capture both generalisable patterns and individual perspectives. Potential participants for this research may include members of professional and youth orchestras.Key PointsIt is anticipated that stronger SOC will be associated with more positive health outcomes in musicians, even under demanding working conditions (Betke et al., 2021; Feldt, 1997; Mittelmark et al., 2022). Furthermore, exposure to health-related training during HME is expected to moderate these effects, supporting the development of resilience and more adaptive coping mechanisms. Equally, the presence of a supportive and well-structured working environment is expected to play a crucial role in strengthening SOC and sustaining wellbeing (Graeser, 2011; Hiemstra et al., 2024; Roskams & Haynes, 2019). The findings will contribute to a clearer understanding of how occupational factors, personal resources, and educational preparation interact in shaping musicians’ wellbeing through the lens of Salutogenesis.ImplicationsAlthough the research is in progress, its implications are significant. Findings will inform the integration of health promotion and resilience-building strategies into HME curricula. By embedding salutogenic principles within instrumental pedagogy—through training in stress management, injury prevention, and psychological wellbeing—educators can better prepare students for sustainable careers in orchestral performance. Equally, the results will highlight the importance of supportive working environments within orchestras, where policy making, leadership practices, and workplace culture can reinforce SOC and protect musicians’ health. The project therefore contributes to both occupational health research and the pedagogical development of music education, while also offering insights for orchestra management and performing arts organisations seeking to foster healthier, more sustainable career pathways for professional musicians.Key words: Salutogenesis, Orchestral Musicians’ Health and Music Education