Pilates Method and Therapeutic Exercise in Children That Play String Instruments

Study Overview
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Brief Summary
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Introduction: An inappropriate posture in children for a while kept playing some instrument of the group of the rubbed string, can cause pain and alterations of the spine, as it continues to consolidate. Objective: To study the benefits acquired during the application of the Pilates Method combined with therapeutic exercise against the Therapeutic Exercise to reduce alterations of the vertebral rachis in children from 10 to 14 years old who play instruments of rubbed strings.

Detailed Description
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Material and methods: A pilot study designed by a randomized controlled trial in two parallel intervention groups was carried out; 9 children performed the combination of the Pilates Method and Therapeutic Exercise (experimental) and 7 children performed the Therapeutic Exercise (control). At the beginning and at the end of the study, pain measurements have been made through the Visual Analogue Scale (EVA), and the Kinovea programme for the alignment of shoulder, scapula and hip postures.

Official Title
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Pilates Method and Therapeutic Exercise in Children That Play String Instruments: Pilot Study

Conditions
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Postural Kyphosis, Postural Lordosis, Postural Low Back Pain

Intervention / Treatment
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* Other: Pilates Method combined with Therapeutic exercice.
* Other: Therapeutic exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects with typical development and ages between 10 and 14 years old. Subjects who play the violin, viola, cello or double bass. Subjects who have learned to play the violin, viola, cello or double bass in this school year or up to a maximum of four previous years, eligible to receive Pilates classes. Subjects with cognitive ability to understand simple orders. Subjects who are enrolled this year in Orchestrated Neighborhoods. Exclusion Criteria: Subjects whose ages are not between 10 and 14 years of age. Subjects who do not play the violin, viola, cello, or double bass.Subjects who have more than four school years playing the violin, viola, cello or double bass. Subjects who do not have cognitive capacity to understand simple orders. Subjects who are not registered this year in Orchestrated Neighborhoods. Subjects who do not complete the four sessions of Therapeutic Exercise + Pilates or Therapeutic Exercise.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Pilot study designed by a randomized controlled trial in two parallel intervention groups
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br> | Other: Pilates Method combined with Therapeutic exercice.<br>* Children must perform specific exercices in this combined method with the pilates principes (for back) during 50 min (1 day per week) for 4 weeks.<br>|
| Active Comparator: Control group<br> | Other: Therapeutic exercise<br>* Children must perform specific exercices without the pilates principes (for back) during 50 min (1 day per week) for 4 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SVA | to assess the pain in children. The child must choose a number (0-10) depending of the pain intensity. | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Kinovea tool | to assess the alignement in shoulders, hips. It meusered in degrees of movement to observe the amplitud in the movemente and the simetry of joints. It is used a software to analyse the information and obtain the posture in the child. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pilates, Therapeutic Exercise, Children, String instruments, Vertebral column