Clinical trial NCT05640557: Exercises and Performance Anxiety Among Young Instrumentalists.
Official title: The Effect of an Exercise Program Designed for Young Instrumentalists (Musicians) on Music Performance Anxiety
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Musculoskeletal Pain
Performance Anxiety
Keywords: Occupational Stress
Musculoskeletal Pain
Performance anxiety
Occupational Diseases
Exercise Therapy
Lead sponsor: Józef Piłsudski University of Physical Education
Sponsor class: OTHER
First posted: 2022-12-07
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: There will be two groups: study group (taking a part in the exercise program) and control (no intervention).
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to assess the impact of an original exercise program intended for students of the University of Music on dealing with stage fright and its psychophysical symptoms.

Detailed description: The study group covers students of a music university who play various musical instruments. Participants will be divided into the experimental and control groups. The study duration is scheduled to be 6 weeks. The control group will not have any intervention. The experimental group will undertake 45 mins exercise classes twice a week. Each exercise session will consist of an initial part (warm-up), a main part with exercises designed to strengthen the postural muscles and stretch the contracted muscle groups that are especially prone to pain in musicians (back and upper limbs), and a final part of calming and breathing exercises.

At the beginning and at the end of the study, participants of both groups will be asked to complete a Polish version of validated psychological questionnaires: Kenny Music Performance Anxiety Inventory-Revised, Ogińska-Bulik's \& Juczyński's Resiliency Assessment Scale (SPP-25), Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians of the Polish Population (MPIIQM-P) and one original questionnaire assessing the stress level before, during and after a performance. All participants will also undergo physical examination. A measurement of the range of motion of trunk flexion in standing (cm) and the algometric measurement of the pain threshold (kg/cm2) of selected back muscles (trapezius muscles, upper and lower and levator scapula) on the right and left sides of the body. Algometric measurements will be made using the Pain Test FPX algometer Algometer (Wagner).

Statistical analysis. The variables will be coded and analyzed using the STATISTICA program. Baseline demographics will be compared between groups (independent t-tests, chi-square tests). Two-way mixed-model analyses of variance (ANOVA) will explore the effect of the exercise program on symptoms and anxiety.

Eligibility criteria: Inclusion Criteria:

* playing on a musical instrument for at least 5 years
* age 18 to 35
* consent to participate in the study
* participation in at least 8 meetings (exercise) within 6 weeks

Exclusion Criteria:

* current (last 3 months) locomotor injuries (fractures, sprains, dislocations), medical contraindications to exercise, confirmed by a medical opinion
* neurological and oncological diseases confirmed by a medical diagnosis
* previous spine surgeries, scoliosis confirmed by radiograph (\<10ᵒ Cobb)
* regular intake of muscle relaxants, painkillers, anti-inflammatory drugs, anti-depressants
* age under 18 or over 35
* no consent to participate in the study to participate in the study.

Primary outcomes:
measure: Anxiety level - total
timeFrame: Before starting the study
measure: Anxiety level - specific psychological predispositions (SPP)
timeFrame: Change between Baseline and post-treatment, 6 weeks
measure: Pain Interference
timeFrame: Change between Baseline and post-treatment, 6 weeks
measure: Pain Intensity
timeFrame: Change between Baseline and post-treatment, 6 weeks
measure: Anxiety level - biological predisposition (BP)
timeFrame: Change between Baseline and post-treatment, 6 weeks
Secondary outcomes:
measure: Flexibility level
timeFrame: Change between Baseline and post-treatment, 6 weeks
measure: Resilience level
timeFrame: Before starting the study
measure: Changes in algometric measurements
timeFrame: Change between Baseline and post-treatment, 6 weeks
measure: Anxiety level - general psychological predisposition (GPP)
timeFrame: Before starting the study
measure: Anxiety level during last performance
timeFrame: Change between Baseline and post-treatment, 6 weeks
measure: Assessment of exercises an program
timeFrame: After 6 weeks of exercise program
Other outcomes:
measure: Age
timeFrame: Before starting the study
measure: Gender
timeFrame: Before starting the study
measure: Instrument played
timeFrame: Before starting the study
measure: Practice time (years)
timeFrame: Before starting the study
measure: Weekly practice time (hours)
timeFrame: Before starting the study
measure: Presence of pain
timeFrame: Baseline and after 6 weeks
measure: Localisation of pain (number)
timeFrame: Baseline and after 6 weeks
measure: Localisation of pain (body area)
timeFrame: Baseline and after 6 weeks
measure: Prevalence of pain
timeFrame: Baseline and after 6 weeks
Locations:
city: Warsaw
country: Poland
facility: Józef Piłsudski University of Physical Education in Warsaw
Study officials:
affiliation: Józef Piłsudski University of Physical Education in Warsaw
name: Anna K. Cygańska, Doctor
role: PRINCIPAL_INVESTIGATOR
References: