Clinical trial NCT06344988: Physical and Functional Effects of Online Exercise Program on Musicians Playing Stringed Instruments
Official title: The Effect of Online Exercise Program on Musculoskeletal Problems, Upper Extremity Function, Physical Activity Level, Muscle Oxygenation, Reaction Time, Grip Strength and Pressure Pain Threshold in Musicians Playing Stringed Instruments
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Musculoskeletal Diseases or Conditions
Musculoskeletal Pain
Keywords: musicians playing stringed instruments
Lead sponsor: Bandırma Onyedi Eylül University
Sponsor class: OTHER
First posted: 2024-04-03
Enrollment: 38
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Musculoskeletal problems related to instrument playing or performance are frequently seen in musicians. Different interventions such as strength training, endurance training and yoga have been used in the management of these problems. The first specific exercise program for professional orchestra musicians was developed by Chan et al. However, it has been stated that it is difficult to encourage musicians' participation in exercise due to their constantly changing work schedules, and at this point, the use of digital media such as DVDs, USBs, and educational exercise videos may have a potential role.

On the other hand, it has been stated that smart wearable devices with mobile applications (such as smart watches, smart band) as digital health interventions are an interesting, interactive and efficient psychological strategy to promote physical activity and can be used as an intervention to promote a healthy lifestyle. Based on the literature, in our study, the exercise program developed by Chan et al., will be done online via "Google Meet" and symptoms can be evaluated with objective evaluation methods. Unlike other studies using digital media, exercises will be performed synchronously and feedback will be given to the musicians simultaneously, as in face-to-face exercises. In addition, all participants will be given a smart band, they will be encouraged to use it until the end of the study, and the change in their physical activity levels will be evaluated.


Eligibility criteria: Inclusion Criteria:

* Volunteering to participate in the study
* Agreeing to exercise once a week for 8 weeks
* Being between the ages of 18-65
* Playing a string instrument in Bursa Regional State Symphony Orchestra / Bursa Uludağ University State Conservatory / Bursa Uludağ University Faculty of Education Fine Arts Education Department, Department of Music Education / Ege University State Conservatory of Turkish Music
* Main instrument being a stringed instrument (violin, viola, cello, double bass)
* Playing an instrument for more than 5 years
* Having a musculoskeletal problem related to playing an instrument or performance

Exclusion Criteria:

* Having a musculoskeletal problem that is not related to playing an instrument or performance
* Playing the instrument less than 15 hours per week
* Having had a corticosteroid injection within 6 weeks
* Having used anti-inflammatory or gabapentin within 3 weeks
* Having had any surgical operation that would prevent exercise in the last 6 months
* Having any diagnosed neurological and/or orthopedic problem that would prevent exercise in the last 6 months
* Having a diagnosed psychiatric problem
* Maximum subcutaneous fat thickness more than 12 mm

Primary outcomes:
measure: Musculoskeletal problems
timeFrame: baseline and 8 weeks after baseline
measure: Muscle oxygenation
timeFrame: baseline and 8 weeks after baseline
measure: Pressure pain threshold
timeFrame: baseline and 8 weeks after baseline
measure: Reaction time
timeFrame: baseline and 8 weeks after baseline
measure: Grip strength
timeFrame: baseline and 8 weeks after baseline
Secondary outcomes:
measure: Upper extremity function
timeFrame: baseline and 8 weeks after baseline
measure: Physical activity level
timeFrame: baseline and 8 weeks after baseline
Other outcomes:
Locations:
city: Bursa
country: Turkey
facility: Bursa Regional State Symphony Orchestra
city: Bursa
country: Turkey
facility: Bursa Uludağ University Faculty of Education Fine Arts Education Department, Department of Music Education
city: Bursa
country: Turkey
facility: Bursa Uludağ University State Conservatory
city: İzmir
country: Turkey
facility: Ege University State Conservatory of Turkish Music
Study officials:
affiliation: Dokuz Eylul University
name: Selnur Narin Aral, Assoc. Prof.
role: STUDY_DIRECTOR
References:
citation: Chan C, Driscoll T, Ackermann B. Development of a specific exercise programme for professional orchestral musicians. Inj Prev. 2013 Aug;19(4):257-63. doi: 10.1136/injuryprev-2012-040608. Epub 2012 Dec 4.
citation: Chan C, Driscoll T, Ackermann B. Exercise DVD effect on musculoskeletal disorders in professional orchestral musicians. Occup Med (Lond). 2014 Jan;64(1):23-30. doi: 10.1093/occmed/kqt117. Epub 2013 Nov 9.
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citation: Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, Tokgozoglu L. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010 Aug;111(1):278-84. doi: 10.2466/06.08.PMS.111.4.278-284.
citation: Crum EM, O'Connor WJ, Van Loo L, Valckx M, Stannard SR. Validity and reliability of the Moxy oxygen monitor during incremental cycling exercise. Eur J Sport Sci. 2017 Sep;17(8):1037-1043. doi: 10.1080/17461391.2017.1330899. Epub 2017 May 30.
citation: Chesterton LS, Sim J, Wright CC, Foster NE. Interrater reliability of algometry in measuring pressure pain thresholds in healthy humans, using multiple raters. Clin J Pain. 2007 Nov-Dec;23(9):760-6. doi: 10.1097/AJP.0b013e318154b6ae.
citation: de-Oliveira LA, Matos MV, Fernandes IGS, Nascimento DA, da Silva-Grigoletto ME. Test-Retest Reliability of a Visual-Cognitive Technology (BlazePod) to Measure Response Time. J Sports Sci Med. 2021 Mar 1;20(1):179-180. doi: 10.52082/jssm.2021.179. eCollection 2021 Mar. No abstract available.