Clinical trial NCT05277649: Prevention of Musculoskeletal Injuries in Musicians
Official title: Prevention Programme for Cervicomandibular Musculoskeletal Injuries in Wind Musicians
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Cervical and Mandibular Pain and Disorders in Wind Players
Keywords: Musculoskeletal pain
Neck pain
Temporomandibular disorders
Posture
Musician
Lead sponsor: University of Vigo
Sponsor class: OTHER
First posted: 2022-03-14
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study consists of an experimental group, which will receive an intervention, and a control group, which will neither receive nor receive any intervention.
Primary purpose: PREVENTION

Brief summary: Musicians are a group with a high prevalence of musculoskeletal injuries. In particular, wind musicians, due to their playing requirements, are prone to suffer from cervical and mandibular alterations.

For this reason, a specific exercise programme has been designed with the aim of analysing its effectiveness in improving these regions.

Detailed description: This study is a clinical trial with a control group whose participants are university music students specialising in wind instrument performance.

The intervention of the participants in the Experimental Group consists of the individual performance of a specific programme of warm-up exercises prior to instrumental practice aimed at improving the mobility and strength of the cervical and mandibular regions, as well as a series of cool-down exercises after instrumental practice based on stretching the main muscles of both regions.

Participants in the Control Group will continue their normal life without performing any specific exercise previously taught by the researchers.

For the evaluation of the programme, an initial evaluation and a re-evaluation after 12 weeks will be carried out. In both, cervical and jaw mobility as well as body posture will be assessed. In addition, at the muscular level, the activity of the upper trapezius and masseter muscles will be assessed, and the pain threshold at trigger points will also be measured.

The hypotheses are that by carrying out the exercise programme designed for wind musicians, an improvement in body posture, in the range of cervical and jaw mobility and in muscle activation will be achieved, as well as a decrease in the pain threshold.

For the study of the results, an inferential statistical analysis of the data will be carried out using the Wilcoxon test for paired data or Student's t-test for repeated measures according to the sample characteristics in order to determine the effect of the exercise programme on the different variables of the experimental process. Correlation statistics will be used to establish the association between certain quantitative explanatory variables and ANOVA for categorical variables. The level of significance will be kept at p\<.05 and all calculations will be carried out using the SPSS 22.0 statistical programme.

Eligibility criteria: Inclusion Criteria:

* Woodwind or metal musicians
* University students of music performance

Exclusion Criteria:

* Any surgical intervention in cervical spine, orofacial region or temporomandibular joint.
* Analgesics or physiotherapeutic treatment in the last 24h.
* Pregnancy

Primary outcomes:
measure: Cervical range of movement
timeFrame: Change from baseline at 3 months
measure: Temporomandibular range of movement
timeFrame: Change from baseline at 3 months
measure: Head position
timeFrame: Change from baseline at 3 months
measure: Head alignment
timeFrame: Change from baseline at 3 months
measure: Cervical and orofacial pain
timeFrame: Change from baseline at 3 months
Secondary outcomes:
measure: Trapezius muscle activation
timeFrame: Change from baseline at 3 months
measure: Masseter muscle activation
timeFrame: Change from baseline at 3 months
measure: Trapezius muscle pain threshold
timeFrame: Change from baseline at 3 months
measure: Masseter muscle pain threshold
timeFrame: Change from baseline at 3 months
Other outcomes:
Locations:
city: Pontevedra
country: Spain
facility: Facultade de Ciencias da Educación e do Deporte
Study officials:
affiliation: University of Vigo
name: Margarita Pino-Juste, Professor
role: STUDY_DIRECTOR
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