Prevention of Musculoskeletal Injuries in Musicians

Margarita Pino Juste

Status: Unknown

Conditions: Cervical and Mandibular Pain and Disorders in Wind Players

Treatments: Other: Exercise programme

Study type: Interventional

Funder types: Other

Identifiers

NCT05277649

2021/522

Details and patient eligibility

About

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.

Full 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.

Enrollment: 40 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Experimental Group

Experimental group

Description:

Performance of a warm-up and cool-down exercise programme for the cervical and mandibular region before and after instrumental practice.

Treatment:

Other: Exercise programme

Control Group

No Intervention group

Description:

Participants in the control group will not make any changes in their instrumental practice habit. At the end of the study, participants in the control group will be asked to perform the exercises tested in the experimental group.