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Clinical Trial NCT06344988 for Musculoskeletal Diseases or Conditions, Musculoskeletal Pain is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
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Physical and Functional Effects of Online Exercise Program on Musicians Playing Stringed Instruments 38 Digital Health Wearable Device Mobile App Lifestyle
Clinical Trial NCT06344988 is an interventional study for Musculoskeletal Diseases or Conditions, Musculoskeletal Pain that is recruiting. It started on 22 January 2024 with plans to enroll 38 participants. Led by Bandırma Onyedi Eylül University, it is expected to complete by 1 January 2025. The latest data from ClinicalTrials.gov was last updated on 3 April 2024.
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' participat...Show More
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
Conditions
Musculoskeletal Diseases or ConditionsMusculoskeletal PainPublications
Scientific articles and research papers published about this clinical trial:Other Study IDs
- 2023/41-10
NCT ID Number
Start Date (Actual)
2024-01-22
Last Update Posted
2024-04-03
Completion Date (Estimated)
2025-01
Enrollment (Estimated)
38
Study Type
Interventional
PHASE
N/A
Status
Recruiting
Keywords
musicians playing stringed instruments
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
None (Open Label)
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalIntervention Group A 40-minute online education presentation will be given on the role of postural and dynamic muscles, the importance of physical activity, the gradual adaptation of the body to workload and physical stressors, rest, and injury management. They will also be asked to wear a smart band. Additionally, the exercise program developed by Chan et al., will be practised online via "Google Meet" once a week for 8 weeks, each se...Show More | The exercise program The exercise program developed by Chan et al., consists of a 30-minute exercise period with 5 minute warm-up (diaphragmatic breathing, general body movements) and 5-10 minute cool-down (stretching exercises in addition to the exercises in the warm-up period) periods. Exercises include 6 steps and 5 series (neck, shoulder, spine, abdominals, hip) according to difficulty level. The total exercise program takes 40-45 mi...Show More Online education presentation This online education presentation includes the role of postural and dynamic muscles, the importance of physical activity, gradual adaptation of the body to workload and physical stressors, rest, and injury management. The education takes 40 minutes and will be done once. Smart band Participants will be given a Xiaomi Mi Smart Band 5 and will be asked not to remove the smart band except for bathing for 8 weeks, and to download the smart phone application (Zepp Life) compatible with the smart band to their phones, which will allow their steps to be recorded on a weekly basis. |
OtherControl Group A 40-minute online education presentation will be given on the role of postural and dynamic muscles, the importance of physical activity, the gradual adaptation of the body to workload and physical stressors, rest, and injury management. They will also be asked to wear a smart band. | Online education presentation This online education presentation includes the role of postural and dynamic muscles, the importance of physical activity, gradual adaptation of the body to workload and physical stressors, rest, and injury management. The education takes 40 minutes and will be done once. Smart band Participants will be given a Xiaomi Mi Smart Band 5 and will be asked not to remove the smart band except for bathing for 8 weeks, and to download the smart phone application (Zepp Life) compatible with the smart band to their phones, which will allow their steps to be recorded on a weekly basis. |
Primary Outcome Measures
Secondary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Musculoskeletal problems | The Cornell Musculoskeletal Discomfort Questionnaire will be used to evaluate musculoskeletal problems. The questionnaire includes visuals of different parts of the body, and in these parts, the frequency and severity of pain, ache or discomfort felt by the person within a week, and whether it prevents work are questioned separately. The Turkish validity of the questionnaire was found to be good at .62-.92, and the test-retest reliability was found to be adequate at .56-.97. A high score from the questionnaire indicates that musculoskeletal problems are intense. | baseline and 8 weeks after baseline |
Muscle oxygenation | The Moxy muscle oxygen monitor is a lightweight and small device that measures regional blood flow and oxygenation by placing it on the skin non-invasively using near infrared spectroscopy (NIRS). The Moxy muscle oxygen monitor has been shown to be a valid and reliable device in terms of muscle oxygenation compared to other NIRS devices. Its validity in measuring muscle oxygenation (SROC: r = 0.842-0.993, ICC: r = 0.773-0.992, p \< .01) was found to be strong or very good, and its reliability was moderate to high in low-intensity exercise. The left deltoid muscle will be evaluated in musicians. The evaluation will be made at rest (3 minutes), in the instrument holding position (3 minutes), during the instrument playing position (3 minutes) and at rest after playing the instrument (3 minutes).
Note: The maximum subcutaneous fat thickness that the device can measure is 12 mm. A skinfold caliper will be used to identify participants who will be excluded from the study. | baseline and 8 weeks after baseline |
Pressure pain threshold | Pressure pain threshold, defined as the minimum force that triggers pain, is measured with a tool called an algometer. The value obtained when the person indicates the time when the feeling of pressure turns into a painful feeling is recorded in kg/cm2. The lower the value, the lower the person's pressure pain threshold. In the reliability study of the algometer device, the ICC value was found to be high at = 0.91. For musicians, evaluations will be taken from the right and left trapezius muscle and the right and left lateral epicondyle. | baseline and 8 weeks after baseline |
Reaction time | BlazePod™ will be used to measure reaction time. It was stated that the ICC value was 0.82. A lighting protocol is created via the mobile application for the use of the device. In this device, which consists of sensors, the time taken for the participants to turn off the visual stimulus is recorded in milliseconds. The device planned to be used in the study will consist of 3 sensors. There will be 2 simple and 1 choice reaction time assessments. For simple reaction time, the participants' right hand will be evaluated first, then their left hand (with a blue light on the sensor). For choice reaction time, participants will be asked to use their right hand when the blue light is on and their left hand when the red light is on. Participant reaction time data will be accessed via the BlazePod mobile application. | baseline and 8 weeks after baseline |
Grip strength | Saehan dynamometer will be used to measure grip strength. The evaluation will be made with the elbow in 90° flexion and the forearm in a neutral position, which is the standard test position of the American Association of Hand Therapists. Evaluations will be made in 3 repetitions on the right and left hands and the average of the obtained values will be taken. Test-retest reliability was found to be excellent for the Saehan dynamometer (r=0.981 right hand and r=0.985 left hand). | baseline and 8 weeks after baseline |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Upper extremity function | The Disabilities of the Arm, Shoulder and Hand (DASH) will be used to evaluate upper extremity function. The Turkish validity and reliability study of the DASH was conducted by Düger et al. A high score from the DASH results indicates a high level of disability. | baseline and 8 weeks after baseline |
Physical activity level | Physical activity level will be evaluated both with the data obtained from the smart band and the International Physical Activity Questionnaire Short Form (IPAQ-SF).
Smart band: Participants' weekly step count will be recorded with Xiaomi Mi Smart Band 5. They will be asked to download the smart phone application (Zepp Life) for iOS or Android, which is compatible with the smart band to phones.
International Physical Activity Questionnaire Short Form (IPAQ-SF): The Turkish validity and reliability study of the questionnaire was conducted by Saglam et al. The questionnaire evaluates the time spent on vigorous and moderate physical activity, walking and sitting in the last 7 days. | baseline and 8 weeks after baseline |
Participation Assistant
Eligibility Criteria
Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
- 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
- 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
Study Responsible Party
Sule Kecelioglu, Principal Investigator, Research Assistant, Bandırma Onyedi Eylül University
Study Central Contact
Contact: Sule Kecelioglu, MSc, +90 (266) 717 01 17, [email protected]
4 Study Locations in 1 Countries
Bursa Regional State Symphony Orchestra, Bursa, 16000, Turkey (Türkiye)
Umut Çanakçı, Musician, Contact, +90 (224) 225 59 70
Sule Kecelioglu, MSc, Principal Investigator
Selnur Narin Aral, Assoc. Prof., Sub-Investigator
Recruiting
Bursa Uludağ University Faculty of Education Fine Arts Education Department, Department of Music Education, Bursa, 16285, Turkey (Türkiye)
Gülnihal Gül, Assoc. Prof., Contact, +90 (224) 294 09 42
Sule Kecelioglu, MSc, Principal Investigator
Selnur Narin Aral, Assoc. Prof., Sub-Investigator
Recruiting
Bursa Uludağ University State Conservatory, Bursa, 16285, Turkey (Türkiye)
Görkem Çalgan, Prof. Dr., Contact, +90 (224) 294 27 00
Sule Kecelioglu, MSc, Principal Investigator
Selnur Narin Aral, Assoc. Prof., Sub-Investigator
Recruiting
Ege University State Conservatory of Turkish Music, Izmir, 35100, Turkey (Türkiye)
Nurdan Gürtunca, Assoc. Prof., Contact, +90 (232) 311 29 44
Sule Kecelioglu, MSc, Principal Investigator
Selnur Narin Aral, Assoc. Prof., Sub-Investigator
Recruiting