Prevention of Musculoskeletal Injuries in Musicians

NCT05277649 | Unknown

• 1 other identifier: 2021/522
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

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.

Conditions

Cervical and Mandibular Pain and Disorders in Wind Players

Keywords

Musculoskeletal pain; Neck pain; Temporomandibular disorders; Posture; Musician

Outcome Measures

Primary Outcomes (5)

• Cervical range of movement

  Evaluation of cervical range of motion (flexion-extension, tilts and rotations) with Kinovea software. The Kinovea software is a validated tool to measure the movements of the cervical spine.

  Change from baseline at 3 months

• Temporomandibular range of movement

  Evaluation of the maximum jaw opening with a vernier caliper. A vernier caliper is a validated tool to measure the MMO (maximum mouth opening).

  Change from baseline at 3 months

• Head position

  Assessment of head position by calculation of the craniovertebral angle, sagittal head angle and shoulder angle using SAPO software. SAPO is a validated tool for head posture analysis.

  Change from baseline at 3 months

• Head alignment

  Horizontal alignment of the head and shoulders using SAPO software. SAPO is a validated tool for head posture analysis.

  Change from baseline at 3 months

• Cervical and orofacial pain

  Visual Analogic Scale. The pain VAS is a unidimensional measure of pain intensity, which has been widely used in diverse adult populations. The VAS is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured from 0 (no pain) to 10 (maximum pain). All the subjects will showed their pain level.

  Change from baseline at 3 months

Secondary Outcomes (4)

• Trapezius muscle activation

  Change from baseline at 3 months

• Masseter muscle activation

  Change from baseline at 3 months

• Trapezius muscle pain threshold

  Change from baseline at 3 months

• Masseter muscle pain threshold

  Change from baseline at 3 months

Study Arms (2)

Experimental Group

EXPERIMENTAL

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

Other: Exercise programme

Control Group

NO INTERVENTION

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.

Interventions

Exercise programme OTHER

Performing a programme of warm-up and stretching exercises for the cervico-mandibular region aimed at improving mobility and muscle condition.

Also known as: Warm-up and cool-down exercise programme

Experimental Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Woodwind or metal musicians
• University students of music performance

You may not qualify if:

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

Sponsors & Collaborators

• Margarita Pino Juste: lead

Study Sites (1)

Facultade de Ciencias da Educación e do Deporte

Pontevedra, 36005, Spain

Location

Related Publications (14)

• Abreu-Ramos AM, Micheo WF. Lifetime prevalence of upper-body musculoskeletal problems in a professional-level symphony orchestra: Age, gender, and instrument-specific results. Medical Problems of Performing Artists. 2007; 22(3): 97-104.

  BACKGROUND

• Barton R, Feinberg J. Effectiveness of an educational program in health promotion and injury prevention for freshman music majors. Medical Problems of Performing Artists. 2008; 23: 47-53.

  BACKGROUND

• Elwardany SH, El-Sayed WH, Ali MF. Reliability of Kinovea Computer Program in Measuring Cervical Range of Motion in Sagittal Plane. Open Access Library Journal. 2015; 2(9): 1-10.

  BACKGROUND

• García-Remeseiro T, Gutierrez-Sanchez A. Analysis of relationships between the use of visual display terminals, craniocervical angle and physical activity: A pilot study. Journal of Human Sport and Exercise. 2017; 12.

  BACKGROUND

• Rodriguez-Blanco C, Cocera-Morata FM, Heredia-Rizo AM, Ricard F, Almazan-Campos G, Oliva-Pascual-Vaca A. Immediate Effects of Combining Local Techniques in the Craniomandibular Area and Hamstring Muscle Stretching in Subjects with Temporomandibular Disorders: A Randomized Controlled Study. J Altern Complement Med. 2015 Aug;21(8):451-9. doi: 10.1089/acm.2014.0332. Epub 2015 Jun 2.

  PMID: 26218883 BACKGROUND

• Matei R, Ginsborg J. Physical Activity, Sedentary Behavior, Anxiety, and Pain Among Musicians in the United Kingdom. Front Psychol. 2020 Dec 3;11:560026. doi: 10.3389/fpsyg.2020.560026. eCollection 2020.

  PMID: 33424675 BACKGROUND

• Ruivo RM, Carita AI, Pezarat-Correia P. The effects of training and detraining after an 8 month resistance and stretching training program on forward head and protracted shoulder postures in adolescents: Randomised controlled study. Man Ther. 2016 Feb;21:76-82. doi: 10.1016/j.math.2015.05.001. Epub 2015 May 13.

  PMID: 26028408 BACKGROUND

• Steemers S, van Middelkoop M, de Boks GG, van Rijn RM, Bierma-Zeinstra SMA, Stubbe JH. The impact of injury definitions on measures of injury occurrence in classical music students: a prospective cohort study. BMC Musculoskelet Disord. 2020 Aug 11;21(1):534. doi: 10.1186/s12891-020-03490-0.

  PMID: 32781988 BACKGROUND

• Steinmetz A, Moller H, Seidel W, Rigotti T. Playing-related musculoskeletal disorders in music students-associated musculoskeletal signs. Eur J Phys Rehabil Med. 2012 Dec;48(4):625-33. Epub 2012 Nov 9.

  PMID: 23138678 BACKGROUND

• Steinmetz A, Scheffer I, Esmer E, Delank KS, Peroz I. Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany. Clin Rheumatol. 2015 May;34(5):965-73. doi: 10.1007/s10067-013-2470-5. Epub 2014 Jan 5.

  PMID: 24389813 BACKGROUND

• Steinmetz A, Zeh A, Delank KS, Peroz I. Symptoms of craniomandibular dysfunction in professional orchestra musicians. Occup Med (Lond). 2014 Jan;64(1):17-22. doi: 10.1093/occmed/kqt148. Epub 2013 Dec 11.

  PMID: 24336480 BACKGROUND

• van Selms MKA, Wiegers JW, van der Meer HA, Ahlberg J, Lobbezoo F, Visscher CM. Temporomandibular disorders, pain in the neck and shoulder area, and headache among musicians. J Oral Rehabil. 2020 Feb;47(2):132-142. doi: 10.1111/joor.12886. Epub 2019 Sep 24.

  PMID: 31520546 BACKGROUND

• Zaza C, Farewell VT. Musicians' playing-related musculoskeletal disorders: an examination of risk factors. Am J Ind Med. 1997 Sep;32(3):292-300. doi: 10.1002/(sici)1097-0274(199709)32:33.0.co;2-q.

  PMID: 9219660 BACKGROUND

• Rodriguez-Gude C, Taboada-Iglesias Y, Pino-Juste M. Prevention of cervical and mandibular dysfunction in wind musicians: a randomized controlled trial. Int J Occup Saf Ergon. 2025 Oct 18:1-8. doi: 10.1080/10803548.2025.2564526. Online ahead of print.

  PMID: 41108102 DERIVED

MeSH Terms

Conditions

Musculoskeletal Pain; Neck Pain; Temporomandibular Joint Disorders

Interventions

Warm-Up Exercise

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Joint Diseases; Stomatognathic Diseases

Intervention Hierarchy (Ancestors)

Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Margarita Pino-Juste, Professor

  University of Vigo

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: University Professor

Model Details: The study consists of an experimental group, which will receive an intervention, and a control group, which will neither receive nor receive any intervention.

Study Record Dates

• First Submitted: March 3, 2022
• First Posted: March 14, 2022
• Study Start: February 23, 2022
• Primary Completion: May 1, 2022
• Study Completion: June 1, 2022
• Last Updated: March 14, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)