Prevention of Musculoskeletal Injuries in Musicians

March 3, 2022 updated by: Margarita Pino Juste

Prevention Programme for Cervicomandibular Musculoskeletal Injuries in Wind Musicians

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.

Study Overview

Status

Enrolling by invitation

Conditions

Intervention / Treatment

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.

Study Type

Interventional

Enrollment (Anticipated)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Spain
      • Pontevedra, Spain, 36005
        • Facultade de Ciencias da Educación e do Deporte

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental Group
Performance of a warm-up and cool-down exercise programme for the cervical and mandibular region before and after instrumental practice.
Other: Exercise programme
Performing a programme of warm-up and stretching exercises for the cervico-mandibular region aimed at improving mobility and muscle condition.
Other Names:
  • Warm-up and cool-down exercise programme
No Intervention: Control Group

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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cervical range of movement
Time Frame: Change from baseline at 3 months
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
Time Frame: Change from baseline at 3 months
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
Time Frame: Change from baseline at 3 months
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
Time Frame: Change from baseline at 3 months
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
Time Frame: Change from baseline at 3 months
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 Outcome Measures

Outcome Measure
Measure Description
Time Frame
Trapezius muscle activation
Time Frame: Change from baseline at 3 months
EMG assessment of resting and maximal contraction activation of the trapezius muscle. Surface EMG is a validated tool for measuring muscle activation.
Change from baseline at 3 months
Masseter muscle activation
Time Frame: Change from baseline at 3 months
EMG assessment of resting and maximal contraction activation of the masseter muscle. Surface EMG is a validated tool for measuring muscle activation.
Change from baseline at 3 months
Trapezius muscle pain threshold
Time Frame: Change from baseline at 3 months
Pain threshold assessment at the trigger point of the upper trapezius muscle with a digital algometer. The digital algometer is a validated tool for assessing muscle pain threshold.
Change from baseline at 3 months
Masseter muscle pain threshold
Time Frame: Change from baseline at 3 months
Pain threshold assessment at the trigger point of the masseter muscle with a digital algometer. The digital algometer is a validated tool for assessing muscle pain threshold.
Change from baseline at 3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Margarita Pino Juste

Investigators

  • Study Director: Margarita Pino-Juste, Professor, University of Vigo

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 23, 2022

Primary Completion (Anticipated)

May 1, 2022

Study Completion (Anticipated)

June 1, 2022

Study Registration Dates

First Submitted

March 3, 2022

First Submitted That Met QC Criteria

March 3, 2022

First Posted (Actual)

March 14, 2022

Study Record Updates

Last Update Posted (Actual)

March 14, 2022

Last Update Submitted That Met QC Criteria

March 3, 2022

Last Verified

March 1, 2022

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2021/522

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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