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Frequency-Dependent Effects of Mobilization-Based Exercise on Dynamic Postural Control in Orchestra Musicians: An Exploratory Randomized Controlled Trial

2 juni 2026 uppdaterad av: Assoc. Prof. Dr. Özgür EKEN, Inonu University

FREQUENCY-DEPENDENT EFFECTS OF MOBILIZATION-BASED EXERCISE ON DYNAMIC POSTURAL CONTROL IN ORCHESTRA MUSICIANS: AN EXPLORATORY RANDOMIZED CONTROLLED TRIAL

Orchestra musicians are exposed to prolonged asymmetric postures and repetitive upper-quarter loading that may affect postural control. This exploratory randomized controlled trial examined whether a four-week mobilization-based exercise program, delivered once or twice weekly, was associated with changes in static sensory-dependent balance and dynamic voluntary weight-shifting control.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

Posture is an important biomechanical concept that refers to the alignment of an individual's body segments against gravity in static or dynamic conditions. Postural control and balance are of great importance for individuals to perform daily living activities safely and effectively. Impairments in postural stability may lead to loss of balance, decreased movement efficiency, and mechanical loading on the musculoskeletal system, thereby predisposing individuals to problems such as pain and restricted movement. These negative outcomes become more pronounced particularly in groups whose professional performance largely depends on the precise and controlled use of the body.

Although there are various studies in the literature examining the effects of exercise programs aimed at preventing and correcting postural disorders, experimental studies investigating the effects of such interventions on postural control, particularly among orchestra musicians and in relation to different application frequencies, remain quite limited.

In this context, the present study aims to examine the effects of mobilization-based exercises and different application frequencies on postural control in individuals participating in an orchestra.

The study group consists of a total of 23 musicians who are flute and string instrument students enrolled in the orchestra-chamber music course. The participants were divided into three groups: a control group (n = 7), Experimental Group 1 (n = 8), and Experimental Group 2 (n = 8).

The research process will be carried out in four stages: pre-test, exercise intervention, acute test, and post-test. In the study, the Virtual Reality-Based Static Posturography System (StaticVR Virtualis) will be used to assess postural control.

It is hypothesized that the level of postural control will improve significantly over time in the experimental groups receiving mobilization-based exercises.

Studietyp

Interventionell

Inskrivning (Faktisk)

23

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Turkiet (Türkiye)
    • Battalgazi
      • Malatya, Battalgazi, Turkiet (Türkiye), 0444
        • Department of Physical Education and Sport Teaching, Faculty of Sports Sciences, Inonu University,, Malatya, Malatya 44280

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Ja

Beskrivning

Inclusion Criteria:

  • Being an active musician participating in an orchestra.
  • Being able to regularly attend all assessments and exercise sessions throughout the research process.
  • Voluntarily agreeing to participate in the study.
  • Having no neurological, orthopedic, or systemic health condition that could prevent posturography assessments or exercise applications.

Exclusion Criteria:

  • Having a neurological disorder that could affect balance performance.
  • Failing to regularly attend exercise sessions or assessment sessions.
  • Having an acute musculoskeletal injury or serious orthopedic problem that could prevent assessment or exercise application.
  • Wishing to withdraw from the study during the research process.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Grundläggande vetenskap
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Experimental Group 1
For Experimental Group 1 (n = 8), the mobilization exercise program was applied once a week.
Övrig: Experimental Group 1 Mobilization Exercises
The mobilization-based program, consisting of Cat-Camel Mobilization (2 × 15), Foam Roller Thoracic Extension (2 × 15), Scapular Retraction/Protraction (2 × 15), Pectoralis Minor Wall Stretch (2 × 30 s), Cervical Side Glide (2 × 15), and Shoulder Controlled Articular Rotations (2 × 12), was applied to Experimental Group 2 (n = 8) twice a week for 4 weeks.
Experimentell: Experimental Group 2
For Experimental Group 2 (n = 8), the mobilization exercise program was applied twice a week.
Övrig: Experimental Group 2 Mobilization Exercises
The mobilization-based program, consisting of Cat-Camel Mobilization (2 × 15), Foam Roller Thoracic Extension (2 × 15), Scapular Retraction/Protraction (2 × 15), Pectoralis Minor Wall Stretch (2 × 30 s), Cervical Side Glide (2 × 15), and Shoulder Controlled Articular Rotations (2 × 12), was applied to Experimental Group 1 (n = 8) once a week for 4 weeks.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in postural control
Tidsram: Baseline (Week 0), acute assessment (Week 2), and post-intervention (Week 4)
Postural control will be assessed using the StaticVR Virtualis virtual reality-based static posturography system. Change in postural control will be determined by comparing measurements obtained at baseline, acute assessment, and post-intervention.
Baseline (Week 0), acute assessment (Week 2), and post-intervention (Week 4)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Acute change in postural control
Tidsram: Baseline (Week 0) and Week 2
Short-term change in postural control will be assessed using the StaticVR Virtualis system by comparing baseline and week 2 measurements.
Baseline (Week 0) and Week 2
Post-intervention change in postural control
Tidsram: Baseline (Week 0) and Week 4
Post-intervention change in postural control will be assessed using the StaticVR Virtualis system by comparing baseline and week 4 measurements.
Baseline (Week 0) and Week 4

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Inonu University

Utredare

  • Huvudutredare: Özgür Eken, PhD, Assoc. Prof, Inonu University

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

5 mars 2026

Primärt slutförande (Faktisk)

5 april 2026

Avslutad studie (Faktisk)

5 maj 2026

Studieregistreringsdatum

Först inskickad

2 juni 2026

Först inskickad som uppfyllde QC-kriterierna

2 juni 2026

Första postat (Faktisk)

8 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

8 juni 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

2 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Andra studie-ID-nummer

  • INONU-POSTUR-2026-001

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

IPD-planbeskrivning

The individual participant data will not be shared to maintain the confidentiality of the participants, as per the ethical approval guidelines

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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