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Musculoskeletal Diseases or ConditionsNCT06344988

Physical and Functional Effects of Online Exercise Program on Musicians Playing Stringed Instruments

A study testing The exercise program, Online education presentation and Smart band in people with Musculoskeletal Diseases or Conditions and Musculoskeletal Pain, run by Bandırma Onyedi Eylül University at 4 sites in Turkey (Türkiye).

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
The exercise program, Online education presentation and Smart band
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
38 participants
Where
4 sitesTurkey (Türkiye)
Study dates
22 Jan 2024to Jan 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • 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

Trial locations and contacts

4 sites in 1 country.

Turkey (Türkiye)4 sites, 4 recruiting
  • Bursa Regional State Symphony Orchestra

    Bursa, 16000

    Umut Çanakçı, Musician, +90 (224) 225 59 70

    Sule Kecelioglu, MSc

    Recruiting
  • Bursa Uludağ University Faculty of Education Fine Arts Education Department, Department of Music Education

    Bursa, 16285

    Gülnihal Gül, Assoc. Prof., +90 (224) 294 09 42

    Sule Kecelioglu, MSc

    Recruiting
  • Bursa Uludağ University State Conservatory

    Bursa, 16285

    Görkem Çalgan, Prof. Dr., +90 (224) 294 27 00

    Sule Kecelioglu, MSc

    Recruiting
  • Ege University State Conservatory of Turkish Music

    Izmir, 35100

    Nurdan Gürtunca, Assoc. Prof., +90 (232) 311 29 44

    Sule Kecelioglu, MSc

    Recruiting

Other trials in Turkey (Türkiye)

About this study

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

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' participation in exercise due to their constantly changing work schedules, and at this point, the use of digital media such as DVDs, USBs, and educational exercise videos may have a potential role.

On the other hand, it has been stated that smart wearable devices with mobile applications (such as smart watches, smart band) as digital health interventions are an interesting, interactive and efficient psychological strategy to promote physical activity and can be used as an intervention to promote a healthy lifestyle. Based on the literature, in our study, the exercise program developed by Chan et al., will be done online via "Google Meet" and symptoms can be evaluated with objective evaluation methods. Unlike other studies using digital media, exercises will be performed synchronously and feedback will be given to the musicians simultaneously, as in face-to-face exercises. In addition, all participants will be given a smart band, they will be encouraged to use it until the end of the study, and the change in their physical activity levels will be evaluated.

Being tested
The exercise program, Online education presentation, Smart band
Keywords
musicians playing stringed instruments
Medical subject headings
Musculoskeletal Diseases, Musculoskeletal Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • The exercise programOther

    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 minutes.

  • Online education presentationOther

    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 bandDevice

    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.

Study groups in NCT06344988
Study groupRoleWhat they receive
Intervention GroupExperimentalA 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 session lasting 40-45 minutes.
Receives: Other: The exercise program; Other: Online education presentation; Device: Smart band
Control GroupOtherA 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.
Receives: Other: Online education presentation; Device: Smart band

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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.

    Measured: baseline and 8 weeks after baseline

  2. 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.

    Measured: baseline and 8 weeks after baseline

  3. 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.

    Measured: baseline and 8 weeks after baseline

  4. 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.

    Measured: baseline and 8 weeks after baseline

  5. 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).

    Measured: baseline and 8 weeks after baseline

Secondary outcomes (2)
  1. 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.

    Measured: baseline and 8 weeks after baseline

  2. 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.

    Measured: baseline and 8 weeks after baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Apr 2024
  2. Study start22 Jan 2024
  3. Primary completionJun 2024 (estimated)
  4. Study completionJan 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
38 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06344988
Sponsor's protocol ID
2023/41-10
Status last verified
Mar 2024
First submitted
28 Mar 2024
Last updated
3 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chan C, Driscoll T, Ackermann B. Development of a specific exercise programme for professional orchestral musicians. Inj Prev. 2013 Aug;19(4):257-63. doi: 10.1136/injuryprev-2012-040608. Epub 2012 Dec 4.

    PubMed 23211353
  • Chan C, Driscoll T, Ackermann B. Exercise DVD effect on musculoskeletal disorders in professional orchestral musicians. Occup Med (Lond). 2014 Jan;64(1):23-30. doi: 10.1093/occmed/kqt117. Epub 2013 Nov 9.

    PubMed 24213243
  • Roos M, Roy JS. Effect of a rehabilitation program on performance-related musculoskeletal disorders in student and professional orchestral musicians: a randomized controlled trial. Clin Rehabil. 2018 Dec;32(12):1656-1665. doi: 10.1177/0269215518785000. Epub 2018 Jun 29.

    PubMed 29954190
  • Yen HY. Smart wearable devices as a psychological intervention for healthy lifestyle and quality of life: a randomized controlled trial. Qual Life Res. 2021 Mar;30(3):791-802. doi: 10.1007/s11136-020-02680-6. Epub 2020 Oct 26.

    PubMed 33104939
  • Zaza C, Charles C, Muszynski A. The meaning of playing-related musculoskeletal disorders to classical musicians. Soc Sci Med. 1998 Dec;47(12):2013-23. doi: 10.1016/s0277-9536(98)00307-4.

    PubMed 10075243
  • Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3):251-60. doi: 10.3233/WOR-2011-1173.

    PubMed 21709361
  • Jester A, Harth A, Wind G, Germann G, Sauerbier M. Disabilities of the arm, shoulder and hand (DASH) questionnaire: Determining functional activity profiles in patients with upper extremity disorders. J Hand Surg Br. 2005 Feb;30(1):23-8. doi: 10.1016/j.jhsb.2004.08.008.

    PubMed 15620487
  • Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, Tokgozoglu L. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010 Aug;111(1):278-84. doi: 10.2466/06.08.PMS.111.4.278-284.

    PubMed 21058606
  • Crum EM, O'Connor WJ, Van Loo L, Valckx M, Stannard SR. Validity and reliability of the Moxy oxygen monitor during incremental cycling exercise. Eur J Sport Sci. 2017 Sep;17(8):1037-1043. doi: 10.1080/17461391.2017.1330899. Epub 2017 May 30.

    PubMed 28557670
  • Chesterton LS, Sim J, Wright CC, Foster NE. Interrater reliability of algometry in measuring pressure pain thresholds in healthy humans, using multiple raters. Clin J Pain. 2007 Nov-Dec;23(9):760-6. doi: 10.1097/AJP.0b013e318154b6ae.

    PubMed 18075402
  • de-Oliveira LA, Matos MV, Fernandes IGS, Nascimento DA, da Silva-Grigoletto ME. Test-Retest Reliability of a Visual-Cognitive Technology (BlazePod) to Measure Response Time. J Sports Sci Med. 2021 Mar 1;20(1):179-180. doi: 10.52082/jssm.2021.179. eCollection 2021 Mar. No abstract available.

    PubMed 33708001

Questions about this trial

What is this clinical trial studying?

A study testing The exercise program, Online education presentation and Smart band in people with Musculoskeletal Diseases or Conditions and Musculoskeletal Pain, run by Bandırma Onyedi Eylül University at 4 sites in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 3 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Sule Kecelioglu, MSc (+90 (266) 717 01 17 ext. 4536, skecelioglu@bandirma.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Musculoskeletal problems (time frame: baseline and 8 weeks after baseline). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06344988, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2024.

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