Effects of a Tele-Based Postural Awareness and Breathing Program on Ergonomic Risk, Sensorimotor Function, and Fatigue in Flute Students: A Randomized Controlled Study
概览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Alanya Alaaddin Keykubat University
- 入组人数
- 28
- 试验地点
- 1
- 主要终点
- Total RULA Score and RULA B Score
概览
简要总结
This randomized controlled study investigates the effects of an eight-week tele-based postural awareness and pranayama-based breathing program on work-related ergonomic risk and cervical somatosensory function in flute students. A total of 30 undergraduate flute students were randomly allocated to either an intervention group or a control group.
Participants in the intervention group received a structured tele-rehabilitation program focusing on postural awareness exercises and pranayama-based breathing practices for eight weeks, while the control group did not receive any intervention during the study period.
Primary outcomes include work-related ergonomic risk assessed using the Rapid Upper Limb Assessment (RULA) and cervical somatosensory function evaluated through cervical joint position sense (horizontal, vertical, and global error). Secondary outcomes include deep cervical flexor muscle endurance, perceived fatigue, postural awareness, and musical performance anxiety.
Outcome measures were assessed at baseline and after the eight-week intervention period. The study aims to determine whether a tele-based postural awareness and breathing intervention can effectively reduce ergonomic risk and improve sensorimotor function in flute students who are exposed to prolonged asymmetric postures during instrument practice.
详细描述
This study is designed as a randomized controlled trial to examine the effects of a tele-based postural awareness and pranayama-based breathing program on ergonomic risk, cervical somatosensory function, and selected secondary outcomes in flute students.
Thirty undergraduate flute students enrolled in the Faculty of Fine Arts, Department of Music, were recruited and randomly assigned to either an intervention group (n = 15) or a control group (n = 15). Participants were required to have regular flute practice and no history of neurological or musculoskeletal disorders affecting the cervical region.
The intervention group participated in an eight-week tele-rehabilitation program consisting of postural awareness exercises and pranayama-based breathing practices. Sessions were delivered remotely and focused on improving postural alignment, body awareness, controlled breathing, and sensorimotor control relevant to prolonged instrument practice. The control group did not receive any intervention during the study period and continued their usual daily activities.
Outcome assessments were conducted at baseline and at the end of the eight-week intervention period. Primary outcome measures included work-related ergonomic risk, assessed using the Rapid Upper Limb Assessment (RULA), and cervical somatosensory function, evaluated through cervical joint position sense testing in horizontal, vertical, and global directions. Secondary outcome measures included deep cervical flexor muscle endurance, perceived fatigue assessed using the Modified Borg Scale, postural awareness, and musical performance anxiety assessed using a validated questionnaire.
This study aims to evaluate the feasibility and effectiveness of a tele-based postural awareness and breathing intervention in reducing ergonomic risk and improving sensorimotor function in flute students exposed to prolonged asymmetric postures during musical practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 28 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged between 18 and 28 years
- •Enrolled as a student in the Department of Music at the Faculty of Fine Arts or Faculty of Education
- •Has been playing the flute for at least 3 years
- •Willing to participate in the study and able to provide informed consent
排除标准
- •History of upper extremity surgery
- •Presence of any diagnosed neurological disorder
- •History of cardiovascular disease
- •Presence of an acute musculoskeletal injury that could affect performance
研究组 & 干预措施
No Intervention / Usual Activity
Participants do not receive any intervention and continue their usual daily activities and regular flute practice during the 8-week study period.
干预措施: No Intervention (Other)
Tele-Based Postural Awareness and Pranayama-Based Breathing Program
Behavioral: Participants receive an 8-week tele-based program including postural awareness exercises and pranayama-based breathing practices delivered remotely.
干预措施: Tele-Based Postural Awareness and Pranayama-Based Breathing Program (Behavioral)
结局指标
主要结局
Total RULA Score and RULA B Score
时间窗: Baseline and 8 weeks
Postural ergonomic risk is assessed during flute performance using the Rapid Upper Limb Assessment (RULA), which evaluates neck, trunk, and upper limb posture. The total RULA score ranges from 1 to 7, with higher scores indicating greater ergonomic risk.
Cervical Somatosensory Function (Joint Position Sense - JPS)
时间窗: Baseline and 8 weeks
Cervical joint position sense is assessed using a laser-pointer repositioning method during flexion, extension, and rotation movements. Horizontal, vertical, and global angular errors are calculated. Higher error values indicate reduced proprioceptive accuracy.
次要结局
- Postural Habits and Awareness Scale (PAFÖ) total score(Baseline and 8 weeks)
- Deep Cervical Flexor Muscle Endurance(Baseline and 8 weeks)
- Modified Borg Scale score(Baseline and 8 weeks)
- Kenny Music Performance Anxiety Inventory (K-MPAI) total score(Baseline and 8 weeks)
研究者
Ayça Araci
Assistant Professor
Alanya Alaaddin Keykubat University