Prevention Programme for Cervicomandibular Musculoskeletal Injuries in Wind Musicians
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Cervical and orofacial pain
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Woodwind or metal musicians
- •University students of music performance
排除标准
- •Any surgical intervention in cervical spine, orofacial region or temporomandibular joint.
- •Analgesics or physiotherapeutic treatment in the last 24h.
- •Pregnancy
结局指标
主要结局
Cervical and orofacial pain
时间窗: 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.
Cervical range of movement
时间窗: 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.
Head position
时间窗: 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.
Temporomandibular range of movement
时间窗: 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).
Head alignment
时间窗: 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.
次要结局
- Masseter muscle activation(Change from baseline at 3 months)
- Trapezius 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)
研究者
Margarita Pino Juste
University Professor
University of Vigo