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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group 1 | Experimental | For Experimental Group 1 (n = 8), the mobilization exercise program was applied once a week. |
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| Experimental Group 2 | Experimental | For Experimental Group 2 (n = 8), the mobilization exercise program was applied twice a week. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental Group 1 Mobilization Exercises | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in postural control | 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) |
| Measure | Description | Time Frame |
|---|---|---|
| Acute change in postural control | 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Özgür EKEN, PhD, Assoc. Prof | Inonu University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Physical Education and Sport Teaching, Faculty of Sports Sciences, Inonu University,, Malatya, Malatya 44280 | Malatya | Battalgazi | 0444 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27138935 | Background | Baadjou VAE, Roussel NA, Verbunt JAMCF, Smeets RJEM, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occup Med (Lond). 2016 Nov 1;66(8):614-622. doi: 10.1093/occmed/kqw052. |
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The individual participant data will not be shared to maintain the confidentiality of the participants, as per the ethical approval guidelines
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This study is an experimental study with a pretest-acute test-posttest control group design examining the effects of mobilization-based exercises on postural control in orchestral musicians.
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| Experimental Group 2 Mobilization Exercises | Other | 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. |
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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 |