Orchestra, Postural, Postural Balance Disorders, Postural Control
Conditions
Keywords
postural, postural control, mobilization, orchestra musicians, posturography, reaction time, directional control
Brief summary
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.
Detailed description
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.
Interventions
OTHERExperimental 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.
OTHERExperimental 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.
Sponsors
Inonu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE
Intervention model description
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.
Eligibility
Sex/Gender
ALL
Age
18 Years to 38 Years
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in postural control | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute change in postural control | 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. |
| Post-intervention change in postural control | 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. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORÖzgür EKEN, PhD, Assoc. Prof
Inonu University
Outcome results
None listed