Harmonizing musculoskeletal health: transformative effects of 8-week intervention program on posture in music students

Authors

DOI:

https://doi.org/10.15561/20755279.2024.0204

Keywords:

body posture, intervention program, musculoskeletal health, music students

Abstract

Background and Study Aim. Musculoskeletal complaints are common among music students, irrespective of gender. They develop due to intense practice over an instrument; spending long hours of practice may cause muscular imbalance, tension, and awkward posture. The repetitive nature of practice in music students may cause overuse and fatigue. This increases the risk of acute pain and can affect both quality of life and performance. Therefore, the present study aimed at evaluating the transformative effects of an 8-week intervention program on posture in music students. Material and Methods. The 8-week intervention program with transformative effects was conducted over 8 weeks (from September 18 to November 12) on Mondays and Thursdays, for 45 minutes each session. The program aimed to benefit 25 music students, of whom (i) 15 were in the experimental group (with an average age of 24.20 years, average weight of 82.40 kg, and average height of 178.60 cm), and (ii) 10 were in the control group (with an average age of 24.60 years, average weight of 78.40 kg, and average height of 182.20 cm). All participants were enrolled in the second year of a master's degree program in Performing Arts. Standardized measures for evaluating posture (utilizing Klein and Thomas's method, as refined by Mayer) were conducted both before (Week 1, September 18) and after (Week 8, November 12) the intervention. The impact of the 8-week intervention program was assessed using the Wilcoxon Rank-Sum Test, Wilcoxon Signed-Rank Test, and Pearson's r. Results. Significant differences (p ˂ 0.05, ˂ 0.01) between 25 music students (M); in particular experimental group (n = 15) and control group (n = 10), were in 4 (80%) segments of body in post-test: (i) Head and neck; (ii) Abdomen and pelvis; (iii) Curvature of spine; (iiii) Shoulders and scapulas. Insignificant differences (p ˃ 0.05) between 25 music students (M) were in pre-test. Conclusions. Significant differences (p ˂ 0.05, ˂ 0.01) indicated the transformative effects in the experimental group's (n = 15) posture. This emphasizes the potential of the 8-week intervention program in promoting musculoskeletal health of music students. Therefore, additional research is necessary to investigate the lasting resilience (sustainability) of advantages and enhance the intervention plan in music education.

Author Biographies

Stanislav Azor, Technical University in Zvolen

stanislav.azor@tuzvo.sk; Institute of Physical Education and Sports; Slovakia.

Michal Marko, Academy of Arts in Banská Bystrica

michal.marko@aku.sk; Faculty of Performing Arts; Slovakia.

Štefan Adamčák, Matej Bel University in Banska Bystrica

stefan.adamcak@umb.sk; Faculty of Physical education, Sport and Health; Slovakia.

Pavol Bartik, Matej Bel University in Banska Bystrica

pavol.bartik@umb.sk; Faculty of Physical Education, Sport and Health; Slovakia

References

Marko M, Adamčák Š, Azor S, Bartík P. 6-week intervention program and posture changes in music students. European Journal of Contemporary Education. 2023;12(4):1365–1373. https://doi.org/10.13187/ejced.2023.4 .1365

Cruder C, Falla D, Mangili F, Azzimonti L, Araujo L, Williamon A, Barbero M. Profiling the location and extent of musicians' pain using digital pain drawings. Pain Practice. 2018;18(1):63–66. https://doi.org/10.111 1/papr.12581

Kok L, Huisstede B, Voorn V, Schoones J, Nelissen R. Occurrence of musculoskeletal complaints among professional musicians: Systematic review. International Archives of Occupational and Environmental Health. 2016;89(3):373–396. https://doi.org/10.1007/s00420-015-1090-6

Chan C, Driscoll T, Ackerman B. Effects of musicians' exercise intervention on performance-related musculo-skeletal disorders. Medical Problems of Performing Artists. 2014;29(4):180–188. https://doi.org/10.21091/mp pa.2014.4038

Chan C, Driscoll T, Ackerman B. Development of specific exercise program for professional orchestral musicians. Injury Prevention. 2013;19(4):257–263. https://doi.org/10.1136/injuryprev-2012-040608

Kim D, Cho M, Park Y, Yang I. Effects of exercise program for posture correction on musculoskeletal pain. Journal of Physical Therapy Science. 2015;27(6):1790–1794. https://doi.org/10.1589/jpts.27.1791

Cruder C, Barbero M, Soldini E, Gleeson N. Patterns of pain location in music students: Cluster analysis. BMC Musculoskeletal Disorders. 2021;22(1):1–13. https://doi.org/10.1186/s12891-021-04046-6

Árnason K, Briem K, Árnason Á. Effects of education and prevention course for university music students on body awareness and attitude toward health and prevention. Medical Problems of Performing Artists. 2018;33 (2):131–136. https://doi.org/10.21091/mppa.2018.2021

Chan C, Ackermann B. Evidence-informed physical therapy management of performance-related musculo-skeletal disorders in musicians. Frontiers in Psychology. 2014;8(5):1–14. https://doi.org/10.3389/fpsyg.2014. 00706

Portnoy S, Cohen S, Ratzon N. Correlations between body postures and musculoskeletal pain in guitar players. Plos One. 2022;17(1):1–11. https://doi.org/10.1371/journal.pone.0262207

Stanhope J, Weinstein P. Should musicians play in pain? British Journal of Pain. 2021;15(1):82–90. https://doi .org/10.1177/20494 63720911399

Rousseau C, Barton G, Garden P, Baltzopoulos V. Development of injury prevention model of playing-related musculoskeletal disorders in orchestra musicians based on predisposing risk factors. International Journal of Industrial Ergonomics. 2021;81(2):1–10. https://doi.org/10.1016/j.ergon.2020.103026

Dommerholt J. Performing arts medicine - Instrumentalist musicians, part 2 – Examination. Journal of Body-work and Movement Therapies. 2010;14(1):65–72. https://doi.org/10.1016/j.jbmt.2009.02.004

Brandfonbrener A. History of playing-related pain in 330 university freshman music students. Medical Problems of Performing Artists. 2009;24(1):30–36. https://doi.org/10.21091/mppa.2009.1007

Spahn C, Voltmer E, Mornell A, Nusseck M. Health status and preventive health behavior of music students during university education. Music and Science. 2017;21(2):213–219. https://doi.org/10.1177/102986491769 8197

Blanco-Piñeiro P, Diáz-Pereira P, Martínez A. Common postural defects among music students. Journal of Bodywork and Movement Therapies. 2015;19(3):565–572. https://doi.org/10.1016/j.jbmt.2015.04.005

Rickert L, Barrett S, Ackermann B. Injury, and orchestral environment: Part 2. Organisational culture, behavioral norms, and attitudes to injury. Medical Problems of Performing Artists. 2015;29(2):94–100. https://doi. org/10.21091/mppa.2014.2020

Baadjou V, Ackermann B, Verbunt J, Eijsden-Besseling M, Bie R, Smeers R. Implementation of health education interventions at Dutch music schools. Health Promotion International. 2021;36(2):334–348. https://doi. org/10.1093/heapro/daaa050

Davies J. Alexander technique classes improve pain, performance factors in tertiary music students. Journal of Bodywork and Movement Therapies. 2020;24(1):1–7. https://doi.org/10.1016/j.jbmt.2019.04.006

Akbari-Chehrehbargh Z, Tavafian S. Impact of el-poems study: E-learning for postural education in music students: Randomized controlled trial protocol. Trials. 2022;23(1):1–8. https://doi.org/10.1186/s13063-022-0 6335-4

Strenáčiková, M. Health problems of professional musicians and music students. University Review. 2020;14 (3):27–30.

Harriss D, MacSween A, Atkinson G. Ethical standards in sports and exercise science research: 2022 update. International Journal of Sports Medicine. 2020;40(13):813–817. https://doi.org/10.1055/a-1015-3123

Mandzáková M, Slováková M. Intervention program on quality of children's posture at elementary education level. Sport Mont. 2023;21(3):57–63. https://doi.org/10.26773/smj.231009

Bendíková E, Marko M, Rozim R, Tomková Š. Effects of changes by physical program on muscular and skeletal systems of secondary school students. Journal of Physical Education and Sports. 2020;20(4):1681–1687. https://doi.org/10.7752/jpes.2020.04228

Nahm F. Nonparametric statistical tests for continuous data. Basic concept and practical use. Korean Journal of Anesthesiology. 2016;69(1):8–14. https://doi.org/10.4097/kjae.2016.69.1.8

Schober P, Boer C, Schwarte L. Correlation coefficients: Appropriate use and interpretation. Anesthesia and Analgesia. 2018;126(5):1763–1768. https://doi.org/10.1213/ANE.0000000000002864

Blanco-Piñeiro P, Diáz-Pereira P, Martínez A. Musicians, postural quality, and musculoskeletal health: Literature's Review. Journal of Bodywork and Movement Therapies. 2016;21(1):157–172. https://doi.org/10.1016/ j.jbmt.2016.06.018

Ackermann B, Driscoll T, Kenny D. Musculoskeletal pain and injury in professional orchestral musicians in Australia. Medical Problems of Performing Artists. 2012;27(4):171–187. https://doi.org/10.21091/mppa.2012 .4034

Gallego-Cerveró C, Ros C, Sanchis L, Martin J. Physical training for musicians: Systematic review. Sportis Scientific Journal of School Sport Physical Education. 2019;5(5):532–561. https://doi.org/10.17979/sportis.20 19.5.3.5536

Barton R, Feinberg J. Effectiveness of an educational program in health promotion and injury prevention for freshman music majors. Medical Problems of Performing Artists. 2008;23(2):47–53. https://doi.org/10.21091/ mppa.2008.2010

Lee S, Carey S, Dubey R, Matz R. Intervention program in college instrumental musicians with kinetics analysis of cello and flute playing. Medical Problems of Performing Artists. 2012;27(2):85–94. https://doi.org/10.21 091/mppa.2012.2016

Andersen N, Mann S, Jull-Kristensen B, Søgaard K. Comparing the impact of specific strength training vs. general fitness training on professional symphony orchestra musicians: Feasibility study. Medical Problems of Performing Artists. 2017;32(2):94–100. https://doi.org/10.21091/mppa.2017.2016

Kliziene I, Cibulskas G, Ambrase N, Cizauskas G. Effects of 8-month exercise program on physical activity and physical fitness for first grade students. European Journal of Contemporary Education. 2018;7(4):717–727. https://doi.org/10.13187/ejced.2018.4.717

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Published

2024-04-30

How to Cite

1.
Azor S, Marko M, Adamčák Štefan, Bartik P. Harmonizing musculoskeletal health: transformative effects of 8-week intervention program on posture in music students. Physical Education of Students. 2024;28(2):78-84. https://doi.org/10.15561/20755279.2024.0204
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