Dynamic function of spine and its influence by 10-week intervention program in students of performing arts
DOI:
https://doi.org/10.15561/20755279.2025.0504Keywords:
dynamic spinal function, exercise intervention program, performing arts students, musculoskeletal health, spine flexibilityAbstract
Background and Study Aim. Students of performing arts often engage in repetitive practice routines. This can lead to overuse and muscle fatigue, which increase the risk of acute pain in the neck, arms, and shoulders. These conditions may negatively affect both quality of life and performance. Although various corrective approaches are applied in performing arts education, their relative effectiveness in improving spinal function remains a matter of practical interest. The present study aimed to evaluate the impact of a 10-week intervention program on the dynamic function of the spine in students of performing arts. Material and Methods. The 10-week intervention program was carried out twice per week for 30 minutes (Tuesday, Thursday) between October 14 and December 20, 2024. It was aimed at improving the dynamic function of the spine in 16 students (58%) of performing arts who were assigned to the experimental group (age 22.20 ± 1.40 years, weight 80.60 ± 2.80 kg, height 180.20 ± 4.40 cm). Twelve students (42%) received no intervention and formed the control group (age 22.80 ± 1.40 years, weight 76.80 ± 1.60 kg, height 176.80 ± 2.80 cm). All 28 students (100%) were bachelor’s degree students (1st–3rd year) in Performing Arts and Composition at the Academy of Arts in Banská Bystrica (Faculty of Performing Arts). Standardized measures for evaluating the dynamic function of the spine (forward and side bend tests) were applied before the program (Week 1, October 14) and after completion (Week 10, December 20, 2024). The impact was evaluated using the Wilcoxon and Mann-Whitney U tests. Results. The results demonstrated significant improvements (p < .01) in the dynamic function of the spine in the experimental group (N = 16, 58%) after the 10-week intervention, particularly in forward and side bend tests. Scores in the forward bend test improved from -10.62 ± 4.24 cm in Week 1 to -2.74 ± 1.84 cm in Week 10 (Z = 3.52, p < .01, r = .62). Improvements (p < .01) were also observed in the side bend test, with lateral flexion to the right increasing from 18.56 ± .62 cm to 21.56 ± .62 cm (Z = 3.54, p < .01, r = .62) and lateral flexion to the left increasing from 18.36 ± 1.02 cm to 21.54 ± .60 cm (Z = 3.60, p < .01, r = .64). No significant improvements (p > .05) were observed in the control group (N = 12, 42%), suggesting that the 10-week intervention program contributed to the observed outcomes. Conclusions. The 10-week intervention program significantly improved (p < .01) the dynamic function of the spine in students (N = 16, 58%) of performing arts. These results underscore the importance of interventions in mitigating musculoskeletal risks associated with prolonged instrumental practice. Future research should explore long-term effects and broader applications of such interventions within performing arts education.References
References
Cardoso M, Margado E, Leonido L. Incidence to strategy: Review in playing-related musculoskeletal disorders. Motricidade, 2022;15(4): 65-70. https://doi.org/10.6063/motricidade.20061
Salamatipour A. Saphenous neuropathy in string musicians. Open Journal of Clinical and Medical Case Reports, 2023;19(7): 1-5. https://doi.org/10.52768/2379-1039/2040
Fernández Paz F, Caeiro E, González S. Influence of posture in musicians: Literature review. Rehabilitación, 2020;54(1): 41-540. https://doi.org/10.1016/j.rh.2019.09.001
Narducci D. Musculoskeletal and associated conditions in instrumental musicians. In: Lee H, Morris L, Nicosia S. (eds.). Perspectives in Performing Arts Medicine Practice. Springer, Cham; 2020. https://doi.org/10.1007/978-3-030-37480-8_13
Strenáčiková, M. Health problems of professional musicians and music students. University Review, 2020;14(3): 27-30.
Clemente P, Mendes J, Vardasca R, Moreira A, Branco A, Ferreira P, Amarante M. Infrared thermography of crânio-cervico - mandibular complex in wind and string instrumentalists. International Archives of Occupational and Environmental Health, 2020;93(5): 645-658. https://doi.org/10.1007/s00420-020-01517-6
Cygańska A, Truszczyńska-Baszak A, Drzał-Grabiec J, Tarnowski A. Analysis of anteroposterior spinal curvatures in child violinists from music schools. Medical Problems of Performing Artists, 2017;32(3): 176-179. https://doi.org/10.21091/mppa. 2017.3029
Mizrahi J. Identifying and evaluating vocation-related neuro-musculoskeletal deficiencies in professional musicians: Review. Applied Sciences, 2021;11(5): 1-18. https://doi.org10.3390/APP11052035
Shinde K, Borkar P. Epidemiology of musculoskeletal disorders in musicians: Systematic review. International Journal of Health Sciences and Research, 2021;11(12): 114-122. https://doi.org/10.52403/ijhsr.20 211217
Azor S, Marko M, Adamčák Š, Bartík P. Harmonizing musculoskeletal health: Transformative effects of 8-week intervention program in posture in music students. Physical Education of Students, 2024;28(2): 78-84. https://doi.org/10.15561/20755279 .2024.0204
Büyük A, Aksu N, Demir E, Yağışan N, Sarıkçıoğlu L. Comparison of spinal mobility in professional musicians witt/ without pelvic girdle pain. Medical Problems of Performing Artists, 2023;38(1): 9-15. https://doi.org/10.21091/mppa.2023.1002
Cruder C, Barbero M, Koufaki P, Soldini E, Gleeson N. Prevalence, associated factors of playing-related musculoskeletal disorders among music students in Europe. Baseline finding from risk of music students (Rismus). Plos One, 2020;16(10): 1-15. https://doi.org/10.1371/journal.pone.0242660
Assel C, Nugraha B, Kallusky N. Faßnacht-Lenz S, Altenmüller E, Gutenbruner C, Sturm C. Effect of mutual therapy on music students with playing-related musculoskeletal disorders: Perspective study. Frontiers in Pain Research, 2023;4(1): 1-20. https://doi.org/10.3389/fpain.2023.1151886
Li Y, Wang Z, Wei Z, Lu Y, Fang Z. Characteristics of sagittal curvature and mobility of thoracolumbar segment of spine in students specializing in physical dance. Web Conference, 2023;171(1): 1-4. https://doi.org/10.1051/shsconf/2023171 01021
Joly C. When prevention makes good music. In: Lee H, Morris L, Nicosia S. (eds.). Perspectives in Performing Arts Medicine Practice. Springer, Cham; 2020. https://doi.org/10.1007/978-3-030-37480-8_20
Dimopoulou M, Dimopoulos S. Exercise as means of preventing musculoskeletal problems in musicians: Systematic review. European Journal of Preventive Cardiology, 2024;31(1): 1-20. https://doi.org/10.1093/eurjpc/zwae175.387
Csepregi É, Gyurcsik Z, Veres-Balajti I, Szekanecz Z, Nagy C, Szántó S. Effects of classic exercises on posture, spinal, and chest mobility in female university students compared to popular training programs. International Journal of Environmental Health Research, 2022;19(6): 1-20. https://doi.org/10.3390/ijerph19063728
Park Y, Kim W, Yu J, Moon H, Seo Y. Effects of combined exercise program on spinal curvature and balance ability in adolescents with kyphosis. Children, 2022;9(12): 1-8. https://doi.org/10.3390/children9121999
Stepanová I, Alforov O, Koriaka Y, Zhorová O, Kusii V. Motor activity of musical arts students. Scientific Journal of Dragomanov Ukrainian State University, 2020;2(122): 163-167. https://doi.org/10.31392/npu-nc.series15.2020.2(122).34
Ziane C, Michaud B, Begon M, Dal Maso F. Do violinists adapt to dynamic assistive support? Study focusing on kinematics, muscle activity, and musical performance. Human Factors, 2021;65(5): 923-941. https://doi.org/10.1177/0018 7208211033450
Santos I, Cardoso R, De Deus F, Costa H, Lima V. Analysis of breathing function in wind instrumental musicians. Health Science Journals, 2023;13(3): 47-55. https://doi.org/10.21876/rcshci.v13i3.1431
Marko M, Adamčák Š, Azor S, Bartík P. 6-week intervention program and posture changes in music students. European Journal of Contemporary Education, 2023;13(4): 1365-1373. https://doi.org/10.13187/ejced.2023.4.1365
Harriss D, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. International Journal of Sports Medicine, 2019;40(13): 813-817. https://doi.org/10.1055/a-1015-3123
Shuttleworth M. True experimental design. Sage, Encyclopedia of Research Design. https://doi.org/10.4135/9781412961288.n472
Chan C, Driscoll T, Ackermann B. Effect of musicians’ exercise intervention on performance-related musculoskeletal disorders. Medical Problems of Performing Artists, 2014;29(4): 181-188. https://doi.org/10.21091/mppa.2014.4038
Kim D, Cho M, Park Y, Yang I. Effect of exercise program for posture correction on musculoskeletal pain. Journal of Physical Therapy Science, 2015;27(6): 1791-1794. https://doi.org/10.1589/jpts.27.1791
Albay E, Eisma D. Performance task assessment supported by design thinking process: Results from true experimental research. Social Sciences and Humanities Open, 2021;3(1): 1-12. https://doi.org/10.1016/J.SSAHO.2021.100116
Bendíková E, Marko M, Šmída L. Influence of change in content of Physical and Sports Education as case study on level of dynamic function of spine in secondary school female students. European Journal of Contemporary Education, 2018;7(4): 633-641. https://doi.org/10.13187/ejced.2018.4.633
Marko M, Bendíková E. Applied physical program on changes of body posture and dynamic spine function in female secondary school students. Central European Journal of Sports Science and Medicine, 2020;30(2): 71-83. https://doi.org/10.18276/cej.2020.2-07
Adamčák Š, Marko M, Izáková A, Bartík P. Curriculum preferences of physical education teachers in primary schools: Differences in length of pedagogical practice. Health, Sport and Rehabilitation, 2023;9(3): 40-49. https://doi.org/10.58962/HSR.2023.9.3.40-49
Sedgwick P. Non-parametric statistical tests for two related groups: Numerical data. British Medical Journal, 2012;344(1): 1-20. https://doi.org/10.1136/bmj.e2537
Nahn S. 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 A. Correlation coefficients: Appropriate use and interpretation. Anesthesia and Analgesia, 2018;126(5): 1763-1768. https://doi.org/10.1213/ANE.0000000000002864
Weisburd D, Britt C, Wilson D, Wooditch A. Measuring association for scaled data. Basic Statistics in Criminology and Criminal Justice. 2020; 479-530. Springer, Cham. https://doi.org/10.1007/978-3-030-47967-1_14
Dong Y. Descriptive statistics and its application. Highlights in Science Engineering and Technology, 2023;47(1): 16-23. https://doi.org/10.5 4097/hset.v47i.8159
Mitsuda M, Nakajima M. Effects of spinal segmental flexion and extension exercises on spinal flexibility. Journal of Bodywork and Movement Therapy, 2023;35(1): 256-260. https://doi.org/10.1016/j.jbmt.2023.04.066
Repecki C, Sliwinski M, Harding L. Supporting the need for community exercise programs: Case study. Spinal Cord Series and Cases, 2019;5(95): 1-4. https://doi.org/10.1038/s41394-019-0236-2
Baadjou V, Verbunt, Van Eijsden-Besseling M, De Bie R, Girard O, Twisk J, Smeets R. Preventing musculoskeletal complaints in music students: Randomized controlled trial. Occupational Medicine, 2019;68(7): 469-477. https://doi.org/10.1093/occmed/kqy105
Celenay S, Kaya D, Özüdoru A. Spinal postural training: Comparison of postural and mobility effects of electrotherapy, exercise, and bio-feedback trainer in addition to postural education in university students. Journal of Back and Musculoskeletal Rehabilitation, 2015;28(1): 135-144. https://doi.org/10.3233/BMR-140501
Falla D, Hodges P. Individualized exercise interventions for spinal pain. Exercise and Sports Science Reviews, 2017;42(2): 105-115. https://doi.org/10.1249/JES. 0000000000000103
Dal C, Koç M, Bayar B. Effects of connective tissues massage and classical massage on pain, lumbar mobility, function, disability, and well-being in chronic low back pain: Tree-arm randomized controlled trial. Explore, 2024;20(6): 1-18. https://doi.org/10.1016/j.explore.2024.103029
El-Gohory T, Al-Shenqiti A, Ibrahim S, Khaled O, Elkader S. Clinical measurements of spinal mobility, static balance, functional performance in healthy participants: Simple biokinesiological analysis of performance. Journal of Physical Therapy Science, 2019;31(10): 770-775. https://doi.org/10.1589/jpts.31.771
Piovanelli B, Pedersini P, Buraschi R, Pollet J, Piotti S, Pedretti S, Negrini S. Pilot study of forward bending, lateral flexion and axial rotation of spine in healthy subjects. Gait Posture, 2018;65(1): 449-450. https://doi.org/10.1016/j.gaitpost.2018.07.050
Nkhata L, Human A, Louw Q, Brink Y. Psychometric properties, clinical utility of spinal health outcome measures in school-based interventions among children and adolescents: Systematic review. British Medical Journal, 2024;14(11): 1-6. https://doi.org/10.1136/bmjopen-2024-089929
Itoh N, Mishima H, Yoshida Y, Yoshida M, Matsudaira K, Oka H. Evaluation of effect of patient education and strengthening exercise therapy using mobile messaging app on work productivity in Japanese patients with chronic low back pain. JMIR mHealth and uHealth, 2022;10(5): 1-15. https://doi.org/10.2196/35867
Morgan K, Paton S, Patten A, Tucker S, Walker K. Community-based exercise goals persons with spinal cord injury: Interpreted using international classification of functioning, disability and health. Journal of Spinal Cord and Medicine, 2021;47(2): 229-238. https://doi.org/10.1080/10790268.2021.1970896
Hart N, Newton R, Spry N, Taaffe D, Chambers S, Feeney K, Joseph D, Redfern A, Ferguson T. Can exercise suppress tumor growth in advanced prostate cancer patients with sclerotic bone metastases. British Medical Journal, 2017;7(5): 1-11. https://doi.org/10.1136/bmjopen-2016-014458
Saulite V, Salih F, Dahiya S. Cycling: Tool for cardiovascular exercise in patients with ankylosing spondyloarthritis. Rheumatology Advances in Practice, 2023;7(2): 1-20. https://doi.org/10.1093/rap/rkad070.005
Ahmad A, Malik A, Mahboob R, Asif R, Qayoum Z, Ansar A. Exploring the impact of spinal mobilization in adolescent idiopathic scoliosis. Journal of Health and Rehabilitation Research, 2023;3(2): 1094-1098. https://doi.org/10.61919/jhrr.v3i2.257
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