Effects of a Multimodal Physiotherapy Program on Music Performance Anxiety, Pain, and Body Awareness in Young Musicians: A Randomized Controlled Trial

Öz

Objective: This study aimed to investigate the effects of a two-week multimodal physiotherapy program on music performance anxiety, pain intensity, and body awareness in young musicians. Material and Methods: Twenty-four non-professional musicians aged 18-25 years were randomly allocated to a physiotherapy group or a control group. The intervention included neural mobilization, tendon gliding, stretching, postural stabilization, and diaphragmatic breathing exercises administered three times per week for two weeks. Outcomes were assessed at baseline and post-intervention using the Kenny Music Performance Anxiety Inventory (K-MPAI), Visual Analog Scale (VAS) for pain, and Body Awareness Questionnaire (BAQ). Treatment effects were analyzed using a 2×2 mixed ANOVA. Results: Significant group × time interaction effects were observed for all outcome measures, indicating that changes over time differed significantly between the groups. The physiotherapy group demonstrated significantly greater improvement than the control group in music performance anxiety, pain intensity, and body awareness. Significant interaction effects were found for K-MPAI (F=64.61, p<0.001, partial η²=0.746), VAS (F=64.00, p<0.001, partial η²=0.744), and BAQ (F=67.90, p<0.001, partial η²=0.755). Conclusion: A two-week multimodal physiotherapy program may provide beneficial short-term effects on music performance anxiety, pain, and body awareness in non-professional young musicians aged 18-25 years. However, the findings should be interpreted with caution due to the narrow age range and the inclusion of only non-professional participants. Further studies with larger and more diverse samples and longer follow-up are warranted.

Anahtar Kelimeler

• Body awareness
• musicians
• music performance anxiety
• pain
• physiotherapy

Etik Beyan

This study was conducted as a parallel-group, assessor-blinded randomized controlled trial with a 1:1 allocation ratio. Ethical approval was granted by the Istanbul Medipol University Non-Interventional Clinical Research Ethics Committee (Date: 26/07/2022, decision no: E-10840098-772.02-4244). All procedures were conducted in accordance with the Declaration of Helsinki, and written informed consent was obtained from all participants.

Genç Müzisyenlerde Müzik Performans Kaygısı, Ağrı ve Beden Farkındalığı Üzerine Multimodal Fizyoterapi Programının Etkileri: Randomize Kontrollü Bir Çalışma

Öz

Amaç: Bu çalışma, iki haftalık multimodal fizyoterapi programının genç müzisyenlerde müzik performans kaygısı, ağrı şiddeti ve beden farkındalığı üzerindeki etkilerini incelemeyi amaçladı. Materyal ve Metot: Yaşları 18-25 arasında değişen 24 profesyonel olmayan müzisyen, randomize olarak fizyoterapi grubuna veya kontrol grubuna atandı. Müdahale; sinir mobilizasyonu, tendon kaydırma egzersizleri, germe, postüral stabilizasyon ve diyafragmatik solunum egzersizlerinden oluştu ve iki hafta boyunca haftada üç kez uygulandı. Sonuç ölçümleri başlangıçta ve müdahale sonrasında Kenny Müzik Performans Kaygısı Envanteri (K-MPAI), ağrı için Görsel Analog Skala (VAS) ve Vücut Farkındalığı Anketi (BAQ) kullanılarak değerlendirildi. Tedavi etkileri 2×2 karma ANOVA ile analiz edildi. Bulgular: Tüm sonuç ölçütleri için anlamlı grup×zaman etkileşim etkileri gözlendi; bu da zaman içindeki değişimlerin gruplar arasında anlamlı olarak farklılaştığını gösterdi. Fizyoterapi grubu, müzik performans kaygısı, ağrı şiddeti ve beden farkındalığında kontrol grubuna göre anlamlı derecede daha fazla iyleşme gösterdi. K-MPAI için (F=64,61, p<0,001, kısmi η²=0,746), VAS için (F=64,00, p<0,001, kısmi η²=0,744) ve BAQ için (F=67,90, p<0,001, kısmi η²=0,755) anlamlı etkileşim etkileri bulundu. Sonuç: İki haftalık multimodal fizyoterapi programı, 18-25 yaş arasındaki profesyonel olmayan genç müzisyenlerde müzik performans kaygısı, ağrı ve beden farkındalığı üzerinde yararlı kısa dönem etkiler sağlayabilir. Ancak, örneklemin dar yaş aralığına sahip olması ve yalnızca profesyonel olmayan katılımcıları içermesi nedeniyle bulgular dikkatle yorumlanmalıdır. Daha büyük ve daha çeşitli örneklemlerle, ayrıca daha uzun takip süreleriyle yapılacak ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Ağrı
• beden farkındalığı
• fizyoterapi
• müzisyenler
• müzik performans kaygısı

Etik Beyan

Bu çalışma, paralel grup, değerlendirici kör randomize kontrollü bir çalışma olarak 1:1 dağılım oranıyla gerçekleştirilmiştir. Etik onay İstanbul Medipol Üniversitesi Girişimsiz Klinik Araştırma Etik Komitesi tarafından verildi (Tarih: 26/07/2022, karar no: E-10840098-772.02-4244). Tüm prosedürler Helsinki Bildirgesi'ne uygun olarak yürütüldü ve tüm katılımcılardan yazılı bilgilendirilmiş onay alındı.

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