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Trial registered on ANZCTR
Registration number
ACTRN12612000204842
Ethics application status
Approved
Date submitted
17/02/2012
Date registered
20/02/2012
Date last updated
1/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effectiveness of an Eight Week Intervention of Exercise and Alexander Technique Specifically Designed for Professional Orchestral Musicians – A National Clinical Trial
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Scientific title
Professional Orchestral Musicians undertaking an eight week exercise program compared to an eight week Alexander Technique program and controls.
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Performance related musculoskeletal disorders
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Instrumental Playing Posture
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Condition category
Condition code
Public Health
286017
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0
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Epidemiology
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Physical Medicine / Rehabilitation
286018
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
35min exercise class, twice weekly, for eight weeks exercise program specifically designed for professional orchestral musicians. This program consists of 5mins of warm-ups, 25mins of progressive exercises targeting common performance-related musculoskeletal injuries and pain regions (ie. cervical & thoracic spine, shoulder & the upper limb, lumbopelvic region). This program will be supervised by an experienced physiotherapist that has also attained clinical pilates qualifications.
Participants are encouraged to undertake both interventions with a one-month wash out period between the interventions. Participants have the choice of opting out at the end of each intervention. The order of intervention at each of the eight orchestra will be determined using an electronic randomisation system.
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Intervention code [1]
284250
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Prevention
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Intervention code [2]
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Rehabilitation
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Comparator / control treatment
Two groups of comparator to the musician specific exercise intervention. A group of participants will undertake Alexander Technique intervention for the same period of time as the Musician Specific Exercise Program (35min classes, twice weekly, for 8 weeks). This program was designed by a qualified Alexander Technique teacher and includes basic skeletal anatomy, postural education from the Alexander principals perspective, movement patterns in activities of daily living and applying principals of Alexander in instrumental playing. Qualified Alexander Technique teachers with additional training to deliver this specific program will be supervising the classes.
A group of controls (no intervention) will be used as well.
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Control group
Active
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Outcomes
Primary outcome [1]
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Intensity and Frequency of Performance Related Musculoskeletal Disorders using a 0-10 VAS Scale
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Assessment method [1]
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Timepoint [1]
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Post-intervention (8 weeks) and Short Term Follow Up in 6 months.
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Primary outcome [2]
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Perceived exertion of effort during private practice, rehearsals and stage performance using a modified BORG scale (6-20).
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Assessment method [2]
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Timepoint [2]
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Post-intervention (8 weeks) and Short Term Follow Up in 6 months.
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Secondary outcome [1]
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Patient Perceived Effort of the Exercise Program & Alexander on posture, ease of movement, ability to cope with anxiety during work and non-work environments, confidence, energy levels, concentration using a 5 point scale.
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Assessment method [1]
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Timepoint [1]
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Post-intervention (8 weeks) and Short Term Follow Up in 6 months.
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Secondary outcome [2]
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Independent blinded evaluation of playing posture photographs before and after each trial
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Assessment method [2]
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Timepoint [2]
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Photos taken pre-intervention and immediately post-intervention (8 weeks later)
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Eligibility
Key inclusion criteria
Full time position with one of the eight orchestras of Australia (Adelaide Symphony, Sydney Symphony, Melbourne Symphony, West Australian Symphony, Tasmanian Symphony, Opera Victoria, Australian Opera and Ballet, Queensland Symphony).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
A current major musculoskeletal injury that involves workcover compensation or that was excluded from study participation by a treating medical practitioner.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation is not concealed
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Combination of cross-over and single group assignment design as not all participants completed both exercise and Alexander Technique interventions.
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2010
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Actual
5/07/2010
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Date of last participant enrolment
Anticipated
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Actual
16/12/2011
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Date of last data collection
Anticipated
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Actual
31/07/2012
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Sample size
Target
150
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Accrual to date
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Final
140
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council
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Address [1]
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Level 2, 11 Lancaster Place
Majura Park ACT 2609
AUSTRALIA
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Australia Council of the Arts
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Address [2]
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372 Elizabeth Street (cnr Cooper Street)
Surry Hills NSW 2010
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Dr Bronwen Ackermann
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Address
Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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A/Prof Tim Driscoll
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Address [1]
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Edward Ford Building, School of Public Health, Camperdown Campus, The University of Sydney, NSW 2005.
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Mr Cliffton Chan
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Address [1]
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Discipline of Biomedical Science, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee
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Ethics committee address [1]
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Level 6 Jane Foss Russell Building G02 University of Sydney NSW 2006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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19/04/2010
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Ethics approval number [1]
286711
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12523
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Summary
Brief summary
The purpose of this study is to trial a specific exercise program to support the musician's playing actions and movement patterns, and examine any effects on pain. Information collected relating to changes in frequency and intensity of Performance-Related Musculoskeletal Disorders will be used to evaluate the effects of the exercise or Alexander technique programs and these results will be compared to the control group. Data obtained on playing postures, playing techniques and perceived exertion will also be evaluated for differences between the pre-intervention and post-intervention conditions.
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Trial website
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Trial related presentations / publications
Chan, C., Driscoll, T. and Ackermann, B.J., 2014. Effect of a Musicians' Exercise Intervention on Performance-Related Musculoskeletal Disorders [AGB Award 2014]. Medical problems of performing artists, 29(4), p.181. Chan, C., Driscoll, T. and Ackermann, B., Can experienced observers detect postural changes in professional musicians after interventions?.
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Public notes
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Contacts
Principal investigator
Name
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Dr Cliffton Chan
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Address
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Discipline of Biomedical Science, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, 75 East St, Lidcombe, NSW, 2141
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Country
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Australia
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Phone
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+61293519244
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Bronwen Ackermann
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Address
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Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Country
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Australia
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Phone
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+61 2 9351 9472
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Bronwen Ackermann
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Address
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Discipline of Biomedical Science, Room L115, Building C42, Cumberland Campus, The University of Sydney, 75 East St, Lidcombe, NSW 2141.
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Country
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Australia
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Phone
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+61 2 9351 9472
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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