Workplace injury prevention and wellness program for orchestra musicians: A randomized controlled trial

Marianne Roos, Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC, Canada, School of Rehabilitation Sciences, Faculty of Medicine, Universit Laval, Quebec City, QC, Canada
Lamontagne Marie-Eve, Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC, Canada, School of Rehabilitation Sciences, Faculty of Medicine, Universit Laval, Quebec City, QC, Canada
François Desmeules, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Orthopaedic Clinical Research Unit, Centre de recherche de l’Hôpital Maisonneuve-Rosemont (CRHMR), CIUSSS de l’Est-de-l’Île de Montréal, Montreal, QC, Canada
Clermont Dionne, School of Rehabilitation Sciences, Faculty of Medicine, Universit Laval, Quebec City, QC, Canada, CHU de Québec-Université Laval Research Center, Quebec City, QC, Canada
Isabelle Savard, Université TÉLUQ, Quebec City, QC, Canada
Anne Marie Pinard, Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC, Canada, Department of Anesthesiology and Intensive Care, Faculty of Medicine, Université Laval, Quebec City, QC, Canada
Simon Lafrance, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Orthopaedic Clinical Research Unit, Centre de recherche de l’Hôpital Maisonneuve-Rosemont (CRHMR), CIUSSS de l’Est-de-l’Île de Montréal, Montreal, QC, Canada
Maryse Tanguay, Université TÉLUQ, Quebec City, QC, Canada
Roy Jean-Sébastien, Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Quebec City, QC, Canada, School of Rehabilitation Sciences, Faculty of Medicine, Universit Laval, Quebec City, QC, Canada

Type de document

Études primaires

Année de publication

2024

Langue

Anglais

Titre de la revue

Journal of Orthopaedic and Sports Physical Therapy

Première page

584

Dernière page

593

Résumé

t OBJECTIVE: To evaluate the effect of a workplace injury prevention and wellness program compared to no intervention (control) on musicians’ playing-related musculoskeletal pain intensity. The hypothesis was that musicians who completed the program would have a greater reduction in pain intensity than the control group. t DESIGN: Pragmatic parallel randomized controlled trial. t METHODS: Sixty-five orchestra musicians were recruited and completed patient-reported outcome measures (primary outcome: pain intensity over 11 months, using the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians; range: 0-40; lower is better) at baseline, 14 weeks (T1), and 11 months (T2). Following baseline assessment, participants were randomly assigned to the intervention (n = 33) or control (n = 32) groups, stratified by instrument and pain prevalence. The intervention group received a 14-week injury prevention and wellness program including; education and exercise; the control group received no intervention. t RESULTS: Pain intensity means (standard deviation) were 7.8 (6.2), 8.0 (7.5), and 8.6 (5.7) in the control group, and 9.0 (6.6), 5.0 (4.2), and 6.7 (6.6) in the intervention group at T0, T1, and T2, respectively. Using intention-to-treat analyses (3 dropouts, n = 65 analyzed), between-group differences in pain intensity (95% confidence interval) were T1-T0: −4.2 (−7.5, −0.9); T2-T0: −3.7 (−7.1, −0.3), type III (overall) P = .03, favoring the intervention group. No adverse events were reported. t CONCLUSION: A workplace injury prevention and wellness program may have a clinically meaningful effect on reducing orchestra musicians’ pain intensity. J Orthop Sports Phys ©2024 JOSPT®, Inc.

Mots-clés

Musicien, Musician, Programme de prévention, Health and safety program, Troubles musculosquelettiques, Musculoskeletal disease, Étude cas-témoin, Case-referent study, Case-control study

Numéro de projet IRSST

n/a

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