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BACKGROUND:Musicians are frequently affected by playing-related musculoskeletal disorders (PRMD). Common solutions used by Western medicine to treat musculoskeletal pain include rehabilitation programs and drugs, but their results are sometimes disappointing.
OBJECTIVE:To study the effects of self-administered exercises based on Tuina techniques on the pain intensity caused by PRMD of professional orchestra musicians, using numeric visual scale (NVS).
DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: We performed a prospective, controled, single-blinded, randomized study with musicians suffering from PRMD. Participating musicians were randomly distributed into the experimental (n= 39) and the control (n= 30) groups. After an individual diagnostic assessment, speciifc Tuina self-administered exercises were developed and taught to the participants. Musicians were instructed to repeat the exercises every day for 3 weeks.
MAIN OUTCOME MEASURES: Pain intensity was measured by NVS before the intervention and after 1, 3, 5, 10, 15 and 20 d of treatment. The procedure was the same for the control group, however the Tuina exercises were executed in points away from the commonly-used acupuncture points.
RESULTS: In the treatment group, but not the control group, pain intensity was signiifcantly reduced on days 1, 3, 5, 10, 15 and 20.
CONCLUSION: The results obtained are consistent with the hypothesis that self-administered exercises based on Tuina techniques could help professional musicians controling the pain caused by PRMD. Although our results are very promising, further studies are needed employing a larger sample size and double blinding designs.
