Ignite Creation Date:
2026-03-26 @ 3:16 PM
Ignite Modification Date:
2026-03-30 @ 1:25 AM
Study NCT ID:
NCT07448857
Status:
NOT_YET_RECRUITING
Last Update Posted:
2026-03-04
First Post:
2026-02-26
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Kinematics and Muscle Activation of Scapula in Upper String Players With Neck Pain
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2026-03-25'}, 'interventionBrowseModule': {'meshes': [{'id': 'D004576', 'term': 'Electromyography'}], 'ancestors': [{'id': 'D004568', 'term': 'Electrodiagnosis'}, {'id': 'D019937', 'term': 'Diagnostic Techniques and Procedures'}, {'id': 'D003933', 'term': 'Diagnosis'}, {'id': 'D009213', 'term': 'Myography'}]}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'CROSS_SECTIONAL', 'observationalModel': 'COHORT'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 60}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'NOT_YET_RECRUITING', 'startDateStruct': {'date': '2026-03-12', 'type': 'ESTIMATED'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2026-02', 'completionDateStruct': {'date': '2026-12-31', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2026-02-26', 'studyFirstSubmitDate': '2026-02-26', 'studyFirstSubmitQcDate': '2026-02-26', 'lastUpdatePostDateStruct': {'date': '2026-03-04', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2026-03-04', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2026-09-30', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Scapular muscles activation during arm elevation and dynamic instrument-playing tasks.', 'timeFrame': 'Through study completion, an average of 1 hour', 'description': 'Muscle activation levels of the upper trapezius, lower trapezius, and serratus anterior will be measured using surface electromyography (sEMG) during arm elevation (0°, 30°, 60°, 90°, 120°) and dynamic instrument-playing tasks. Data will be normalized to maximum voluntary isometric contraction (%MVIC) and expressed as root mean square (RMS) amplitude.'}, {'measure': 'Scapular kinematics during arm elevation and dynamic instrument-playing tasks', 'timeFrame': 'Through study completion, an average of 1 hour', 'description': 'Three-dimensional scapular orientation (upward/downward rotation, internal/external rotation, anterior/posterior tilt) will be measured using an electromagnetic tracking system during arm elevation (0°, 30°, 60°, 90°, 120°) and dynamic instrument-playing tasks. Data will be expressed in degrees.'}], 'secondaryOutcomes': [{'measure': 'Cervical muscles activation during arm elevation and dynamic instrument-playing tasks', 'timeFrame': ': Through study completion, an average of 1 hour', 'description': 'Muscle activation levels of the sternocleidomastoid (SCM) and cervical extensors (CE) will be measured using surface electromyography (sEMG) during arm elevation and dynamic instrument-playing tasks. Data will be normalized to maximum voluntary isometric contraction (%MVIC) and expressed as root mean square (RMS) amplitude.'}, {'measure': 'Cervical kinematic during arm elevation and dynamic instrument-playing tasks', 'timeFrame': 'Through study completion, an average of 1 hour', 'description': 'Three-dimensional movement of the cervical spine will be measured using the VIPER electromagnetic tracking system during arm elevation and dynamic instrument-playing tasks. Data will be expressed in degrees.'}, {'measure': 'Shoulder muscle strength', 'timeFrame': 'Immediately during the experiment', 'description': 'Isometric muscle strength of the upper/lower trapezius, and serratus anterior muscles will be evaluated using a hand-held dynamometer (MicroFET2). Data will be expressed in kilograms (kg).'}, {'measure': 'Cervical and Shoulder mobility', 'timeFrame': 'Immediately during the experiment', 'description': 'cervical range of motion (flexion, extension, lateral flexion, rotation) will be measured using CROM. Shoulder range of motion will be measured using inclinometer. Data will be expressed in degrees (°).'}, {'measure': 'Shoulder muscle length test', 'timeFrame': 'Immediately during the experiment', 'description': 'Resting length of the pectoralis minor and levator scapulae muscles will be measured using a tape measure and vernier caliper. Pectoralis minor index (PMI) and levator scapulae index (LSI) will be calculated and expressed as percentages (%). Pectoralis major flexibility assessed in supine via ability to rest the posterior shoulder flat on the table (pass/fail).'}, {'measure': 'Postural Angles (CVA and FSA)', 'timeFrame': 'Immediately during the experiment', 'description': 'Craniovertebral angle (CVA) and forward shoulder angle (FSA) will be measured using digital photography to assess static head and shoulder posture.'}]}, 'oversightModule': {'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Non-specific neck pain', 'upper string musicians', 'scapular kinematics', 'muscle activity', 'shoulder electromyography'], 'conditions': ['Non-specific Neck Pain in Upper String Musicians']}, 'descriptionModule': {'briefSummary': 'This study will analyze and compare scapular kinematics and muscle activation patterns between upper string musicians with and without neck pain during arm elevation and playing tasks (open strings, scales, musical pieces), providing insights for performance training and rehabilitation programs to reduce playing-related musculoskeletal disorders.', 'detailedDescription': 'The study participants will be right-handed upper string musicians (violinists and violists) aged 18 years and older. Participants must have at least 5 years of playing experience and practice more than 6 hours per week.\n\nNeck pain group: non-specific neck pain (between superior nuchal line and T1) lasting at least 2 weeks with NRS ≥3.\n\nHealthy control group: no neck/shoulder pain history in the past year, matched for age, gender, handedness, playing experience (\\>5 years), and practice hours (\\>6 hours/week).\n\nThe study involves arm elevation (0°, 30°, 60°, 90°, 120°); open string playing (at 60-120 bpm); A major scale (at 60-120 bpm); E major scale (at 60-120 bpm); and Vittorio Monti Csárdás.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'samplingMethod': 'PROBABILITY_SAMPLE', 'studyPopulation': 'upper string musicians', 'healthyVolunteers': True, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Age ≥ 18 years old.\n* Having at least 5 years of string instrument playing experience and practicing for more than 6 hours per week.\n* For the neck pain group: Experiencing non-specific neck pain for at least 2 weeks, with pain located between the superior nuchal line and the T1 spinous process, and a pain intensity of at least 3 on the Numeric Rating Scale (NRS ≥ 3).\n* For the healthy control group: Having no history of neck or shoulder pain within the past year (matched with the neck pain group by age, gender, and handedness).\n\nExclusion Criteria:\n\n* History of any neck or shoulder surgery or fracture.\n* Experiencing pain below the elbow with an intensity of at least 3 (NRS ≥ 3).\n* Diagnosed history of any structural cervical spine issues, such as herniation of intervertebral disc (HIVD), cervical spine spondylosis, or spondylolisthesis.\n* Positive response on any of the following 5 cervical spine screening tests: cervical distraction test, Spurling's test, Valsalva test, rotational alar ligament stress test, or Sharp-Purser test.\n* Any neurological disorders.\n* Pregnancy during the study period."}, 'identificationModule': {'nctId': 'NCT07448857', 'briefTitle': 'Kinematics and Muscle Activation of Scapula in Upper String Players With Neck Pain', 'organization': {'class': 'OTHER', 'fullName': 'National Yang Ming Chiao Tung University'}, 'officialTitle': 'Kinematics and Muscle Activation of Scapula in Upper String Players With Neck Pain', 'orgStudyIdInfo': {'id': 'NYCU114204AE'}}, 'armsInterventionsModule': {'armGroups': [{'label': 'upper string musicians (healthy group)', 'description': 'upper string musicians without non-specific neck pain', 'interventionNames': ['Device: motion capture system, surface electromyography']}, {'label': 'upper string musicians (neck pain group)', 'description': 'upper string musicians with non-specific neck pain', 'interventionNames': ['Device: motion capture system, surface electromyography']}], 'interventions': [{'name': 'motion capture system, surface electromyography', 'type': 'DEVICE', 'description': 'Arm elevation (0°, 30°, 60°, 90°, 120°), open string playing, scale practice, and musical piece performance', 'armGroupLabels': ['upper string musicians (healthy group)', 'upper string musicians (neck pain group)']}]}, 'contactsLocationsModule': {'locations': [{'zip': '112', 'city': 'Taipei', 'state': 'Taiwan', 'country': 'Taiwan', 'facility': 'National Yang Ming Chiao Tung University', 'geoPoint': {'lat': 25.05306, 'lon': 121.52639}}], 'centralContacts': [{'name': 'YIN-LIANG LIN, Associate professor', 'role': 'CONTACT', 'email': 'yllin1020@nycu.edu.tw', 'phone': '+886-2-28267288'}, {'name': 'HSUAN-I SU, Master', 'role': 'CONTACT', 'email': 'pt313262019.be13@nycu.edu.tw'}], 'overallOfficials': [{'name': 'YIN-LIANG LIN, Associate professor', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'National Yang Ming Chiao Tung University'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'National Yang Ming Chiao Tung University', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Associate Professor', 'investigatorFullName': 'Yin-Liang Lin', 'investigatorAffiliation': 'National Yang Ming Chiao Tung University'}}}}