{
  "abstract": "SUMMARY: BACKGROUND:: Multimodal interventions integrating breathing regulation and rhythmic auditory stimulation may improve trunk stability and modulate stress-related psychophysiological responses. Evidence on combined core stabilization and autonomic regulation programs in young adults remains limited.\n\nOBJECTIVE:: The aim of this study was to investigate the effects of a 12-week music-accompanied program combining core stabilization, diaphragmatic breathing, and relaxation exercises on trunk muscle endurance and stress-related outcomes in university students.\n\nMETHODS:: In this randomized controlled trial, 80 university students were randomly assigned to an intervention (n=40) or a waitlist control group (n=40). The intervention was performed four times weekly for 12 weeks under physiotherapist supervision, including progressive core stabilization integrated with diaphragmatic breathing and slow-tempo music. Outcomes included trunk extensor endurance (Biering-Sorensen), lateral trunk endurance (lateral plank), trunk flexor endurance, perceived stress (PSS-10), and state anxiety (STAI-S). A 2×2 mixed-design analysis of variance evaluated group×time interactions. Assessors were not blinded.\n\nRESULTS:: Significant group×time interactions favored the intervention group for perceived stress (η2p=0.148, d=0.82), state anxiety (η2p=0.122, d=0.74), lateral trunk endurance (left lateral plank: η2p=0.052, d=0.46;right lateral plank: η2p=0.078, d=0.57), and trunk flexor endurance (η2p=0.123, d=0.74). No significant interaction was found for trunk extensor endurance.\n\nCONCLUSION:: A 12-week multimodal program combining core stabilization, breathing, relaxation, and music improved trunk endurance and reduced stress and anxiety; the waitlist design does not permit isolating music's specific contribution.",
  "abstract_shown": true,
  "affiliations": [
    "Ankara University, Haymana Vocational School, Department of Therapy and Rehabilitation, Physiotherapy Program – Ankara, Turkey.",
    "Etlik Public Hospitals Deputy Directorate, Department of Physical Medicine and Rehabilitation – Ankara, Turkey."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Emine Merve Ersever",
      "orcid": "0000-0002-4172-8116"
    },
    {
      "affs": [
        0
      ],
      "name": "Osman Şenol Yıldız",
      "orcid": "0000-0002-3183-6906"
    },
    {
      "affs": [
        1
      ],
      "name": "Emre Ersöz",
      "orcid": "0009-0005-7861-8614"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/39t8pa91nc9f3.bib",
  "cited_by": 0,
  "doi": "10.1590/1806-9282.20260773",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13722092/?tool=EBI",
  "id": "39t8pa91nc9f3",
  "issns": [
    "0104-4230",
    "1806-9282"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13722092",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "3207|Music Therapy and Health"
    ]
  ],
  "openalex": "W7224802147",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13722092/pdf/?tool=EBI",
  "pmcid": "PMC13722092",
  "pmid": null,
  "published": "2026-10-30",
  "publisher": "Associação Médica Brasileira",
  "ris": "https://research.draconitic.com/paper/39t8pa91nc9f3.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:36Z",
      "native_id": "PMC:PMC13722092",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13722092"
    },
    {
      "first_seen": "2026-11-03T12:22:40Z",
      "native_id": "PMC13722092",
      "source": "pmc",
      "url": "https://doi.org/10.1590/1806-9282.20260773"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "Effects of a music-accompanied multimodal exercise program on trunk endurance, stress, and anxiety in university students: a randomized controlled trial",
  "title_text": "Effects of a music-accompanied multimodal exercise program on trunk endurance, stress, and anxiety in university students: a randomized controlled trial",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:22:40Z",
  "url": "https://research.draconitic.com/paper/39t8pa91nc9f3",
  "venue": "Revista da Associacao Medica Brasileira (1992)",
  "versions": []
}