Using musculo-postural biofeedback in virtual reality for pain management in musicians

The system was developed at CYENS – Centre of Excellence totally from scratch. The system appears in the form of an intelligent virtual mirror, where a digital twin of the user (the musician) appears in a full-body 3D representation and is augmented with musculoskeletal corrective feedback. The advantage of this is that the user can observe themselves from different view-angles (for example from behind) and at the same time toggle various muscular and postural biofeedback parameters which are provided to the user in real-time. Muscular feedback is provided via heat maps where the user can see the muscular activity of each of their muscles along with any sign of asymmetry between contralateral muscles. Skeletal-related feedback is provided about the wrists, shoulders, feet, and spine.

A second component of the TONE project is AirTone. It is a game that is aimed at musicians with chronic pain and aims to allow them to play music for a longer time. The game is an endless-runner where the musician controls a flying vehicle using the sound coming out from the instrument and collects musical notes that each have different properties. Three different levels have been implemented along with customization parameters that can adapt gameplay based on the musicians’ instrument and style of play.

Both components of the project have been evaluated in ongoing user studies.

Funding Source: 

2nd Opportunity “Call of the “RESTART 2016-2020” Program for Research, Technological Development, and Innovation – September 2020 – May 2021

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 101028715.

External Website:



University of Cyprus

IMMM Institue of Music Physiology and Musicians’ Medicine.


Biofeedback, musculoskeletal disorders, musicians, technology, VR

Do you want to participate?

    Participant/ Christos quote

    Participant / Dr Christos IoannouProject Leader

    Dr Christos Ioannou

    Group Leader



    Tone Project (Biosense) Joining the 11th Cycle of EGG
    Tone Project (Biosense) Joining the 11th Cycle of EGG

            TONE project has been selected to become a part of the "grow" phase of the 11th cycle of the egg Start-Up platform            

    Press for the Scientific Concert
    Press for the Scientific Concert

      On June 7, 2023, the scientific concert "Beyond the Melodies: Interactive Technologies for the Promotion of Musician's Health" was successfully held by the CYENS Center of Excellence in Nicosia. The concert was hosted in the Andreas Patsalidis Hall of the Cultural Foundation of the Bank of Cyprus where we…
    Read More

    Scientific Concert “Beyond the Melodies”
    Scientific Concert “Beyond the Melodies”

      Thank you to everyone who joined us for our event on Wednesday, June 7th!   We were delighted to have all of you there and showcase our interactive technologies for musicians' health. It was an incredible experience to combine music and science, opening a window into the musical dialogue…
    Read More