Effect Of Singing Lessons In Patients With COPD – A Randomised Controlled Trial

Lord, Victoria; Hume, Victoria Jane; Cave, Phoene; Flude, Lizzie; Kelly, Julia L.; Hopkinson, Nicholas

doi:10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a5134

Cited by 2 publications

(13 citation statements)

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“…In all the studies, participants sang songs for 20 to 30 minutes. The comparison groups included a film workshop (Lord 2012), handcraft work (Bonilha 2009), and no intervention (Lord 2010). …”

Section: Resultsmentioning

confidence: 99%

“…The primary outcome of health-related quality of life was measured in all three studies, using the St George’s Respiratory Questionnaire total score (Bonilha 2009; Lord 2010), the SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores (Lord 2010; Lord 2012), and the COPD Assessment Test (CAT) total score (Lord 2012). The primary outcome of dyspnoea was assessed in one study using the Basal Dyspnea Index (BDI) (Bonilha 2009).…”

Section: Resultsmentioning

confidence: 99%

“…The following secondary outcomes were measured by the included studies: respiratory muscle strength (Bonilha 2009); pulmonary function (Bonilha 2009); psychological status (Lord 2010; Lord 2012); peak exercise capacity (Lord 2010; Lord 2012); and physical activity level (Lord 2012). …”

Section: Resultsmentioning

confidence: 99%

“…All three studies reported dropouts and loss to follow-up ranging from 22% to 30% (Bonilha 2009; Lord 2010; Lord 2012). …”

Section: Resultsmentioning

confidence: 99%

“…Singing requires the development of skills in controlling posture that may be transferable to activities in daily life for people with COPD (Lord 2010). …”

Section: Introductionmentioning

confidence: 99%

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Singing for adults with chronic obstructive pulmonary disease

McNamara

Epsley

Coren

et al. 2017

Cochrane Database of Systematic Reviews

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Background Singing is a complex physical activity dependent on the use of the lungs for air supply to regulate airflow and create large lung volumes. In singing, exhalation is active and requires active diaphragm contraction and good posture. Chronic obstructive pulmonary disease (COPD) is a progressive, chronic lung disease characterised by airflow obstruction. Singing is an activity with potential to improve health outcomes in people with COPD. Objectives To determine the effect of singing on health-related quality of life and dyspnoea in people with COPD. Search methods We identified trials from the Cochrane Airways Specialised Register, ClinicalTrials.gov, the World Health Organization trials portal and PEDro, from their inception to August 2017. We also reviewed reference lists of all primary studies and review articles for additional references. Selection criteria We included randomised controlled trials in people with stable COPD, in which structured supervised singing training of at least four sessions over four weeks’ total duration was performed. The singing could be performed individually or as part of a group (choir) facilitated by a singing leader. Studies were included if they compared: 1) singing versus no intervention (usual care) or another control intervention; or 2) singing plus pulmonary rehabilitation versus pulmonary rehabilitation alone. Data collection and analysis Two review authors independently screened and selected trials for inclusion, extracted outcome data and assessed risk of bias. We contacted authors of trials for missing data. We calculated mean differences (MDs) using a random-effects model. We were only able to analyse data for the comparison of singing versus no intervention or a control group. Main results Three studies (a total of 112 participants) were included. All studies randomised participants to a singing group or a control group. The comparison groups included a film workshop, handcraft work, and no intervention. The frequency of the singing intervention in the studies ranged from 1 to 2 times a week over a 6 to 24 week period. The duration of each singing session was 60 minutes. All studies included participants diagnosed with COPD with a mean age ranging from 67 to 72 years and a mean forced expiratory volume in one second (FEV1) ranging from 37% to 64% of predicted values. The sample size of included studies was small (33 to 43 participants) and overall study quality was low to very low. Blinding of personnel and participants was not possible due to the physical nature of the intervention, and selection and reporting bias was present in two studies. For the primary outcome of health-related quality of life, there was no statistically significant improvement in the St George’s Respiratory Questionnaire total score (mean difference (MD) −0.82, 95% confidence interval (CI) −4.67 to 3.02, 2 studies, n = 58, low-quality evidence). However, there was a statistically significant improvement in the SF-36 Physical Component Summary (PCS) score favouring the sin...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…All three studies reported dropouts and loss to follow-up ranging from 22% to 30% (Bonilha 2009; Lord 2010; Lord 2012). …”

Section: Resultsmentioning

confidence: 99%

“…Singing requires the development of skills in controlling posture that may be transferable to activities in daily life for people with COPD (Lord 2010). …”

Section: Introductionmentioning

confidence: 99%

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