Effects of Music on Exercise and Perceived Symptoms in Patients With Chronic Obstructive Pulmonary Disease

Pfister, Toni; Berrol, Cynthia; Caplan, Calvin

doi:10.1097/00008483-199805000-00007

Cited by 32 publications

(14 citation statements)

References 10 publications

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“…We did not observe an impact of music on exercise capacity, as was demonstrated previously. 38 Our results are similar to those of another study that evaluated the effect of listening to music in subjects with COPD during a 6-min walk test, 46 even though exercise duration was different. The design of our study, with a similar level of exercise in both sessions and an evaluation of only one session, did not permit us to observe this influence during a long-term period.…”

Section: Discussionsupporting

confidence: 84%

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

et al. 2015

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BACKGROUND: Pulmonary rehabilitation is a key element in the treatment of COPD. Music has been shown to have a positive effect on parameters related to a decrease in exercise tolerance. The aim of this study was to evaluate the effect of listening to ambient music on perceived exertion during a pulmonary rehabilitation session for COPD subjects. METHODS: COPD subjects randomly performed a session of pulmonary rehabilitation with or without ambient music. Perceived exertion (Borg scales), anxiety (Hospital Anxiety and Depression Scale-Anxiety Subscale), dyspnea (visual analog scale), and cardiorespiratory parameters were compared at the end of both sessions. RESULTS: Forty-one subjects were analyzed. The characteristics of the COPD subjects were as follows: age, 70.5 ؎ 8.4 y; body mass index, 22.7 ؎ 3.9 kg/m 2 ; and FEV 1 , 38.6 ؎ 12.5 % predicted. Perceived exertion was not modified by ambient music, but anxiety was improved (P ‫؍‬ .02). Dyspnea, fatigue and cardiorespiratory parameters were not influenced by music during a typical session of the pulmonary rehabilitation program. CONCLUSIONS: This study demonstrates that perceived exertion during one pulmonary rehabilitation session was not influenced by ambient music. However, a positive effect on anxiety was observed. (ClinicalTrials.gov registration NCT01833260.)

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Section: Discussionsupporting

confidence: 84%

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

et al. 2015

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“…2,3,17,18 Our observations in this study are consistent with those in previous studies that investigated the effect of DAS on dyspneic sensation induced by exercise. 2,17 Thornby et al 17 showed that DAS attenuated treadmill exercise-induced dyspnea.…”

Section: Discussionsupporting

confidence: 92%

“…This phenomenon has not been reported in other studies on the effect of DAS on dyspnea in subjects with COPD. 2,3,17,18 This novel finding suggests that DAS may enable patients with COPD to exercise for longer time periods. Cycle ergometer exercise can more accurately maintain the intensity of exercise load than either treadmill exercise or field walking.…”

Section: Discussionmentioning

confidence: 85%

Distractive Auditory Stimuli Alleviate the Perception of Dyspnea Induced by Low-Intensity Exercise in Elderly Subjects With COPD

2015

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BACKGROUND: Although recent studies have shown that distractive auditory stimuli (DAS) in the form of music increase adherence to exercise in subjects with COPD, the effect of DAS on dyspnea induced by low-intensity, constant-load exercise in elderly patients with COPD has not been elucidated. Therefore, the purpose of this study was to investigate the effect of DAS on the perception of dyspnea induced by low-intensity, constant-load exercise in elderly subjects with COPD. METHODS: We enrolled 16 male out-patients with COPD. Subjects completed cycling exercises with and without DAS at 40% maximum oxygen consumption. They were asked to rate their perception of dyspnea using the modified Borg scale every 3 min during exercise and every 1 min during the recovery period. RESULTS: Dyspnea perception during low-intensity exercise showed a significant correlation between the exercise condition (DAS and control) and exercise duration (P ‫؍‬ .04). Exercise-induced dyspnea perception under the DAS condition was significantly lower than that under the control condition from 18 min after the start of exercise to 3 min after the end of exercise (18, 20, 21, 22, and 23 min, P ‫؍‬ .01, P < .001, P ‫؍‬ .009, P ‫؍‬ .006, and P ‫؍‬ .006, respectively). However, oxygen consumption and ventilation in response to low-intensity exercise did not significantly differ in the DAS and control conditions (P ‫؍‬ .39 and .14, respectively) CONCLUSIONS: Our results suggest that DAS is a non-pharmacologic therapy that can be used to reduce the dyspneic sensation in elderly patients with COPD.

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“…This rationale has been confirmed in research studying respiratory-related evoked potentials in the electroencephalogram, which showed reduced neural processing of respiratory sensations during attentional distraction compared to recruitment of attention conditions [134, 135]. However, research in COPD patients has produced conflicting results, with some studies showing reductions of exertional dyspnea and/or increases in exercise performance during attentional distraction by music [19, 136, 137], whereas other studies failed to observe beneficial effects on dyspnea [138–140]. Due to this inconclusive evidence, recent systematic reviews and guidelines do not support the routine use of attentional distraction for COPD [97, 99].…”

Section: Behavioral Medicine Treatmentmentioning

confidence: 99%

Behavioral Medicine Approaches to Chronic Obstructive Pulmonary Disease

et al. 2012

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Background Chronic obstructive pulmonary disease (COPD) is a prevalent respiratory disease and associated with considerable individual and socioeconomic burden. Recent research started examining the role of psychosocial factors for course and management of the disease. Purpose This review provides an overview on recent findings on psychosocial factors and behavioral medicine approaches in COPD. Results Research has identified several important psychosocial factors and effective behavioral medicine interventions in COPD. However, there is considerable need for future research in this field. Conclusions Although beneficial effects of some behavioral medicine interventions have been demonstrated in COPD, future research efforts are necessary to study the effects of distinct components of these interventions, to thoroughly examine promising but yet not sufficiently proven interventions, and to develop new creative interventions.

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Effects of Music on Exercise and Perceived Symptoms in Patients With Chronic Obstructive Pulmonary Disease

Abstract: There were no statistically significant differences observed between treatment conditions for distance walked, perceived dyspnea or ratings of perceived exertion. It should be noted that 60% of the subjects voluntarily commented that they enjoyed listening to music while they exercised.

Cited by 32 publications

References 10 publications

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

Distractive Auditory Stimuli Alleviate the Perception of Dyspnea Induced by Low-Intensity Exercise in Elderly Subjects With COPD

Behavioral Medicine Approaches to Chronic Obstructive Pulmonary Disease

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