Feasibility of Distractive Auditory Stimuli on Upper Extremity Training in Persons With Chronic Obstructive Pulmonary Disease

Bauldoff, Gerene; Rittinger, Mahasti; Nelson, Timothy; Doehrel, Joan; Diaz, Philip T.

doi:10.1097/00008483-200501000-00011

Cited by 33 publications

(23 citation statements)

References 23 publications

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“…10 -16 A distracting effect of music can prolong exercise by increasing the threshold for pain or dyspnea. 12,13 An externally driven autonomic modulation could be of practical use to induce body sensation (eg, increase in heart rate or by skin vasoconstriction), which might finally reach the level of consciousness or at least create a continuous stimulus to the upper brain centers. This may better explain the efficacy of music in pathological conditions such as stroke, 10 and it opens new areas for music therapy in rehabilitative medicine.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Interactions Between Musical, Cardiovascular, and Cerebral Rhythms in Humans

et al. 2009

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Background-Reactions to music are considered subjective, but previous studies suggested that cardiorespiratory variables increase with faster tempo independent of individual preference. We tested whether compositions characterized by variable emphasis could produce parallel instantaneous cardiovascular/respiratory responses and whether these changes mirrored music profiles. Methods and Results-Twenty-four young healthy subjects, 12 musicians (choristers) and 12 nonmusician control subjects, listened (in random order) to music with vocal (Puccini's "Turandot") or orchestral (Beethoven's 9th Symphony adagio) progressive crescendos, more uniform emphasis (Bach cantata), 10-second period (ie, similar to Mayer waves) rhythmic phrases (Giuseppe Verdi's arias "Va pensiero" and "Libiam nei lieti calici"), or silence while heart rate, respiration, blood pressures, middle cerebral artery flow velocity, and skin vasomotion were recorded. Common responses were recognized by averaging instantaneous cardiorespiratory responses regressed against changes in music profiles and by coherence analysis during rhythmic phrases. Vocal and orchestral crescendos produced significant (Pϭ0.05 or better) correlations between cardiovascular or respiratory signals and music profile, particularly skin vasoconstriction and blood pressures, proportional to crescendo, in contrast to uniform emphasis, which induced skin vasodilation and reduction in blood pressures. Correlations were significant both in individual and group-averaged signals. Phrases at 10-second periods by Verdi entrained the cardiovascular autonomic variables. No qualitative differences in recorded measurements were seen between musicians and nonmusicians. Key Words: blood pressure Ⅲ heart rate Ⅲ ultrasonography, Doppler, transcranial Ⅲ arousal Ⅲ therapy, music T here has been considerable recent interest in the cardiovascular, respiratory, and neurophysiological effects of listening to music, including the brain areas involved, which appear to be similar to those involved in arousal. 1,2 Responses to music appear to be personal, particularly when skin tingling or "chills" occur, 3-5 which suggests individual reactions to music that are dependent on individual preferences, mood, or emotion. However, our previous study 6 showed consistent cardiovascular and respiratory responses to music with different styles (raga/techno/classical) in most subjects, in whom arousal was related to tempo and was associated with faster breathing. The responses were qualitatively similar in musicians and nonmusicians and apparently were not influenced by music preferences, although musicians responded more. That original study concerned average responses to music rather than to dynamic changes during a track, because we used artificial tracks with 2 or 4 minutes of consistent style and tempo. Changes in tempo and emphasis were less evident, which is important for originating "chills." Conclusions-Music Clinical Perspective on p 3180We did not then study the entrainment of spontaneous cardiovascular ...

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Section: Discussionmentioning

confidence: 99%

Dynamic Interactions Between Musical, Cardiovascular, and Cerebral Rhythms in Humans

et al. 2009

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“…Articles were excluded if they only described a self-reported measure of arm exercise capacity, a measure of arm muscle strength (eg, one repetition maximum, isometric or isokinetic dynamometers), or an arm task without a specifi c time-or performance-based outcome. Articles not writto move three 2.5-lb weights across a row of four pegs as quickly as possible, and fi ve studies 11,12,17,43,44 used the 6-min pegboard and ring test (6PBRT), with participants seated in front of a board with two lower and two higher pegs and asked to move as many rings as possible in 6 min.…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…Ring Shifts: Ring shifts were used in 10 studies 5,11,12,17,19,32,[41][42][43][44] to assess either arm endurance or function. Three studies instructed subjects to perform ring shifts until exhaustion over a vertical distance of 10 cm.…”

Section: Arm Exercise Testsmentioning

confidence: 99%

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How Should We Measure Arm Exercise Capacity in Patients With COPD?

Janaudis-Ferreira

Beauchamp

Goldstein

et al. 2012

Chest

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“…Ferreira LL, Vanderlei LCM, Abreu LC, Guida HL, Valenti VE iNtrODUctiON Currently, music has been used as a therapeutic agent to facilitate, promote and contribute to a better quality of life (QoL) of patients in various specialties -and for that, called music therapy 1,2 -and it has also been the subject of studies linking their use adjunct to other therapies [3][4][5][6][7][8][9] . This therapy involves the skillful use of musical elements in order to improve the physical and mental health of a person, as a way of providing emotional and spiritual support, and in order to reduce stress levels and anxiety 1,2 .…”

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confidence: 99%

Neurophysiological aspects of musical auditory stimulation on the cardiovascular system

et al. 2013

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The literature has shown that musical stimulation can influence the cardiovascular system, however, the neurophysiological aspects of this influence are not yet fully elucidated. Objective: This study describes the influence of music on the neurophysiological mechanisms in the human body, specifically the variable blood pressure, as well as the neural mechanisms of music processing. Methods: Searches were conducted in Medline, PEDro, Lilacs and SciELO using the intersection of the keyword "music" with the keyword descriptors "blood pressure" and "neurophysiology". results: There were selected 11 articles, which indicated that music interferes in some aspects of physiological variables. conclusion: Studies have indicated that music interferes on the control of blood pressure, heart and respiratory rate, through possible involvement of limbic brain areas which modulate hypothalamic-pituitary functions. Further studies are needed in order to identify the mechanisms by which this influence occurs.Keywords: music; neurophysiology; cardiovascular system. reSUMO introdução: A literatura já demonstrou que o estímulo musical pode influenciar o sistema cardiovascular, porém, os aspectos neurofisiológicos desta influência ainda não estão totalmente elucidados. Objetivo: Este estudo descreve a influência da música nos mecanismos neurofisiológicos no organismo humano, especificamente na variável pressão arterial, bem como os mecanismos neurais do processamento da música. Métodos: Foram realizadas buscas nas bases Medline, PEDro, SciELO e Lilacs, utilizando o cruzamento da palavra-chave "music" com os descritores "blood pressure" e "neurophysiology". resultados: Foram selecionados 11 artigos, que indicaram que a música interfere em alguns aspectos nas variáveis fisiológicas. conclusão: Os estudos demonstraram que a música interfere no controle da pressão arterial, frequência cardíaca e respiratória, por meio do possível envolvimento de áreas límbicas cerebrais, que modulam funções hipotálamo-hipofisárias. Mais estudos são necessários para identificar os mecanismos pelos quais essa influência ocorre.Palavras-chave: música; neurofisiologia; sistema cardiovascular.Study carried out at

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Feasibility of Distractive Auditory Stimuli on Upper Extremity Training in Persons With Chronic Obstructive Pulmonary Disease

Abstract: Subjects who used DAS (music) while performing UET improved functional performance whereas controls failed to continue improvement. The DAS is a feasible adjunct to UET that may have the potential to augment the effectiveness of pulmonary rehabilitation training.

Cited by 33 publications

References 23 publications

Dynamic Interactions Between Musical, Cardiovascular, and Cerebral Rhythms in Humans

Dynamic Interactions Between Musical, Cardiovascular, and Cerebral Rhythms in Humans

How Should We Measure Arm Exercise Capacity in Patients With COPD?

Neurophysiological aspects of musical auditory stimulation on the cardiovascular system

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