Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial

Abstract

BackgroundThere is some evidence that singing lessons may be of benefit to patients with chronic obstructive pulmonary disease (COPD). It is not clear how much of this benefit is specific to singing and how much relates to the classes being a group activity that addresses social isolation.MethodsPatients were randomised to either singing classes or a film club for eight weeks. Response was assessed quantitatively through health status questionnaires, measures of breathing control, exercise capacity and physical activity and qualitatively, through structured interviews with a clinical psychologist.ResultsThe singing group (n=13 mean(SD) FEV1 44.4(14.4)% predicted) and film group (n=11 FEV1 63.5(25.5)%predicted) did not differ significantly at baseline. There was a significant difference between the response of the physical component score of the SF-36, favouring the singing group +12.9(19.0) vs -0.25(11.9) (p=0.02), but no difference in response of the mental component score of the SF-36, breathing control measures, exercise capacity or daily physical activity. In the qualitative element, positive effects on physical well-being were reported in the singing group but not the film group.ConclusionSinging classes have an impact on health status distinct from that achieved simply by taking part in a group activity.Trials registrationRegistration Current Controlled Trials - ISRCTN17544114

Community singing groups for people with chronic obstructive pulmonary disease: participant perspectives

“…Lord et al 10,11 reported positive findings from health status measures, in particular a significant reduction in anxiety, a finding which was replicated in other studies 14,15 . While this is a positive finding where sample numbers are adequate, Engstrom et al 16 have suggested that generic self-assessment questionnaires are of limited value in detecting the early effects of COPD.…”

“…The theory of interrelated mechanisms has also been put forward in previous work. Lord 10,11 , for example, has suggested that perceived improvements in breathing may be largely psychologically mediated, which participants here seemed aware of.…”

“…Although the singing programme itself is the prime focus, a d o e i put , other elements which are similar across studies, such as teaching breathing techniques 10,11,12,19,20 , must be acknowledged.…”

“…Lord et al 10,11 undertook interviews with participants (n=8 and 9 in the respective studies of 2010 and 2012). Although limited in number, interviewees reported improvements in breathing, general wellbeing, posture, social support and achievement.…”

Singing in chronic obstructive pulmonary disease patients: A pilot study in Portugal

“…The present data 2,4 and this study suggest that singing does produce specific benefits and that participation in singing classes should be encouraged where these are available.…”