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

BMC Pulmonary Medicine

Nicholas S Hopkinson¹  Michael I Polkey¹  William D-C Man¹  Melissa Sanchez¹  Rebecca Tanner¹  Cayley Smith¹  Chris White¹  Maya Waldman¹  Judith Silver¹  Phoene Cave¹  Julia L Kelly¹  Victoria J Hume¹  Victoria M Lord¹ 

[1] NIHR Respiratory Biomedical Research Unit at Royal Brompton and Harefield NHS Foundation Trust and Imperial College, Sydney Street, London, SW3 6NP, UK

关键词: Rehabilitation;    Randomised controlled trial;    Qualitative;    Singing;    COPD;   

Others  :  1136308
DOI  :  10.1186/1471-2466-12-69

 received in 2012-05-15, accepted in 2012-11-07,  发布年份 2012

【 摘 要 】

Background

There 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.

Methods

Patients 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.

Results

The 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.

Conclusion

Singing classes have an impact on health status distinct from that achieved simply by taking part in a group activity.

Trials registration

Registration Current Controlled Trials - ISRCTN17544114

【 授权许可】

   
2012 Lord et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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