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Id		832
Author		Lord V.M., Cave P., Hume V.J., Flude E.J., Evans A., Kelly J.L., Polkey M.I., Hopkinson N.S.
Title		Singing teaching as a therapy for chronic respiratory disease - A randomised controlled trial and qualitative evaluation
Reference		Lord V.M., Cave P., Hume V.J., Flude E.J., Evans A., Kelly J.L., Polkey M.I., Hopkinson N.S.; Singing teaching as a therapy for chronic respiratory disease - A randomised controlled trial and qualitative evaluation ;BMC Pulmonary Medicine vol:10 issue: page:
Keywords
Link to article		https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955113296&doi=10.1186%2f1471-2466-10-41&partnerID=40&md5=06246fa3b3a1d470116044e8b39eb61a
Abstract		Background: Despite optimal pharmacological therapy and pulmonary rehabilitation, patients with COPD continue to be breathless. There is a need to develop additional strategies to alleviate symptoms. Learning to sing requires control of breathing and posture and might have benefits that translate into daily life.Methods: To test this hypothesis we performed a randomised controlled trial, comparing a six week course of twice weekly singing classes to usual care, in 28 COPD patients. The experience of singing was assessed in a qualitative fashion, through interviews with a psychologist. In addition, we surveyed patients with chronic respiratory conditions who participated in a series of open singing workshops.Results: In the RCT, the physical component score of the SF36 improved in the singers (n = 15) compared to the controls (n = 13); +7.5(14.6) vs. -3.8(8.4) p = 0.02. Singers also had a significant fall in HAD anxiety score; -1.1(2.7) vs. +0.8(1.7) p = 0.03. Singing did not improve single breath counting, breath hold time or shuttle walk distance. In the qualitative element, 8 patients from the singing group were interviewed. Positive effects on physical sensation, general well-being, community/social support and achievement/efficacy emerged as common themes. 150 participants in open workshops completed a questionnaire. 96% rated the workshops as very enjoyable and 98% thought the workshop had taught them something about breathing in a different way. 81% of attendees felt a marked physical difference after the workshop.Conclusion: Singing classes can improve quality of life measures and anxiety and are viewed as a very positive experience by patients with respiratory disease; no adverse consequences of participation were observed.Trial Registration: Current Controlled Trials - ISRCTN17544114. © 2010 Lord et al; licensee BioMed Central Ltd.
Metodology
Technique