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Id | 830 | |
Author | Lord V.M., Hume V.J., Kelly J.L., Cave P., Silver J., Waldman M., White C., Smith C., Tanner R., Sanchez M., Man W.D.-C., Polkey M.I., Hopkinson N.S. | |
Title | Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial | |
Reference | Lord V.M., Hume V.J., Kelly J.L., Cave P., Silver J., Waldman M., White C., Smith C., Tanner R., Sanchez M., Man W.D.-C., Polkey M.I., Hopkinson N.S.; Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial ;BMC Pulmonary Medicine vol:12 issue: page: |
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Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84868668799&doi=10.1186%2f1471-2466-12-69&partnerID=40&md5=e2c8ac6fd1a3987acffdd319c64a921a |
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Abstract | 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. © 2012 Lord et al.; licensee BioMed Central Ltd. |
Conclusion: Singing classes have an impact on health status distinct from that achieved simply by taking part in a group activity. The singing group participants reported multiple ben- efits in terms of their general wellbeing. A singing group facilitator commented that sixteen sessions seemed about the right duration but that mixed ability classes were challenging and that this could be more difficult with a rolling program where new people were joining the group. Significance of findings The present data develop the findings of our previous work in this area which showed improvements in health status and a positive patient experience associated with participation in singing classes . It is also worth noting that over half the session-time was normally spent on physical warm-ups breathing exercises and singing exercises; under half singing songs: this propor- tion is perhaps different to a normal community singing group in its emphasis on technique over song.