Sing-a-Lung: Can group singing as activity in pulmonary rehabilitation improve dypnoea, Quality of Life, and psychological wellbeing for patients with Chronic Obstructive Pulmonary Disease (COPD)?

TY - ABST

T1 - Sing-a-Lung: Can group singing as activity in pulmonary rehabilitation improve dypnoea, Quality of Life, and psychological wellbeing for patients with Chronic Obstructive Pulmonary Disease (COPD)?

AU - Kaasgaard, Mette

PY - 2021

Y1 - 2021

N2 - Background: Pulmonary rehabilitation (PR) with physical training is a cornerstone in COPD care. PR improves physical capacity, Quality of Life (QoL) and dyspnea. However, dropout-rates from PR are high, and alternatives are needed. Previous studies indicate that singing may improve respiratory control, wellbeing, and QoL in lung patients. Methods: COPD patients referred to PR were randomised to 10 weeks PR with conventional physical training (PT) versus singing training (ST) in a multicenter cluster-randomised controlled trial. Dyspnea (mMRC scale), QoL (St. George’s Respiratory Questionnaire, SGRQ), depression and anxiety (Hospital Anxiety and Depression Scale, HADS) were measured pre and post intervention. Results: We included 270 patients, and 195 completed the study. Within-group effects were significant in both study arms in relation to SGRQ Symptom (p=0.01;<0.00). In the intention-to-treat-analysis, within-group effects were significant in ST in SGRQ Impact (p=<0.00), SGRQ Total (p=<0.00), and mMRC (p=<0.00), but not in PT, whereas SGRQ Activity (p=0.02) was significant in PT, but not in ST. Between-group effects were however only detected in SGRQ Impact (p=0.01). No significant differences were seen in anxiety and depression (HADS). Conclusions: ST is non-inferior to PT in PR and can be considered relevant in future PR as part of a range of diverse training modalities. Furthermore, ST is a low-risk, cost-effective, and easily implementable training modality.

AB - Background: Pulmonary rehabilitation (PR) with physical training is a cornerstone in COPD care. PR improves physical capacity, Quality of Life (QoL) and dyspnea. However, dropout-rates from PR are high, and alternatives are needed. Previous studies indicate that singing may improve respiratory control, wellbeing, and QoL in lung patients. Methods: COPD patients referred to PR were randomised to 10 weeks PR with conventional physical training (PT) versus singing training (ST) in a multicenter cluster-randomised controlled trial. Dyspnea (mMRC scale), QoL (St. George’s Respiratory Questionnaire, SGRQ), depression and anxiety (Hospital Anxiety and Depression Scale, HADS) were measured pre and post intervention. Results: We included 270 patients, and 195 completed the study. Within-group effects were significant in both study arms in relation to SGRQ Symptom (p=0.01;<0.00). In the intention-to-treat-analysis, within-group effects were significant in ST in SGRQ Impact (p=<0.00), SGRQ Total (p=<0.00), and mMRC (p=<0.00), but not in PT, whereas SGRQ Activity (p=0.02) was significant in PT, but not in ST. Between-group effects were however only detected in SGRQ Impact (p=0.01). No significant differences were seen in anxiety and depression (HADS). Conclusions: ST is non-inferior to PT in PR and can be considered relevant in future PR as part of a range of diverse training modalities. Furthermore, ST is a low-risk, cost-effective, and easily implementable training modality.

M3 - Conference abstract for conference

T2 - The Neurosciences and Music VII - Connecting with music across the lifespan

Y2 - 19 June 2020 through 22 June 2020

ER -