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.
|Publication status||Published - 2021|
|Event||The Neurosciences and Music VII - Connecting with music across the lifespan - |
Duration: 19. Jun 2020 → 22. Jun 2020
|Conference||The Neurosciences and Music VII - Connecting with music across the lifespan|
|Period||19/06/2020 → 22/06/2020|