Prime

Type your tag names separated by a space and hit enter

Effect of singing on respiratory function, voice, and mood after quadriplegia: a randomized controlled trial.

Abstract

OBJECTIVE

To explore the effects of singing training on respiratory function, voice, mood, and quality of life for people with quadriplegia.

DESIGN

Randomized controlled trial.

SETTING

Large, university-affiliated public hospital, Victoria, Australia.

PARTICIPANTS

Participants (N=24) with chronic quadriplegia (C4-8, American Spinal Injury Association grades A and B).

INTERVENTIONS

The experimental group (n=13) received group singing training 3 times weekly for 12 weeks. The control group (n=11) received group music appreciation and relaxation for 12 weeks. Assessments were conducted pre, mid-, immediately post-, and 6-months postintervention.

MAIN OUTCOME MEASURES

Standard respiratory function testing, surface electromyographic activity from accessory respiratory muscles, sound pressure levels during vocal tasks, assessments of voice quality (Perceptual Voice Profile, Multidimensional Voice Profile), and Voice Handicap Index, Profile of Mood States, and Assessment of Quality of Life instruments.

RESULTS

The singing group increased projected speech intensity (P=.028) and maximum phonation length (P=.007) significantly more than the control group. Trends for improvements in respiratory function, muscle strength, and recruitment were also evident for the singing group. These effects were limited by small sample sizes with large intersubject variability. Both groups demonstrated an improvement in mood (P=.002), which was maintained in the music appreciation and relaxation group after 6 months (P=.017).

CONCLUSIONS

Group music therapy can have a positive effect on not only physical outcomes, but also can improve mood, energy, social participation, and quality of life for an at-risk population, such as those with quadriplegia. Specific singing therapy can augment these general improvements by improving vocal intensity.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Institute for Breathing and Sleep, Austin Health, Melbourne, Australia; Victorian Spinal Cord Service, Austin Health, Melbourne, Australia. jeanette.tamplin@austin.org.au

    , , , , , , ,

    Source

    MeSH

    Adult
    Affect
    Electromyography
    Female
    Humans
    Male
    Middle Aged
    Music Therapy
    Phonation
    Quadriplegia
    Quality of Life
    Respiratory Function Tests
    Respiratory Muscles
    Singing
    Treatment Outcome
    Voice Quality
    Voice Training

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    23103430