AIR: Advances in Respiration – Music therapy in the treatment of chronic pulmonary disease

Published:October 19, 2015DOI:https://doi.org/10.1016/j.rmed.2015.10.001

      Abstract

      The aim of this randomized control study is to examine the effect of a multimodal psycho-music therapy intervention on respiratory symptoms, psychological well-being and quality of life of patients with Chronic Obstructive Pulmonary Disease and other lung diseases as adjunct to Pulmonary Rehabilitation with a design of music therapy plus PR compared to Pulmonary Rehabilitation alone. Music therapy group treatment including music visualization, wind playing and singing was provided weekly. This was compared with standard care treatment. Adults ages 48 to 88 (mean 70.1) with moderate to severe GOLD stage II-IV lung disease as well as other diseases processes that lead to chronic airflow limitations were included (n = 98). Participants in both conditions were followed from baseline enrollment to six weeks post control/treatment. Outcome measures included the Beck Depression Inventory Scale 2nd edition-Fast Screen (BDI-FS), Chronic Respiratory Questionnaire Self-Reported (CRQ-SR), and Dyspnea Visual Analog Scale (VAS). Results showed improvement in symptoms of depression (LS mean −0.2) in the music therapy group with statistical divergence between groups (p = 0.007). The CRQ-SR demonstrated improvement in dyspnea (p = 0.01 LS mean 0.5) and mastery (p = 0.06 LS mean 0.5) in the music therapy group and fatigue (p = 0.01 LS mean 0.3). VAS demonstrated highly significant effect in the music therapy group between weeks 5 and 6 (p < 0.001). The findings of this study suggest that music therapy combined with standard PR may prove to be an effective modality in the management of pulmonary disease.

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      References

        • Bausewein C.
        • Booth S.
        • Gysels M.
        • Higginson I.J.
        Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases.
        Cochrane Syst. Rev. 2013; 11: CD005623
        • Panigrahi A.
        • Sohani S.
        • Amadi C.
        • Joshi A.
        Role of music in the management of chronic obstructive pulmonary disease (COPD): a literature review.
        Technol. Health Care. Jan 1 2014; 22: 53-61
        • American Thoracic Society
        Pulmonary Rehabilitation-1999.
        Am. J. Respir. Crit. Care Med. 1999; 159: 1666-1682
        • Bouhuys A.
        Lung volumes and breathing patterns in wind-instrument players.
        J. Appl. Physiol. Sep 1964; 19: 967-975
        • Bouhuys A.
        Pressure-flow events during wind instrument playing.
        Ann. N. Y. Acad. Sci. 1968; 155: 264-275
        • Bouhuys A.
        Physiology and musical instruments.
        Nature. 1969; 221: 1199-1204
        • Smith J.
        • Kreisman H.
        • Colacone A.
        • Fox J.
        • Wolkove N.
        Sensation of inspired volumes and pressures in professional wind instrument players.
        J. Appl. Physiol. Jun 1990; 68: 2380-2383
        • Hunsaker L.
        Heart rate and rhythm responses during trumpet playing.
        Med. Probl. Perfom. Artists. 1994; 9: 69-72
        • Zuskin E.
        • Mustajbegovic J.
        • Schachter E.N.
        • et al.
        Respiratory function in wind instrument players.
        Med. Lav. Mar–Apr 2009; 100: 133-141
        • Alexander J.L.
        • Wagner C.L.
        Is harmonica playing an effective adjunct therapy to pulmonary rehabilitation?.
        Rehab Nurs. Jul–Aug 2012; 37: 207-212
        • National Institute of health
        Global Initiative for Chronic Obstructive Lung Disease: NHLBI/WHO Workshop Report.
        2001 (pub No. 2701)
        • Beck A.
        • Steer R.
        • Brown G.
        Manual for the Beck Depression Inventory- Fast Screen for Medical Patients.
        Psychological Corporation, San Antonio, TX2000
        • Guyatt G.H.
        • Berman L.B.
        • Townsend M.
        • Pugsley S.O.
        • Chambers L.W.
        A measure of quality of life for clinical trials in chronic lung disease.
        Thorax. Oct 1987; 42: 773-778
        • Williams J.E.
        • Singh S.J.
        • Sewell L.
        • Morgan M.D.
        Health status measurement: sensitivity of the self-reported Chronic Respiratory Questionnaire (CRQ-SR) in pulmonary rehabilitation.
        Thorax. Jun 2003; 58: 515-518
        • Jaeschke R.
        • Singer J.
        • Guyatt G.H.
        Measurement of health status. Ascertaining the minimal clinically important difference.
        Trials. Dec 1989; 10: 407-415
        • Bausewein C.
        • Farquhar M.
        • Booth S.
        • Gysels M.
        • Higginson I.J.
        Measurement of breathlessness in advanced disease: a systematic review.
        Resp. Med. 2007; 101: 399-410
        • Loewy J.
        • Aldridge D.
        Prelude to music and medicine.
        Music Med. 2009; 1: 5-8
        • Loewy J.
        • Aldridge D.
        Music & medicine: debating evidence-based strategies and outcomes.
        Music Med. 2009; 1: 81-85
        • Loewy J.
        • Stewart K.
        • Dassler A.M.
        • Telsey A.
        • Homel P.
        The effects of music therapy on vital signs, feeding, and sleep in premature infants.
        Pediatrics. May 2013; 131: 902-918
        • Nurmatov U.
        • Buckingham S.
        • Kendall M.
        • et al.
        Effectiveness of holistic interventions for people with severe chronic obstructive pulmonary disease: systematic review of controlled clinical trials.
        PloS One. 2012; 7: e46433
        • American Thoracic Society
        Global Strategies for the Diagnosis, Management, and Prevention of COPD.
        2005
        • Bausewein C.
        • Booth S.
        • Higginson I.J.
        Measurement of dyspnea in the clinical rather than the research setting.
        Curr. Opin. Support Palliat. Care. Jun 2008; 2: 95-99
        • Sliwka A.
        • Nowobilski R.
        • Polczyk R.
        • Nizankowska-Mogilnicka E.
        • Szczeklik A.
        Mild asthmatics benefit from music therapy.
        J. Asthma. May 2012; 49: 401-408
        • Singh V.P.
        • Rao V.
        • Prem V.
        • Sahoo R.
        • Keshav P.
        Comparison of the effectiveness of music and progressive muscle relaxation for anxiety in COPD–a randomized controlled pilot study.
        Chronic Respir. Dis. 2009; 6: 209-216
        • van Manen J.G.
        • Bindels P.J.E.
        • Dekker F.W.
        • IJzermans C.J.
        • van der Zee J.S.
        • Schadé E.
        Risk of depression in patients with chronic obstructive pulmonary disease and its determinants.
        Thorax. May 1, 2002; 57: 412-416
        • Fritzsche A.
        • Clamor A.
        • von Leupoldt A.
        Effects of medical and psychological treatment of depression in patients with COPD–a review.
        Resp. Med. Oct 2011; 105: 1422-1433
        • Goodridge D.
        • Nicol J.
        • Horvey K.
        • B S.
        Therapeutic singing as an adjunct for pulmonary rehabilitation participants with COPD. Outcomes of a feasibility study.
        Music Med. 2013; 5: 169-176
        • Cliff S.
        • Hancoz G.
        The perceived benefits of singing: findings from preliminary surveys of a university college choral society.
        J. R. Soc. Promot. Health. 2001; 121: 248-256
        • Bourbeau J.
        • Bartlett S.J.
        Patient adherence in COPD.
        Thorax. Sep 2008; 63: 831-838
        • Lord V.M.
        • Cave P.
        • Hume V.J.
        • et al.
        Singing teaching as a therapy for chronic respiratory disease–a randomised controlled trial and qualitative evaluation.
        BMC Pulm. Med. 2010; 10: 41
        • Bonilha A.G.
        • Onofre F.
        • Vieira M.L.
        • Prado M.Y.
        • Martinez J.A.
        Effects of singing classes on pulmonary function and quality of life of COPD patients.
        Int. J. Chronic Obstr. Pulm. Dis. 2009; 4: 1-8
        • Ho C.F.
        • Maa S.H.
        • Shyu Y.I.
        • Lai Y.T.
        • Hung T.C.
        • Chen H.C.
        Effectiveness of paced walking to music at home for patients with COPD.
        COPD. Aug 2012; 9: 447-457
        • Thaut M.
        • David W.
        The influence of participant-selected versus experimenter-chosen music on affect, anxiety, and relaxation.
        J. Music Ther. 1993; 30: 210-223
        • Walworth D.
        The effect of preferred music genre selection versus preferred song selection on experimentally induced anxiety levels.
        J. Music Ther. 2003; 40: 2-14
        • Loewy J.
        Music psychotherapy assessment.
        Music Ther. Persp. 2000; 18: 47-58
        • Sy S.
        Music Breathes Life into COPD Patients.
        2012 (accessed 31.05.14.)
        • Hahnengress M.L.
        • Boning D.
        Cardiopulmonary changes during clarinet playing.
        Eur. J. Appl. Physiol. Dec 2010; 110: 1199-1208
        • Puente-Maestu L.
        • Stringer W.W.
        Hyperinflation and its management in COPD.
        Int. J. Chronic Obstr. Pulm. Dis. 2006; 1: 381-400
        • Azoulay R.
        A music therapy approach for the treatment of adults with pulmonary disease.
        in: A R. L J.V. Music, The Breath and Health: Advances in Integrative Music Therapy. Satchnote Press, New York, NY2009: 151-168
        • Loewy J.
        Medical music therapy for children.
        in: Wheeler B. Music Therapy Handbook. Guilford Press, New York2015: 425-440
        • Loewy J.
        J. Respiratory care for children.
        in: Bradt J. Guidelines for Music Therapy Practice in Pediatric Care. Barcelona Publishers, New York2013: 403-441