Email updates

Keep up to date with the latest news and content from BMC Pulmonary Medicine and BioMed Central.

Open Access Highly Accessed Research article

Singing teaching as a therapy for chronic respiratory disease - a randomised controlled trial and qualitative evaluation

Victoria M Lord1, Phoene Cave1, Victoria J Hume1, Elizabeth J Flude1, Amanda Evans1, Julia L Kelly1, Michael I Polkey1 and Nicholas S Hopkinson2*

Author Affiliations

1 Royal Brompton & Harefield NHS Foundation Trust, Sydney Street, London SW3 6NP, UK

2 National Heart and Lung Institute, Imperial College, Royal Brompton Campus, Fulham Rd, London SW3 6NP, UK

For all author emails, please log on.

BMC Pulmonary Medicine 2010, 10:41  doi:10.1186/1471-2466-10-41

Published: 3 August 2010

Abstract

Background

Despite optimal pharmacological therapy and pulmonary rehabilitation, patients with COPD continue to be breathless. There is a need to develop additional strategies to alleviate symptoms. Learning to sing requires control of breathing and posture and might have benefits that translate into daily life.

Methods

To test this hypothesis we performed a randomised controlled trial, comparing a six week course of twice weekly singing classes to usual care, in 28 COPD patients. The experience of singing was assessed in a qualitative fashion, through interviews with a psychologist. In addition, we surveyed patients with chronic respiratory conditions who participated in a series of open singing workshops.

Results

In the RCT, the physical component score of the SF36 improved in the singers (n = 15) compared to the controls (n = 13); +7.5(14.6) vs. -3.8(8.4) p = 0.02. Singers also had a significant fall in HAD anxiety score; -1.1(2.7) vs. +0.8(1.7) p = 0.03. Singing did not improve single breath counting, breath hold time or shuttle walk distance. In the qualitative element, 8 patients from the singing group were interviewed. Positive effects on physical sensation, general well-being, community/social support and achievement/efficacy emerged as common themes. 150 participants in open workshops completed a questionnaire. 96% rated the workshops as "very enjoyable" and 98% thought the workshop had taught them something about breathing in a different way. 81% of attendees felt a "marked physical difference" after the workshop.

Conclusion

Singing classes can improve quality of life measures and anxiety and are viewed as a very positive experience by patients with respiratory disease; no adverse consequences of participation were observed.

Trial Registration

Current Controlled Trials - ISRCTN17544114.