Original Research Article
Year: 2017 | Month: July | Volume: 7 | Issue: 7 | Pages: 106-109
Effect of Singing along with Pulmonary Rehabilitation on Quality of Life and Dyspnea in Patient with Chronic Obstructive Pulmonary Disease
Dr. Shreya Trivedi
Assistant Professor, Shree Sahajanand Institute of Physiotherapy, Bhavnagar, Gujarat.
Introduction: Chronic obstructive pulmonary disease (COPD) patients have many symptoms like dyspnea, cough, fatigue, etc. The Global Initiative for chronic obstructive Lung Disease has categorized these patients according to their symptoms in 4 grades (Grade A to D). Pulmonary rehabilitation is well established treatment for COPD though the impact of more enjoyable activity is assumed more on quality of life. Hence singing was chosen as an intervention additionally to pulmonary rehabilitation in present study. Singing requires a rhythmic controlled respiration so it can have some role in improvement in dyspnea. There are very less evidences showing combine effect of singing and pulmonary rehabilitation in COPD patient so the need of study arises.
Methods: Medical Research Council Scale and Hospital Anxiety and Depression Scale are valid and reliable tool to measure dyspnea and quality of life respectively. Based on inclusion and exclusion criteria out of 90 screened patients 56 patients were recruited in the study. All 56 patients were divided into two groups (n=26). Group A(Experimental group) was given pulmonary rehabilitation 4 days a week and singing classes 2 days a week for 4 weeks. Group B (Control group) was given only pulmonary rehabilitation 4 days a week for 4 weeks.
Results: Significant improvement is seen in dyspnea and quality of life, in both groups but the significance level was higher in experimental group (p<0.05).
Conclusion: Despite certain limitation the present study demonstrated singing additional to pulmonary rehabilitation can improve dyspnea and quality of life better than pulmonary rehabilitation alone.
Key words: COPD, Singing, Quality of Life, Pulmonary rehabilitation.