Music therapy as a treatment method for improving respiratory muscle strength in patients with advanced multiple sclerosis: a pilot study
Wiens ME, Reimer MA, Guyn HL
Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · 27 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 1999-03-01 · Rehabil Nurs · vol. 24 · número 2 · págs. 74–80
- Editorial
- Lippincott Williams & Wilkins
- Citado
- 57 citas · más que el 75% de estudios similares · 0.6× el promedio de su campo
- Referencias
- 26 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Multiple Sclerosis Research Studies · Voice and Speech Disorders
- Palabras clave
- music therapy, multiple sclerosis, respiratory muscle strength, expiratory muscle weakness, diaphragmatic breathing, mouth pressure, pneumonia risk
- MeSH
- respiratory muscles, humans, respiratory insufficiency, multiple sclerosis, treatment outcome, breathing exercises, music therapy, pilot projects, adult, aged, middle aged, female, male
3 autores
- Marlene E. Wiens🇨🇦University of Calgary
- Marlene A. Reimer🇨🇦University of Calgary
- Lindsay H. Guyn🇨🇦University of Calgary
Resumen
El texto original del estudio, en el idioma en que se publicó.
Respiratory muscle weakness, predominantly of the expiratory muscles, is characteristic of individuals with advanced multiple sclerosis and can result in difficulty in clearing secretions and repeated episodes of pneumonia. This pilot study evaluated the effectiveness of music therapy in strengthening respiratory muscles through an emphasis on diaphragmatic breathing and coordination of breath and speech. Twenty patients were randomly assigned to one of two groups: one that received music therapy or one that attended music appreciation sessions. Participants' inspiratory and expiratory muscle strength was measured by testing mouth pressure before and after the intervention. The experimental group showed some improvement in terms of expiratory muscle strength, in contrast to the control group, which showed deterioration. The results were not statistically significant, however. Patients in both groups exhibited considerable weakness in their expiratory muscles, and results for 79% of the participants were below 30% of the predicted values. Variability, a major confounding factor that resulted in reduced statistical power, led the investigators to suggest an intercenter collaboration to amass sufficient numbers of patients for a future study. Early manifestation of respiratory muscle weakness warrants inclusion of respiratory muscle testing in examination protocols and early intervention efforts.
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