Singing for adults with chronic obstructive pulmonary disease (COPD)

McNamara, R., Epsley, C., Coren, E. and McKeough, Z. (2017) Singing for adults with chronic obstructive pulmonary disease (COPD). Cochrane Database of Systematic Reviews, 12. ISSN 1469-493X.

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Singing is a complex physical activity dependent on the use of the lungs for air supply to regulate airflow and create large lung volumes.
In singing, exhalation is active and requires active diaphragm contraction and good posture. Chronic obstructive pulmonary disease (COPD) is a progressive, chronic lung disease characterised by airflow obstruction. Singing is an activity with potential to improve
health outcomes in people with COPD.

To determine the effect of singing on health-related quality of life and dyspnoea in people with COPD.

Search methods
We identified trials from the Cochrane Airways Specialised Register,, the World Health Organization trials portal and
PEDro, from their inception to August 2017. We also reviewed reference lists of all primary studies and review articles for additional

Selection criteria
We included randomised controlled trials in people with stable COPD, in which structured supervised singing training of at least
four sessions over four weeks’ total duration was performed. The singing could be performed individually or as part of a group (choir)
facilitated by a singing leader. Studies were included if they compared: 1) singing versus no intervention (usual care) or another control intervention; or 2) singing plus pulmonary rehabilitation versus pulmonary rehabilitation alone.

Data collection and analysis
Two review authors independently screened and selected trials for inclusion, extracted outcome data and assessed risk of bias. We
contacted authors of trials for missing data. We calculated mean differences (MDs) using a random-effects model. We were only able
to analyse data for the comparison of singing versus no intervention or a control group

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine
R Medicine > RC Internal medicine > RC0581 Specialties of internal medicine
Divisions: Faculty of Health and Wellbeing > Sidney De Haan Research Centre for Arts and Health
Related URLs:
Depositing User: Ms Esther Coren
Date Deposited: 18 Jan 2018 17:09
Last Modified: 19 Dec 2018 05:45

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Last edited: 29/06/2016 12:23:00