The Effectiveness of Singing or Playing a Wind Instrument in Improving Respiratory Function in Patients with Long-Term Neurological Conditions: A Systematic Review
The Effectiveness of Singing or Playing a Wind Instrument in Improving Respiratory Function in Patients with Long-Term Neurological Conditions: A Systematic Review
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DOI：
10.1093/jmt/thx001
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发表时间：
2017-03-01
影响因子：
1.9
通讯作者：
Higginson, Irene J.
中科院分区：
文献类型：
--
作者：
Ang, Kexin;Maddocks, Matthew;Higginson, Irene J.
背景：许多长期神经系统疾病会对呼吸功能产生不利影响。唱歌和演奏管乐器是相对便宜的干预措施，有改善呼吸功能的潜力；然而，需要综合当前的证据来为呼吸护理中音乐的研究和临床应用提供信息。目的：批判性地评估、分析和综合已发表的有关唱歌或演奏管乐器改善患有长期神经系统疾病的人的呼吸功能的有效性的证据。设计：对已发表的随机对照试验和观察性研究进行系统回顾，检查唱歌或演奏管乐器以改善患有长期神经系统疾病的人的呼吸功能。方法：通过搜索 Medline、Embase、早在 1806 年至 2015 年 3 月的 PsycINFO、Cochrane 图书馆、CINAHL、Web of Science、CAIRSS for Music、WHO 国际临床试验注册平台搜索门户和 AMED 数据库。使用电子标准化编码形式提取和总结有关研究设计、临床人群、干预措施和结果测量的信息。对各研究的方法学质量进行了描述性评估和总结。结果：通过筛选 584 篇参考文献，审查了 68 篇全文，纳入了 5 项研究。这些涉及 109 名参与者。由于存在偏倚证据，部分由于干预措施的复杂性，这些研究被认为质量低下。没有不良反应的报道。总体而言，呼吸功能有改善的趋势，但只有一项关于帕金森病的研究具有显着的组间差异。结论：患有长期神经系统疾病的人在唱歌或管乐器治疗后呼吸功能的积极趋势值得关注，并值得进一步研究。
Background: Many long-term neurological conditions adversely affect respiratory function. Singing and playing wind instruments are relatively inexpensive interventions with potential for improving respiratory function; however, synthesis of current evidence is needed to inform research and clinical use of music in respiratory care.Objective: To critically appraise, analyze, and synthesize published evidence on the effectiveness of singing or playing a wind instrument to improve respiratory function in people with long-term neurological conditions.Design: Systematic review of published randomized controlled trials and observational studies examining singing or playing wind instruments to improve respiratory function in individuals with long-term neurological conditions.Methods: Articles meeting specified inclusion criteria were identified through a search of the Medline, Embase, PsycINFO, Cochrane Library, CINAHL, Web of Science, CAIRSS for Music, WHO International Clinical Trials Registry Platform Search Portal, and AMED databases as early as 1806 through March 2015. Information on study design, clinical populations, interventions, and outcome measures was extracted and summarized using an electronic standardized coding form. Methodological quality was assessed and summarized across studies descriptively.Results: From screening 584 references, 68 full texts were reviewed and five studies included. These concerned 109 participants. The studies were deemed of low quality, due to evidence of bias, in part due to intervention complexity. No adverse effects were reported. Overall, there was a trend toward improved respiratory function, but only one study on Parkinson's disease had significant between-group differences.Conclusions: The positive trend in respiratory function in people with long-term neurological conditions following singing or wind instrument therapy is of interest, and warrants further investigation.