More Singing, Less Swinging - Is Singing Related to Improved Postural Control?

NCT05350436 | Unknown

• 1 other identifier: 35423
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

This study will investigate the extent to which singing affects balance and breathing. Singing therapy has potential as an adjunct or component of falls prevention programmes and in the treatment of breathing hypervigilance. Reducing fall risk, and levels of hypervigilance and anxiety could have widespread benefits on participants participation and quality of life. Investigators will aim to recruit both singers and non singers from older and younger adult age groups. Investigators will then be able to determine the balance response in untrained healthy young adults to understand the affects of singing training and aging on balance. The participants' balance will be measured via a force plate as they perform a series of speaking and singing tasks. Other outcomes will include breathing specific anxiety and attention to breathing, and balance specific anxiety and attention to balance.

Conditions

Healthy Aging; Balance; Distorted; Singing

Outcome Measures

Primary Outcomes (4)

• Postural Sway Amplitude

  An AMTI force plate (Optima AccuSway), will be used to measure postural sway this will be operationalised as "root-mean-square" sway signal throughout the trail (sample rate: 100Hz). Sway will be measured in both mediolateral and anterior-posterior directions

  30 seconds during each balance condition 1

• Postural Sway Amplitude

  An AMTI force plate (Optima AccuSway), will be used to measure postural sway this will be operationalised as "root-mean-square" sway signal throughout the trail (sample rate: 100Hz). Sway will be measured in both mediolateral and anterior-posterior directions

  30 seconds during each balance condition 2

• Postural Sway Amplitude

  An AMTI force plate (Optima AccuSway), will be used to measure postural sway this will be operationalised as "root-mean-square" sway signal throughout the trail (sample rate: 100Hz). Sway will be measured in both mediolateral and anterior-posterior directions

  30 seconds during each balance condition 3

• Postural Sway Amplitude

  An AMTI force plate (Optima AccuSway), will be used to measure postural sway this will be operationalised as "root-mean-square" sway signal throughout the trail (sample rate: 100Hz). Sway will be measured in both mediolateral and anterior-posterior directions

  30 seconds during each singing condition 1-6

Secondary Outcomes (28)

• Sway frequency (in Hz)

  30 seconds during each balance condition 1

• Sway frequency (in Hz)

  30 seconds during each balance condition 2

• Sway frequency (in Hz)

  30 seconds during each balance condition 3

• Sway frequency (in Hz)

  30 seconds during each singing conditions 1-6

• Balance-Vigilance Questionnaire

  Immediately after balance condition 1

Study Arms (4)

Young adult non singers

EXPERIMENTAL

Behavioral: Balance Conditions; Behavioral: Singing

Young adult singers

EXPERIMENTAL

Behavioral: Balance Conditions; Behavioral: Singing

Older adult non singers

EXPERIMENTAL

Behavioral: Balance Conditions; Behavioral: Singing

Older adult singers

EXPERIMENTAL

Behavioral: Balance Conditions; Behavioral: Singing

Interventions

Balance Conditions BEHAVIORAL

Balance Conditions: (\~ 5 minutes in total) * Balance Condition 1 (Feet 20cm apart) * Balance Condition 2 (Feet together) * Balance Condition 3 (Tandem stance) Initial measurements of balance conditions serve two purposes: it generates a postural control baseline for us without the attribution of singing conditions, furthermore it allows us to separately measure long-term singing experience's effect on postural control, by assessing tasks differing in difficulty level. Balance conditions will be randomised to prevent a learning effect.

Older adult non singers; Older adult singers; Young adult non singers; Young adult singers

Singing BEHAVIORAL

Singing Conditions: (\~ 15 minutes) * Warmup - including jaw and breathing exercises * Singing Condition 1 (Spoken Happy Birthday - Traditional Tempo) * Singing Condition 2 (Sung Happy Birthday - Traditional Tempo * Singing Condition 3 (Spoken Happy Birthday - Fast Tempo) * Singing Condition 4 (Sung Happy Birthday - Fast Tempo) * Singing Condition 5 (Spoken Happy Birthday - Slow Tempo) * Singing Condition 6 (Sung Happy Birthday - Slow Tempo) Link to singing instructional video: https://www.dropbox.com/s/tro58i6vx6i6w3a/Singing%20Balance%20Exercise%20Video.mp4?dl=0 Time stamps for the video: * Warmup (including jaw exercises and breathing exercises) - beginning at 2:55 until 6:06 * Happy Birthday protocol - beginning at 15:26 until 20:21

Older adult non singers; Older adult singers; Young adult non singers; Young adult singers

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• For young adults: 18 - 35 years of age
• For older adults: 60 years of age or older
• The "Older Adult" age group will be defined as adults aged 60 and older, based on the specifications of the World Health Organization (2017).
• The "Younger Adult" age group will be defined as adults aged 18 to 35 inclusive. There will be a buffer range of ages 36 to 59. This is being done to get a clear delineation between age groups.

You may not qualify if:

• For all:
• Any respiratory, neurological, cardiac disease or deficit (and are on regular medication for it), and/or mobility issues.
• Have tested positive for COVID-19 in the last 15 days (van Kampen et al., 2021)
• Are diagnosed with Chronic COVID Syndrome
• Conditions limiting the ability to stand for \>1 minute independently (e.g., chronic fatigue, recent injury affecting balance)
• Pregnancy (although this will not apply to older adults)
• Conditions limiting participating in singing activities (aphasia, dysarthria, dysphonia, speech impairments)
• Investigating young adults allows to better isolate the effects of singing, as these individuals will not suffer from co-morbidities that may confound, modify or attenuate the effects. Conversely, the older adult group is relevant to study from a clinical point of view.

Sponsors & Collaborators

• Brunel University: lead

Study Sites (1)

Brunel University London Division of Physiotherapy

Uxbridge, UB8 3PH, United Kingdom

RECRUITING

Related Publications (14)

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  PMID: 7149447 BACKGROUND

• Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration. Exp Brain Res. 2002 Jun;144(3):293-302. doi: 10.1007/s00221-002-1040-x. Epub 2002 Apr 13.

  PMID: 12021811 BACKGROUND

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  PMID: 27906158 BACKGROUND

• Lord VM, Cave P, Hume VJ, Flude EJ, Evans A, Kelly JL, Polkey MI, Hopkinson NS. Singing teaching as a therapy for chronic respiratory disease--a randomised controlled trial and qualitative evaluation. BMC Pulm Med. 2010 Aug 3;10:41. doi: 10.1186/1471-2466-10-41.

  PMID: 20682030 BACKGROUND

• Lord VM, Hume VJ, Kelly JL, Cave P, Silver J, Waldman M, White C, Smith C, Tanner R, Sanchez M, Man WD, Polkey MI, Hopkinson NS. Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial. BMC Pulm Med. 2012 Nov 13;12:69. doi: 10.1186/1471-2466-12-69.

  PMID: 23145504 BACKGROUND

• Oliveira CC, McGinley J, Lee AL, Irving LB, Denehy L. Fear of falling in people with chronic obstructive pulmonary disease. Respir Med. 2015 Apr;109(4):483-9. doi: 10.1016/j.rmed.2015.02.003. Epub 2015 Feb 14.

  PMID: 25708268 BACKGROUND

• Peultier-Celli L, Audouin M, Beyaert C, Perrin P. Postural Control in Lyric Singers. J Voice. 2022 Jan;36(1):141.e11-141.e17. doi: 10.1016/j.jvoice.2020.04.019. Epub 2020 May 24.

  PMID: 32456837 BACKGROUND

• Philip KE, Lewis A, Jeffery E, Buttery S, Cave P, Cristiano D, Lound A, Taylor K, Man WD, Fancourt D, Polkey MI, Hopkinson NS. Moving singing for lung health online in response to COVID-19: experience from a randomised controlled trial. BMJ Open Respir Res. 2020 Nov;7(1):e000737. doi: 10.1136/bmjresp-2020-000737.

  PMID: 33239406 BACKGROUND

• Skingley, A. et al. 'Singing for Breathing': participants' perceptions of a group singing programme for people with COPD. Arts Health 6, 59-74 (2014).

  BACKGROUND

• van Kampen JJA, van de Vijver DAMC, Fraaij PLA, Haagmans BL, Lamers MM, Okba N, van den Akker JPC, Endeman H, Gommers DAMPJ, Cornelissen JJ, Hoek RAS, van der Eerden MM, Hesselink DA, Metselaar HJ, Verbon A, de Steenwinkel JEM, Aron GI, van Gorp ECM, van Boheemen S, Voermans JC, Boucher CAB, Molenkamp R, Koopmans MPG, Geurtsvankessel C, van der Eijk AA. Duration and key determinants of infectious virus shedding in hospitalized patients with coronavirus disease-2019 (COVID-19). Nat Commun. 2021 Jan 11;12(1):267. doi: 10.1038/s41467-020-20568-4.

  PMID: 33431879 BACKGROUND

• Vidotto LS, Bigliassi M, Jones MO, Harvey A, Carvalho CRF. Stop Thinking! I Can't! Do Attentional Mechanisms Underlie Primary Dysfunctional Breathing? Front Physiol. 2018 Jun 22;9:782. doi: 10.3389/fphys.2018.00782. eCollection 2018. No abstract available.

  PMID: 29988475 BACKGROUND

• Vidotto LS, Carvalho CRF, Harvey A, Jones M. Dysfunctional breathing: what do we know? J Bras Pneumol. 2019 Feb 11;45(1):e20170347. doi: 10.1590/1806-3713/e20170347.

  PMID: 30758427 BACKGROUND

• World Health Organisation (WHO) (2017). Mental Health of Older Adult. Available at: https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults. Accessed 17/01/22)

  BACKGROUND

• World Health Organisation (WHO) (2021). Falls. Available at: https://www.who.int/news-room/fact-sheets/detail/falls (Accessed: 12/01/22)

  BACKGROUND

MeSH Terms

Interventions

Singing

Intervention Hierarchy (Ancestors)

Phonation; Respiratory Physiological Phenomena; Circulatory and Respiratory Physiological Phenomena

Central Study Contacts

Adam Lewis, PhD

CONTACT

+44(0)1895 266336; adam.lewis@brunel.ac.uk

Elmar Kal, PhD

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer in Physiotherapy

Study Record Dates

• First Submitted: March 30, 2022
• First Posted: April 28, 2022
• Study Start: February 25, 2022
• Primary Completion: April 10, 2023
• Study Completion: April 10, 2023
• Last Updated: September 19, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)