Music Therapy for COPD Rehabilitation

NCT05832814 | Unknown

• 1 other identifier: 2022-HX-16
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic obstructive pulmonary disease(COPD) patients could benefit from pulmonary rehabilitation(PR) in better managing of the disease and its symptoms and in avoiding future relapses and hospitalizations. However, due to a large number of drop outs from PR, lack of professionals, and the COVID-19 epidemic, the PR has been underutilized, leading to a need for investigation of updated forms. Music therapy, such as rhythm-guided endurance training, singing training, listening to melody, may be one such potential relevant and motivating rehabilitation activity. The study aims to investigate the effects of home-based PR program with a rhythm-guided endurance walking exercise and singing training on both physiological and psychological aspects. Effects will be investigated in a randomized controlled trial (RCT) with 12-week intervention period.

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

COPD; music therapy; pulmonary rehabilitation

Outcome Measures

Primary Outcomes (1)

• incremental shuttle walking test(ISWT) distance

  incremental shuttle walking test distance

  12 weeks

Secondary Outcomes (9)

• Respiratory muscle strength

  12 weeks

• Spirometry

  12 weeks

• Short Physical Performance Battery(SPPB)

  12 weeks

• modified British medical research council(mMRC)

  12 weeks

• COPD assessment test(CAT)

  12 weeks

Study Arms (3)

Integrated training

EXPERIMENTAL

Rhythm-guided walking exercise coordinated with singing training as training activity in pulmonary rehabilitation: 12 weeks, three times a week for 1 hour, leading to a total of 36 sessions

Behavioral: Integrated training

Rhythm-guided exercise training

EXPERIMENTAL

Rhythm-guided walking exercise as training activity in pulmonary rehabilitation: 12 weeks, three times a week for 1/2 hour, leading to a total of 36 sessions

Behavioral: Rhythm-guided exercise training

Usual care

NO INTERVENTION

The usual care is the comparator in the trial, consisting of standard medical treatment and educational sessions including physical training, smoking cessation and vaccination. And after the trial, the patients in this group will also be offered standard pulmonary rehabilitation according to the national guideline.

Interventions

Integrated training BEHAVIORAL

For rhythm-guided walking exercise, the home exercise intensity, that is, the walking speed can be prescribed based on the incremental shuttle walking(ISWT) result. A rhythm matching with the walking speed can be calculated. Then patients will be provided a group of melodies identified by the calculated rhythm, which are also popular with the elder. During exercise, the patients are required to walking on a fixed speed identical with the rhythm. For singing training, patients follow the audios and videos to take training at home, which are recorded by singing teachers and physiotherapists prior to the trial. Each session includes technical instructions in order to achieve better respiratory control during singing.

Integrated training

Rhythm-guided exercise training BEHAVIORAL

For rhythm-guided walking exercise, the home exercise intensity, that is, the walking speed can be prescribed based on the incremental shuttle walking test(ISWT) result. A rhythm matching with the walking speed can be calculated. Then patients will be provided a group of melodies identified by the calculated rhythm, which are also popular with the elder. During exercise, the patients are required to walking on a fixed speed identical with the rhythm.

Rhythm-guided exercise training

Eligibility Criteria

• Age: 40 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants with a clinical diagnosis of COPD and meeting the following criteria are eligible:
• Diagnosis of GOLD II-IV and without acute exacerbation within the last 4 weeks.
• Motivated for participating in the project (and acceptance of randomization)
• Sufficient mobility to attend PR

You may not qualify if:

• Certain comorbidities (e.g. unstable coronary complications)
• Severe cognitive disabilities (e.g. dementia)
• Inability to cope with the program because of severe hearing or visual disorder.
• No previous singing experience or musical competence is required.

Sponsors & Collaborators

• China-Japan Friendship Hospital: lead

Study Sites (1)

China-Japan Friendship hospital

Beijing, Beijing Municipality, China

RECRUITING

Related Publications (1)

• Shi M, Yang L, Qumu S, Lei J, Huang K, He R, Niu H, Dong F, Wang S, He J, Yang T. Efficacy and safety of a music-therapy facilitated pulmonary telerehabilitation program in COPD patients: the COPDMELODY study protocol. Front Med (Lausanne). 2024 Mar 8;11:1361053. doi: 10.3389/fmed.2024.1361053. eCollection 2024.

  PMID: 38523907 DERIVED

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Minghui Shi, MSc

  China-Japan Friendship Hospital

  STUDY DIRECTOR

Central Study Contacts

Ting Yang, MD

CONTACT

84206272; zryyyangting@163.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Clinical Professor

Study Record Dates

• First Submitted: July 31, 2022
• First Posted: April 27, 2023
• Study Start: February 3, 2023
• Primary Completion: December 1, 2023
• Study Completion: December 1, 2023
• Last Updated: October 10, 2023

Record last verified: 2023-10

Locations

CN (1)