Effects of Aerobic and Diaphragmatic Exercises on Choir Singers

NCT06745869 | Recruiting

• 1 other identifier: E-10840098-772.02-197
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized-controlled study is to compare the effects of diaphragmatic breathing exercise training provided by a physiotherapist and aerobic exercise training applied in addition to diaphragmatic breathing exercise training provided by a physiotherapist on respiratory functions and voice performance in choir singers. The main questions this study aims to answer are:

• Is diaphragmatic breathing exercise training provided by a physiotherapist effective in improving the respiratory functions of choir singers?
• Is diaphragmatic breathing exercise training provided by a physiotherapist effective in improving the vocal performance of choir singers?
• Does aerobic exercise training applied in addition to diaphragmatic breathing exercise training provided by a physiotherapist have a greater effect on improving the respiratory functions of choir singers compared to diaphragmatic breathing exercise training applied alone?
• Does aerobic exercise training applied in addition to diaphragmatic breathing exercise training provided by a physiotherapist have a greater effect on improving the vocal performance of choir singers compared to diaphragmatic breathing exercise training applied alone? The research data are going to be collected by Sociodemographic Information Form, International Physical Activity Questionnaire-Short Form, Self-Performance Evaluation Questionnaire, Vocal Fatigue Index, Singing Voice Handicap Index, measurement of maximum phonation time, pulmonary function test, maximal inspiratory and expiratory pressure measurement, and 6-minute walk test.

Conditions

Respiratory Muscles; Cardiorespiratory Fitness

Keywords

Singing; Respiratory Function Tests; Voice; Diaphragm; Exercise, aerobic

Outcome Measures

Primary Outcomes (5)

• FEV1/FVC

  Pulmonary function test with a spirometer will be performed on all participants to assess forced expiratory volume in 1 second and forced vital capacity.

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

• Slow vital capacity

  Pulmonary function test with a spirometer will be performed on all participants to assess slow vital capacity.

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

• Maximal voluntary ventilation

  Pulmonary function test with a spirometer will be performed on all participants to assess maximal voluntary ventilation.

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

• Maximal inspiratory and expiratory pressure

  An electronic respiratory pressure meter will be used to calculate maximal inspiratory and expiratory pressure

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

• Maximum phonation time

  Each participant will be asked to say the vowels "a, e, i, o, u" at their most comfortable pitch for as long as possible, and the time they can say them will be determined by a stopwatch.

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

Secondary Outcomes (4)

• Aerobic capacity and endurance

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

• Vocal fatigue

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

• Singing voice and voice-related problems

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

• Voice performance

  This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks.

Study Arms (3)

diaphragmatic breathing exercise training group

ACTIVE COMPARATOR

Participants included in the diaphragmatic breathing exercise training group will be provided diaphragmatic breathing training by a physiotherapist before starting the exercise program.

Behavioral: Diaphragmatic breathing exercise training

aerobic exercise training group

EXPERIMENTAL

The protocol given to the diaphragmatic breathing exercise training group will also be included in the exercise program of participants included in the aerobic exercise training group.

Behavioral: Diaphragmatic breathing exercise training; Behavioral: Aerobic exercise training

Control group

NO INTERVENTION

Participants included in the control group will be asked to continue their daily routines without changing their lifestyles.

Interventions

Diaphragmatic breathing exercise training BEHAVIORAL

At the end of the training, participants will be asked to do an exercise session and this session will be observed. Training will continue until participants learn and apply the exercise correctly. 5-minute warm-up and cool-down periods will be applied at the beginning and end of each exercise session. Exercises will be done twice a day, morning and evening, for 8 weeks. In order to follow the exercise, participants will be given diaphragmatic breathing exercise tracking cards with date and session information. In addition, participants will be followed up weekly on one of the rehearsal days to ensure their adaptation to the exercise.

aerobic exercise training group; diaphragmatic breathing exercise training group

Aerobic exercise training BEHAVIORAL

The intensity of the aerobic exercise program will be calculated for each participant using the Karvonen formula. Accordingly, each participant will be given a brisk walking program on a suitable surface, which will be created specifically for the individual to reach the target heart rate range within the scope of the aerobic exercise program; they will apply a 45-minute session, 3 days a week, for 8 weeks.

aerobic exercise training group

Eligibility Criteria

• Age: 25 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being a chorist in an active choir that rehearses at least once a week for an average of 2 hours
• Having an inactive or minimally active physical activity level according to the International Physical Activity Questionnaire-Short Form
• Being between the ages of 25-60
• Being willing to participate in the study

You may not qualify if:

• Having a neurological or orthopedic disease
• Having a condition related to the cardiopulmonary system that would prevent exercise according to the Physical Activity Readiness Questionnaire (PAR-Q)

Sponsors & Collaborators

• Medipol University: lead

Study Sites (1)

Choric Culture Association

Istanbul, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Ayşe Nur TUNALI VAN DEN BERG, Prof.

  İstanbul Medipol University

  STUDY CHAIR

• Sıla YILMAZ, PhD (c.)

  İstanbul Medipol University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sıla YILMAZ, PhD (c.)

CONTACT

4448544; yilmazsila18@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: The researcher who evaluated the analysis, and the participants are blind to the study
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: A randomized-controlled trial

Study Record Dates

• First Submitted: December 10, 2024
• First Posted: December 20, 2024
• Study Start: December 23, 2024
• Primary Completion: May 31, 2025
• Study Completion: July 1, 2025
• Last Updated: February 24, 2025

Record last verified: 2025-02

Locations

TU (1)