The use of musical wind instruments as an expiratory therapy with chronic obstructive pulmonary disease patients

Abstract: The use of musical wind instruments as an expiratory therapy with Chronic Obstructive Pulmonary Disease (COPD) patients was compared to the traditional inspiratory treatment of the Inspiratory Muscle Trainer (IMT). Sixteen subjects, attending an out patient rehabilitation program, were randomly assigned to either the experimental group, receiving musical wind instruments, or the control group, receiving the IMT. Data was collected during the six weeks of treatment and during the six weeks post treatment. Measures for the study were: Forced Expiratory Volume in one second (FEV1) and Forced Vital Capacity (FVC) as measured by the Pulmonary Function Test; physical endurance measured by the Twelve Minute Walk Endurance Test; and treatment compliance measured by Daily Participation Logs. The subjective measures were obtained by the Prescribed Treatment Evaluation. Due to the limited number of subjects, inferential statistics were not used, rather descriptive statistics were used to cite trends. There was no difference found between the two groups on FEV1 or FVC. The experimental group showed slight improvements over the control group on the Twelve Minute Walk. There was a meaningful difference between the control and experimental group on Daily Participation Logs with the experimental group being more involved with their treatment during at-home practice. The patients were subjectively assessed on their impression of their prescribed treatment (musical wind instrument or IMT). On all levels of comparing the two prescribed treatments, the experimental group was on average more satisfied than the control group, except for the area of awareness of focussed attention during at-home treatment on which both group measures were equal.

Note: [by] Ellen R. Griggs Drane. Thesis (M. M.)--Western Michigan University, 1989. Includes bibliographical references (leaves 63-68) Photocopy. Ann Arbor, Mich. : University Microfilms, 1991. 21 cm.

Keyword(s): Music therapy.. Lungs Diseases Treatment.. Music Physiological effect.. Wind-instrument, expiratory-therapy, inspiratory-muscle-trainer, chronic-obstructive-pulmonary-disease.

Zurück | Weiter