The comparison between pulmonary rehabilitation with music therapy and pulmonary rehabilitation alone on respiratory drive, cortisol level and asthma control in patients hospitalized with asthma exacerbation
| Autor: | Marek Kaszuba, Magdalena Pieniążek, Grazyna Bochenek, Roman Nowobilski, Agnieszka Śliwka, Karolina Marciniak, Rafal Pilinski, Magdalena Batkiewicz |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Respiratory Therapy medicine.medical_specialty Music therapy Adolescent Hydrocortisone Exacerbation medicine.medical_treatment Severity of Illness Index Young Adult Double-Blind Method Asthma control medicine Humans Immunology and Allergy Pulmonary rehabilitation Intensive care medicine Music Therapy Cortisol level Aged Asthma Aged 80 and over Inpatients Asthma exacerbations business.industry Middle Aged medicine.disease Combined Modality Therapy Respiratory Function Tests Hospitalization Control of respiration Pediatrics Perinatology and Child Health Quality of Life Female business |
| DOI: | 10.6084/m9.figshare.12850628.v1 |
| Popis: | Much emphasis is being placed on the role of music therapy as an easy-to-use, noninvasive and relatively cheap method of asthma treatment. The objective of this interventional double-blinded randomized controlled trial was to assess whether music therapy, as a complementary modality to pulmonary rehabilitation, can help to improve respiratory drive, asthma control and quality of life in patients with asthma exacerbation. Hospitalized patients with asthma exacerbation enrolled in the study were randomly assigned to experimental (music therapy) or control (popular science program) group. Both groups during hospitalization received standard pharmacotherapy accompanied by respiratory physiotherapy. Respiratory drive, asthma control, quality of life and serum cortisol in all participants were assessed at the beginning and at the end of their hospitalizations. The experimental group consisted of 39 asthmatics and 34 subjects with asthma were assigned to the control group. During the hospitalization, the levels of the inspiratory occlusion pressure for the first 0.1 s of inspiration (P0.1) decreased (p = 0.004) and the maximum P0.1 increased (p = 0.041) only in the experimental group. The serum cortisol level decreased in both groups (p = 0.001). The changes in asthma control and quality of life did not reach significant levels in either subject group. Passive music therapy and its effects on the mental state of patients seem to improve the efficiency of the respiratory system. The results of this experimental study demonstrate that a complementary music therapy has beneficial effects on the treatment of asthma exacerbations in adults. |
| Databáze: | OpenAIRE |
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