만성폐질환 환자의 폐 기능 증진을 위한 노래부르기: 체계적 문헌고찰 및 메타분석

Abstract

The importance of pulmonary rehabilitation has been growing due to the recent increase in chronic lung diseases and the emergence of coronavirus disease (COVID-19).Singing is a method of pulmonary rehabilitation that can improve respiratory symptoms in lung disease patients, but the effects of singing on lung function in these patients remain unclear. This study systematically analyzed the effects of singing on lung function inchronic lung disease patients. Systematic review and meta-analysis. We searched PubMed, Embase, and the Cochrane Libraryand selected randomized controlled trials. We searched forstudies that included singing, music therapy, respiratory, lung diseases, and outcomes. After screening 174 studies, the full texts of 44 studies were reviewed. Three studies were selected for the final analysis, including a total of 94 participants. Due to the nature of the partial physical intervention, the quality of the studies was low. All three studies reported no significant differences in forced expiratory volume in 1 second(P =0.97) and forced vital capacity(P =0.93), andtwo studies reported no significant differences in maximal inspiratory pressure(P =0.38) and maximal expiratory inspiratory pressure(P =0.56).One study reported a significant difference between groups in expiratory pressure (P =0.05).In contrast to positive experiences and reports of the health-improving effects of singing in patients with lung disease, numerical improvements in lung function were not observed. Conclusions: To deliver standardized rehabilitation therapy, further clinical trials for not only singing therapy for lung disease patients, but also for breathing exercises that utilize singing, are essential.