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  4. Accessory respiratory muscles performance among people with spinal cord injury while singing songs with different musical parameters

Accessory respiratory muscles performance among people with spinal cord injury while singing songs with different musical parameters

PLOS ONE, 2024 · DOI: 10.1371/journal.pone.0305940 · Published: July 5, 2024

Spinal Cord InjuryPulmonologyRehabilitation

Simple Explanation

People with spinal cord injuries often experience respiratory problems like hypersecretions, bronchospasm, and respiratory muscle weakness. Singing therapy is used as part of respiratory muscle training to improve muscle strength. Different song types may activate specific respiratory muscles because of variations in tempo, pitch, and rhythmic complexity. The study found that different accessory respiratory muscles are activated when people with SCI sing songs with varying characteristics.

Study Duration
3rd June 2022 until 10th August 2022
Participants
13 male SCI participants of ASIA A and B (C4 –T11)
Evidence Level
Not specified

Key Findings

  • 1
    The study found statistically significant differences in rectus abdominis (RA) and sternocleidomastoid (SCM) muscle responses among different song categories.
  • 2
    The sternocleidomastoid (SCM) muscle is most active when singing high-pitch songs.
  • 3
    The rectus abdominis (RA) muscle is most active during slow-tempo songs with easy rhythmic complexity.

Research Summary

This study examined the effect of singing songs with different characteristics on the accessory respiratory muscle performance among people with spinal cord injury (SCI). The study found statistically significant differences in RA and SCM responses among all categories (P < 0.01), with SCM being most active during high pitch songs and RA during slow tempo and easy rhythmic complexity songs. The results suggest that clinicians could use this knowledge to prescribe singing therapy or exercise among people with SCI in the future, selecting songs based on desired muscle activation.

Practical Implications

Clinical Application

Clinicians can use the findings to select appropriate songs for respiratory muscle training in people with SCI, based on desired muscle activation.

Targeted Muscle Activation

High-pitch songs can be used to target the SCM muscle, while slow-tempo, easy-rhythm songs can be used to target the RA muscle.

Future Research

Further research is needed to determine the optimal intensity and duration of singing therapy for strengthening respiratory muscles in SCI patients, considering their specific injury levels.

Study Limitations

  • 1
    Small sample size
  • 2
    Male participants only
  • 3
    Lack of specific instructions on singing techniques

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