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  4. Effect of Vocal Exercise on Respiratory Function and Voice Quality in Patients with Cervical Spinal Cord Injury: A Mini-review

Effect of Vocal Exercise on Respiratory Function and Voice Quality in Patients with Cervical Spinal Cord Injury: A Mini-review

Progress in Rehabilitation Medicine, 2022 · DOI: 10.2490/prm.20220041 · Published: August 20, 2022

Spinal Cord InjuryRehabilitation

Simple Explanation

Cervical spinal cord injury (SCI) can lead to respiratory dysfunction, which negatively affects vocal quality. Vocal exercise improves respiratory muscle strength and includes various exercises such as singing. Singing requires strong inhalations and regulated exhalations, potentially improving respiratory function and voice quality in people with cervical SCI. Vocal exercises are easier to monitor and don't require special equipment. This mini-review investigates the effect of vocal exercise on patients with cervical SCI, acknowledging the limited number of articles and the challenges in performing a meta-analysis.

Study Duration
12–24 weeks
Participants
80 patients with cervical SCI
Evidence Level
Review of randomized controlled trials

Key Findings

  • 1
    Vocal exercises were reported to have a significant positive effect on respiratory function in all studies included in the review.
  • 2
    Three studies reported that vocal exercises had a positive effect on voice quality in patients with cervical SCI.
  • 3
    Vocal exercises improved VC, TLC, IC, RV, FEV1, and FVC by about 1.3- to 1.5-fold and improved FEV1/FVC by 1.2-fold compared with controls.

Research Summary

This mini-review examined the effects of vocal exercise on respiratory function and voice quality in patients with cervical SCI. Four studies met the inclusion criteria, with vocal exercises conducted for 12-24 weeks. The included studies showed that vocal exercise had a positive effect on respiratory function and, in some cases, voice quality. However, a meta-analysis was not possible due to the heterogeneity of the studies. The review concludes that vocal exercise is a sustainable method that does not require special equipment or skills. More studies with larger sample sizes are needed to confirm the effects of vocal exercises in patients with cervical SCI.

Practical Implications

Rehabilitation Tool

Vocal exercise can be used as a sustainable rehabilitation method for patients with cervical SCI to improve respiratory function and voice quality.

Remote Intervention

Virtual reality technologies can be utilized to deliver vocal exercises remotely, especially in rural areas with limited medical resources.

Further Research

More studies with larger sample sizes and unified intervention and control groups are needed to confirm the benefits of vocal exercise.

Study Limitations

  • 1
    Small sample sizes in the included studies
  • 2
    Heterogeneity in the interventions and control groups across studies
  • 3
    The mini-review did not include unpublished studies

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