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  4. Effectiveness of oral motor respiratory exercise and vocal intonation therapy on respiratory function and vocal quality in patients with spinal cord injury: a randomized controlled trial

Effectiveness of oral motor respiratory exercise and vocal intonation therapy on respiratory function and vocal quality in patients with spinal cord injury: a randomized controlled trial

Neural Regeneration Research, 2021 · DOI: https://doi.org/10.4103/1673-5374.290909 · Published: February 1, 2021

Spinal Cord InjuryAlternative MedicineRehabilitation

Simple Explanation

This study explores how singing-based exercises can help people with spinal cord injuries improve their breathing and voice quality. It involved two groups: one receiving music therapy incorporating specific oral motor and vocal exercises, and the other receiving standard respiratory training. The music therapy group practiced specific singing techniques to strengthen breathing muscles and control voice. Results were measured using breathing tests, voice assessments, and questionnaires to gauge quality of life. The study found that the music therapy group showed significant improvements in breathing capacity, vocal loudness, and sustained note length, as well as reporting a better quality of life compared to the group that only received standard respiratory training.

Study Duration
12 weeks
Participants
18 patients with spinal cord injury (9 intervention, 9 control)
Evidence Level
Level 1, Randomized Controlled Trial

Key Findings

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    The intervention group showed a significant increase in inspiratory capacity compared to the control group after 12 weeks of therapy.
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    Sing-loud SPL and sustained note length were significantly increased in the intervention group compared to the control group at 12 weeks.
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    The St. George’s Respiratory Questionnaire and quality of life values in the intervention group were significantly superior to those in the control group at 12 weeks.

Research Summary

This study investigated the effectiveness of oral motor respiratory exercise (OMREX) and vocal intonation therapy (VIT) combined with singing on respiratory function and vocal quality in spinal cord injury (SCI) patients. The results showed that the intervention group, which received OMREX and VIT, experienced significant improvements in respiratory function (inspiratory capacity, forced expiratory volume) and vocal quality (sing-loud pressure level, sustained note length) compared to the control group. The study concludes that OMREX- and VIT-based music therapy is beneficial for improving respiratory dysfunction and sound quality in SCI patients and should be promoted in clinical practice.

Practical Implications

Clinical Practice

Music therapy, specifically OMREX and VIT, can be integrated into respiratory rehabilitation programs for SCI patients to improve both respiratory function and vocal quality.

Long-term Rehabilitation

Active singing groups could be promoted on an individual basis to improve function, participation, and self-worth of SCI patients.

Caregiver Training

Healthcare professionals and family caregivers can be trained to use active singing to improve the life satisfaction of patients with SCI.

Study Limitations

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