{"id":681,"date":"2017-12-06T09:28:37","date_gmt":"2017-12-06T09:28:37","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/?p=681"},"modified":"2018-06-25T14:25:10","modified_gmt":"2018-06-25T13:25:10","slug":"copd_carol_singing","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/2017\/12\/06\/copd_carol_singing\/","title":{"rendered":"How COPD patients can sing their way to better health this Christmas"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" width=\"1181\" height=\"660\" class=\"aligncenter wp-image-690 size-full\" src=\"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/files\/2017\/12\/carolsinging.jpg\" alt=\"COPD singing\" \/><\/p>\n<p><span style=\"font-size: 10pt\">Carol Singers <span class=\"cc-license-identifier\">(CC BY 2.0)<\/span><\/span><\/p>\n<p><strong>In this post, Dr Nicholas Hopkinson looks at the benefits of singing for people with respiratory conditions such as COPD.<\/strong><\/p>\n<hr \/>\n<p>Singing carols is a big part of Christmas cheer, but not many people realise that singing can also be helpful for people with lung disease. <a href=\"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/2018\/03\/21\/need-think-differently-copd\/\" target=\"_blank\" rel=\"noopener\">COPD<\/a> is an extremely common condition \u2013 there are 1.3 million people with this diagnosis in the UK. Existing treatments help to some extent, but do not reverse the underlying pathology, meaning that even with optimal care many patients remain breathless with activity limitation and poor quality of life. This symptom burden represents a major area of unmet need. <a href=\"http:\/\/www.nature.com\/articles\/npjpcrm201680\" target=\"_blank\" rel=\"noopener\">Singing for Lung Health<\/a> (SLH) groups are a potential way for patients to gain skills to improve control of their breathing and posture, reducing symptom burden and enhancing wellbeing.<!--more--><\/p>\n<h2>What is singing for lung health?<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"255\" class=\"alignright wp-image-684 size-medium\" src=\"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/files\/2017\/12\/PC_2-300x255.jpg\" alt=\"COPD singing\" \/><\/h2>\n<p>Singing for lung health involves taking part in classes led by a <a href=\"http:\/\/bmjopenrespres.bmj.com\/content\/4\/1\/e000216\" target=\"_blank\" rel=\"noopener\">specially trained<\/a> singing teacher. Patients learn techniques to help control their breathing and posture as part of a group activity which is fun and sociable. The goal for the groups is to get better at singing, an artistic objective. By doing this individuals gain skills that help them to cope with their lung condition, a health improvement objective. The classes have a particular focus on activities and exercises that are helpful for people with lung disease and so differ from more generic \u201csinging for well-being\u201d groups.<\/p>\n<p>Singing for lung health has grown from a few small clinical trials to more than 80 groups <a href=\"https:\/\/www.blf.org.uk\/support-for-you\/singing-for-lung-health\" target=\"_blank\" rel=\"noopener\">nationally<\/a>. As well as the plausibility of an approach based on learning to control the breath in people with lung disease, singing is also a fun social activity. Results from the <a href=\"https:\/\/www.rcplondon.ac.uk\/projects\/national-copd-audit-programme-primary-care-workstream\" target=\"_blank\" rel=\"noopener\">Royal College of Physicians COPD audit<\/a> show that provision of pulmonary rehabilitation is still limited, so there is a need for activities to sustain the physical and social benefits that these produce once people have completed them. For some people, taking part in a singing group may be a useful stepping stone to agreeing to join a formal rehabilitation program.<\/p>\n<h2>What\u2019s the evidence?<\/h2>\n<p>The current evidence base for SLH has been set out in a systematic review and <a href=\"http:\/\/www.nature.com\/articles\/npjpcrm201680\" target=\"_blank\" rel=\"noopener\">consensus statement<\/a>. We know from research that people taking part in the groups find them enjoyable and helpful but there have only been small, short-term studies so far to assess its clinical effectiveness. In the <a href=\"https:\/\/bmcpulmmed.biomedcentral.com\/articles\/10.1186\/1471-2466-10-41\" target=\"_blank\" rel=\"noopener\">first<\/a>, a six-week course of twice-weekly lessons improved SF-36 compared to usual care. In the <a href=\"https:\/\/bmcpulmmed.biomedcentral.com\/articles\/10.1186\/1471-2466-12-69\" target=\"_blank\" rel=\"noopener\">second<\/a>, eight-week study, where the control group took part in a film discussion group, the mental component score of the SF-36 improved in both arms but the physical component improved only in the SLH group. Qualitative data, based on interviews and questionnaires shows that participants value participation in SLH and feel that it benefits them physically in terms of breathing control and confidence. Typical responses included:<\/p>\n<p>&#8220;The exercises, thinking about breathing and relaxing when I have (breathing) problems&#8230;.this has been very useful&#8221;<\/p>\n<p>&#8220;Walking better, I go out more&#8221;<\/p>\n<p>&#8220;Now things are less of a chore, housework is no longer a struggle&#8221;.<\/p>\n<p><em>How can patients take part?<\/em><\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" width=\"1181\" height=\"660\" class=\"aligncenter wp-image-686 size-full\" src=\"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/files\/2017\/12\/singingforbreathing.jpg\" alt=\"COPD singing\" \/><\/em><\/p>\n<p>The <a href=\"https:\/\/www.blf.org.uk\/\" target=\"_blank\" rel=\"noopener\">British Lung Foundation<\/a> currently runs a programme that involves training singing teachers and establishing classes throughout the UK. The\u00a0<a href=\"https:\/\/www.blf.org.uk\/support-for-you\/singing-for-lung-health\" target=\"_blank\" rel=\"noopener\">BLF website<\/a> has a tool for patients to find local singing groups as well as local Breathe Easy groups.<\/p>\n<p><strong>Dr Nicholas Hopkinson (<a href=\"https:\/\/twitter.com\/COPDdoc\" target=\"_blank\" rel=\"noopener\">@COPDdoc)<\/a> is\u00a0a Reader in Respiratory Medicine at Imperial&#8217;s National Heart and Lung Institute as well as\u00a0an Honorary Consultant Chest Physician at\u00a0<a href=\"http:\/\/www.rbht.nhs.uk\/healthprofessionals\/consultants\/hopkinson\/\" target=\"_blank\" rel=\"noopener\">The Royal Brompton Hospital<\/a>.<\/strong><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Carol Singers (CC BY 2.0) In this post, Dr Nicholas Hopkinson looks at the benefits of singing for people with respiratory conditions such as COPD. Singing carols is a big part of Christmas cheer, but not many people realise that singing can also be helpful for people with lung disease. COPD is an extremely common [&hellip;]<\/p>\n","protected":false},"author":1167,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[152],"tags":[12018,222,14856],"class_list":["post-681","post","type-post","status-publish","format-standard","hentry","category-nhli","tag-christmas","tag-copd","tag-lungs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How COPD patients can sing their way to better health<\/title>\n<meta name=\"description\" content=\"In this post, Dr Nicholas Hopkinson looks at the benefits of singing for people with respiratory conditions such as COPD.\" \/>\n<meta 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