Clinical Outcomes Of Different Tempos Of Music During Exercise In Cardiac Rehabilitation Patients

Miller, Jarad; Terbizan, Donna J.

doi:10.1249/01.mss.0000478899.71973.c8

Cited by 6 publications

(27 citation statements)

References 14 publications

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“…[52] In contrast, another study, using sedative and stimulating music among cardiac rehabilitation patients, showed no effect of the type of music on BP. [53] In another study, the HR and BP changes were not correlated with the music preference of the participants. [54] Further, active music therapy reduced LF/HF while passive listening (as seen in the present study) increased LF/HF.…”

Section: After Interventionmentioning

confidence: 92%

Short-term effects of passive listening to an Indian musical scale on blood pressure and heart rate variability among healthy individuals – A randomised controlled trial

Kunikullaya

Vijayadas

Kunnavil³

et al. 2022

IJPP

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Objectives: Listening to music is entertaining but also has different health benefits. Music medicine involves passive listening to music, while music therapy involves active music-making. Indian music is broadly classified into Hindustani and Carnatic music, each having its system of musical scales (ragas). Scientific studies of Indian music as an intervention are meagre. The present study determines the effect of passive listening to one melodic scale of Indian music on cardiovascular electrophysiological parameters. Materials and Methods: After informed consent, healthy individuals aged 18–30 years of either gender were recruited and randomly divided into two groups (n = 34 each). Group A was exposed to passive listening to the music intervention (Hindustani melodic scale elaboration [Bhimpalas raga alaap]), while Group B received no intervention except for a few natural sounds (played once in every 2 min). Blood pressure (BP, systolic, SBP; diastolic, DBP) and electrocardiogram in Lead II were recorded with each condition lasting for 10 min (pre, during and post). Heart rate variability (HRV) analysis was done. Data were analysed using SPSS 18.0 version and P ≤ 0.05 was considered significant. Results: In Group A, the SBP did not change during the intervention but increased mildly after the intervention (P = 0.054). The DBP increased in both the groups during the intervention, significant in Group A (P = 0.009), with an increase of 1.676 mmHg (P = 0.012) from pre-during and 1.824 mmHg (P = 0.026) from pre-post intervention. On HRV analysis, mean NN interval increased and HR reduced in both the groups, but was significant only in Group B (P = 0.041 and 0.025, respectively). In Group A, most of the HRV parameters were reduced during music intervention that tended to return toward baseline after the intervention, but the change was statistically significant for total power (P = 0.031) and low frequency (P = 0.013); while in Group B, a consistent significant rise in parasympathetic indicators (SDNN, RMSSD, total power and HF [ms2]) over 30 min was observed. Conclusion: Unique cardiovascular effects were recorded on passive listening to a particular Indian music melodic scale. The scale, raga Bhimpalas, produced a mild arousal response. This could be due to attention being paid to the melodic scale as it was an unfamiliar tune or due to the features of this melodic scale that led to an arousal or excitation response. In contrast, the control group had only a relaxation response. Exploring electrophysiological effects of different genres, melodic scales and their properties after familiarising with the music may thus be illustrative.

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Section: After Interventionmentioning

confidence: 92%

Short-term effects of passive listening to an Indian musical scale on blood pressure and heart rate variability among healthy individuals – A randomised controlled trial

Kunikullaya

Vijayadas

Kunnavil³

et al. 2022

IJPP

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“…Self-selected sedative music has been shown to induce both aroused and sedative emotions and a slight but significant increase in HR (63). In contrast another study, using sedative and stimulating music among cardiac rehabilitation patients, showed no effect of the type of music on BP (64) (66,67). When HRV was analysed during no sound condition RMSSD significantly increased, which authors attributed to the supine posture, when cardiac PNS inputs were maximal (68).…”

Section: Discussion Of Main Findingsmentioning

confidence: 99%

Acute effects of passive listening to Indian musical scale on blood pressure and heart rate variability among healthy young individuals – a randomized controlled trial

Vijayadas

Kunnavil

et al. 2020

Preprint

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51Background: 52 Listening to music is entertaining but also has different health benefits. Music medicine 53 involves passive listening to music, while music therapy involves active music making. Indian 54 music is broadly classified into Hindustani and Carnatic music, each having their own system 55 of musical scales (ragas). Scientific studies of Indian music as an intervention is meagre. 56Current study determines the effect of passive listening to one melodic scale of Indian music 57 on cardiovascular electrophysiological parameters. 58 Methods: After informed consent, healthy individuals aged 18 -30 years, of either gender 59were recruited and randomly divided into 2 groups (n=34 each). Group A was exposed to 60 passive listening to the music intervention [Hindustani melodic scale elaboration (Bhimpalas 61 raga alaap)], while group B received no intervention except for few natural sounds (played 62 once in every 2 minutes). Blood pressure (BP, systolic -SBP; diastolic -DBP) and 63 Electrocardiogram in lead II were recorded with each condition lasting for 10 minutes (pre, 64 during, post). Heart rate variability (HRV) analysis was done. Data was analysed using SPSS 65 20.0 version and p<0.05 was considered significant. 66 Results: 67 Passive listening to the musical scale employed had a unique effect. In group A, the 68 SBP did not change during the intervention but increased insignificantly after the intervention 69 was stopped (P=0.054). The DBP increased in both the groups during intervention and was 70 significant among subjects in group A (P=0.009), with an increase of 1.676 mm Hg (P=0.012) 71 from pre-during and 1.824 mm Hg (P=0.026) from pre-post intervention. On HRV analysis 72 mean NN interval increased and HR reduced in both the groups, but was significant only in 73 group B (P=0.041 and 0.025 respectively). In group A, most of HRV parameters reduced 74 during music intervention, and tended to return towards baseline after intervention, but was 75 statistically significant for Total Power (P=0.031) and Low Frequency (P=0.013) change; while 76 in group B a consistent significant rise in parasympathetic indicators [SDNN, RMSSD, Total 77 power and HF (ms 2 )] over 30 minutes was observed.78 Conclusion: 79 Unique cardiovascular effects were recorded on passive listening to a particular Indian 80 music melodic scale, raga Bhimpalas, wherein, a mild arousal response, was observed. This 81 4could be due to attention being paid to the melodic scale as it was an unfamiliar tune or due to 82 certain notes of this melodic scale, that particularly caused an arousal or excitation response. 83In contrast, the control group had only relaxation response. Exploring electrophysiological 84 effects of different genres, melodic scales and its properties after familiarizing with the music 85 may be illustrative. 86

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“…Apart from the group education, a hospital plus home-based heart-healthy exercise will be implemented by the researcher with the support of a physiotherapist, registered nurse, and medical officer at the study hospital’s cardiology clinic. On day one in the first week of the intervention, participants will be guided to perform the exercise (warm-up exercise, brisk walking, and cool-down exercise) with cultural background music (Raravenu Gopabala Instrumental flute version) to perform the exercise at the prescribed intensity and duration and reduce the rating of perceived exertion during exercise [ 37 , 38 ] under the supervision of a physiotherapist. As suggested by the cardiologist, the exercise will start at low intensity with cultural background music with a slow tempo (40–60 beats per minute).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a motivated, action-based intervention on improving physical activity level, exercise self-efficacy and cardiovascular risk factors of patients with coronary heart disease in Sri Lanka: A randomized controlled trial protocol

Karthijekan

Cheng²

2022

PLoS ONE

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Background Coronary heart disease (CHD), is the major contributor to cardiac-associated mortality worldwide. Lifestyle modification, including physical activity, is highly recommended for secondary prevention for patients with CHD. However, many people in Sri Lanka with CHD do not engage in adequate physical activity. Objective To develop a culture-specific, motivated, and action-based intervention and examine its effects on physical activity level, exercise self-efficacy, and cardiovascular risk factors among patients with CHD. Methods and materials This is an assessor-blinded randomized controlled trial that will recruit 150 patients with CHD from the inpatients cardiac unit of a hospital in Batticaloa, Sri Lanka, and will randomly assign them either to the intervention group or the control group. The participants in the intervention group will receive a culture-specific and motivated, action-based intervention in addition to the usual care, while participants in the control will only receive the usual care. The intervention consists of a face-to-face preparatory session and 12-week motivated, action-based sessions which were developed based on the health action process approach (HAPA) framework. The face-to-face preparatory session will identify the health needs of the participants, develop a goal-oriented patient-centered action plan, and provide knowledge and an overview of the program. The 12-week motivated, action-based sessions consist of three monthly group education and center-based group exercises, followed by three 20-min individualized telephone follow-ups. Outcomes will be assessed immediately after the intervention and at one-month post-intervention. Discussion This protocol proposes a supervised centered-based group exercise with group education, and individualized telephone follow-ups guided by the HAPA framework to improve the physical activity level, exercise self-efficacy, and cardiovascular risk factors of patients with CHD. Results from this study will inform the effectiveness of a motivated, action-based intervention in a low-resource setting and provide information on the feasibility, barriers, and facilitators for lifestyle modification in Sri Lanka. Trial registration ClinicalTrial.gov.org PRS: NCT05051774; Date of registration: September 21, 2021.

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Clinical Outcomes Of Different Tempos Of Music During Exercise In Cardiac Rehabilitation Patients

Cited by 6 publications

References 14 publications

Short-term effects of passive listening to an Indian musical scale on blood pressure and heart rate variability among healthy individuals – A randomised controlled trial

Short-term effects of passive listening to an Indian musical scale on blood pressure and heart rate variability among healthy individuals – A randomised controlled trial

Acute effects of passive listening to Indian musical scale on blood pressure and heart rate variability among healthy young individuals – a randomized controlled trial

Effectiveness of a motivated, action-based intervention on improving physical activity level, exercise self-efficacy and cardiovascular risk factors of patients with coronary heart disease in Sri Lanka: A randomized controlled trial protocol

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