Evaluating the Effects of Music on Dyspnea During Exercise in Individuals with Chronic Obstructive Pulmonary Disease: A Pilot Study

Brooks, Dina; Sidani, Souraya; Graydon, Jane E.; McBride, Sandra; Hall, L.W.; Weinacht, Krisztina

doi:10.1002/j.2048-7940.2003.tb02059.x

Cited by 23 publications

(7 citation statements)

References 17 publications

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“…Possible mechanisms may include distraction or a decrease in respiratory rate (222). In another study, there was no significant decrease in dyspnea with or without music at the end of a 6-minute walk (223). Acupuncture decreased dyspnea more than a placebo in one study encompassing 13 sessions over 3 weeks (224).…”

Section: Virginia Carrieri-kohlmanmentioning

confidence: 97%

Pathophysiology of Dyspnea in Chronic Obstructive Pulmonary Disease: A Roundtable

O’Donnell

Banzett²,

Carrieri‐Kohlman³

et al. 2007

Proceedings of the American Thoracic Society

313

249

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Effective management of dyspnea in chronic obstructive pulmonary disease (COPD) requires a clearer understanding of its underlying mechanisms. This roundtable reviews what is currently known about the neurophysiology of dyspnea with the aim of applying this knowledge to the clinical setting. Dyspnea is not a single sensation, having multiple qualitative descriptors. Primary sources of dyspnea include: (1) inputs from multiple somatic proprioceptive and bronchopulmonary afferents, and (2) centrally generated signals related to inspiratory motor command output or effort. Respiratory disruption that causes a mismatch between medullary respiratory motor discharge and peripheral mechanosensor afferent feedback gives rise to a distressing urge to breathe which is independent of muscular effort. Recent brain imaging studies have shown increased limbic system activation in response to various dyspneogenic stimuli and emphasize the affective dimension of this symptom. All of these mechanisms are likely instrumental in exertional dyspnea causation in COPD. Increased central motor drive (and effort) is required to increase ventilation during activity because the inspiratory muscles become acutely overloaded and functionally weakened. Abnormal dynamic ventilatory mechanics and excessive chemostimulation during exercise also result in a widening disparity between escalating central neural drive and restricted thoracic volume displacement. This neuromechanical uncoupling may form the basis for the distressing sensation of unsatisfied inspiration. Interventions that alleviate dyspnea in COPD do so by improving ventilatory mechanics, reducing central neural drive, or both-thereby partially restoring neuromechanical coupling of the respiratory system. Self-management strategies address the affective aspect of dyspnea and are essential to successful treatment.

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Section: Virginia Carrieri-kohlmanmentioning

confidence: 97%

Pathophysiology of Dyspnea in Chronic Obstructive Pulmonary Disease: A Roundtable

O’Donnell

Banzett²,

Carrieri‐Kohlman³

et al. 2007

Proceedings of the American Thoracic Society

313

249

View full text Add to dashboard Cite

show abstract

“…Two further studies, using similar designs, could not replicate the beneficial effects of attentional distraction. 48,49 Nevertheless it has been shown that focusing attention away from respiratory sensations, results in a parallel reduction of cortical activity. Harver et al 50 demonstrated higher latencies and smaller amplitudes of RREPs when participants were instructed to ignore a respiratory occlusion as opposed to when they focused their attention on it.…”

Section: Attention and Dyspneamentioning

confidence: 99%

Psychological aspects in the perception of dyspnea in obstructive pulmonary diseases

Leupoldt

Dahme

2007

Respiratory Medicine

104

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Dyspnea is an impairing symptom in obstructive pulmonary diseases. Besides multiple physiological pathways contributing to this sensation recent research has demonstrated an important role of psychological factors in the perception of dyspnea. The present review article synthesizes the research literature with regard to psychological aspects of the perception of dyspnea as well as other dyspnea-related issues such as course of disease, neuropsychological correlates and interventions that focus on psychological or behavioural changes. The available data show that inaccurate perception of dyspnea is related to poorer treatment outcome in obstructive pulmonary diseases and is impacted upon by emotional, attentional and learning processes. Neuropsychological deficits might further contribute to this association. Different psychological and behavioural interventions might reduce comorbid psychological disorders and thus improve the perception of dyspnea. However, future research is clearly required to substantiate current findings.

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“…11 Music has been used for centuries to promote relaxation and reduce anxiety and pain. 12 Music therapy can be defined as a non-pharmacologic intervention that has been shown to be effective promoting relaxation and reducing anxiety in patients with cardiopulmonary disorders. 13 One of the time tested technique for relaxation is Jacobson's progressive muscle relaxation technique.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effectiveness of music and progressive muscle relaxation for anxiety in COPD—A randomized controlled pilot study

Vp¹,

Rao

Venkatesan

et al. 2009

Chron Respir Dis

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Acute effects of music and relaxation have not been evaluated in hospitalized subjects with chronic obstructive pulmonary disease (COPD). This study aims to evaluate the acute effects of music and progressive muscle relaxation (PMR) in hospitalized COPD subjects after a recent episode of exacerbation. A Randomized controlled study was performed of pre-test post-test design after recruiting 82 COPD subjects from K.M.C hospitals. All patients were admitted for acute exacerbation and were medically stabilized. After being screened for the inclusion and exclusion criteria, 72 subjects were selected for the study. Demographic and baseline data was taken on the day subjects were screened. Music group listened to a self selected music of 60-80 beats per minute for 30 minutes. PMR group practiced relaxation through a pre-recorded audio of instructions of 16 muscle groups. Outcome variables were Spielberger's state anxiety inventory (SSAI), Spielberger's trait anxiety inventory (STAI), dyspnea, systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse rate (PR) and respiratory rate (RR). There was statistically significant main effect across the sessions for state anxiety (F = 62.621, p = 0.000), trait anxiety (F = 19.528, p = 0.000), dyspnea (F = 122.227, p = 0.000), SBP (F = 63.885, p = 0.000), PR (F = 115.780, p = 0.000) and RR (F = 202.977, p = 0.000). There was statistically significant interaction effect between the two groups for state anxiety (F = 6.024, p = 0.003), trait anxiety (F = 8.222, p = 0.000), dyspnea (F = 10.659, p = 0.000), SBP (F = 12.889, p = 0.000), PR (F = 4.746, p = 0.008) and RR (F = 12.078, p = 0.000). There were greater changes observed after the second session in both groups however, change in DBP was not significant in either group. Music and PMR are effective in reducing anxiety and dyspnoea along with physiologic measures such as SBP, PR and RR in two sessions in COPD patients hospitalized with exacerbation. However, reductions in the music group were greater compared to the PMR group.

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Evaluating the Effects of Music on Dyspnea During Exercise in Individuals with Chronic Obstructive Pulmonary Disease: A Pilot Study

Cited by 23 publications

References 17 publications

Pathophysiology of Dyspnea in Chronic Obstructive Pulmonary Disease: A Roundtable

Pathophysiology of Dyspnea in Chronic Obstructive Pulmonary Disease: A Roundtable

Psychological aspects in the perception of dyspnea in obstructive pulmonary diseases

Comparison of the effectiveness of music and progressive muscle relaxation for anxiety in COPD—A randomized controlled pilot study

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