Source: Annual Congress 2005 - Health status in COPD and asthma: its relevance in pulmonary rehabilitation
Disease area: Airway diseases

Abstract

Aim: Pulmonary rehabilitation programmes (PRPs) for COPD are known to improve patients‘ independence and exercise tolerance (ET) while reducing perception of dyspnoea during activities of daily living (ADL). Musical distractive stimuli are used to occupy attention channels reducing perception of dyspnoea thereby increasing ET. We investigated whether the addition of musical stimuli to standard training at sub-maximal workload could acutely improve measures of ET during a PRP.
Methods: Twelve patients (FEV₁:53±11%) were studied during three consecutive sessions separated by 2-days interval. Patients listened to music (baroc orchestral music) through headphones only during the 2^nd session. Exercise endurance time (T_endur), heart rate (HR), blood pressure (BP), oxygen saturation (SpO₂%), lactate [La⁺], perceptions of dyspnoea and leg discomfort were recorded at isotime (T_iso) and maximal time (T_max) of each session.
Results: T_endur increased significantly during the 2^nd and 3^rd session. Dyspnoea and leg discomfort, together with [La⁺] were significantly reduced (p<0.04) at T_iso of the 2^nd session (music stimulus added) compared to the 1^st and 3^rd session. No significant differences were observed in HR, BP or SpO₂%.
Conclusions: Preliminary data indicate that the addition of music as an auditory stimulus in the standard PRP decreases symptoms during exercise thus enhancing exercise tolerance. Further investigation with a larger sample is warranted.

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Citations should be made in the following way:
G. Stratakos, I. Vogiatzis, O. Georgiadou, O. Xirafi, D. Athanassopoulos, C. Roussos (Athens, Greece). Effects of musical distractive stimuli on exercise tolerance in COPD patients. Eur Respir J 2005; 26: Suppl. 49, 2052

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