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Singing for children and adults with cystic fibrosis

  • Review
  • Intervention

Authors

  • Jung Yoon Irons,

    Corresponding author
    1. Sydney Conservatorium of Music, University of Sydney, Australian Centre for Applied Research in Music Performance, Sydney, New South Wales, Australia
    • Jung Yoon Irons, Australian Centre for Applied Research in Music Performance, Sydney Conservatorium of Music, University of Sydney, Cnr Bridge & Macquarie Streets, Sydney, New South Wales, 2000, Australia. singloud@optusnet.com.au.

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  • Dianna Theadora Kenny,

    1. University of Sydney, Behavioural and Social Sciences in Health, Faculty of Health Sciences, Lidcombe, NSW, Australia
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  • Anne B Chang

    1. Queensland Children's Respiratory Centre and Queensland Children's Medical Research Institute, Royal Children's Hospital, Brisbane and Menzies School of Health Research, CDU, Darwin;, Brisbane, Queensland, Australia
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Abstract

Background

Cystic fibrosis is a genetically inherited, life-threatening condition that affects major organs. The management of cystic fibrosis involves a multi-faceted daily treatment regimen that includes airway clearance physiotherapy, taking pancreatic enzymes and other medications. Previous studies identified that compliance with this intensive treatment especially among adolescents with cystic fibrosis is poor. Because of both the nature and consequences of the illness and the relentless demands of treatments, many individuals with cystic fibrosis are likely to have a poor quality of life. Anecdotal evidence suggests that singing may provide rigorous exercises for the whole respiratory system as well as a means for emotional expression, which may enhance quality of life.

Objectives

To evaluate the effects of a singing intervention in addition to usual therapy on the quality of life, morbidity, respiratory muscle strength and pulmonary function of children and adults with cystic fibrosis.

Search methods

We searched the Group's Cystic Fibrosis Trials Register, the Cochrane Central Register of Controlled Trials, major allied complementary data bases, and clinical trial registers. Hand searching for relevant conference proceedings and journals was also carried out.

Date of search of Trials Register: 02 September 2009.

Date of additional searches: 17 September 2009.

Selection criteria

Randomised controlled trials in which singing (as an adjunctive intervention) is compared with either a sham intervention or no singing in people with cystic fibrosis.

Data collection and analysis

No trials were found that met the selection criteria.

Main results

No meta-analysis could be performed.

Authors' conclusions

As no studies that met the criteria were found, this review is unable to support or refute the benefits of singing as a therapy for people with cystic fibrosis. Future randomised controlled trials are required to evaluate singing therapy for people with cystic fibrosis.

摘要

背景

以唱歌治療兒童和成人的囊性纖維化

囊性纖維化是一種遺傳性,且會影響到重要器官而威脅生命的疾病。囊性纖維化的療法涉及到多方面日常的治療方法,其中包括清除呼吸道的物理治療,服用胰臟酵素和其他藥物。以前的研究指出病患對這些積極治療方法的順從性是不佳的,尤其是在青少年族群。因這種疾病的自然病程後遺症和持續性的治療需求,使得患有囊性纖維化的人可能會有較不佳的生活品質。少數證據顯示,唱歌可以對整個呼吸系統提供較強烈的運動訓練,也同時為表達情感的一種方式,唱歌也許可提高生活的品質。

目標

評估罹患囊性纖維化的兒童和成人,除了一般治療外,若加上唱歌的介入,對生活品質、併發症、呼吸肌耐力和肺功能是否有影響。

搜尋策略

我們搜尋了Group's Cystic Fibrosis Trials Register、Cochrane Central Register of Controlled Trials、major allied complementary data bases和clinical trial registers。也手工地完成搜尋相關的會議記錄和期刊。搜尋註冊試驗的日期為2009年9月2日。額外的搜索日期為2009年9月17日。

選擇標準

在囊性纖維化的病患,利用唱歌的介入 (作為輔助的介入治療) 與假裝唱或不唱來比較的隨機對照試驗。

資料收集與分析

無任何試驗符合篩選的標準。

主要結論

無metaanalysis可以執行。

作者結論

由於沒有發現有達到標準的研究,這篇review是無法支持或反駁以唱歌作為治療囊性纖維化的益處。故未來的隨機對照試驗,須評估是否能以歌唱來治療囊性纖維化的病患。

翻譯人

本摘要由吳曉玲翻譯。

此翻譯計畫由臺灣國家衛生研究院 (National Health Research Institutes, Taiwan) 統籌。

總結

評估囊性纖維化的兒童和成人以唱歌對其肺功能及生活品質的影響: 囊性纖維化的患者有呼吸道感染的風險,因在他們的呼吸道有較多的黏液。因此,清除呼吸道對於囊性纖維化患者是很重要的治療。越來越多傳聞的證據顯示,唱歌可能維護肺功能和提高囊性纖維化患者的生活品質。我們對Cochrane Cystic Fibrosis和Genetic Disorders Group使用標準的搜尋方式以及廣泛地在相關的資料庫和出版物搜尋相關的試驗。但我們沒有找到任何有關以評估歌唱對囊性纖維化患者好處的隨機對照試驗。歌唱的影響,除了以標準的療法治療囊性纖維化的患者外,唱歌對於此疾病的治療還依然不清楚。

Plain language summary

The effects of singing on lung function and quality of life for children and adults with cystic fibrosis

Individuals with cystic fibrosis are at risk for respiratory infections due to too much mucus in their airways. Airway clearance is therefore an important part of cystic fibrosis management. Increasing anecdotal evidence suggests that singing may support lung function and enhance quality of life of people with cystic fibrosis. We searched for trials using the standard search module of the Cochrane Cystic Fibrosis and Genetic Disorders Group, as well as extensive searches in the relevant databases and publications. We did not find any randomised controlled trials that evaluated the benefits of singing in people with cystic fibrosis. The effects of singing in addition to standard therapy for people with cystic fibrosis remain unknown.