title: [Outcomes of a pulmonary rehabilitation program including singing training].
abstract: BACKGROUND
  Respiratory education by singing may be considered in the course of pulmonary rehabilitation to help control breathing and reduce dyspnoea.
  
  
  METHODS
  We have undertaken singing training during pulmonary rehabilitation in 45 patients, mean age 60.1 ± 10.0 years, suffering from COPD (n=37) or other chronic respiratory disorders (n=8). The parameters measured at the beginning and end of course of rehabilitation were: forced vital capacity, FEV1, total lung capacity, residual volume, 6 min walking distance, VO2max, maximum pressure, MRC dyspnoea score, Cincinnati questionnaires and VSRQ (simplified visual respiratory questionnaire).
  
  
  RESULTS
  The following were the principal significant variations observed (initial value, % variation, significance): 6 minutes walk (326 ± 114 m, +13.8%, P=0.006); VO2max (18,1 ± 6.1 ml/kg/min, +8.3%, P=0.01); P max (75 ± 31 W, +14.7%, P=0.001); MRC score (2.3 ± 0.6, -21.7%, P<10(-4)); VSRQ score (34 ± 13, +50.0%, P<10(-6)). There was no significant change in the level of dyspnoea evaluated by the Cincinnati score.
  
  
  CONCLUSIONS
  These results are in favor of a beneficial effect of singing during pulmonary rehabilitation.
authors.affiliation: Service de pneumologie, centre médical de Forcilles, 77170 Férolles-Attilly, France. bertrand.herer@gmail.com
authors.forename: B
authors.initials: B
authors.lastname: Herer
mesh_terms: D000368:Aged; D001945:Breathing Exercises; D004417:Dyspnea / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D011788:Quality of Life; D012120:Respiration Disorders / Q000503:physiopathology / Q000534:rehabilitation; D012129:Respiratory Function Tests; D012132:Respiratory Muscles / Q000503:physiopathology; D012720:Severity of Illness Index; D063346:Singing / Q000502:physiology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome