- 著者
- Jun Okamoto Yorimitsu Furukawa Naomi Kobinata Hideto Yoshikawa Fujiko Araki Atsuro Yagyu Yuji Iwasaka
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.33, no.10, pp.779-783, 2021 (Released:2021-10-13)
- 参考文献数
- 25
- 被引用文献数
- 4
[Purpose] We aimed to analyze parameters of pulmonary function and physiological, psychological, and physical factors in patients with chronic obstructive pulmonary disease (COPD) receiving pulmonary rehabilitation (PR) and music therapy (MT). [Participants and Methods] This randomized crossover comparative study included in-patients diagnosed with COPD and a ratio of forced expiratory volume measured at the first second and forced vital capacity (FEV1/FVC) of <70% after administration of a bronchodilator. Patients were randomly divided into two groups that received either PR only or MT and PR (n=13 each). The PR program included conditioning, respiratory muscle training, and endurance training, whereas the MT program included vocal, singing, and breathing exercises using a keyboard harmonica. The programs lasted 8 weeks, in which pre- and post-intervention data were compared every 4 weeks. [Results] The FEV1/FVC in the MT group improved after the intervention. Expiratory volume control was obtained better with feedback by sound than with expiration practice. In the MT and PR program, it was easier to adjust the timing and volume of breathing, obtain expiratory volume control, and, thus, improve FEV1/FVC than in conventional practice. [Conclusion] Combining MT with PR improves parameters of pulmonary function in patients with COPD. Music therapy is a novel approach that, in combination with PR, may be used in COPD management.
- 著者
- Naomi Kobinata Hideto Yoshikawa Yuji Iwasaka Nobuyuki Kawate
- 出版者
- The Showa University Society
- 雑誌
- The Showa University Journal of Medical Sciences (ISSN:09156380)
- 巻号頁・発行日
- vol.33, no.2, pp.34-40, 2021 (Released:2021-06-15)
- 参考文献数
- 28
This retrospective study aimed to investigate the relationship between musical and linguistic abilities in patients with aphasia. We reviewed the clinical records of 32 stroke patients with aphasia admitted to subacute rehabilitation units between May 2014 and August 2018. We analyzed the results of melody and rhythm reproduction tests and subtests of auditory comprehension and speech sections in the Standard Language Test of Aphasia (SLTA) collected upon admission and discharge. The Spearman rank correlation coefficient (rs) was used to analyze the correlation between 1)the increase in melody reproduction test scores and SLTA auditory comprehension subtest scores, 2)the increase in melody reproduction test scores and SLTA speech subtest scores, 3)the increase in rhythm reproduction test scores and SLTA auditory comprehension subtest scores, and 4)the increase in rhythm reproduction test scores and SLTA speech subtest scores. There were significant positive correlations between melody reproduction and auditory comprehension subtest scores on the SLTA: “word comprehension” (n=14, rs=0.57, p<0.05) and “following verbal instructions” (n=31, rs=0.42, p<0.05). An SLTA speech subtest score—action naming—was positively correlated with rhythm reproduction (n=31, rs=0.44, p<0.05). This study implies that melody reproduction ability is related to auditory comprehension and that rhythm reproduction ability is related to speech production in patients with aphasia after experiencing a stroke.