Reychler Gregory, Mottart Florian, Boland Maelle, Wasterlain Emmanuelle, Pieters Thierry, Caty Gilles, Liistro Giuseppe
Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ENT & Dermatologie, Université Catholique de Louvain, Brussels, Belgium. Service de Pneumologie Service de Médecine Physique et Réadaptation, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Service de Pneumologie.
Respir Care. 2015 May;60(5):711-7. doi: 10.4187/respcare.03671. Epub 2015 Jan 13.
Pulmonary rehabilitation is a key element in the treatment of COPD. Music has been shown to have a positive effect on parameters related to a decrease in exercise tolerance. The aim of this study was to evaluate the effect of listening to ambient music on perceived exertion during a pulmonary rehabilitation session for COPD subjects.
COPD subjects randomly performed a session of pulmonary rehabilitation with or without ambient music. Perceived exertion (Borg scales), anxiety (Hospital Anxiety and Depression Scale-Anxiety Subscale), dyspnea (visual analog scale), and cardiorespiratory parameters were compared at the end of both sessions.
Forty-one subjects were analyzed. The characteristics of the COPD subjects were as follows: age, 70.5 ± 8.4 y; body mass index, 22.7 ± 3.9 kg/m(2); and FEV1, 38.6 ± 12.5 % predicted. Perceived exertion was not modified by ambient music, but anxiety was improved (P = .02). Dyspnea, fatigue and cardiorespiratory parameters were not influenced by music during a typical session of the pulmonary rehabilitation program.
This study demonstrates that perceived exertion during one pulmonary rehabilitation session was not influenced by ambient music. However, a positive effect on anxiety was observed. (ClinicalTrials.gov registration NCT01833260.).
肺康复是慢性阻塞性肺疾病（COPD）治疗的关键要素。已有研究表明，音乐对与运动耐力下降相关的参数具有积极影响。本研究的目的是评估在COPD患者的肺康复疗程中聆听背景音乐对主观用力感觉的影响。
COPD患者随机进行有或无背景音乐的肺康复疗程。在两个疗程结束时，比较主观用力感觉（Borg量表）、焦虑（医院焦虑抑郁量表-焦虑分量表）、呼吸困难（视觉模拟量表）和心肺参数。
分析了41名受试者。COPD患者的特征如下：年龄，70.5±8.4岁；体重指数，22.7±3.9kg/m²；第一秒用力呼气容积（FEV1），为预测值的38.6±12.5%。背景音乐未改变主观用力感觉，但改善了焦虑（P = 0.02）。在肺康复计划的一个典型疗程中，呼吸困难、疲劳和心肺参数不受音乐影响。
本研究表明，一次肺康复疗程中的主观用力感觉不受背景音乐影响。然而，观察到对焦虑有积极影响。（ClinicalTrials.gov注册号NCT01833260.）
