Śliwka Agnieszka, Kaszuba Marek, Piliński Rafal, Pieniążek Magdalena, Batkiewicz Magdalena, Marciniak Karolina, Bochenek Grażyna, Nowobilski Roman
Unit of Rehabilitation in Internal Diseases, Institute of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland.
Unit of Rehabilitation in Internal Diseases, Department of Clinical Rehabilitation, University School of Physical Education, Kraków, Poland.
J Asthma. 2021 Oct;58(10):1367-1376. doi: 10.1080/02770903.2020.1789874. Epub 2020 Jul 13.
Much emphasis is being placed on the role of music therapy as an easy-to-use, noninvasive and relatively cheap method of asthma treatment. The objective of this interventional double-blinded randomized controlled trial was to assess whether music therapy, as a complementary modality to pulmonary rehabilitation, can help to improve respiratory drive, asthma control and quality of life in patients with asthma exacerbation.
Hospitalized patients with asthma exacerbation enrolled in the study were randomly assigned to experimental (music therapy) or control (popular science program) group. Both groups during hospitalization received standard pharmacotherapy accompanied by respiratory physiotherapy. Respiratory drive, asthma control, quality of life and serum cortisol in all participants were assessed at the beginning and at the end of their hospitalizations.
The experimental group consisted of 39 asthmatics and 34 subjects with asthma were assigned to the control group. During the hospitalization, the levels of the inspiratory occlusion pressure for the first 0.1 s of inspiration (P0.1) decreased ( = 0.004) and the maximum P0.1 increased ( = 0.041) only in the experimental group. The serum cortisol level decreased in both groups ( = 0.001). The changes in asthma control and quality of life did not reach significant levels in either subject group.
Passive music therapy and its effects on the mental state of patients seem to improve the efficiency of the respiratory system. The results of this experimental study demonstrate that a complementary music therapy has beneficial effects on the treatment of asthma exacerbations in adults.
音乐疗法作为一种易于使用、无创且相对廉价的哮喘治疗方法，正受到广泛关注。这项干预性双盲随机对照试验的目的是评估音乐疗法作为肺康复的辅助方式，是否有助于改善哮喘加重患者的呼吸驱动、哮喘控制和生活质量。
纳入该研究的哮喘加重住院患者被随机分为实验组（音乐疗法）或对照组（科普节目）。两组患者在住院期间均接受标准药物治疗并辅以呼吸物理治疗。在住院开始和结束时评估所有参与者的呼吸驱动、哮喘控制、生活质量和血清皮质醇水平。
实验组有39名哮喘患者，34名哮喘患者被分配到对照组。住院期间，仅实验组吸气开始后0.1秒的吸气阻断压（P0.1）水平下降（=0.004），最大P0.1升高（=0.041）。两组的血清皮质醇水平均下降（=0.001）。两个受试组的哮喘控制和生活质量变化均未达到显著水平。
被动音乐疗法及其对患者心理状态的影响似乎提高了呼吸系统的效率。这项实验研究的结果表明，辅助音乐疗法对成人哮喘加重的治疗具有有益作用。
