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Principalele indicaii
1. B. pulmonare
2. AB
3. Bronsite cronice
4. Pacienii obezi
5. Pacienii cu tulburri - endocrine
- vegetative (disfuncii)
6. Sechele post AVC
7. Sechele dup pleurit i pleurezii -specifice
-nespecifice
8. patologie extrapulmonar:
- b. reumatismale - SA
- tulburri de static
vertebral
- malformaii
toracice
- osteoporoticii care ajung la cifoz i
deformri vertebrale
Orice pacient supus unui program de KT poate beneficia de
gimnastic respiratorie pentru:
Herer B.
Abstract
INTRODUCTION:
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.
CONCLUSION:
These results are in favor of a beneficial effect of singing during pulmonary rehabilitation.
BMC Pulm Med. 2012 Nov 13;12:69. doi: 10.1186/1471-2466-12-69.
Singing classes for chronic obstructive pulmonary disease: a randomized
controlled trial.
Lord VM, Hume VJ, Kelly JL, Cave P, Silver J, Waldman M, White C, Smith C,
Tanner R, Sanchez M, Man WD, Polkey MI, Hopkinson NS.
Abstract
BACKGROUND:
There is some evidence that singing lessons may be of benefit to patients with chronic obstructive pulmonary disease (COPD). It is
not clear how much of this benefit is specific to singing and how much relates to the classes being a group activity that
addresses social isolation.
METHODS:
Patients were randomised to either singing classes or a film club for eight weeks. Response was assessed quantitatively through
health status questionnaires, measures of breathing control, exercise capacity and physical activity and qualitatively, through
structured interviews with a clinical psychologist.
RESULTS:
The singing group (n=13 mean(SD) FEV1 44.4(14.4)% predicted) and film group (n=11 FEV1 63.5(25.5)%predicted) did not differ
significantly at baseline. There was a significant difference between the response of the physical component score of the SF-
36, favouring the singing group +12.9(19.0) vs -0.25(11.9) (p=0.02), but no difference in response of the mental component
score of the SF-36, breathing control measures, exercise capacity or daily physical activity. In the qualitative element,
positive effects on physical well-being were reported in the singing group but not the film group.
CONCLUSION:
Singing classes have an impact on health status distinct from that achieved simply by taking part in a group activity.
Mecanismul de aciune al terapiei prin cntec
1.Postur corect:
cap ridicat
c.v. dreapt
abdomen retras n prelungirea toracelui
umeri relaxai
poligonul de susinere uor mrit
2. Se antreneaz pacientul pentru:
- inspiruri profunde
- rezisten la scurte apnei
- expiruri ct mai lungi
3. Exerciii respiratorii cu silabe cntate
pacientul ncepe pronunarea cntat n expiraie a unui ir de
silabe
- se educ dirijat aerului n expir spre faringele posterior printr-o
cntare nazonat/ca un zumzet
- exerciiile cu silabe cntate tonific muchii expiratori, care se
menin n contracie izometric pe parcursul emiterii sunetului
4. Cntat propriuzis
- cntarea ctorva fraze muzicale cu vocalize
- apoi cntece scurte cu versuri/cuvinte