Singing may reduce stress, improve motor function for people with Parkinson's
Sing to Beat Parkinson’s Brisbane Trial
They say laughter is the best medicine, but singing is just as good, according to a group of people with Parkinson's disease who took part in an Australian first trial.
More than 70 patients from Queensland participated in the ground-breaking Griffith University study that looked at how song could help battle the disease. Parkinson's disease is a neurological condition that affects speech and movement, and there is no cure.
Queensland Conservatorium Research Centre's Professor Don Stewart said it did not matter if they could hold a note or not, they just had to commit to "trying" to sing for an hour once a week for six months.
Professor Don Stewart found all participants experienced a better quality of life during the trial.
"But in particular one that stands out is stigma or perceived stigma for example where people felt they had to conceal their Parkinson's from others or avoid situations which involve eating or drinking in public"..."They felt less worried about people's reaction to them. Felt less embarrassed"..."We also got significant improvements in terms of mobility."
The group held their first Australian concert at the weekend at the Queensland Conservatorium.
First clinical trial of UK developed program
In each session participants not only sang, but did vocal warm ups, breathing exercises and got to take part in social activities afterwards. The study was based on a UK program called 'Sing to Beat Parkinson's' that had never been clinically tested.
"We set out using the Sing to Beat Parkinson's project to see if we could enhance the quality of life of people with Parkinson's as well as their carers," he said. "To help reduce their emotional burden, depression, anxiety and stress.”
The disease affects about 3 per cent of the Australian population, which is about 700,000 people. It also strikes more men than women and more frequently presents in people over 50. Researchers said the next step is to extend the program through Queensland, then the nation.
"It now has a platform to spread globally," said Professor Stewart.
UK Professor Grenville Hancox, who set up the first "Sing to Beat Parkinsons" group 10 years ago in England, has been involved in the Australian study. He said the results were ground-breaking because they confirmed all the "anecdotal evidence" he collected, but had never been able to put under the scientific microscope.
Singing helped with depression, tremors: participants
Madonna Brady said it helped her battle depression associated with the disease.
"Feeling happy and having something to do. And the songs we have sung are pretty joyful and fun,"
Lilian Olszewski said the trial helped her focus on fun things rather than her Parkinson's, which she has battled for 10 years.
"Feeling happy and having something to do. And the songs we have sung are pretty joyful and fun"..."It has also been good to share our stories about Parkinson's because there is no text book Parkinson's case,"
Ms Olszewski said the breathing exercises helped control her tremors as well. While Tom Dawson, who was diagnosed in 2009, maintains the singing has made him feel less anxious. He also runs a support group through the choir.
"They are out there mixing with people now, where as before they would lock themselves away"
Researchers from the US, Europe and Asia attended an international symposium in Brisbane where the results of the study were released.
The Effect of Group Music Therapy on Mood, Speech, and Singing in Individuals with Parkinson's Disease — A Feasibility Study
Cochavit Elefant, PhD, MT Felicity A. Baker, PhD, RMT Meir Lotan, MScPT, PhD Simen Krogstie Lagesen, MA Geir Olve Skeie, MD, PhD
Journal of Music Therapy, Volume 49, Issue 3, 1 October 2012, Pages 278–302, https://doi.org/10.1093/jmt/49.3.278
Published: 01 October 2012
Ten patients diagnosed with PD participated in this one-group, repeated measures design study. Participants received the sixty-minute intervention, in a small group setting once a week for 20 consecutive weeks.
Significant improvements in singing quality and voice range, coupled with the absence of decline in speaking quality support group singing as a promising intervention for persons with PD. A two-group randomised control study is needed to determine whether the intervention contributes to maintenance of speaking quality in persons with PD.
Does singing and vocal strengthening improve vocal ability in people with Parkinson’s disease?
Merrill Tanner, Linda Rammage & Lili Liu
Pages 199-212 | Received 15 Dec 2013, Accepted 25 Aug 2015, Published online: 12 Oct 2015
Arts & Health
An International Journal for Research, Policy and Practice
Volume 8, 2016 - Issue 3
Ninety percent of people with Parkinson’s disease (PD) develop voice problems and many consider poor verbal communication skills to be one of their most serious concerns. Method: The purpose of this exploratory study was to determine whether a combined vocal pedagogy and voice therapy approach that emphasizes vocal effort and includes singing as half of each treatment session, improves the vocal ability of people with PD. The protocol consisted of 12 group sessions involving vocal, speech and singing exercises. Measures were taken with a stopwatch and the Visipitch® before and after 12 treatment sessions. Results: With correction for multiple variables, differences in pre–post measures of maximum intensity (loudness) range (dB) and average frequency or pitch (Hz) in oral reading were statistically significant. Conclusion: Group vocal strengthening activities that include singing may help maintain vocal skills and slow the vocal deterioration that often accompanies PD.
Singing may help people with Parkinson’s disease — especially in its earlier stages — because it strengthens muscles involved in swallowing and respiratory control, suggests two studies from researchers at Iowa State University.
Lead author Elizabeth Stegemöller conducted two separate pilot studies to determine whether a group of 25 Parkinson’s patients would benefit from light therapy, singing for 60 minutes once a week, or more intensive therapy that involved singing for 60 minutes twice a week. Board-certified music therapies conducted the sessions, which included vocal and articulation exercises as well as group singing. After eight weeks, researchers measured vocal, respiratory and quality-of-life parameters.
Results showed that both groups had significant improvement in respiratory pressure, including both breathing in and breathing out. Phonation time, a measure of how long a person can sustain a vowel sound, also significantly improved. Patients also reported significant improvement in measures of both voice-related and whole health-related quality of life.
“We’re not trying to make people better singers”...“We’re trying to work the muscles involved with swallowing and respiratory control, to make them work better and therefore protect against some of the complications of swallowing.”Stegemöller