Browse > Article
http://dx.doi.org/10.21187/jmhb.2018.15.2.023

Effects of Respiratory Rehabilitation Training Using a Harmonica for Patients With Spinal Cord Injuries  

Kim, Hyuk Gun (Applied Arts Major, Graduate School, Kyung Hee University)
Kim, Min Seo (Applied Arts Major, Graduate School, Kyung Hee University)
Lim, Han Mil (Social Welfare Major, Kyung Hee Cyber University)
Joeng, So (Music Therapy Major, Graduate School of Music, Kosin University)
Shin, Uk Ju (Applied Arts Major, Graduate School, Kyung Hee University)
Publication Information
Journal of Music and Human Behavior / v.15, no.2, 2018 , pp. 23-39 More about this Journal
Abstract
The purpose of this research was to investigate the effects of respiratory rehabilitation using a wind instrument for patients suffering from spinal cord injuries. From January 15, 2018 to April 15, 2018, we conducted ten 1-hour sessions of a harmonica program with eight patients with spinal cord injuries with average age of 37 years who could not perform abdominal breathing by themselves. We measured and compared patients' breathing capacity before and after the 10 sessions. Designed particularly for patients with spinal cord injuries resulting in a limited range of neck movement, the study used a 10-hole diatonic harmonica whose length was relatively short. For those patients who had difficulty using their hands, a harmonica holder was provided. Participants were trained to play simple tunes. They were guided to use abdominal breathing to make sounds, with emphasis on those parts requiring long and strong breathing. The results showed that for all eight patients both their breathing volume and their inspiratory volume increased following participation in the harmonica program. Also, the program had psychological benefits (e.g., more life satisfaction and less sadness) and additional physical benefits (e.g., less dizziness due to low blood pressure and better phlegm spitting). This study offers a unique way to help patients with spinal cord injuries to improve their breathing capacity, which may also be associated with a greater quality of life.
Keywords
spinal cord injury; rehabilitation; harmonica; respiration; quality of life;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Lim, H. A., Miller, K., & Fabian, C. (2011). The effects of therapeutic instrumental music performance on endurance level, self-perceived fatigue level, and self-perceived exertion of inpatients in physical rehabilitation. Journal of Music Therapy, 48(2), 124-148.   DOI
2 Min, S. K., Lee, C. I, Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of Korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF)(한국판 세계보건기구 삶의 질 간편형 척도(WHOQOL-BREF)의 개발). Journal of the Korean Neuropsychiatric Association, 39(3), 571-579.
3 Oh, D.-W. (2016). Strategy of respiratory exercise therapy in people with spinal cord injury: Literature review(척수손상 환자에 대한 호흡운동치료 전략: 문헌 고찰). Korean Journal of Neuromuscular Rehabilitation, 6(1), 57-76.
4 Shin, S. C., Kim, M. K., Yun, K. S., Kim, J. H., Lee, M, S., Moon, S.J., . . . Yoo, K. J. (1991). The Center for Epidemiological Studies-Depression scale(CES-D): Its use in Korea -standardization and factor structure of CES-D-(한국에서의 the Center for Epidemiological Studies Depression Scale(CES-D)의 사용 -표준화 및 요인구조에 대한 횡문화적 검토-). Journal of the Korean Neuropsychiatric Association, 30(4), 752-767.
5 Tamplin, J. (2014). Researching clinical practice and practicing clinical research in neurorehabilitation. Music Therapy Today, 10(1), 36-37.
6 Tamplin, J., Baker, F. A., Grocke, D., Brazzale, D. J., Pretto, J. J., Ruehland, W. R., ...Berlowitz, D. J. (2013). Effect of singing on respiratory function, voice, and mood afterquadriplegia: A randomized controlled trial. Archives of Physical Medicine andRehabilitation, 94(3), 426-434.   DOI
7 Jones, P. W., Quirk, F. H., & Baveystock, C. M. (1991). The St George’s respiratory questionnaire. Respiratory Medicine, 85, 25-31.   DOI
8 Kim, A. L. (1999). Quality of life model for spinal cord injured persons(척수손상인의 삶의 질 구조모형) (Unpublished master's thesis). Ewha Woman's University, Seoul.
9 Kim, H. J. (2017). The level of fatigue and motor performance during drum playing depending on co-presence of singing tasks in patients with chronic stroke(전자 드럼 연주 시 노래부르기 유무에 따른 만성 뇌졸중 환자의 피로도 및 운동 수행력 비교). Journal of Music and Human Behavior, 14(2), 71-90.   DOI
10 Kim, B.-S., Kim, J.-H., Park, S.-H., Seo, H.-S., Lee, H.-S., & Lee, M.-M. (2018). Effect of a respiratory training program using wind instruments on cardiopulmonary function, endurance, and quality of life of elderly women. Medical Science Monitor, 24, 5271-5278.   DOI
11 Kim, T. Y., Park, S. A., & Lee, Y. S. (2017). The effect of wind-instrument centered music therapy on respiration, oral motor and articulation for patients with cervical cord injury -Case study-(취주악기를 사용한 음악치료가 경수손상환자의 호흡, 구강운동 및 조음에 미치는 영향 -사례연구-). Journal of Rehabilitation Research, 21(1), 233-252.   DOI
12 Kirshblum, S. C., Burns, S. P., Biering-Sorensen, F., Donovan, W., Graves, D. E., Jha, A., ... Waring, W. (2011). International standards for neurological classification of spinal cord injury (Revised 2011). Journal of Spinal Cord Medicine, 34(6), 535-546.   DOI
13 Kwon, J.-W. (2013). The effect of the activity-based group exercise program on the wheelchair skills and body function in persons with chronic spinal cord injury(활동기반 집단운동 프로그램이 만성 척수손상자의 휠체어 기술과 신체기능에 미치는 영향) (Unpublished master's thesis). Daegu University, Daegu.
14 Lee, N.-H. (2012). Study on vocalization of persons with spinal cord injury(척수손상 장애인을 위한 발성법에 대한 연구) (Unpublished master's thesis). Mokpo National University, Jeonnam.
15 Alexander, J. L., & Wagner, C. L. (2012). Is harmonica playing are effective adjunct therapy to pulmonary rehabilitation? Rehabilitation Nursing, 37(4), 207-212.   DOI
16 Berlowitz, D. J., & Tamplin, J. (2013). Respiratory muscle training for cervical spinal cord injury. Cochrane Database of Systematic Reviews, Issue7. CD008507
17 Burns, A. S., & Ditunno, J. F. (2001). Establishing prognosis and maximizing functional outcomes after spinal cord injury: A review of current and future directions in rehabilitation management, Spine, 26(24S), 137-145.   DOI
18 Denton, M., & McKinlay, J. (2009). Cervical cord injury and critical care. Continuing Education in Anaesthesia, Critical Care & Pain, 9(3), 82-86.   DOI
19 Cho, A.-R. (2010). The effect of the respiratory training-focused music therapy program on physical respiratory function and the quality of life for cervical spinal cord injured patients(호흡훈련 중심의 음악치료 프로그램이 경수 손상 환자의 호흡기능 및 삶의 질에 미치는 효과) (Unpublished master's thesis). Sungshin Women's University, Seoul.