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Effect of vocal respiratory training on respiratory function and respiratory neural plasticity in patients with cervical spinal cord injury:a randomized controlled trial

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Neural Regeneration Research 2022年第5期17卷 1065-1071页

作者： Xiao-Ying Zhang Wei-Yong Yu Wen-Jia Teng Yi-Chuan Song De-Gang Yang Hong-Wei Liu Song-Huai Liu Xiao-Bing Li Wen-Zhu Wang Jian-Jun Li School of Rehabilitation Medicine Capital Medical UniversityBeijingChina China Rehabilitation Science Institute BeijingChina Beijing Key Laboratory of Neural Injury and Rehabilitation BeijingChina Center of Neural Injury and Repair Beijing Institute for Brain DisordersBeijingChina Music Therapy Center Department of PsychologyChina Rehabilitation Research CenterBeijingChina Department of Imaging China Rehabilitation Research CenterBeijingChina Department of Spinal and Neural Functional Reconstruction China Rehabilitation Research CenterBeijingChina Department of Music Artificial Intelligence and Music Scientific Technology Central Conservatory of MusicBeijingChina

In previous studies,researchers have used singing to treat respiratory function in patients with spinal cord ***,few studies have examined the way in which vocal training affects respiratory neural plasticity in patients with spinal cord *** respiratory training(VRT)is a type of vocal muscle-related treatment that is often a component of music therapy(MT)and focuses on strengthening respiratory muscles and improving lung *** this randomized controlled study,we analyzed the therapeutic effects of VRT on respiratory dysfunction at 3 months after cervical spinal cord *** an initial group of 37 patients,26 completed the music therapy intervention,which comprised five 30-minute sessions per week for 12 *** intervention group(n=13)received VRT training delivered by professional certified music *** control group(n=13)received respiratory physical therapy delivered by professional physical *** with the control group,we observed a substantial increase in respiratory function in the intervention group after the 12-week ***,the nerve fiber bundles in the respiratory center in the medulla exhibited a trend towards increased diversification,with an increased number,path length,thickness,and density of nerve fiber *** findings provide strong evidence for the effect of music therapeutic VRT on neural *** study was approved by the Ethics Committee of China Rehabilitation Research Center(approval No.2020-013-1)on April 1,2020,and was registered with the Chinese Clinical Trial Registry(registration *** CTR2000037871)on September 2,2020.

关键词： cervical spinal cord injury music therapy neural plasticity respiratory center respiratory function vocal respiratory training

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