Evidence map›Paper›PMID 34764199›Full record

ReviewBMJ open respiratory research2021

The physiology of singing and implications for 'Singing for Lung Health' as a therapy for individuals with chronic obstructive pulmonary disease.

Adam Lewis, Keir Elmslie James Philip, Adam Lound, Phoene Cave, Juliet Russell, Nicholas S Hopkinson

Registry-linked trialAbstract readReview
In one paragraph

Review in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07460999 (Effects and Mechanisms of Online Delivered Singing Training vs Usual Care in Patients With Persistent Symptoms 6-18 Months After Surgical Resection for Non-small Cell Lung Cancer), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07460999 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effects and Mechanisms of Online Delivered Singing Training vs Usual Care in Patients With Persistent Symptoms 6-18 Months After Surgical Resection for Non-small Cell Lung Cancer (NSCLC) - a Multi-centre RCT

TypeinterventionalSponsorZealand University HospitalRan2026 to 2027Enrolled100ConditionsNon-Small Cell Lung Cancer, Chronic Obstructive Lung DiseaseArmsSinging training (Singing for Lung Health (SLH)), Control group: Usual care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effect of Singing on Symptoms in Stable COPD: A Systematic Review and Meta-Analysis.International journal of chronic obstructive pulmonary disease · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Singing for adults with chronic respiratory disease.The Cochrane database of systematic reviews · 2026
    Article
  9. [Research advances in non-pharmacological interventions in pediatric asthma].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Updated Perspectives on the Role of Biomechanics in COPD: Considerations for the Clinician.International journal of chronic obstructive pulmonary disease · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adam LewisDepartment of Health Sciences, Brunel University London, London, UK Adam.Lewis@brunel.ac.uk.ORCID 0000-0002-0576-8823
Keir Elmslie James PhilipNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-9614-3580
Adam LoundPatient Experience Research Centre, Imperial College London, London, UK.
Phoene CaveDepartment of Health Sciences, Brunel University London, London, UK.
Juliet RussellDepartment of Health Sciences, Brunel University London, London, UK.
Nicholas S HopkinsonNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0003-3235-0454

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Singing is an increasingly popular activity for people with chronic obstructive pulmonary disease (COPD). Research to date suggests that 'Singing for Lung Health' may improve various health measures, including health-related quality-of-life. Singing and breathing are closely linked processes affecting one another. In this narrative review, we explore the physiological rationale for 'Singing for Lung Health' as an intervention, focusing on the abnormalities of pulmonary mechanics seen in COPD and how these might be impacted by singing. The potential beneficial physiological mechanisms outlined here require further in-depth evaluation.

Indexed as

Pulmonary Disease, Chronic ObstructiveSingingHumansLungQuality of Lifecomplementary medicineemphysemaperception of asthma/breathlessnessrespiratory muscles

Identifiers

PMID34764199
PMCPMC8587358

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.