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The goal of this randomized-controlled study is to compare the effects of diaphragmatic breathing exercise training provided by a physiotherapist and aerobic exercise training applied in addition to diaphragmatic breathing exercise training provided by a physiotherapist on respiratory functions and voice performance in choir singers.
The main questions this study aims to answer are:
The research data are going to be collected by Sociodemographic Information Form, International Physical Activity Questionnaire-Short Form, Self-Performance Evaluation Questionnaire, Vocal Fatigue Index, Singing Voice Handicap Index, measurement of maximum phonation time, pulmonary function test, maximal inspiratory and expiratory pressure measurement, and 6-minute walk test.
In this study, it will be examined whether aerobic exercise training applied in addition to diaphragmatic breathing exercise training provided by a physiotherapist improves respiratory functions and voice performance in choir singers more, when compared to diaphragmatic breathing exercise training applied alone.
The participants will be randomly divided into three groups: diaphragmatic breathing exercise training group, aerobic exercise training group applied in addition to diaphragmatic breathing exercise training, and control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| diaphragmatic breathing exercise training group | Active Comparator | Participants included in the diaphragmatic breathing exercise training group will be provided diaphragmatic breathing training by a physiotherapist before starting the exercise program. |
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| aerobic exercise training group | Experimental | The protocol given to the diaphragmatic breathing exercise training group will also be included in the exercise program of participants included in the aerobic exercise training group. |
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| Control group | No Intervention | Participants included in the control group will be asked to continue their daily routines without changing their lifestyles. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diaphragmatic breathing exercise training | Behavioral | At the end of the training, participants will be asked to do an exercise session and this session will be observed. Training will continue until participants learn and apply the exercise correctly. 5-minute warm-up and cool-down periods will be applied at the beginning and end of each exercise session. Exercises will be done twice a day, morning and evening, for 8 weeks. In order to follow the exercise, participants will be given diaphragmatic breathing exercise tracking cards with date and session information. In addition, participants will be followed up weekly on one of the rehearsal days to ensure their adaptation to the exercise. |
| Measure | Description | Time Frame |
|---|---|---|
| FEV1/FVC | Pulmonary function test with a spirometer will be performed on all participants to assess forced expiratory volume in 1 second and forced vital capacity. | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Slow vital capacity | Pulmonary function test with a spirometer will be performed on all participants to assess slow vital capacity. | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Maximal voluntary ventilation | Pulmonary function test with a spirometer will be performed on all participants to assess maximal voluntary ventilation. | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Maximal inspiratory and expiratory pressure | An electronic respiratory pressure meter will be used to calculate maximal inspiratory and expiratory pressure | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Maximum phonation time | Each participant will be asked to say the vowels "a, e, i, o, u" at their most comfortable pitch for as long as possible, and the time they can say them will be determined by a stopwatch. | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Aerobic capacity and endurance | 6 Minute Walk Test will be performed on all participants to assess aerobic capacity and endurance. | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Vocal fatigue |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sıla YILMAZ, PhD (c.) | Contact | 4448544 | yilmazsila18@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ayşe Nur TUNALI VAN DEN BERG, Prof. | İstanbul Medipol University | Study Chair |
| Sıla YILMAZ, PhD (c.) | İstanbul Medipol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Choric Culture Association | Recruiting | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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A randomized-controlled trial
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The researcher who evaluated the analysis, and the participants are blind to the study
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| Aerobic exercise training | Behavioral | The intensity of the aerobic exercise program will be calculated for each participant using the Karvonen formula. Accordingly, each participant will be given a brisk walking program on a suitable surface, which will be created specifically for the individual to reach the target heart rate range within the scope of the aerobic exercise program; they will apply a 45-minute session, 3 days a week, for 8 weeks. |
|
Vocal Fatigue Index which is a self-report questionnaire for identifying individuals with vocal fatigue and characterizing their complaints will be used to assess the vocal fatigue of all participants. |
| This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Singing voice and voice-related problems | Singing Voice Handicap Index will be used to assess the voice-related handicaps of all participants. | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |
| Voice performance | The Self-Performance Evaluation Questionnaire, which is created by the researcher and is a scale in which the participant evaluates his/her own musical performance by scoring it between from 1 to 10, will be used to evaluate the performance. | This outcome will be evaluated twice: before starting the exercise program and after implementing the exercise program for 8 weeks. |