Mizuki Yuge, Shinsuke Hori, Kenta Ushida, Ryo Momosaki
European Respiratory Journal 2022 59: 2103113; DOI: 10.1183/13993003.03113-2021
We read with great interest the article by Kaasgaard et al.  on the effect of singing as a part of pulmonary rehabilitation for COPD. A previous Cochrane review of this research question did not provide a clear conclusion . They showed that singing for lung health training is noninferior to standard physical exercise training. Although the authors anticipated higher adherence to singing therapy, no difference was observed in adherence between the two intervention methods, and 25.5% of the patients dropped out of the singing for lung health training. We believe that adherence to singing therapy could be improved using some ideas, and we discuss some strategies to increase adherence.
Exercise adherence is frequently a concern in pulmonary rehabilitation for COPD. Some people like singing more than physical exercise, so the use of karaoke might be a feasible alternative to pulmonary rehabilitation for COPD. https://bit.ly/3q7l1ea
Author contributions: All authors made substantial contributions to the conception or design of the work. M. Yuge and R. Momosaki drafted the work. Critical revision was performed by K. Ushida and S. Hori. All authors approved the final version to be published. All authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Conflict of interest: None declared.