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Adding Manual Therapy to a Respiratory-Rehabilitation Program in Patients with Respiratory Disorders: A Systematic
Ferran Cuenca-Martínez1, Núria Sempere-Rubio1, Enrique Carrasco-González2
1Department of Physiotherapy, University of Valencia, Valencia, Spain.
Journal of Chiropractic Medicine
|May 19, 2026
Summary
Adding music therapy (MT) to respiratory rehabilitation (RR) may improve exercise capacity in respiratory disorder (RD) patients. However, MT did not significantly impact pulmonary function parameters in this low-quality evidence review.
Area of Science:
- Pulmonology
- Rehabilitation Medicine
- Integrative Medicine
Background:
- Respiratory disorders (RD) significantly impact patients' quality of life and exercise capacity.
- Respiratory rehabilitation (RR) is a cornerstone therapy for managing RD.
- Exploring adjunct therapies like music therapy (MT) can optimize RR outcomes.
Purpose of the Study:
- To evaluate the efficacy of adding music therapy (MT) to respiratory rehabilitation (RR) programs for patients with respiratory disorders (RD).
- To assess the impact of MT on pulmonary function and exercise capacity in RD patients undergoing RR.
Main Methods:
- A systematic literature search was conducted across major databases (PubMed, EMBASE, CINAHL, PEDro, Google Scholar) up to February 2023.
- Included studies were meta-analyzed using a random effects model to calculate standardized mean differences (SMDs) and 95% confidence intervals.
- Outcome measures included pulmonary function tests (FEV1, FVC) and exercise capacity (6-minute walk test - 6-MWT).
Main Results:
- The meta-analysis of 6 studies found no significant improvement in pulmonary function parameters (FEV1, FVC) with the addition of MT to RR.
- A significant improvement in exercise capacity, measured by the 6-MWT, was observed with MT plus RR (SMD = -0.55, 95% CI [-1.01 to -0.09]), indicating a small clinical effect.
- Meta-regression analysis showed no significant correlation between MT intervention time and improvements in FEV1, FVC, or 6-MWT.
Conclusions:
- Low-quality evidence suggests that adding MT to RR programs may enhance exercise capacity in RD patients.
- MT combined with RR did not demonstrate a significant effect on pulmonary function parameters, also based on low-quality evidence.
- Further high-quality research is warranted to confirm the benefits of MT in respiratory rehabilitation.
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