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Trial registered on ANZCTR
Registration number
ACTRN12607000291482
Ethics application status
Approved
Date submitted
31/05/2007
Date registered
1/06/2007
Date last updated
24/03/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Can singing training can improve voice projection for people with a spinal cord injury?
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Scientific title
The effects of singing and vocal training on respiratory function and voice projection of people with a spinal cord injury
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Quadriplegia
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Condition category
Condition code
Respiratory
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Normal development and function of the respiratory system
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Injuries and Accidents
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0
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Studies of the normal brain and nervous system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
12 weeks of singing training vs an active control intervention. The treatment condition involves instruction in breath control and vocal techniques for singing and the opportunity to sing familiar, popular songs in small groups (n=4). Treatment sessions will be held twice a week for the first 4 weeks for approximately 1 hour and participants will be expected to practise at least once per week at home with a practise CD. The following 8 weeks will involve only 1 group session and 2 home practise sessions.
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
The control condition involves 12 weeks of music therapy activities that do not include singing: music appreciation and relaxation. The sessions will be run in small groups (n=4) similar to the treatment arm. Sessions will be held twice a week for the first 4 weeks for approximately 1 hour and once a week for the following 8 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Respiratory capacity
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Assessment method [1]
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Timepoint [1]
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Measures of effectiveness will be made at baseline, 6weeks (midway), 12 weeks and 6 months post intervention.
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Primary outcome [2]
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Respiratory muscle strength (specifically maximal sniff and inspiratory (MIP) muscle pressures)
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Assessment method [2]
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Timepoint [2]
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Measures of effectiveness will be made at baseline, 6 weeks (midway), 12 weeks and 6 months post intervention.
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Primary outcome [3]
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Quantitative measures of voice (pitch, amplitude)
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Assessment method [3]
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Timepoint [3]
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Measures of effectiveness will be made at baseline, 6 weeks (midway), 12 weeks and 6 months post intervention.
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Secondary outcome [1]
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Measures of thoraco-abdominal motion, indices of respiratory flow and volume and qualitative assessments of voice.
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Assessment method [1]
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Timepoint [1]
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Measured at baseline, 6 weeks (midway), 12 weeks and 6 months post intervention
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Eligibility
Key inclusion criteria
Quadriplegia C4-C7, at least 1 year post injury. Currently resident in Victoria and able to travel to the Royal Talbot Rehabilitation Centre for 12 weeks for training. English speaking and stable general health without pulmonary disease at the time of assessment.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previous history of speech disorder, respiratory disease, psychiatric disorder, or neurological impairment prior to SCI. Currently receiving singing or voice tuition.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated sequence
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
All data will be analysed by a researcher blinded to the treatment allocation (blinded assesor)
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Phase
Phase 1
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/11/2007
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Actual
27/04/2009
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Date of last participant enrolment
Anticipated
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Actual
30/04/2010
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Date of last data collection
Anticipated
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Actual
12/07/2010
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Sample size
Target
40
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Accrual to date
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Final
24
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Victorian Neurotrauma Incentive
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Address [1]
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Level 14, 222 Exhibition Street, Melbourne Victoria 3000, Australia
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Country [1]
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Australia
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Funding source category [2]
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University
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Name [2]
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University of Melbourne
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Address [2]
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Parkville, Victoria, 3052, Australia
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Country [2]
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Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
PO Box 5555 Studley Rd, Heidelberg, Victoria, 3084, Australia
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Country
Australia
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Secondary sponsor category [1]
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Other
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Name [1]
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Institute for Breathing and Sleep,
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Address [1]
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PO Box 5555 Studley Rd, Heidelberg, Victoria, 3084, Australia
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Country [1]
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Australia
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Secondary sponsor category [2]
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University
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Name [2]
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University of Melbourne
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Address [2]
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Parkville, Victoria, 3052 Australia
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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25/05/2007
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Approval date [1]
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21/12/2007
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Ethics approval number [1]
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H2007/02931
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Summary
Brief summary
Respiratory dysfunction is a major cause of morbidity and mortality in spinal cord injury (SCI). Therapeutic singing exercises have been demonstrated to develop muscle control, expand lung capacity and increase vocal intensity with other clinical populations. This study will be the first to systematically document the physiological effect of singing instruction on respiratory function and voice projection in a quadriplegia population. All subjects will participate in physiological and acoustic assessments whilst vocalising, singing, and speaking. Forty subjects with chronic cervical SCI will be randomised into control and experimental groups. Subjects in the treatment group will participate in twice weekly singing instruction in small groups (n=5), with an additional weekly homepractise session, for a period of 20 weeks. All subjects will repeat the initial assessments after 10 and 20 weeks. Control subjects will participate in the vocal training after 20 weeks. The relevance of this project is indicated by research that shows that respiratory disorders and subsequent diminished vocal projection are common and disabling in the quadriplegia population. Singing training has been shown to improve respiratory capacity and voice projection in other clinical populations. In a health care setting where evidence-based practise is highly valued, the examination of the effect of this innovative therapy on ventilatory function is strongly indicated.
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Trial website
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Trial related presentations / publications
Tamplin, J., Baker, F., Grocke, D., & Berlowitz, D. J. (2014). A thematic analysis of the experience of group music therapy for people with chronic quadriplegia. Topics in Spinal Cord Injury Rehabilitation, 20(3), 256-268. IF: 1.226. Tamplin, J., Baker, F., Buttifant, M., & Berlowitz, D. J. (2014). The effect of singing training on voice quality and intensity for people with quadriplegia. Journal of Voice. 28(1), 128.e19–128.e26. Doi.10.1016/j.jvoice.2013.08.017. IF: 1.55. Tamplin, J., Baker, F., Grocke, D., Brazzale, D., Pretto, J. J., Ruehland, W. R., et al. (2013). The effect of singing on respiratory function, voice, and mood following quadriplegia: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 94(3), 426-434.
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Public notes
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Contacts
Principal investigator
Name
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Dr Jeanette Tamplin
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Address
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Music Therapy
University of Melbourne
234 St Kilda Road
Southbank
VIC 3006
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Country
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Australia
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Phone
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+61 3 8344 3003
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Jeanette Tamplin
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Address
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Music Therapy
University of Melbourne
234 St Kilda Road
Southbank
VIC 3006
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Country
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Australia
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Phone
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+61 3 8344 3003
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Fax
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no fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jeanette Tamplin
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Address
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Music Therapy
University of Melbourne
234 St Kilda Road
Southbank
VIC 3006
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Country
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Australia
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Phone
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+61 3 8344 3003
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Fax
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no fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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