Impact of Music Therapy on Hospitalized Patients Post-Elective Orthopaedic Surgery

Gallagher, Lisa; Gardner, Vickie; Bates, Debbie; Mason, S; Nemecek, Jeanine; DiFiore, Jacquelyn Baker; Bena, James; Li, Manshi; Béthoux, François

doi:10.1097/nor.0000000000000432

Cited by 28 publications

(46 citation statements)

References 20 publications

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“…After reading them, 2 articles were removed because one was written in Spanish and the other was a non‐RCT article. Finally, 9 articles were included, following an exhaustive reading of the full text.…”

Section: Resultsmentioning

confidence: 99%

“…Eight of the 9 articles detailed the methods of randomization (88.8%). In addition, in 6 studies researchers described the allocation concealment (66.6%), which prevents selection bias. However, in 4 studies researchers did not explain the reasons for patient drop out, which could lead to attrition bias.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 6 studies (387 subjects) assessed pain intensity in orthopedic patients within the first 24 hours after surgery. Three of the 9 studies were excluded from the meta‐analysis for the following reasons: insufficient data were provided; pain level was examined before and after physical therapy sessions (ambulation); and physical therapy sessions were not provided in detail …”

Section: Resultsmentioning

confidence: 99%

“…The instruments for examining pain among the 6 studies included the VAS and NRS . The reasons for comparing these 2 pain assessment tools are as follows.…”

Section: Resultsmentioning

confidence: 99%

“…The result of the meta‐analysis shows the pooled differences in the pain scores among the sources of music. Five of the 9 studies used music that was selected by the subjects. The results illustrated that the subjects who chose their favorite music differed significantly in terms of the source of the music after undergoing an orthopedic procedure with regard to both MM ( P = 0.002) and MT ( P = 0.02; Figure ).…”

Section: Resultsmentioning

confidence: 99%

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Effect of Music Therapy on Pain After Orthopedic Surgery—A Systematic Review and Meta‐Analysis

et al. 2020

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Background Although music interventions on postoperative pain (POP) have positive effects, limited research has focused on systematic reviews and meta‐analyses of its efficacy for orthopedic patients. This systematic review aimed to examine the effects of music therapy on pain after orthopedic surgery. Method The Cochrane Library, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Nursing Reference Center (NRC), Airiti Library, and National Digital Library of Theses and Dissertations in Taiwan were searched up to August 2019. The risk of bias from the Cochrane Handbook for Randomized Controlled Trials of Interventions was used. A standard mean difference (SMD) with 95% confidence intervals (CIs) was applied as a summary effect on postoperative pain and anxiety using RevMan version 5.3. A meta‐analysis was also carried out using subgroup analysis. Results Nine randomized controlled trials were selected. (1) Music can relieve pain significantly for both music medicine (MM; SMD = −0.41, 95% CI [−0.75, −0.07], P = 0.02) and music therapy (MT; SMD = −0.31, 95% CI [−0.57, 0.04], P = 0.02). (2) Music chosen by the subjects showed significant differences for both MM (P = 0.002) and MT (P = 0.02). (3) Anxiety improved significantly among patients using MT (SMD = 0.44, 95% CI [−0.75, −0.13], P = 0.005). However, the results for the physiologic parameters, opioid requirement, and length of stay showed subtle distinctions. Conclusion Music can significantly relieve POP, specifically music chosen by the participants.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The instruments for examining pain among the 6 studies included the VAS and NRS . The reasons for comparing these 2 pain assessment tools are as follows.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effect of Music Therapy on Pain After Orthopedic Surgery—A Systematic Review and Meta‐Analysis

et al. 2020

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Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial

Ferraz

Santana–Santos

Pinto

et al. 2020

European Journal of Pain

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Background Evidence is scarce regarding the analgesic effect of music for the relief of acute pain during the care of surgical tibial fracture wounds. Objective To evaluate the analgesic effect of music on acute procedural pain during the care of surgical tibial fracture wounds. Method This was a randomized, controlled, blinded clinical trial with 70 patients in the immediate postoperative period for diaphyseal tibial fracture surgery. Participants were randomly allocated to two groups: a control group (CG), in which patients received only the institution's standard analgesia, and an intervention group (IG) composed of patients receiving a 30‐min session of music of their own choice, as a complementary method to the institution's standard analgesia. Pain was evaluated during the first postoperative dressing change, using the Numerical Rating Scale (NRS). Results The sample was homogeneously composed of men (91.4%), young adults (61.4%), without previous diseases (88.6%) and whose traumas were related to a motorcycle crash (84.3%). The main musical genres chosen by participants were the most popular in their region (61.4%). Those who listened to music presented lower pain scores when compared with those in the CG (IG:2.4 ± 2.4 versus CG:5.8 ± 2.7; p < 0.001; η2 = 0.171; p < 0.001). Conclusion Listening to music is effective for relieving acute procedural pain during the first post‐operative tibial fracture dressing change. Music should be incorporated into the multimodal analgesia protocols for management of orthopedic postoperative wound care‐related pain. Significance Patients with diaphyseal tibial fractures that listened to music before and during the wound dressing change showed less pain when compared to those who received the standardized pharmacologic analgesia alone.

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Music in the perioperative period

Correia¹

2019

The Practical Handbook of Perioperative Metabolic and Nutritional Care

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Impact of Music Therapy on Hospitalized Patients Post-Elective Orthopaedic Surgery

Cited by 28 publications

References 20 publications

Effect of Music Therapy on Pain After Orthopedic Surgery—A Systematic Review and Meta‐Analysis

Effect of Music Therapy on Pain After Orthopedic Surgery—A Systematic Review and Meta‐Analysis

Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial

Music in the perioperative period

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