Live Music Therapy During Rehabilitation After Total Knee Arthroplasty: A Randomized Controlled Trial

Leonard, H. Skipton

doi:10.1093/jmt/thy022

Cited by 19 publications

(23 citation statements)

References 40 publications

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“…Therefore, feasible data was unable to be acquired [41,42]. After assessing the titles or abstracts, and after screening the full-texts of related studies, 8 RCTs satisfied the inclusion criteria [40,[43][44][45][46][47][48][49]. The present literature search was expounded by the PRISMA flow diagram (Fig.…”

Section: Study Selection and Characteristics Of The Selected Studiesmentioning

confidence: 99%

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

Zhuo

Feng

et al. 2020

J Orthop Surg Res

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Background A growing number of patients continue to receive total knee replacement (TKR) surgery. Nevertheless, such surgeries result in moderate to severe postoperative pain and difficulty in managing it. Musical interventions are regarded as a type of multimodal analgesia, achieving beneficial results in other clinical treatments. This study aims to evaluate the effect of musical interventions in improving short-term pain outcomes following TKR in order to determine a more reasonable and standard way of delivering musical intervention. Methods A systematic search was conducted to identify available and relevant randomized controlled trials (RCTs) regarding musical interventions compared against non-musical interventions in patients treated with TKR in Embase, MEDLINE, Cochrane Library, Web of Science, CNKI, and Wanfang Med Online up to 8 January 2020. The authors independently assessed study eligibility and risk of bias and collected the outcomes of interest to analyze. The statistical analysis was conducted using the Review Manager (RevMan) version 5.30 software. Results Eight RCTs comprised of 555 patients satisfied the inclusion criteria and were enrolled in the present study. The results showed no significant difference between the music and control groups in pain of the visual analog scale (VAS), during postoperative recovery room, back to the ward after surgery; anxiety degree of VAS; heart rate; respiratory rate; oxygen saturation; blood pressure, systolic blood pressure, and diastolic blood pressure. Nevertheless, significant differences were observed between the two groups in average increase in continuous passive motion (CPM) angles and LF/HF ratio (one kind index of heart rate variability). Conclusions Musical interventions fail to demonstrate an obvious effect in improving short-term pain outcomes following TKR. A reasonable standardization of musical interventions, including musical type, outcome measures used, outcomes measured, duration, timing and headphones or players, may improve pain outcomes with certain advantages and should be further explored after TKR.

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Section: Study Selection and Characteristics Of The Selected Studiesmentioning

confidence: 99%

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

Zhuo

Feng

et al. 2020

J Orthop Surg Res

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“…In the most recent study by Riddle et al [ 63 ], patients receiving pain coping skills training did not have significantly better scores on WOMAC function and the short physical performance battery. Other types of education [ 42 , 44 , 48 – 50 , 55 ], music during physiotherapy [ 38 ], enhanced reality analgesia [ 69 ], cognitive behavioural therapy delivered by physiotherapists [ 56 ], and psychological support from a professional psychologist [ 23 ] did also not affect any of the functional outcome measures after TKA.…”

Section: Resultsmentioning

confidence: 99%

“…Due to the heterogeneity of the outcome measures of the included studies, it was not possible to conduct a funnel plot to assess this type of bias (publication bias) in our systematic review. However, we included multiple studies [ 32 – 34 , 38 , 39 , 42 , 46 , 55 , 56 , 68 ] with small sample sizes (smaller than 30 patients) with no significant results on both outcome measures pain and function. Therefore we assume the risk of publication bias to be low.…”

Section: Discussionmentioning

confidence: 99%

“…Only three studies with patients receiving TKA were included by Bay et al [ 25 ]. Compared to that review, we included fifteen additional RCTs [ 33 , 34 , 37 , 38 , 41 , 44 , 45 , 49 , 53 , 54 , 56 – 58 , 58 , 63 ]. Second, due to the current lack of RCTs on one specific type of intervention focused on psychological distress (for example only pain coping skills training) applied to patients undergoing TKA, we have decided to also include a wider range of study designs to create a complete overview of the perioperative interventions focused on psychological distress that have been used to decrease pain and improve function and/or QoL after surgery.…”

Section: Discussionmentioning

confidence: 99%

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The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty

et al. 2020

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Our aim was to assess the effect of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty (TKA). We searched studies on the effect of perioperative interventions focused on psychological distress used in conjunction with TKA on pain, function, and quality of life (QoL) on PubMed, Embase.com, PsycINFO/OVID, CENTRAL, the Cochrane Database of Systematic Reviews, Scopus, and Web of Science. We included 40 studies (22 RCTs, ten cohort studies, and eight quasi-experimental studies) with a total of 3846 patients. We graded the quality of evidence as low for pain and function and as moderate for QoL. Patients receiving music, education, cognitive behavioural therapy, guided imagery, pain coping skills training, Reiki, occupational therapy with self-monitoring, and biofeedback-assisted progressive muscles relaxing training had lower pain scores or declined opioid prescriptions after TKA. Pain coping skills training, audio recording-guided imagery scripts, video promoting self-confidence, psychological therapies by video, Reiki, music, occupational therapy with self-monitoring, education, and psychotherapy improved postoperative functional outcome. Education through an app improved QoL after TKA. The studies in our systematic review show that perioperative interventions targeting psychological distress for patients receiving TKA seem to have a positive effect on postoperative pain, function, and QoL. RCTs with strict methodological safeguards are still needed to determine if perioperative interventions focused on psychological distress should be used in conjunction with TKA. These studies should also assess which type of intervention will be most effective in improving patient-reported outcome measures and declining opioid prescriptions.

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“…Five single-centre RCTs with 256 participants evaluated the effectiveness of music therapy for reducing acute postoperative pain during the inpatient stay after surgery 37 38 40 42 47. All studies had high or unclear risk of bias for two or more domains, with blinding of participants and personnel being a high or unclear risk of bias for all studies.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness and reporting standards of psychological interventions for improving short-term and long-term pain outcomes after total knee replacement: a systematic review

et al. 2019

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ObjectivesTo assess the effectiveness and reporting standards of psychological interventions for improving outcomes after total knee replacement (TKR).DesignMedline, Embase, and PsycINFO were searched from inception to up to 9 May 2019 with no language restrictions applied. Randomised controlled trials (RCTs) assessing the effectiveness of psychological interventions for short-term and long-term postoperative pain after TKR were included. Screening, data extraction, and assessment of methodological quality were performed in duplicate by two reviewers. The primary effectiveness outcome was postoperative pain severity and the primary harm outcome was serious adverse events. Secondary outcomes included function, quality of life, and psychological well-being. Reporting standards were assessed using the Template for Intervention Description and Replication (TIDieR) checklist for intervention reporting.Results12 RCTs were included, with a total of 1299 participants. Psychological interventions comprised music therapy (five studies), guided imagery and music (one study), hypnosis (one study), progressive muscle relaxation with biofeedback (one study), pain coping skills programme (one study), cognitive–behavioural therapy (two studies), and a postoperative management programme (one study). Due to the high heterogeneity of interventions and poor reporting of harms data, it was not possible to make any definitive statements about the overall effectiveness or safety of psychology interventions for pain outcomes after TKR.ConclusionFurther evidence about the effectiveness of psychological interventions for improving pain outcomes after TKR is needed. The reporting of harm outcomes and intervention fidelity is currently poor and could be improved. Future work exploring the impact of intervention timing on effectiveness and whether different psychological approaches are needed to address acute postoperative pain and chronic postoperative pain would be of benefit.PROSPERO registration numberCRD42018095100.

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Live Music Therapy During Rehabilitation After Total Knee Arthroplasty: A Randomized Controlled Trial

Cited by 19 publications

References 40 publications

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty

Effectiveness and reporting standards of psychological interventions for improving short-term and long-term pain outcomes after total knee replacement: a systematic review

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