Music Intervention in Pain Relief of Cardiovascular Patients in Cardiac Procedures: A Systematic Review and Meta-analysis

Wang, Yiru; Wei, Jing; Guan, Xinzhu; Zhang, Yifan; Zhang, Yiyi; Zhang, Na; Mao, Meijiao; Du, Wenting; Ren, Yi; Shen, Hong; Ping, Liu

doi:10.1093/pm/pnaa148

Cited by 9 publications

(5 citation statements)

References 17 publications

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“…Lack of variability is associated with stress, anxiety and/or chronic pain, and has been linked to dysregulated parasympathetic activity (Ellis and Thayer, 2010;Tracy et al, 2016;Ginsberg et al, 2022). Although some heterogeneity is evident, analysis of music-related studies that have measured HRV as well respiratory rate and other cardiovascular signs show that music-based interventions increase HRV and can -dependent to some extent on the type of music that is presented (Davis and Thaut, 1989;Knight and Rickard, 2001;Ooishi et al, 2017) -lower heart rate and blood pressure, all indicative of increased vagal tone and enhanced activity in the parasympathetic nervous system (Okada et al, 2009;Koelsch and Jäncke, 2015;Wang et al, 2020;Ginsberg et al, 2022;Metzner et al, 2022;Ting et al, 2022;Cao and Zhang, 2023;Park et al, 2023). These signs of re-balancing of the ANS are often associated with reduced pain perception and often accompanied by a reduction in the stress related hormone cortisol (McKinney, Antoni, et al, 1997a;Grape et al, 2003;Kreutz et al, 2004;Koelsch et al, 2011Koelsch et al, , 2016Ooishi et al, 2017;Fu et al, 2019).…”

Section: Autonomic Nervous Systemmentioning

confidence: 99%

“…Despite these many differences in study design, significant beneficial effects of exposure to music on the experience of pain have consistently been documented in adults, neonates and children (e.g., Klassen et al, 2008;van der Heijden et al, 2015;Johnson et al, 2021;Ting et al, 2022), and across a range of acute and chronic conditions (Garza-Villareal et al, 2017). For example in childbirth (e.g., Simavli et al, 2014;Maleki and Youseflu, 2023), dysmenorrhea (Martin-Saavedra and Ruiz-Sternberg, 2018), laparoscopy (Choi et al, 2023), orthopaedics (Lin et al, 2019;Yu et al, 2020), cancer (Chow et al, 2023;Huang and Huang, 2023), fibromyalgia (Guétin et al, 2012;Usui et al, 2020), dermatology (Riew et al, 2023) and pre-and postoperative care during cardiovascular (Voss et al, 2004;Nilsson, 2009;Wang et al, 2020;Chandrababu et al, 2021;Kakar et al, 2021) or abdominal surgery (e.g., Good et al, 2005;Dale, 2021). There is evidence of music providing pain relief in patients being treated for burns (Whitehead-Pleaux et al, 2007;Hsu et al, 2016;Wu et al, 2021), and for patients in emergency departments or intensive care units (Richard-Lalonde et al, 2020;See et al, 2023;Vijay and Hauser, 2023).…”

Section: Introduction "One Good Thing About Music When It Hits You Yo...mentioning

confidence: 99%

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The psychophysiology of music-based interventions and the experience of pain

Arnold,

Bagg,

Harvey

2024

Front. Psychol.

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In modern times there is increasing acceptance that music-based interventions are useful aids in the clinical treatment of a range of neurological and psychiatric conditions, including helping to reduce the perception of pain. Indeed, the belief that music, whether listening or performing, can alter human pain experiences has a long history, dating back to the ancient Greeks, and its potential healing properties have long been appreciated by indigenous cultures around the world. The subjective experience of acute or chronic pain is complex, influenced by many intersecting physiological and psychological factors, and it is therefore to be expected that the impact of music therapy on the pain experience may vary from one situation to another, and from one person to another. Where pain persists and becomes chronic, aberrant central processing is a key feature associated with the ongoing pain experience. Nonetheless, beneficial effects of exposure to music on pain relief have been reported across a wide range of acute and chronic conditions, and it has been shown to be effective in neonates, children and adults. In this comprehensive review we examine the various neurochemical, physiological and psychological factors that underpin the impact of music on the pain experience, factors that potentially operate at many levels – the periphery, spinal cord, brainstem, limbic system and multiple areas of cerebral cortex. We discuss the extent to which these factors, individually or in combination, influence how music affects both the quality and intensity of pain, noting that there remains controversy about the respective roles that diverse central and peripheral processes play in this experience. Better understanding of the mechanisms that underlie music’s impact on pain perception together with insights into central processing of pain should aid in developing more effective synergistic approaches when music therapy is combined with clinical treatments. The ubiquitous nature of music also facilitates application from the therapeutic environment into daily life, for ongoing individual and social benefit.

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Section: Autonomic Nervous Systemmentioning

confidence: 99%

Section: Introduction "One Good Thing About Music When It Hits You Yo...mentioning

confidence: 99%

The psychophysiology of music-based interventions and the experience of pain

Arnold,

Bagg,

Harvey

2024

Front. Psychol.

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“…Even though there has been an increase in the number and quality of music therapy investigations in China in recent years, [ 11 ] the quality and quantity of research are limited and insufficient, and conflicting outcomes have been documented. We predict that individuals who receive music therapy would experience less discomfort and anxiety than the control group.…”

Section: Introductionmentioning

confidence: 99%

Music therapy for pain and anxiety in patients after cardiac valve replacement: a randomized controlled clinical trial

Dong

Zhang

Luo

2023

BMC Cardiovasc Disord

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Objective This study aimed to assess how listening to music after cardiac valve replacements affected patients' pain, anxiety, and vital signs. Method In Fuzhou, China's Fujian Medical University Union Hospital, the cardiac surgery division conducted a randomized controlled clinical experiment. 86 patients were enrolled, and 43 were assigned randomly to each group (control and experimental group). The standard treatment was given to the control group, while the experimental group was given standard treatment + a 15-min music intervention 3 times. Indicators include pain, anxiety and vital signs (respiratory rate, heart rate, and blood pressure). Results In comparison to the control group, the experimental group, over time, demonstrated a statistically substantial decrease in pain, anxiety, systolic blood pressure, heart rate and respiratory rate (all P < 0.001), yet, there were no discernible variations (P > 0.05) in diastolic blood pressure. Conclusions In conclusion, these results provide additional proof for using music therapy to minimize cardiac postoperative pain and anxiety, as well as systolic blood pressure, heart rate and respiratory rate. Moreover, it should be regarded as a supplementary treatment for pain and anxiety after cardiac valve replacement and other medical procedures with comparable postoperative pain.

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“…The effects of MI in reducing pain have been extensively studied in adults, including in 13 recent meta-analyses published from 2000 to 2021 [7,[14][15][16][17][18][19][20][21][22][23][24][25]. However, a comprehensive meta-analysis of MI effects in infants or children is still lacking.…”

Section: Introductionmentioning

confidence: 99%

Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis

Ting

Tsai

Hsu

et al. 2022

JCM

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Music intervention (MI) has been applied as an effective adjunctive treatment for pain control in various clinical settings. However, no meta-analysis has yet been published on the analgesic effects of MI in infants and children. We performed a systematic review of PubMed, EMBASE, Web of Science, and Cochrane Library databases to identify randomized controlled trials (RCTs) with the keywords “pain” AND “music therapy” from inception to January 2022. Primary outcomes were pain intensity and vital signs. Standardized mean difference (SMD) values and the corresponding 95% confidence intervals (CIs) were computed using a random effect model. Subgroup analyses with age groups, types of pain, and music styles were conducted. A total of 38 RCTs involving 5601 participants met the selection criteria. MI significantly decreased the pain levels (SMD = −0.57, p < 0.001), both in the newborn group (p = 0.007) and in the infant/children group (p < 0.001). MI significantly reduced heart rate (SMD = −0.50, p < 0.001) and respiratory rate (SMD = −0.60, p = 0.002) and increased peripheral capillary oxygen saturation (SMD = 0.44, p < 0.001). In subgroup analyses of types of pain, MI had significant effects on prick pain (p = 0.003), chronic and procedural pain (p < 0.001), and postoperative pain (p = 0.018). As for music styles, significant analgesic effects were observed for classical music (p < 0.001), kids’ music (p < 0.001), and pop music (p = 0.001), but not for world music (p = 0.196), special composition (p = 0.092), and multiple music combinations (p = 0.420). In conclusion, our analysis provides supportive evidence about the efficacy of MI, especially classical, kids’, and pop music, in controlling prick, procedural, and postoperative pain in the pediatric population.

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Music Intervention in Pain Relief of Cardiovascular Patients in Cardiac Procedures: A Systematic Review and Meta-analysis

Cited by 9 publications

References 17 publications

The psychophysiology of music-based interventions and the experience of pain

The psychophysiology of music-based interventions and the experience of pain

Music therapy for pain and anxiety in patients after cardiac valve replacement: a randomized controlled clinical trial

Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis

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