MUSIC INTERVENTIONS IN PEDIATRIC ONCOLOGY: Systematic review and meta-analysis

Santa, Ivone Nunes da Silva; Schveitzer, Mariana Cabral; Santos, Maria Lúcia Barbosa Maia dos; Ghelman, Ricardo; Filho, Vicente Odone

doi:10.1016/j.ctim.2021.102725

Cited by 20 publications

(24 citation statements)

References 22 publications

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“…Music therapy is a promising non-medical intervention to reduce stress and pain in preterm and sick newborn infants and children [ 1 , 2 , 3 , 4 ]. Preterm infants are repetitively exposed to stressful and painful stimuli during their initial hospital stay.…”

Section: Introductionmentioning

confidence: 99%

Impact of Physical Contact on Preterm Infants’ Vital Sign Response to Live Music Therapy

Kobus

Diezel

Dewan

et al. 2022

IJERPH

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Evidence that music therapy stabilises vital parameters in preterm infants is growing, but the optimal setting for therapy is still under investigation. Our study aimed to quantify the effect of physical contact during live music therapy in preterm infants born < 32 weeks’ gestational age (GA) on post-therapy vital sign values. Live music therapy was delivered twice-weekly until discharge from hospital to 40 stable infants < 32 weeks’ GA. Baseline and post-therapy heart rate, respiratory rate, oxygen saturation and physical contact during each session were recorded. 159 sessions were performed with, and 444 sessions without, physical contact. Descriptive and multivariable regression analyses based on directed acyclic graphs were performed. The mean GA was 28.6 ± 2.6 weeks, and 26 (65%) infants were male. Mean absolute values for heart and respiratory rates lowered during music therapy regardless of physical contact. The mean post-therapy SaO2 was higher compared to baseline values regardless of physical contact (mean differences −8.6 beats/min; −13.3 breaths/min and +2.0%). There were no clinically relevant changes in vital sign responses between therapy sessions, with or without physical contact, or adjusted post-therapy values for any of the studied vital signs. Physical contact caused better baseline and post-therapy vital sign values but did not enhance the vital sign response to music therapy. Thus, the effect of music therapy on preterm infants’ vital signs is independent of physical contact and parents’ presence during music therapy in the neonatal intensive care unit.

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Section: Introductionmentioning

confidence: 99%

Impact of Physical Contact on Preterm Infants’ Vital Sign Response to Live Music Therapy

Kobus

Diezel

Dewan

et al. 2022

IJERPH

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“…Another previous study investigated the effect of MI on pain in children; however, they did not find consistent outcome measures for a meta-analysis [72]. Meanwhile, a meta-analysis probed the effect of music in children but focused on anxiety and quality of life in children rather than on pain [73]. Therefore, our study provides a comprehensive summary of current RCTs on pain control by MI in pediatric populations.…”

Section: Discussionmentioning

confidence: 83%

“…For instance, music with low bass and low beats can stimulate the limbic system of the brain and thus may affect emotional regulation [11,48,84]. Further, relaxing music can reduce both HR and BP, while music with a fast beat may have the opposite effect [73]. Therefore, a mixture of music types may have opposite effects on emotional regulation, leading to insignificant results.…”

Section: Discussionmentioning

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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Section: Introductionmentioning

confidence: 99%

“…Compared with pharmacological interventions, nonpharmacological interventions are low-cost, low-risk, and simple to perform, which have been widely used for various diseases. [11][12][13][14] Although many randomized controlled trials (RCTs) have reported the effects of nonpharmacologic interventions on alleviating pain and improving sleep quality after percutaneous nephrolithotomy, their results may be inconsistent or even contradictory. [5,[15][16][17] In addition, evidence for comparing the effectiveness of these strategies is scant, which may affect the clinical application and scientific reliability of the results.…”

Section: Introductionmentioning

confidence: 99%

The effect of nonpharmacological interventions on pain and sleep quality after percutaneous nephrolithotomy

Fu¹,

Mo²,

He³

et al. 2022

Medicine

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Background:Various nonpharmacological interventions have been applied to alleviate pain and improve sleep quality after percutaneous nephrolithotomy. However, evidence to compare their efficacy is scant. This study aims to evaluate the efficacy of different nonpharmacological interventions on alleviating pain and improving sleep quality in patients after percutaneous nephrolithotomy through a network meta-analysis .Methods:Randomized controlled trials reporting the efficacy of nonpharmacological interventions on alleviating pain and improving sleep quality in patients after percutaneous nephrolithotomy will be searched in online databases, including the Chinese Scientific Journal Database, China National Knowledge Infrastructure Database, Wanfang, China Biomedical Literature Database, Pubmed, Web of Science, Embase, and Cochrane Library. After quality assessment and date extraction, network meta-analysis will be performed using Stata 14.0 and R software.Results:The results of this meta-analysis will be submitted to a peer-reviewed journal for publication.Conclusions:This study will provide systematic and comprehensive evidence-based support for the effects of nonpharmacological interventions on alleviating pain and improving sleep quality after percutaneous nephrolithotomy.Ethics and dissemination:Ethical approval was not required for this study. The systematic review will be published in a peer-reviewed journal, presented at conferences, and shared on social media platforms.REGISTRATION NUMBER:DOI 10.17605/OSF.IO/B4DHW.

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MUSIC INTERVENTIONS IN PEDIATRIC ONCOLOGY: Systematic review and meta-analysis

Cited by 20 publications

References 22 publications

Impact of Physical Contact on Preterm Infants’ Vital Sign Response to Live Music Therapy

Impact of Physical Contact on Preterm Infants’ Vital Sign Response to Live Music Therapy

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

The effect of nonpharmacological interventions on pain and sleep quality after percutaneous nephrolithotomy

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