Music is an effective intervention for the management of pain: An umbrella review

Martín-Saavedra, Juan Sebastián; Vergara-Mendez, Laura Daniela; Talero-Gutiérrez, Claudia

doi:10.1016/j.ctcp.2018.06.003

Cited by 26 publications

(16 citation statements)

References 35 publications

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“…Our results contradict previous conclusions that music intervention would be superior to RC for decreasing pain among emergency room patients (Mandel, Davis, & Secic, 2019) and colonoscopy patients (Bashiri et al, 2018). Furthermore, a meta-analysis by Martin-Saavedra, Vergara-Mendez, & Talero-Gutiérrez, (2018) found that music intervention delivered as music without lyrics, percussion music, or natural sounds with a melody at a tempo of 60-80 bpm was superior to RC regarding pain relief in 39 trials (3,460 patients; SMD = −0.58; 95%CI: −0.78 to −0.38; p < .01). The age of patients might partly explain the discrepancy (Bashiri et al, 2018;Mandel et al, 2019), since pain perception and threshold vary with age group (Lautenbacher, Peters, Heesen, Scheel, & Kunz, 2017).…”

Section: Paincontrasting

confidence: 99%

Music Interventions in Percutaneous Coronary Procedures: A Meta-Analysis

Yeh

2019

Clin Nurs Res

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To clarify the effectiveness of music intervention for improving the well-being of patients undergoing coronary procedures for coronary heart disease, we conducted full-text searches of various databases (MEDLINE, Cochrane Library, CINAHL, ProQuest, and Airiti Library; 1966–2019) to identify randomized controlled trials and quasi-experimental studies of music intervention in recipients of angiography or percutaneous coronary intervention. Outcome measures included anxiety, discomfort, pain, heart rate, and blood pressure. The Cochrane methodology, Jadad Quality Score, and ROBINS-I were employed to evaluate evidence from 10 studies. Music intervention reduced anxiety (effect size: Z = 2.15, p = .03; six studies) and discomfort of lying ( Z = 2.40, p = .02; two studies), but did not affect pain ( Z = 0.94; two studies), heart rate ( Z = 0.94; five studies), or blood pressure (systolic, Z = 1.27; diastolic, Z = 1.32; four studies) (all p > .05). The heterogeneity among studies was high. Large-scale, transcultural, high-quality trials are warranted to confirm the benefit of music intervention in patients undergoing coronary procedures.

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Section: Paincontrasting

confidence: 99%

Music Interventions in Percutaneous Coronary Procedures: A Meta-Analysis

Yeh

2019

Clin Nurs Res

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confidence: 99%

“…14,15 It also diminishes aversive emotional states, such as fear and anxious anticipation, which strongly affect both the experience of pain itself and the memory of perceived pain. 14,16,17 In practical terms, different protocols have been used for the utilization of music in medical procedures. Most of the reported studies have implemented music through headphones.…”

mentioning

confidence: 99%

Music Therapy for Pain and Anxiety Management in Nasal Bone Fracture Reduction: Randomized Controlled Clinical Trial

Ortega

Gauna

Muñoz

et al. 2019

Otolaryngol.--head neck surg.

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Objective To evaluate whether listening to music through binaural headphones contributes to the perception of pain and anxiety in patients undergoing closed nasal bone fracture reductions. Study Design Randomized controlled trial. Subjects and Methods We recruited patients from San Juan de Dios Hospital with displaced nasal fractures who required a reduction and assigned them to a control group or a music group. For both groups, a protocolized closed reduction of the nasal fracture with local anesthesia was performed. The music group heard music through headphones during the pre-, intra-, and postprocedural periods of the intervention. Physiological variables (blood pressure and heart rate) were measured. An anxiety survey (State-Trait Anxiety Inventory) and the visual analog scale for measuring pain were also applied. Results The music group exhibited significantly lower levels of systolic blood pressure ( P = .0001), anxiety ( P < .0001), and pain ( P = .0004) than the control group. Conclusion Listening to music through headphones—a safe and low-cost intervention—appears to aid in pain and anxiety management associated with procedures that are usually uncomfortable, such as the reduction of nasal bone fractures with local anesthesia. We believe that this effect is achieved by the modulation of pain and anxiety on an emotional-affective dimension at a central level. Given its safety, feasibility, and low cost, music therapy should be considered a complementary treatment for pain and anxiety management for nasal fracture reduction performed with local anesthesia, as well as for other medical procedures of similar pain levels conducted without general anesthesia.

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“…1 It has been shown to be an effective intervention for patients experiencing both acute and chronic pain. 2 Music accompanying exercise rehabilitation has been shown to improve the overall palliative care experience for patients nearing the end of their lives. 3 And there is evidence that music-based interventions reduce symptoms of depression in patients suffering from dementia.…”

Section: A Physician's Perspectivementioning

confidence: 99%

Why We Need a Music Player in Every Patient Room

Bradley

Viswanath

2019

AMA Journal of Ethics

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Music can influence clinicians' and patients' mental states and emotions via the capacity of rhythm and tone to entrain. Entrainment can facilitate relaxation and distraction from pain and has a role to play in experiences with and in health care. In this article, we discuss the benefits of music from the perspectives of a physician and a veteran. Benefits of Music Music has several distinctive features. It is time transferable: a song can take you back to a beloved childhood memory, a moment when you felt unconditional love from a parent. It can remind you of a monumental success, for example. It can elicit a memory of a nadir in your life when a low mood seemed so insurmountable you couldn't go on. In ways chemical and personal, music can move you back in time to a specific moment, as if you were experiencing it again. It is epinephrine for your motivational drive: you hear a specific song, and, unexpectedly, you are moved to take action. Music is also serotonin for your outlook on life: when a favorite song plays, things don't seem as drab and dire as they did before, and you can experience hope that your current life will get better. What are the medical benefits of music? Here, we seek to answer this question from the perspectives of a physician and a veteran.

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Music is an effective intervention for the management of pain: An umbrella review

Cited by 26 publications

References 35 publications

Music Interventions in Percutaneous Coronary Procedures: A Meta-Analysis

Music Interventions in Percutaneous Coronary Procedures: A Meta-Analysis

Music Therapy for Pain and Anxiety Management in Nasal Bone Fracture Reduction: Randomized Controlled Clinical Trial

Why We Need a Music Player in Every Patient Room

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