The Effects of Music Therapy on Pediatric Patients' Pain and Anxiety During Donor Site Dressing Change

Whitehead-Pleaux, Annette; Baryza, Mary Jo; Sheridan, Robert L.

doi:10.1093/jmt/43.2.136

Cited by 82 publications

(90 citation statements)

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“…Although, several investigators have evaluated efficacy of western music in reducing pain, its superiority over placebo was not unequivocally demonstrated. 10,13,14,20 This is the first study that has evaluated the efficacy of Indian classical instrumental music and found that it is more efficacious than placebo in reducing pain associated with venepuncture in children. In view of the lowest pain scores being associated with EMLA application and these scores being significantly lower than those 0 1 1 1 2 7 5 3 Investigator 0 min 1 3 2 2 2 4 2 3 7 9 2 8 1 m i n 0 2 2 1 1 2 1 2 4 8 4 6 5 m i n 0 1 1 0 0 2 2 1 2 7 5 3 Independent 0 min 1 4 3 2 2 4 2 2 7 9 2 8 observer 1 min 0 2 2 1 1 3 2 1 3 8 5 5 5 m i n 0 1 1 0 0 2 2 1 2 6 4 3 Abbreviations: Md: Median; IQR-Inter-quartile distance; LA: Local anesthetic group (EMLA); VAS: Visual analog scale scores LA: Local anesthetic group; VAS: Visual analog scale score †: Comparison of pain (VAS) scores between local anesthetic and music groups, at 0min ‡: Comparison of pain (VAS) scores between local anesthetic and music groups, at 1min §: Comparison of pain (VAS) scores between local anesthetic and music groups, at 5min associated with music at least at some time-points; it could be recommended that Indian classical instrumental music could be used in reducing venepuncture-related pain in children, when LA application does not seem to be feasible.…”

Section: Discussionmentioning

confidence: 99%

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Can Indian classical instrumental music reduce pain felt during venepuncture?

2009

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Section: Discussionmentioning

confidence: 99%

“…Several studies have shown that western music is capable to minimize pain. [13][14][15] Indian classical music has soothing qualities that change the mood of dejected, depressed and distressed individuals facing stressful situations. 16,17 However, its role in reducing of pain has not been evaluated.…”

mentioning

confidence: 99%

Can Indian classical instrumental music reduce pain felt during venepuncture?

2009

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“…Cited sources of information on the Gate Control Theory of Pain included: Livingston, 1943Livingston, , 1953Melzack 1961Melzack , 1973Melzack and Wall, 1965;and Sarafino, 1997. Interestingly, the Gate Control Theory of Pain was referenced by authors who adopted differing approaches to music therapy as procedural support including musical alternate engagement (Noguchi, 2006;Whitehead-Pleaux, Baryza, & Sheridan, 2006;Whitehead-Pleaux, Zebrowski, Baryza, & Sheridan, 2007;Wolfe & Waldon, 2009), integration (Loewy et al, 1997), and various forms of music-assisted relaxation . Authors in the reviewed publications cited additional theories related to pain perception, including multidimensional models of pain perception, wherein sensory-discriminative, cognitive-evaluative, and motivationalaffective dimensions of pain perception may be altered to therapeutic benefit (Melzack, Weisz, & Sprague, 1963;Weisenberg, 1994).…”

Section: Theoretical Assumptionsmentioning

confidence: 99%

“…(Loewy, 1999, p. 199) Assessment occurring prior to a procedure or assessment taking place throughout the course of the procedure determines what form of procedural support is chosen, and how the provision of procedural support may change over time (Daveson, 1999;Frattiane et al, 2001;Loewy et al, 1997;Turry, 1997;Whitehead-Pleaux et al, 2006;Wolfe & Waldon, 2009). Assessment may determine what type of music is used, how the music is used, the level of patient engagement required, and how the procedural support approach can align with the patient's coping resources (Walworth, 2005;Whitehead-Pleaux et al, 2006;Whitehead-Pleaux, Zebrowski, Baryza, & Sheridan, 2007).…”

Section: Individualized Approachmentioning

confidence: 99%

Music therapy as procedural support for invasive medical procedures: toward the development of music therapy theory

Ghetti

2012

Nordic Journal of Music Therapy

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In partial response to the demand for evidence-based practice, there is an increasing interest in the use of music therapy as procedural support for both invasive and non-invasive medical procedures. Clinicians and researchers are attempting to define how music therapy functions as procedural support in order to advance clinical practice and research, but concepts remain inadequately specified in the literature. The current philosophical inquiry used qualitative document analysis to critically examine the extant literature in music therapy as procedural support during invasive medical procedures. The aims of the analysis were to identify key concepts, provide definitions of those concepts, and begin to explicate the interrelationships among concepts related to music therapy as procedural support. A total of 19 clinical practice articles, clinical practice book chapters, and research articles met the criteria for inclusion in the analysis. Data analysis and synthesis resulted in a working model of music therapy as procedural support, in which the music therapist engages in a reflexive process of continually assessing the patient's responses in order to refocus the intervention lens (e.g., altering aspects of the music, of focus of attention, and of patient/therapist interaction) to positively influence outcomes. It is hoped that the working model of music therapy as procedural support may stimulate clinical dialogue and serve as an initial systematic step toward theory construction in this area.

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“…The use of music for the reduction of pain has been researched in hospital and post-operation settings [122]- [124], for pediatric pain [125]- [127], and pain conditions such as labor, chronic, acute, and malignant pain [128]- [130]. However, a systematic review showed minor benefits of music therapy in pain treatment and concluded that the role of music was questionable in its clinical importance [131].…”

Section: Other Stimulation Modalitiesmentioning

confidence: 99%

Stimulation Therapies and the Relevance of Fractal Dynamics to the Treatment of Diseases

Cheng¹,

Law²,

Kwan³

et al. 2014

OJRM

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This paper provides an overview of the conventional therapeutic stimulation methodologies and proposes a more effective stimulation approach based on a consideration of the inherently fractal nature of normal biological dynamics. There are varying forms of physiological stimulations including the use of electrical currents, electromagnetic fields, temperature change, ultrasound, light and so forth. These stimulation therapies can be categorized into three main modalities: electrical stimulation modalities, thermal modalities, and non-thermal modalities. Electrical stimulation modalities include therapeutic techniques where electrical current is directly applied to the body of treated subject. Direct application of electrical current to the brain also falls under this category. Thermal modalities consist of stimulations that induce temperature change on the body for therapeutic effects without the direct transfer of electrical current. Non-thermal modalities functions through energy transfer without directly applying electrical current and without the effects of temperature change. A fourth miscellaneous category for stimulation techniques consists of the stimulation effects of music along with physical stimulation as in massage therapy. Common to most of these therapeutic strategies is that the stimulation is delivered at certain fixed periods or frequencies. We introduce some rudiments of fractal dynamics, and the notions of self-similarity, scale-invariance, and long-range correlation or memory in the dynamics of a system. We present evidence that fractal dynamics is commonly observed in healthy physiological systems while unhealthy systems are shown to veer away from fractal dynamics towards periodic or random motion. This difference in dynamics can be observed in many biological signals such as in neural activity, heart rate variations, and breathing patterns. We propose that an optimal stimulation technique should thus be one that encourages an unhealthy, non-fractal pathological system * Corresponding author. W. Cheng et al. 74towards a healthy, fractal dynamic. Given the ubiquity of fractality in healthy biological dynamics, we argue that a fractal pattern of stimulation is a more optimal approach to functional restoration than the widely used conventional periodic stimulation, which may further consolidate the existing pathological dynamics.

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The Effects of Music Therapy on Pediatric Patients' Pain and Anxiety During Donor Site Dressing Change

Cited by 82 publications

References 0 publications

Can Indian classical instrumental music reduce pain felt during venepuncture?

Can Indian classical instrumental music reduce pain felt during venepuncture?

Music therapy as procedural support for invasive medical procedures: toward the development of music therapy theory

Stimulation Therapies and the Relevance of Fractal Dynamics to the Treatment of Diseases

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