Meta-analysis2020

Effect of Music Therapy on Pain After Orthopedic Surgery-A Systematic Review and Meta-Analysis

Lin CL, Hwang SL, Jiang P, Hsiung NH

Pain practice : the official journal of World Institute of Pain · 62 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2019-12-02 · Pain Pract · vol. 20 · issue 4 · pp. 422–436
Publisher
Wiley
Cited
105 citations · more than 73% of similar papers · 1.1× the field average
References
55 works
Access
Paywalled
Research areas
Music Therapy and Health · Pain Management and Placebo Effect · Dental Anxiety and Anesthesia Techniques
Keywords
Medicine, Meta-analysis, Orthopedic surgery, Physical therapy, Music therapy, Surgery, Internal medicine
MeSH
humans, music therapy, orthopedic procedures, taiwan, pain management, postoperative pain

4 authors

From TW, CN

  • Chiao‐Ling LinAsia University
  • Shiow‐Li HwangAsia University; China Medical University; China Medical University Hospital
  • Ping JiangFirst People's Hospital of Yunnan Province
  • Nai‐Huan Hsiung · correspondingAsia University

Abstract

Background

Although music interventions on postoperative pain (POP) have positive effects, limited research has focused on systematic reviews and meta-analyses of its efficacy for orthopedic patients. This systematic review aimed to examine the effects of music therapy on pain after orthopedic surgery.

Method

The Cochrane Library, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Nursing Reference Center (NRC), Airiti Library, and National Digital Library of Theses and Dissertations in Taiwan were searched up to August 2019. The risk of bias from the Cochrane Handbook for Randomized Controlled Trials of Interventions was used. A standard mean difference (SMD) with 95% confidence intervals (CIs) was applied as a summary effect on postoperative pain and anxiety using RevMan version 5.3. A meta-analysis was also carried out using subgroup analysis.

Results

Nine randomized controlled trials were selected. (1) Music can relieve pain significantly for both music medicine (MM; SMD = -0.41, 95% CI [-0.75, -0.07], P = 0.02) and music therapy (MT; SMD = -0.31, 95% CI [-0.57, 0.04], P = 0.02). (2) Music chosen by the subjects showed significant differences for both MM (P = 0.002) and MT (P = 0.02). (3) Anxiety improved significantly among patients using MT (SMD = 0.44, 95% CI [-0.75, -0.13], P = 0.005). However, the results for the physiologic parameters, opioid requirement, and length of stay showed subtle distinctions.

Conclusion

Music can significantly relieve POP, specifically music chosen by the participants.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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