Study2020

Music Intervention Reduces Persistent Fibromyalgia Pain and Alters Functional Connectivity Between the Insula and Default Mode Network

Usui C, Kirino E, Tanaka S, Inami R, Nishioka K, Hatta K, Nakajima T, Nishioka K, Inoue R

Pain medicine (Malden, Mass.) · 20 citations

How it was studied

Design
Controlled clinical trial (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
Japan Society for the Promotion of Science
University or hospital
Research Support Foundation 2018 of the Juntendo Institute of Mental Health
Grants
Japan Society for the Promotion of Science (19K08026); Japan Society for the Promotion of Science (15K00380)

Based on 2 listed funder(s).

Publication

Published
2020-02-18 · Pain Med · vol. 21 · issue 8 · pp. 1546–1552
Publisher
Oxford University Press
Cited
37 citations · more than 90% of similar papers · 2.4× the field average
References
33 works
Access
Paywalled
Research areas
Fibromyalgia and Chronic Fatigue Syndrome Research · Musculoskeletal pain and rehabilitation · Pain Mechanisms and Treatments
Keywords
Default mode network, Insula, Functional magnetic resonance imaging, Fibromyalgia, Medicine, Physical therapy, Precuneus, Music therapy, Functional connectivity, Audiology, Physical medicine and rehabilitation, Psychology, Neuroscience
MeSH
brain, cerebral cortex, neural pathways, humans, fibromyalgia, magnetic resonance imaging, music therapy, brain mapping, pilot projects, music, female, default mode network

9 authors

From JP

  • Chie Usui · correspondingJuntendo University; Juntendo University Nerima Hospital
  • Eiji KirinoJuntendo University; Juntendo University Shizuoka Hospital
  • Shoji TanakaSophia University
  • Rie InamiJuntendo University
  • Kenya NishiokaNational Graduate Institute for Policy Studies; Juntendo University
  • Kotaro HattaJuntendo University; Juntendo University Nerima Hospital

Abstract

Objective

The aims of the present study were to examine the effects of short-term music interventions among patients with fibromyalgia (FM) and to clarify the alterations in functional connectivity and persistent pain.

Design

Pilot study.

Setting

All participants were evaluated at Juntendo University from November 2017 to January 2019.

Subjects

We enrolled female patients who had been clinically diagnosed with FM (N = 23).

Methods

All participants listened to Mozart's Duo for Violin and Viola No. 1, K. 423, in a quiet room for 17 minutes. We compared the degree of pain using resting-state functional magnetic resonance imaging and the numeric rating scale before and after listening to music.

Results

Pain scores were significantly reduced after listening to music. Further, we observed there was a significant difference in connectivity between the right insular cortex (IC) and posterior cingulate cortex (PCC)/precuneus (PCu) before and after listening to music. We also found that the difference between the right IC-PCu connectivity and the difference in pain scores were significantly correlated.

Conclusions

We found that a short period of music intervention reduced chronic pain and altered functional IC-default mode network connectivity. Furthermore, music potentially normalized the neural network via IC-default mode network connectivity, yielding temporary pain relief in patients with FM. Further longitudinal studies with larger sample sizes are required to confirm these results.

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

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