Effects of musicotherapy on chronic rheumatoid back pain: Preliminary study of 40 patients

ArticleinDouleurs Evaluation - Diagnostic - Traitement 4(1):37-40 · February 2003with 24 Reads
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Abstract
Background. The usefulness of musicotherapy in the management of acute or chronicpain was recognized in the 1960, being used in dentistry, obstetrics, pre- and post-operative care, cancerology ⋯ There has been little work devoted to its use in rheumatology patients. Music induced an number of interactive factors which activate the endogenous system and modulate pain. We conducted a preliminary open study to demonstrate the feasibility of musicotherapy and evaluate its therapeutic efficacy. Methods. Musicotherapy sessions were organized within the hospital unit. The patients rested in the supine position, eyes closed, in a calm room with minimal lighting for 20-minute sessions twice a week. The music was diffused in a headset and adapted to the patient's tastes. Each session was composed of several phases progressively reaching a soo thing phase of relaxation followed by a progressive re-dynamizing phase (U-shaped curve). The patients scored their level of pain, physical (muscular) tension, and anxiety on three visual analog scales before and after each session. Forty patients with musculoskeletal pain participated in the musicotherapy sessions. Results. Mean pain level before the sessions was 5.16 points on the 10-point scale. After the musicotherapy sessions, the mean pain level was 3.34/10 (p<0.01, Student's t test for paired series). Physical tension fell from 5.06/10 before the sessions to 2.61/10 after the sessions (p<0.01) and anxiety from 4, 46110 before the sessions to 2.30/10 after the sessions (p<0.001), These three improvements were not correlated with age, gender, occupation, nationality, or type of disease. There was a trend towards a correlation between improvement in pain score and prior duration of pain (Pearson's coefficient = 0.313). Discussion, Tolerance to the musicotherapy sessions was excellent. The patients stated they were highly satisfied and had achieved substantial improvement in their perception of pain, physical tension, and anxiety. This therapeutic technique appears to be more effective on older chronic pain than on acute recent pain. Conclusion. Musicotherapy, applied for patients with pain, has enabled improvement in 88% of them. Musicotherapy appears to be another method to achieve relaxation. A controlled trial is being conducted for validation.

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    A previous study (carried out in 2003-2004) had included 34 patients with traumatic brain injury in order to study the feasibility and usefulness of music therapy in patients with this type of injury. To evaluate the effect of music therapy on mood, anxiety and depression in institutionalised patients with traumatic brain injury. STUDY METHODOLOGY: A prospective, observational study. Thirteen patients with traumatic brain injury were included in the present study and took part in individual, weekly, 1-hour music therapy sessions over a period of 20 weeks. Each session was divided into two 30-minute periods - one devoted to listening to music (receptive music therapy) and the other to playing an instrument (active music therapy). The assessment criteria (measured at weeks 1, 5, 10, 15 and 20) were mood (on the face scale) and anxiety-depression (on the Hospital Anxiety and Depression [HAD] Scale). Mood was assessed immediately before and after the first music therapy session and every fifth session. Music therapy enabled a significant improvement in mood, from the first session onwards. This short-term effect was confirmed by the immediate changes in the scores after music therapy sessions (from 4.6+/-3.2 to 2.6+/-2; p<0.01). Music therapy also led to a significant reduction in anxiety-depression (p<0.05) from week 10 onwards and up until the end of the study (week 20). These results confirm the usefulness of music therapy in the treatment of anxiety-depression and mood in patients with traumatic brain injury. Music therapy could usefully form an integral part of the management programme for these patients.
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