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

Author: Lin CL1, Hwang SL1,2, Jiang P3, Hsiung NH1
Author Information:
1Department of Nursing, Asia University, Taichung, Taiwan.
2Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan.
3The First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
Conference/Journal: Pain Pract.
Date published: 2019 Nov 30
Other: Special Notes: doi: 10.1111/papr.12864. [Epub ahead of print] , Word Count: 216

BACKGROUND: Although music interventions on Post-operative 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, CINAHL, NRC, Airiti Library, and National Digital Library of Theses and Dissertations in Taiwan were searched until 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% CIs (Confidential Intervals) was applied as a summary effect on post-operative pain and anxiety by RevMan 5.3. A meta-analysis was also carried out using subgroup analysis.

RESULTS: Nine randomized controlled trials (RCTs) were selected. (1) Music can relieve pain significantly for both Music Medicine (SMD= -0.41, 95% CI [-0.75, -0.07], P = 0.02) and Music Therapy (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) The result of anxiety showed a significant improvement for 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.

© 2019 World Institute of Pain.

KEYWORDS: Meta-analysis; Music therapy; Orthopedic; Postoperative pain; Systematic-review

PMID: 31785131 DOI: 10.1111/papr.12864