Music Therapy for Chronic Pain
Recruiting in Palo Alto (17 mi)
Overseen byBunty Shah
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Milton S. Hershey Medical Center
Must not be taking: Beta blockers
Disqualifiers: Cognitive impairment, Non-English, Hearing problems, others
No Placebo Group
Trial Summary
What is the purpose of this trial?This trial is testing if listening to music during treatment can help people with chronic lower back pain feel less anxious and in less pain. The study focuses on these patients because they often have high levels of anxiety and pain during treatments. The idea is that music can make them feel more relaxed and distracted from their pain.
Will I have to stop taking my current medications?
The trial excludes patients taking beta blocker medication, so if you are on beta blockers, you would need to stop taking them to participate.
What data supports the effectiveness of the treatment Music Therapy for Chronic Pain?
Research shows that music therapy can effectively reduce pain and anxiety in patients with serious illnesses and chronic conditions. It works by altering mood, providing distraction, and promoting relaxation, which can help decrease the perception of pain.
12345Is music therapy safe for humans?
Music therapy is generally considered safe for humans and has been used in various clinical settings to help manage stress, anxiety, and pain without significant safety concerns.
26789How is music therapy different from other treatments for chronic pain?
Music therapy is unique because it uses music and musical activities to help manage pain without medication. It works by distracting the mind, changing mood, and promoting relaxation, which can reduce the perception of pain.
125710Eligibility Criteria
This trial is for adults over 18 with chronic lower back pain who are undergoing standard lumbar procedures. It's not for those who can't consent, don't speak English, take beta blockers, have a pacemaker set at a fixed rate, or have hearing issues.Inclusion Criteria
I am receiving standard spinal procedures like epidural or facet injections.
I am either female or male.
I am 18 years old or older.
Exclusion Criteria
I have hearing problems or use hearing aids.
I do not speak English.
I am unable to give consent for myself due to cognitive impairment.
+2 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
1-2 weeks
Treatment
Participants undergo lumbar spinal interventional procedures with or without music therapy
1 day
1 visit (in-person)
Follow-up
Participants are monitored for anxiety and pain levels immediately after the procedure
1 day
1 visit (in-person)
Participant Groups
The study tests if listening to music during lumbar procedures can reduce anxiety and pain. Patients will either receive music therapy or no music to see how it affects their reported feelings of anxiety and pain as well as changes in vital signs.
2Treatment groups
Experimental Treatment
Active Control
Group I: Music TherapyExperimental Treatment1 Intervention
Music of the subject's preferred genre will be played during the subject's standard of care lumbar spinal interventional procedure (including: epidural steroid injections, facet injections, medial branch blocks).
Group II: No MusicActive Control1 Intervention
No music will be played during the subject's standard of care lumbar spinal interventional procedure (including: epidural steroid injections, facet injections, medial branch blocks).
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Milton S. Hershey Medical CenterHershey, PA
Loading ...
Who Is Running the Clinical Trial?
Milton S. Hershey Medical CenterLead Sponsor
References
Music therapy in pain and symptom management. [2022]The use of music therapy in pain and symptom management in the care of patients with long-term and life-threatening illnesses can be an effective non-pharmacologic approach to help ameliorate pain and suffering. By altering affective, cognitive, and sensory processes, music may decrease pain perception by distraction, change in mood, increased control, use of prior skills, and relaxation. This article reviews the background of the use of music therapy in pain management, explores a theoretical framework, and describes methods and techniques. Three case studies are provided to demonstrate the work.
Outcome research in music therapy: a step on the long road to an evidence-based treatment. [2011]Music therapy is the therapeutic use of music and musical activities in the treatment of somatic and mental diseases. In the last decades it has developed from a quasi-professional working field into an increasingly evidence-based treatment for various diseases. Selected outcome studies that were carried out in order to give music therapy a scientific and empirical base are presented in this article. Results show that music therapy is an effective intervention for patients with chronic pain, children with migraine, and patients suffering from chronic tinnitus. This positive outcome, in combination with the observed moderate to large effect sizes in different metanalyses, provides evidence for the use of music therapy in specific clinical fields. Future research should focus on studies that compare well-defined music therapy interventions to standard treatment.
Soothing the heart with music: A feasibility study of a bedside music therapy intervention for critically ill patients in an urban hospital setting. [2020]Music therapy has been shown to be effective for reducing anxiety and pain in people with a serious illness. Few studies have investigated the feasibility of integrating music therapy into general inpatient care of the seriously ill, including the care of diverse, multiethnic patients. This leaves a deficit in knowledge for intervention planning. This study investigated the feasibility and effectiveness of introducing music therapy for patients on 4 inpatient units in a large urban medical center. Capacitated and incapacitated patients on palliative care, transplantation, medical intensive care, and general medicine units received a single bedside session led by a music therapist.
Music therapy in supportive cancer care. [2022]The purpose of this paper is to show some aspects of music therapy application in cancer care and to present the integration of music therapy program into a continuous supportive cancer care for inpatients. A cancer diagnosis is one of the most feared and serious life events that causes stress in individuals and families. Cancer disrupts social, physical and emotional well-being and results in a range of emotions, including anger, fear, sadness, guilt, embarrassment and shame. Music therapy is a part of a complementary medicine program in supportive cancer care which accompanies medical treatment. There are many benefits of music therapy for cancer patients-interactive music therapy techniques (instrumental improvisation, singing) as well as receptive music therapy techniques (listening to recorded or live music, music and imaginary) can be used to improve mood, decrease stress, pain, anxiety level and enhance relaxation. Music therapy is an effective form of supporting cancer care for patients during the treatment process. It may be also basic for planning effective programs of rehabilitation to promote wellness, improve physical and emotional well-being and the quality of life.
Music therapy applied to complex blast injury in interdisciplinary care: a case report. [2020]Purpose: Music therapy has a long history of treating the physiological, psychological, and neurological injuries of war. Recently, there has been an increase in the use of music therapy and other creative arts therapies in the care of combat injured service members returning to the United States from Iraq and Afghanistan, especially those with complex blast-related injuries. This case report describes the role of music therapy in the interdisciplinary rehabilitation of a severely injured service member. Methods: Music therapy was provided as stand-alone treatment and in co-treatment with speech language pathology, physical therapy, and occupational therapy. The report is based on clinical notes, self-reports by the patient and his wife, and interviews with rehabilitation team members. Results: In collaboration with other treatment disciplines, music therapy contributed to improvements in range of motion, functional use of bilateral upper extremities, strength endurance, breath support, articulation, task-attention, compensatory strategies, social integration, quality of life, and overall motivation in the recovery process. The inclusion of music therapy in rehabilitation was highly valued by the patient, his family, and the treatment team. Conclusions: Music therapy has optimized the rehabilitation of a service member through assisting the recovery process on a continuum from clinic to community. Implications for Rehabilitation Music therapy in stand-alone sessions and in co-treatment with traditional disciplines can enhance treatment outcomes in functional domains of motor, speech, cognition, social integration, and quality of life for military populations. Music therapists can help ease discomfort and difficulty associated with rehabilitation activities, thereby enhancing patient motivation and participation in interdisciplinary care. Music therapy assists treatment processes from clinic to community, making it highly valued by the patient, family, and interdisciplinary team members in military healthcare. Music therapy provides a platform to prevent social isolation by promoting community integration through music performance.
Effects of music and music therapy on medical patients: a meta-analysis of the research and implications for the future. [2022]Although the literature examining the effects of music medicine or music therapy interventions in medical settings is both large and growing, this literature is difficult to summarize because of of its diversity. The current article reports the results of a recent meta-analysis of 183 studies across 11 medical specialty areas with 40 categories of outcome variables. Emphasized are results for patients with cancer, those who are terminally ill, and patients with human immunodeficiency virus. Meta-analysis results revealed significantly greater effect sizes for outcomes of music therapy versus music medicine interventions, and significant and homogeneous size effects for several outcome variables, including pain, well-being, mood, and nausea/vomiting. Suggestions for future research are provided.
The Use of Music Therapy During the Treatment of Cancer Patients: A Collection of Evidence. [2020]Music therapy is one of the oldest forms of creative art therapy and has been shown to have effects in different clinical and therapeutic settings, such as schizophrenia, pain, cardiovascular parameters, and dementia. This article provides an overview of some of the recent findings in this field and also reports two single case vignettes that offer insight into day-to-day applications of clinical music therapy.
Music therapy in ICU. [2015]This paper provides an overview of the benefits of using music therapy in intensive care. Music therapy is described as a complementary therapy and can be used to complement more conventional and medically oriented treatments available to patients who are critically ill. The physiological and psychological effects of this intervention are discussed.
Analysis of Preferred Music of Mechanically Ventilated Intensive Care Unit Patients Enrolled in a Randomized Controlled Trial. [2023]Objective: Music listening interventions are utilized in a wide variety of clinical settings to help patients manage stress, anxiety, pain, discomfort, as well as attendant influences on sedative exposure, delirium, and cognitive functioning. While the body of research regarding the use of music-based listening interventions continues to grow, there is a paucity of information in the literature about specific music used for listening interventions. The purpose of this secondary analysis is to examine the music that study participants identified as their preferred music and listened to during the study. Design: This secondary analysis is based on data from a parent study, which was a three-arm randomized controlled trial attesting a patient-directed music (PDM) listening protocol to manage the psychophysiological symptom of anxiety. Setting: Twelve intensive care units in a major metropolitan area in the United States. Subjects: Participants included the 126 mechanically ventilated patients enrolled and randomized to the PDM listening arm of the study. Results: Data presented in this study include playlists from the 12 genres patients self-identified as preferred with specific groups and artists requested for music listening during the study. Discographies of the playlists are also included. Conclusions: The efficacy of interventions is impacted by the design of the intervention and the selection of music utilized. Implications of this analysis further explore the role of a board-certified music therapist (MT-BC) in designing and implementing a music listening intervention. The specialized knowledge on the therapeutic use and benefits of music that an MT-BC possesses supports the development of quality study intervention and appropriate implementation. The review of the music utilized in the parent study provides detailed information about the music utilized to inform future research focused on music listening interventions to effectively build on previous studies. Clinical Trial Registration: ClinicalTrials.gov NCT00440700.
Vocal Music Therapy for Chronic Pain Management in Inner-City African Americans: A Mixed Methods Feasibility Study. [2022]To date, research on music for pain management has focused primarily on listening to prerecorded music for acute pain. Research is needed on the impact of active music therapy interventions on chronic pain management.