Aktive Musiktherapie bei chronischen Schmerzen

Abstract

There are only few publications about the effect of music therapy on pain relief. The intention of this prospective study is to demonstrate the influence of the Nordoff/Robbins method of active music therapy in a group of 12 patients with fibromyalgia, myofascial pain syndromes and polyarthritis on pain reduction, life quality and coping. The clinical parameters of each patient were related to the observations in the audio- and video-documented music therapy settings and to the self-reported changes in pain intensity and pain behaviour. There was a significant reduction of pain intensity and pain-related disability in the music group compared to a control group, but no change in the depression and anxiety score. The influence of music therapy could be even better demonstrated in the systematic analysis of the single cases by individual profiles. Active music therapy affects especially the communicative and emotional dimension of chronic pain. Psychophysiological and psychodynamic models are presented to explain the effectiveness of music therapy on pain reduction. Clinical studies on music therapy as well as on other "art therapies" should relate the analysis of clinical parameters to the descriptive-phenomenological documentation of the therapeutic process to demonstrate systematically the influence of music and art in the individual case.

Psychological management of pain

“…It is no coincidence that conversations have a rather background meaning in this approach and that the way relationships are experienced physically often is the more important part of the therapeutic process. Therefore, it is also no coincidence that elements of dance therapy, 18 music therapy 19 and diVerent therapies oriented on bodily experiences 20 are successfully integrated into the approaches of depth psychology.…”

I Need to Hear Some Sounds That Recognize the Pain in Me: An Integrative Review of a Decade of Research in the Development of Active Music Therapy Outpatient Treatment in Patients With Recurrent or Chronic Pain

“…Only a few active music therapeutic approaches were developed and evaluated for the treatment of patients with recurrent or chronic pain. [95][96][97] Müller-Busch 95,96 found a statistically significant superiority of the experimental group in pain and pain-associated measures in a controlled study with muscle-related pain syndromes. Risch and colleagues 97 used music therapy in a group therapy setting for patients with headache.…”

Musiktherapie bei chronischen Kopfschmerzen

“…Die Wirkung von aktiver Musiktherapie auf chronische Schmerzen wurde bisher wenig untersucht. Eine prospektive Studie der Universität Witten/Herdecke konnte an einer kleinen Patientengruppe mit chronischen Schmerzen (überwiegend mit Schmerzen im Bewegungsapparat) nachweisen, dass aktive Musiktherapie zu einer Verminderung der Schmerzintensität und schmerzbedingten Einschränkungen beitragen kann [14,24,25].…”