Music for pain and anxiety in children undergoing medical procedures: A systematic review of randomized controlled trials

Liang, Yuan; Tjosvold, Lisa; Klassen, TP; Hartling, Lisa

doi:10.1016/j.acpain.2008.05.038

Cited by 84 publications

(103 citation statements)

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“…While several options are available for the clinician, ranging from background music to television sets to computer games to 3D video glasses for watching movies, there is currently mixed evidence regarding the effectiveness of these distraction practices in the dental clinic. For example, while a meta-analysis of 19 randomized clinical trials found that music therapy reduces pain and anxiety for children undergoing medical or dental procedures, 76 a recent study of adults undergoing third molar extraction found only small reductions for a musictreated group in interoperative anxiety and no difference in pain perceptions compared to a non-music control group. 77 The results of an early study by Corah and colleagues indicated that musical programmes, at best, resulted in a placebo effect.…”

Section: Distractionmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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Section: Distractionmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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“…Defined as the therapeutic use of music or musical activities in the treatment of mental and somatic diseases, music therapy has accumulated scientific evidence of its effectiveness in pain management, anxiety and emotional stress, among other conditions (4)(5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

Respostas fisiológicas de recém-nascidos pré-termo submetidos à musicoterapia clássica

Silva¹,

Cação²,

Silva³

et al. 2013

Rev. paul. pediatr.

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Objective: To evaluate the physiological effects of music therapy on hospitalized preterm newborns.Methods: A noncontrolled clinical trial including 12 newborn infants with gestational age ≤36 weeks, spontaneously breathing. The preterm infants were submitted to 15-minute sessions of classical music therapy twice a day (morning and afternoon) for three consecutive days. The variables: heart and respiratory rates, oxygen saturation, diastolic and systolic arterial pressures, and body temperature were analyzed before and immediately after each music therapy session.Results: There was a decrease in the heart rate after the second session of music therapy (paired t-test; p=0.002), and an increase at the end of the third session (paired t-test; p=0.005). Respiratory rate decreased during the fourth and fifth sessions (paired t-test; p=0.01 and 0.03, respectively). Regarding oxygen saturation, there was an increase after the fifth session (p=0.008). Comparison of physiological parameters among sessions, for the six studied sessions, showed only that the gain in oxygen saturation during the fifth session was significantly higher than during the sixth one (Tukey's test after variance analysis; p=0.04).Conclusions: Music therapy may modify shortterm physiological responses of hospitalized preterm newborn infants.Key-words: music therapy; physiological processes; newborn. RESUMO Objetivo:Avaliar o efeito da musicoterapia nas respostas fisiológicas de recém-nascidos pré-termo hospitalizados.Métodos: Ensaio clínico não controlado realizado com 12 recém-nascidos pré-termo, com idade gestacional ≤36 semanas, em respiração espontânea. Os pacientes foram submetidos a sessões de musicoterapia durante 15 minutos duas vezes ao dia, nos períodos matutino e vespertino, por três dias consecutivos. As variáveis: frequências cardíaca e respiratória, saturação de oxigênio, pressões arteriais sistólica e diastólica e temperatura corporal foram analisadas antes e imediatamente após a sessão de musicoterapia.Resultados: Observou-se a diminuição da frequência cardíaca imediatamente após a segunda sessão de musicoterapia (t pareado; p=0,002) e o aumento ao final da terceira sessão, em relação ao início (t pareado; p=0,005). A frequência respiratória diminuiu após a musicoterapia na quarta e quinta sessões (t pareado; p=0,01 e 0,03, respectivamente). Em relação à saturação de oxigênio, houve aumento após a quinta sessão de musicoterapia (p=0,008). A análise de variância realizada entre as seis sessões, após o cálculo da média das diferenças entre os parâmetros iniciais e finais, demonstrou que o ganho médio de saturação de oxigênio na quinta sessão foi maior do que na sexta (teste de Tukey após análise de variância; p=0,04).Conclusões: A musicoterapia pode modificar em curto prazo as respostas fisiológicas de recém-nascidos pré-termo hospitalizados.Palavras-chave: musicoterapia; processos fisiológicos, recém-nascido. Camila Mendes da Silva et al RESUMENObjetivo: Evaluar el efecto de la musicoterapia en las respuestas fisiológicas de ...

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“…Another study showed that the institution of mandatory child life consultation in a Magnetic Resonance Imaging suite led to avoidance of general anesthesia in 102 patients during a one year intervention period with the avoidance of sedation being particularly significant in the older age group of children between 5 to 10 years [14]. In a systematic review Open Journal of Anesthesiology of randomized controlled trials on the efficacy of music therapy in children undergoing clinical procedures, Klassen et al [15] showed that music therapy resulted in a significant reduction in pain and anxiety and concluded that it may be considered as an adjunct therapy during painful procedures. Walworth et al [16] examined the cost effectiveness of music therapy as procedural adjunct for computerized tomograms, echocardiograms and other procedures and concluded that music therapy-assisted procedures resulted in successful elimination of sedation, reduction in procedural times and decrease in the number of staff members present for the procedures.…”

Section: Resultsmentioning

confidence: 99%

Procedural Sedation and Analgesia in Children in Emergency Department—Role of Adjunct Therapies

Kannikeswaran¹,

Farooqi²,

Chidi³

et al. 2017

OJAnes

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Objective: To compare sedation efficacy and parent/consultant satisfaction between standard sedation, sedation with music listening, and sedation with Certified Child life Specialists (CCLS) in children undergoing procedural sedation in the Pediatric Emergency Department (PED). Methods: Eligible children, aged 3 -18 years, were randomly allocated to one of 3 groups: 1) standard sedation; 2) sedation with music listening; 3) sedation with CCLS intervention. All 3 groups received intravenous ketamine. The child life group received age appropriate comforting measures, while the music group listened to music of their choice during the procedure. The primary outcome was sedation efficacy, measured by Ramsay Sedation scale, FACES-P scale and need for re-dosing. The secondary outcome was parent/consultant satisfaction. Results: Fifty nine patients were analyzed (standard sedation: 20; sedation with music listening: 20; and sedation with CCLS: 19). There was no significant difference in mean initial ketamine dosing (1.58 ± 0.44 vs. 1.68 ± 0.36 vs. 1%)] amongst the 3 groups. Parent and consultant satisfaction was high in all 3 groups. Conclusion: Our pilot study did not demonstrate a difference in sedation efficacy or parent/consultant satisfaction when adjunct therapies were used during PSA. Further studies with a large sample size are needed to define the role for such adjunct therapies during procedural sedation in PED.

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Music for pain and anxiety in children undergoing medical procedures: A systematic review of randomized controlled trials

Cited by 84 publications

References 0 publications

Management of fear and anxiety in the dental clinic: a review

Management of fear and anxiety in the dental clinic: a review

Respostas fisiológicas de recém-nascidos pré-termo submetidos à musicoterapia clássica

Procedural Sedation and Analgesia in Children in Emergency Department—Role of Adjunct Therapies

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