Role of Complementary Medicine (Music, Acupuncture, Acupressure, TENS and Audio-Visual Distraction) in Shockwave Lithotripsy (SWL): A Systematic Review From EAU Sections of Urolithiasis (EULIS) and Uro-Technology (ESUT)

Saraogi, Mansi; Geraghty, RM; Hameed, B. M. Zeeshan; Rob, S.; Pietropaolo, Amelia; Sarıca, Kemal; Gözen, Ali Serdar; Liatsikos, E.; Somani, Bhaskar K.

doi:10.1016/j.urology.2020.06.035

Cited by 9 publications

(5 citation statements)

References 29 publications

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“…Compared to the present review, they focused only on music and were able to include only six studies for ESWL. The present results also concur with a very recent systematic review of Saraogi et al (45), which indicates that complementary medicine strategies including music, acupressure, acupuncture, transcutaneous electrical nerve stimulation and audiovisual distractions can reduce pain and anxiety in patients undergoing ESWL.…”

Section: Discussionsupporting

confidence: 93%

Effect of media distraction (audio‑visual and music) for pain and anxiety control in patients undergoing shock‑wave lithotripsy: A systematic review and meta‑analysis

Yang

Zhang

et al. 2021

Exp Ther Med

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Audio-visual (AV) or music distraction may be used to reduce pain during several healthcare procedures. The present manuscript is a systematic review and meta-analysis to assess the effectiveness of media distraction in reducing pain and anxiety in extracorporeal shock wave lithotripsy (ESWL) patients. The PubMed, Embase, Scopus, BioMed Central, Ovoid and CENTRAL (Cochrane Central Register of Controlled Trials) databases were screened for studies assessing the role of media distraction (music/AV media) in reducing pain and anxiety of ESWL patients. Data were summarized using the mean difference (MD) with 95% confidence intervals (CI). A total of 11 randomized controlled trials were included. Pooled analysis indicated a statistically significant difference in pain outcomes with media distraction [mean difference (MD): -1.18; 95% CI: -2.35, -0.01; I 2 =96.8%)]. Subgroup analysis indicated that both AV media (MD: -2.94; 95% CI: -4.70, -1.17; I 2 =79.2%) and music (MD: -0.86; 95% CI: -1.37, -0.35; I 2 =62.5%), led to significant reduction in pain outcomes. Pooled analysis indicated a statistically significant reduction of anxiety scores with the use of media distraction (MD: -3.91; 95% CI: -6.44, -1.38; I 2 =77.7%). To conclude, the present review suggests that media distraction in the form of AV media or music may be beneficial in reducing the pain and anxiety of patients undergoing ESWL. Evidence is, however, weak considering the small effect size, confidence intervals being close to zero, and instability of the results on sensitivity analysis. In clinical practice, media distraction may be used during ESWL as a nursing intervention, but a clinically important reduction of pain and anxiety may not be expected.

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Section: Discussionsupporting

confidence: 93%

Effect of media distraction (audio‑visual and music) for pain and anxiety control in patients undergoing shock‑wave lithotripsy: A systematic review and meta‑analysis

Yang

Zhang

et al. 2021

Exp Ther Med

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“…In contrast to medication-induced analgesia, previous studies have explored the analgesic efficacy of the other means such as acupuncture-assisted anesthesia (AAA) (47) (including electroacupuncture, auricular acupuncture, acupuncture point injection and acupressure), transcutaneous electrical nerve stimulation (TENS) (48), massage (49), relaxation therapy, hypnosis, aromatherapy, music, and audiovisual distraction (50). One recent large-scale systematic review including 23 RCTs and 2,439 participants evaluated the efficacy of complementary therapies (i.e., music, acupuncture, acupressure, TENS, and audiovisual transfer) for pain relief in patients receiving ESWL (51). Although that study also systematically reviewed five RCTs focusing on acupuncture and related techniques in patients undergoing ESWL and described their efficacy for reducing pain score and anxiety in this patient population (51), no pooled evidence was generated to support their findings.…”

Section: Discussionmentioning

confidence: 99%

“…One recent large-scale systematic review including 23 RCTs and 2,439 participants evaluated the efficacy of complementary therapies (i.e., music, acupuncture, acupressure, TENS, and audiovisual transfer) for pain relief in patients receiving ESWL (51). Although that study also systematically reviewed five RCTs focusing on acupuncture and related techniques in patients undergoing ESWL and described their efficacy for reducing pain score and anxiety in this patient population (51), no pooled evidence was generated to support their findings. The analgesic efficacy of acupuncture was also demonstrated in previous studies that showed a decrease in sedative and painkiller requirements during lithotripsy associated with the application of acupuncture (21,22).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy: a meta-analysis of randomized controlled studies

et al. 2023

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BackgroundThis meta-analysis aimed at investigating the efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy (ESWL).MethodsRandomized controlled trials comparing the efficacy of acupuncture with conventional treatments were retrieved from major electronic databases (e.g., MEDLINE, EMBASE, and Cochrane Library) until August 28, 2022. The primary outcome was the response rate (i.e., rate of pain relief), while secondary outcomes included stone-free rate, satisfaction rate, duration of ESWL, peri-/post-procedural pain score, and risk of adverse events.ResultsThirteen eligible studies involving 1,220 participants published between 1993 and 2022 were analyzed. Pooled results indicated that acupuncture had a better response rate compared to conventional treatments (RR = 1.17, 95% CI: 1.06–1.3, p = 0.003, seven trials, n = 832). Despite no difference in ESWL duration (MD = 0.02 min, 95% CI: −1.53 to 1.57, p = 0.98, three trials, n = 141), stone-free rate (RR = 1.11, 95% CI: 1–1.25, p = 0.06, six trials, n = 498), and satisfaction rate (RR = 1.51, 95% CI: 0.92–2.47, p = 0.1, three trials, n = 334) between the two groups, the acupuncture group had a lower risk of adverse events (RR = 0.51, 95% CI: 0.33–0.79, p = 0.003, five trials, n = 327), peri- (MD = −1.91 points, 94% CI: −3.53 to −0.28, p = 0.02, four trials, n = 258 patient) and post-procedural (MD = −1.07, 95% CI: −1.77 to −0.36, p = 0.003, four trials, n = 335) pain score.ConclusionThe results of this meta-analysis showed that the use of acupuncture in patients receiving ESWL was associated with a higher pain relief rate and a lower risk of adverse events, suggesting feasibility of its use in this clinical setting.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42022356327.

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“…Today, we are discovering the numerous effects it has on the brain and on organic functions. It is used in a care approach (music therapy) (Behzadmehr et al 2020, Billar et al 2020, Buglione et al 2020, Bulut et al 2020, Çelebi et al 2020, Chai et al 2020a, b, Cimen et al 2020, Chan et al 2020, Dai et al 2020, Ernberg et al 2020, Gamboa et al 2020, Garcia Guerra et al 2020, Giordano et al 2020, Gogoularadja and Bakshi 2020, Guo et al 2020, Howlin and Rooney 2020, Johnson and Elkins 2020, Köhler et al 2020, Pérez-Eizaguirre and Vergara-Moragues 2020, Polascik et al 2021, Saraogi et al 2020, Usui et al 2020, Dunbar et al 2021, Yang et al 2021), but its influence on well-being goes beyond the human being (Sambraus and Hecker 1985, Hurnik and Johnson 1997, Kenison 2016, Bowman et al 2017, González-Grajales et al 2019, Kemp 2020). In fact, many studies have described the various effects of music on different organisms (Lemarquis 2009, 2021, Dhungana et al 2018, Exbrayat and Brun 2019, Mayoud and Lemarquis 2019, Pulcrano and di Porzio 2021.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Sounds and Music on Cells and Organisms: A Promising and Developing Area of Research

Brun¹,

Exbrayat²

2022

AJS

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This review is based on recent publications about the effects of sound, and more particularly of music, on several aspects of physiology. It has been known for a long time that music has effects on the brain and on the functioning of different organs. In recent years, several publications also described specific effects of music on the physicochemical mechanisms in the other organisms, bacteria, plants and animals. These researches being rather disparate in the methodologies used and the results obtained, they need to be classified. In this review, we summarize the studies and attempt to explain the cellular mechanisms involved, by considering the properties of the plasma membrane and its links with the extracellular and intracellular medium. This field of research is currently in full expansion, but still requires further studies to understand and go further in the possible applications, the precise molecular mechanisms of effects of music still remain to be clarified. Keywords: sound, music, plant, animal, unicellular organism

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Role of Complementary Medicine (Music, Acupuncture, Acupressure, TENS and Audio-Visual Distraction) in Shockwave Lithotripsy (SWL): A Systematic Review From EAU Sections of Urolithiasis (EULIS) and Uro-Technology (ESUT)

Cited by 9 publications

References 29 publications

Effect of media distraction (audio‑visual and music) for pain and anxiety control in patients undergoing shock‑wave lithotripsy: A systematic review and meta‑analysis

Effect of media distraction (audio‑visual and music) for pain and anxiety control in patients undergoing shock‑wave lithotripsy: A systematic review and meta‑analysis

Efficacy of acupuncture for pain relief in patients receiving extracorporeal shock wave lithotripsy: a meta-analysis of randomized controlled studies

The Effects of Sounds and Music on Cells and Organisms: A Promising and Developing Area of Research

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