Music therapy and music-based interventions in the treatment of pain: state of the art
Musicoterapia e intervenções baseadas em música no tratamento da dor: estado da arte
Thiago Medina Brazoloto; Fabio José Condino Fujarra
Abstract
BACKGROUND AND OBJECTIVES: Music therapy promotes positive effects on cognition, psychosocial aspects, control of somatic symptoms and quality of life. The influence on pain is still a controversial topic. The objective of this study was to investigate the state of the art of musical interventions and music therapy in the treatment of acute or chronic pain, as well as developing criteria to facilitate the creation of strategies for applying music in clinical research.
CONTENTS: This research was based on papers published between August 2010 and March 2023 in the Pubmed database. Of these, open access literature review articles were selected. A total of 44 studies whose results and conclusions showed that there is evidence of pain relief in many clinical and environmental conditions were selected, although there is great heterogeneity in methods and controversy in the literature regarding positive and adverse or side effects. The music chosen by a professional or patient alleviates significantly the painful experience by many mechanisms, although statistical data is limited or controversial.
CONCLUSION: Music appears to have a positive impact on various environmental situations or biological conditions that result in painful experience and, therefore, can significantly alleviate pain, which is supported by evidence of complex neural mechanisms involving the descending pain inhibitory system. The benefits justify the use of music as a low-cost and low-risk therapeutic strategy, and the methodological challenges justify a more careful design in future research, including details of the type of musical intervention performed.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: A musicoterapia promove efeitos positivos sobre a cognição, os aspectos psicossociais, o controle de sintomas somáticos e a qualidade de vida. A influência na dor ainda é controversa. O objetivo deste estudo foi investigar o estado da arte das intervenções musicais e da musicoterapia no tratamento da dor aguda ou crônica e elaborar critérios para facilitar estratégias de aplicação da música em pesquisas clínicas.
CONTEÚDO: Esta pesquisa foi realizada a partir de trabalhos publicados entre agosto de 2010 e março de 2023 na base de dados Pubmed, sendo selecionados artigos de revisão da literatura de acesso livre. Foram selecionados 44 trabalhos cujos resultados e conclusões mostraram que há evidências de alívio da dor em diversas condições clínicas e ambientais, muito embora haja grande heterogeneidade nos métodos e controvérsia na literatura sobre efeitos positivos e adversos. A música escolhida por um profissional ou paciente alivia a experiência dolorosa, em muitos aspectos, de forma significativa, apesar dos dados estatísticos serem limitados ou controversos.
CONCLUSÃO: A música parece apresentar impacto positivo em diversas situações ambientais ou condições biológicas que resultam na experiência dolorosa e, portanto, pode aliviar a dor de forma significativa, o que é suportado por evidências em mecanismos neurais complexos que envolvem o sistema inibitório descendente de dor. Os benefícios justificam o emprego da música como estratégia terapêutica de baixo custo e baixo risco, e os desafios metodológicos justificam um delineamento mais cuidadoso em pesquisas futuras, incluindo detalhes do tipo de intervenção musical utilizado.
Palavras-chave
References
1 Albuquerque MCS, Nascimento LO, Lyra ST, Figueredo Trezza MCS, Brêda MZ. Os efeitos da música em idosos com doença de Alzheimer de uma instituição de longa permanência. Rev Eletrônica Enferm. 2012;14(2):405-13.
2 Hagemann PMS, Martin LC, Neme CMB. The effect of music therapy on hemodialysis patients’ quality of life and depression symptoms. J Bras Nefrol. 2019;41(1):74-82.
3 Oliveira AT, Rosa AAS, Braun AMM, Micco DK, Erthal IN, Pecoits RV, Sangaletti MB, Ramos LA. música no controle de sintomas relacionados à demência em idosos. Acta Med. 2018;39(1):185-98.
4 Silva VAD, Silva RCF, Cabau NCF, Leão ER, Silva MJPD. Effects of sacred music on the spiritual well-being of bereaved relatives: a randomized clinical trial. Rev Esc Enferm USP. 2017;51:e03259.
5 Teixeira MMR, Paula JM de, Vidal LM, Porto JAS, Barros Júnior RJM de, Vidal CEL. Effects of music in the postoperative of hospitalized patients. Rev Méd Minas Gerais. 2018;28.
6 DeSantana JM, Perissinotti DMN, Oliveira Junior JO de, Correia LMF, Departamento de Enfermagem Básica Oliveira CM de, Fonseca PRB da. Revised definition of pain after four decades. BrJP. 2020;3(3):197-8.
7 Lópeza YO, Fernando D, Martínez R, Johana J, Cuellara A. Pain management through non-pharmacological treatments in intensive care units. Rev Col Rehabil. 2018;17(2):127-35.
8 Caires JS, Andrade TA, Amareall JB, Calasan MTA,, Rocha MDS. A utilização das terapias complementares nos cuidados paliativos: benefícios e finalidades. Cogitare Enferm. 2014;19(3):514-20.
9 Brazoloto TM. Musical interventions and music therapy in pain treatment: literature review. BrJP. 2021;4(4):369-73
10 Galvão TF, Tiguman GMB, Sarkis-Onofre R. A declaração PRISMA 2020: Diretriz atualizada para relatar revisões sistemáticas. Epidemiol Serv Saúde. 2022;31(2):e2022364..
11 Bradt J, Dileo C. Music therapy for end-of-life care. Em: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2010.
12 dos Santos DS, de Carvalho EC. Nursing interventions for the care of patients with arthritis: an integrative review. Rev Bras Enferm. 2012;65(6):1011-8.
13 Archie P, Bruera E, Cohen L. Music-based interventions in palliative cancer care: a review of quantitative studies and neurobiological literature. Support Care Cancer. 2013;21(9):2609-24.
14 Thrane S. Effectiveness of integrative modalities for pain and anxiety in children and adolescents with cancer: a systematic review. J Pediatr Oncol Nurs. 2013;30(6):320-32.
15 Greenlee H, Balneaves LG, Carlson LE, Cohen M, Deng G, Hershman D, Mumber M, Perlmutter J, Seely D, Sen A, Zick SM, Tripathy D; Society for Integrative Oncology. Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer. J Natl Cancer Inst Monogr. 2014;2014(50):34658. Erratum in: J Natl Cancer Inst Monogr. 2015;2015(51):98.
16 Pauwels EK, Volterrani D, Mariani G, Kostkiewics M. Mozart, music and medicine. Med Princ Pract. 2014;23(5):403-12.
17 Boerner KE, Birnie KA, Chambers CT, Taddio A, McMurtry CM, Noel M, Shah V, Pillai Riddell R; HELPinKids&Adults Team. Simple psychological interventions for reducing pain from common needle procedures in adults: systematic review of randomized and quasi-randomized controlled trials. Clin J Pain. 2015;31(10 Suppl):S90-8.
18 Hole J, Hirsch M, Ball E, Meads C. Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. Lancet. 2015;386(10004):1659-71.
19 Koelsch S, Jäncke L. Music and the heart. Eur Heart J. 2015;36(44):3043-9.
20 van der Heijden MJ, Oliai Araghi S, van Dijk M, Jeekel J, Hunink MG. The Effects of perioperative music interventions in pediatric surgery: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2015;10(8):e0133608.
21 Vetter D, Barth J, Uyulmaz S, Uyulmaz S, Vonlanthen R, Belli G, Montorsi M, Bismuth H, Witt CM, Clavien PA. Effects of art on surgical patients: a systematic review and meta-analysis. Ann Surg. 2015;262(5):704-13.
22 Chai PR, Carreiro S, Ranney ML, Karanam K, Ahtisaari M, Edwards R, Schreiber KL, Ben-Ghaly L, Erickson TB, Boyer EW. Music as an adjunct to opioid-based analgesia. J Med Toxicol. 2017;13(3):249-54.
23 Garza-Villarreal EA, Pando V, Vuust P, Parsons C. Music-induced analgesia in chronic pain conditions: a systematic review and meta-analysis. Pain Physician. 2017;20(7):597-610.
24 Li J, Zhou L, Wang Y. The effects of music intervention on burn patients during treatment procedures: a systematic review and meta-analysis of randomized controlled trials. BMC Complement Altern Med. 2017;17(1):158.
25 Kühlmann AYR, de Rooij A, Kroese LF, van Dijk M, Hunink MGM, Jeekel J. Meta-analysis evaluating music interventions for anxiety and pain in surgery. Br J Surg. 2018;;105(7):773-83
26 Schmid W, Rosland JH, von Hofacker S, Hunskår I, Bruvik F. Patient’s and health care provider’s perspectives on music therapy in palliative care - an integrative review. BMC Palliat Care. 2018;17(1):32.
27 Deng G. Integrative medicine therapies for pain management in cancer patients. Cancer J. 2019;25(5):343-8.
28 Honzel E, Murthi S, Brawn-Cinani B, Colloca G, Kier C, Varshney A, Colloca L. Virtual reality, music, and pain: developing the premise for an interdisciplinary approach to pain management. Pain. 2019;160(9):1909-19.
29 Stegemann T, Geretsegger M, Phan Quoc E, Riedl H, Smetana M. Music Therapy and other music-based interventions in pediatric health care: an overview. Medicines (Basel). 2019;6(1):25.
30 Ciobica A, Padurariu M, Curpan A, Antioch I, Chirita R, Stefanescu C, Luca AC, Tomida M. Minireview on the connections between the neuropsychiatric and dental disorders: current perspectives and the possible relevance of oxidative stress and other factors. Oxid Med Cell Longev. 2020;2020:6702314.
31 Fan M, Chen Z. A systematic review of non-pharmacological interventions used for pain relief after orthopedic surgical procedures. Exp Ther Med. 2020;20(5):36.
32 Fu VX, Oomens P, Klimek M, Verhofstad MHJ, Jeekel J. The effect of perioperative music on medication requirement and hospital length of stay: a meta-analysis. Ann Surg. 2020;272(6):961-72.
33 Köhler F, Martin ZS, Hertrampf RS, Gäbel C, Kessler J, Ditzen B, Warth M. Music Therapy in the psychosocial treatment of adult cancer patients: a systematic review and meta-analysis. Front Psychol. 2020;11:651.
34 Santiváñez-Acosta R, Tapia-López ELN, Santero M. Music therapy in pain and anxiety management during labor: a systematic review and meta-analysis. Medicina (Kaunas). 2020;56(10):526.
35 Yu R, Zhuo Y, Feng E, Wang W, Lin W, Lin F, Li Z, Lin L, Xiao L, Wang H, Huang Y, Wu C, Zhang Y. The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review. J Orthop Surg Res. 2020;15(1):465.
36 Cheng J, Zhang H, Bao H, Hong H. Music-based interventions for pain relief in patients undergoing hemodialysis: a PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore). 2021;100(2):e24102.
37 Chu SWF, Yeam CT, Low LL, Tay WY, Foo WYM, Seng JJB. The role of mind-body interventions in pre-dialysis chronic kidney disease and dialysis patients - a systematic review of literature. Complement Ther Med. 2021;57:102652.
38 Gauba A, Ramachandra MN, Saraogi M, Geraghty R, Hameed BMZ, Abumarzouk O, Somani BK. Music reduces patient-reported pain and anxiety and should be routinely offered during flexible cystoscopy: Outcomes of a systematic review. Arab J Urol. 2021;19(4):480-7.
39 González-Martín-Moreno M, Garrido-Ardila EM, Jiménez-Palomares M, Gonzalez-Medina G, Oliva-Ruiz P, Rodríguez-Mansilla J. Music-based interventions in paediatric and adolescents oncology patients: a systematic review. Children (Basel). 2021;8(2):73.
40 Hakimi S, Hajizadeh K, Hasanzade R, Ranjbar M. A systematic review and meta-analysis of the effects of music therapy on postpartum anxiety and pain levels. J Caring Sci. 2021;10(4):230-7.
41 Kakar E, Billar RJ, van Rosmalen J, Klimek M, Takkenberg JJM, Jeekel J. Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: a systematic review and meta-analysis. Open Heart. 2021;8(1):e001474.
42 Patiyal N, Kalyani V, Mishra R, Kataria N, Sharma S, Parashar A, Kumari P. Effect of music therapy on pain, anxiety, and use of opioids among patients underwent orthopedic surgery: a systematic review and meta-analysis. Cureus. 2021;13(9):e18377.
43 da Silva Santa IN, Schveitzer MC, Dos Santos MLBM, Ghelman R, Filho VO. Music interventions in pediatric oncology: systematic review and meta-analysis. Complement Ther Med. 2021;59:102725..
44 Wu XL, Ji B, Yao SD, Wang LL, Jiang ZY. Effect of music intervention during hemodialysis: a comprehensive meta-analysis. Eur Rev Med Pharmacol Sci. 2021;25(10):3822-34.
45 Abushukur Y, Cascardo C, Ibrahim Y, Teklehaimanot F, Knackstedt R. Improving breast surgery outcomes through alternative therapy: a systematic review. Cureus. 2022;14(3):e23443.
46 Chiang B, Marquardt C, Martin JC, Malyavko A, Tabaie S. The role of music-based interventions in orthopaedic surgery. Cureus. 2022;14(11):e31157.
47 Ormston K, Howard R, Gallagher K, Mitra S, Jaschke A. The role of music therapy with infants with perinatal brain injury. Brain Sci. 2022;12(5):578.
48 Rennie C, Irvine DS, Huang E, Huang J. Music Therapy as a form of nonpharmacologic pain modulation in patients with cancer: a systematic review of the current literature. Cancers (Basel). 2022;14(18):4416.
49 Ting B, Tsai CL, Hsu WT, Shen ML, Tseng PT, Chen DT, Su KP, Jingling L. Music intervention for pain control in the pediatric population: a systematic review and meta-analysis. J Clin Med. 2022;11(4):991.
50 Gerogianni G. Factors affecting pain in hemodialysis and non-pharmacological management. Cureus. 2023;15(2):e35448.
51 He H, Li Z, Zhao X, Chen X. The effect of music therapy on anxiety and pain in patients undergoing prostate biopsy: A systematic review and meta-analysis. Complement Ther Med. 2023;72:102913.
52 Huang E, Huang J. Music therapy: a noninvasive treatment to reduce anxiety and pain of colorectal cancer patients-a systemic literature review. Medicina (Kaunas). 2023;59(3):482.
53 Maleki A, Youseflu S. The effect of music-based interventions on short-term postpartum episiotomy pain: A systematic review and meta-analysis. Heliyon. 2023;9(4):e14785.
54 Tan K, Liu H, Huang S, Li C. Efficacy of music intervention for dental anxiety disorders: a systematic review and meta-analysis. Medicina (Kaunas). 2023;59(2):209.
55 Rebecchini L. Music, mental health, and immunity. Brain Behav Immun Health. 2021;18:100374.
56 Imbriglio TV, Moayedi M, Freeman BV, Tenenbaum HC, Thaut M, Cioffi I. Music modulates awake bruxism in chronic painful temporomandibular disorders. Headache. 2020;60(10):2389-405.
57 Fleming PS, Strydom H, Katsaros C, MacDonald L, Curatolo M, Fudalej P, Pandis N. Non-pharmacological interventions for alleviating pain during orthodontic treatment. Cochrane Database Syst Rev. 2016;12(12):CD010263.
58 Pinto Júnior FE, Ferraz DLM, Cunha EQ, Santos IRM, Batista MDC. Influence of music on pain and anxiety due to surgery in patients with breast câncer. Rev Bras Cancerol. 2012;58(2):135-41.
59 Salazar R, Villamizar R, Karol E, Machado M, Carlos J. La música como expresión terapéutica en la elaboración del duelo, con base en el personaje de Julie Vignon en la película tres colores: azul. Poiésis. 2018;(34):23-40.
Submitted date:
01/31/2024
Accepted date:
05/21/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
Email