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Pain practice : the official journal of World Institute of Pain
04, 2020;20 (4): 422-436.

Effect of Music Therapy on Pain After Orthopedic Surgery-A Systematic Review and Meta-Analysis.

Chiao-Ling Lin, Shiow-Li Hwang, Ping Jiang, Nai-Huan Hsiung
Author Information
  1. Chiao-Ling Lin: Department of Nursing, Asia University, Taichung, Taiwan.
  2. Shiow-Li Hwang: Department of Nursing, Asia University, Taichung, Taiwan.
  3. Ping Jiang: The First People's Hospital of Yunnan Province, Kunming, Yunnan, China.
  4. Nai-Huan Hsiung: Department of Nursing, Asia University, Taichung, Taiwan. ORCID
PMID: 31785131 DOI: 10.1111/papr.12864

Abstract

BACKGROUND: Although music interventions on postoperative pain (POP) have positive effects, limited research has focused on systematic reviews and meta-analyses of its efficacy for orthopedic patients. This systematic review aimed to examine the effects of music therapy on pain after orthopedic surgery.
METHOD: The Cochrane Library, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Nursing Reference Center (NRC), Airiti Library, and National Digital Library of Theses and Dissertations in Taiwan were searched up to August 2019. The risk of bias from the Cochrane Handbook for Randomized Controlled Trials of Interventions was used. A standard mean difference (SMD) with 95% confidence intervals (CIs) was applied as a summary effect on postoperative pain and anxiety using RevMan version 5.3. A meta-analysis was also carried out using subgroup analysis.
RESULTS: Nine randomized controlled trials were selected. (1) Music can relieve pain significantly for both music medicine (MM; SMD = -0.41, 95% CI [-0.75, -0.07], P = 0.02) and music therapy (MT; SMD = -0.31, 95% CI [-0.57, 0.04], P = 0.02). (2) Music chosen by the subjects showed significant differences for both MM (P = 0.002) and MT (P = 0.02). (3) Anxiety improved significantly among patients using MT (SMD = 0.44, 95% CI [-0.75, -0.13], P = 0.005). However, the results for the physiologic parameters, opioid requirement, and length of stay showed subtle distinctions.
CONCLUSION: Music can significantly relieve POP, specifically music chosen by the participants.

Keywords

meta-analysis music therapy orthopedic postoperative pain systematic review

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MeSH Term

Humans
Music Therapy
Orthopedic Procedures
Pain Management
Pain, Postoperative
Taiwan
Journal Article Meta-Analysis Systematic Review

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