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Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis

Music intervention (MI) has been applied as an effective adjunctive treatment for pain control in various clinical settings. However, no meta-analysis has yet been published on the analgesic effects of MI in infants and children. We performed a systematic review of PubMed, EMBASE, Web of Science, an...

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Autores principales: Ting, Berne, Tsai, Chia-Lin, Hsu, Wei-Ti, Shen, Mei-Ling, Tseng, Ping-Tao, Chen, Daniel Tzu-Li, Su, Kuan-Pin, Jingling, Li
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877634/
https://www.ncbi.nlm.nih.gov/pubmed/35207263
http://dx.doi.org/10.3390/jcm11040991
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author Ting, Berne
Tsai, Chia-Lin
Hsu, Wei-Ti
Shen, Mei-Ling
Tseng, Ping-Tao
Chen, Daniel Tzu-Li
Su, Kuan-Pin
Jingling, Li
author_facet Ting, Berne
Tsai, Chia-Lin
Hsu, Wei-Ti
Shen, Mei-Ling
Tseng, Ping-Tao
Chen, Daniel Tzu-Li
Su, Kuan-Pin
Jingling, Li
author_sort Ting, Berne
collection PubMed
description Music intervention (MI) has been applied as an effective adjunctive treatment for pain control in various clinical settings. However, no meta-analysis has yet been published on the analgesic effects of MI in infants and children. We performed a systematic review of PubMed, EMBASE, Web of Science, and Cochrane Library databases to identify randomized controlled trials (RCTs) with the keywords “pain” AND “music therapy” from inception to January 2022. Primary outcomes were pain intensity and vital signs. Standardized mean difference (SMD) values and the corresponding 95% confidence intervals (CIs) were computed using a random effect model. Subgroup analyses with age groups, types of pain, and music styles were conducted. A total of 38 RCTs involving 5601 participants met the selection criteria. MI significantly decreased the pain levels (SMD = −0.57, p < 0.001), both in the newborn group (p = 0.007) and in the infant/children group (p < 0.001). MI significantly reduced heart rate (SMD = −0.50, p < 0.001) and respiratory rate (SMD = −0.60, p = 0.002) and increased peripheral capillary oxygen saturation (SMD = 0.44, p < 0.001). In subgroup analyses of types of pain, MI had significant effects on prick pain (p = 0.003), chronic and procedural pain (p < 0.001), and postoperative pain (p = 0.018). As for music styles, significant analgesic effects were observed for classical music (p < 0.001), kids’ music (p < 0.001), and pop music (p = 0.001), but not for world music (p = 0.196), special composition (p = 0.092), and multiple music combinations (p = 0.420). In conclusion, our analysis provides supportive evidence about the efficacy of MI, especially classical, kids’, and pop music, in controlling prick, procedural, and postoperative pain in the pediatric population.
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spelling pubmed-88776342022-02-26 Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis Ting, Berne Tsai, Chia-Lin Hsu, Wei-Ti Shen, Mei-Ling Tseng, Ping-Tao Chen, Daniel Tzu-Li Su, Kuan-Pin Jingling, Li J Clin Med Article Music intervention (MI) has been applied as an effective adjunctive treatment for pain control in various clinical settings. However, no meta-analysis has yet been published on the analgesic effects of MI in infants and children. We performed a systematic review of PubMed, EMBASE, Web of Science, and Cochrane Library databases to identify randomized controlled trials (RCTs) with the keywords “pain” AND “music therapy” from inception to January 2022. Primary outcomes were pain intensity and vital signs. Standardized mean difference (SMD) values and the corresponding 95% confidence intervals (CIs) were computed using a random effect model. Subgroup analyses with age groups, types of pain, and music styles were conducted. A total of 38 RCTs involving 5601 participants met the selection criteria. MI significantly decreased the pain levels (SMD = −0.57, p < 0.001), both in the newborn group (p = 0.007) and in the infant/children group (p < 0.001). MI significantly reduced heart rate (SMD = −0.50, p < 0.001) and respiratory rate (SMD = −0.60, p = 0.002) and increased peripheral capillary oxygen saturation (SMD = 0.44, p < 0.001). In subgroup analyses of types of pain, MI had significant effects on prick pain (p = 0.003), chronic and procedural pain (p < 0.001), and postoperative pain (p = 0.018). As for music styles, significant analgesic effects were observed for classical music (p < 0.001), kids’ music (p < 0.001), and pop music (p = 0.001), but not for world music (p = 0.196), special composition (p = 0.092), and multiple music combinations (p = 0.420). In conclusion, our analysis provides supportive evidence about the efficacy of MI, especially classical, kids’, and pop music, in controlling prick, procedural, and postoperative pain in the pediatric population. MDPI 2022-02-14 /pmc/articles/PMC8877634/ /pubmed/35207263 http://dx.doi.org/10.3390/jcm11040991 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ting, Berne
Tsai, Chia-Lin
Hsu, Wei-Ti
Shen, Mei-Ling
Tseng, Ping-Tao
Chen, Daniel Tzu-Li
Su, Kuan-Pin
Jingling, Li
Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis
title Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis
title_full Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis
title_fullStr Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis
title_full_unstemmed Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis
title_short Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis
title_sort music intervention for pain control in the pediatric population: a systematic review and meta-analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877634/
https://www.ncbi.nlm.nih.gov/pubmed/35207263
http://dx.doi.org/10.3390/jcm11040991
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