The effect of recorded music on pain endurance (CRESCENDo) - A randomized controlled trial.
Complement Ther Med
; 77: 102969, 2023 Oct.
Article
em En
| MEDLINE
| ID: mdl-37579996
ABSTRACT
INTRODUCTION:
Clarifying the effect of music on pain endurance in an experimental design could aid in how music should be applied during both surgical and non-surgical interventions. This study aims to investigate the effect of music on pain endurance and the involvement of the sympathetic adrenomedullary axis (SAM) and the hypothalamic-pituitary-adrenocortical axis (HPA). MATERIALS ANDMETHODS:
In this randomized controlled trial all participants received increasing electric stimuli through their non-dominant index finger. Participants were randomly assigned to the music group (M) receiving a 20-minute music intervention or control group (C) receiving a 20-minute resting period. The primary outcome was pain endurance, defined as amount milliampere tolerated. Secondary outcomes included anxiety level, SAM-axis based on heart rate variability (HRV) and salivary alpha-amylase, and HPA-axis activity based on salivary cortisol.RESULTS:
In the intention-to-treat analysis, the effect of music on pain tolerance did not statistically differ between the M and C group. A significant positive effect of music on pain endurance was noted after excluding participants with a high skin impedance (p = 0.013, CI 0.35; 2.85). Increased HRV was observed in the M-group compared to the C-group for SDNN (B/95%CI13.80/2.22;25.39, p = 0.022), RMSSD (B/95%CI15.97/1.64;30.31, p = 0.032), VLF (B/95%CI212.08/60.49;363.67, p = 0.008) and HF (B/95%CI821.15/150.78;1491.52, p = 0.0190). No statistical significance was observed in other secondary outcomes.CONCLUSIONS:
The effect of the music intervention on pain endurance was not statistically significant in the intention-to-treat analysis. The subgroup analyses revealed an increase in pain endurance in the music group after correcting for skin impedance, which could be attributed to increased parasympathetic activation.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Música
/
Musicoterapia
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article