K. Kunikullaya U, A. Sasidharan, Rakshith Srinivasa, Jaisri Goturu, N. S. Murthy
Music is said to affect the brain in different ways. To the best of our knowledge, research works on the effect of passive listening to different melodic scales of Indian music on Electroencephalogram (EEG) power spectrum is rare to find. In this randomized control trial, 137 healthy subjects were randomly divided into 4 groups (A to D, n~32 in each group), of which A (raga Ahir Bhairav), B (raga Kaunsi Kanada), C (raga Bhimpalas) received music intervention while group D was the control arm. Nineteen channel scalp EEG was recorded for 30 minutes [10 min for each condition, before (BI), during (DI) and after intervention (AI)] and conducted power spectral analysis of waveforms in standard frequency bands. Two-way ANOVA was performed across conditions and groups, to determine the scalp regions showing significant changes, for each frequency band separately. Across conditions, significant change in BI alpha and AI theta, beta1, beta2 bands, while between groups, group B had significant change in alpha and group C in beta1 power, mostly involving frontal regions was seen. Mid Frontal PSA exhibited an increased theta power in group C and D (AI), while alpha and beta1 power increased in group B and C (in group C, beta2 increased significantly). Temporal trend analysis (2-minute segments), showed that there was a significant fall in frontal alpha DI in group B; while in A, C and D groups, the drop seen BI reduced DI and AI. Similarly, the beta1 drop reduced DI and AI in group C and D, while it increased in group B (DI) and group A (AI). Music caused relaxation effect with scales B and C causing maximal effect. In line with existing literature, it may be concluded that listening to these melodic scales was associated with mind wandering effect and probable visual imagery/recall.
{"title":"Temporal changes in electroencephalographic power spectrum on passive listening to three selected melodic scales of Indian music on healthy young individuals - a randomized controlled trial","authors":"K. Kunikullaya U, A. Sasidharan, Rakshith Srinivasa, Jaisri Goturu, N. S. Murthy","doi":"10.47513/mmd.v14i1.831","DOIUrl":"https://doi.org/10.47513/mmd.v14i1.831","url":null,"abstract":"Music is said to affect the brain in different ways. To the best of our knowledge, research works on the effect of passive listening to different melodic scales of Indian music on Electroencephalogram (EEG) power spectrum is rare to find. In this randomized control trial, 137 healthy subjects were randomly divided into 4 groups (A to D, n~32 in each group), of which A (raga Ahir Bhairav), B (raga Kaunsi Kanada), C (raga Bhimpalas) received music intervention while group D was the control arm. Nineteen channel scalp EEG was recorded for 30 minutes [10 min for each condition, before (BI), during (DI) and after intervention (AI)] and conducted power spectral analysis of waveforms in standard frequency bands. Two-way ANOVA was performed across conditions and groups, to determine the scalp regions showing significant changes, for each frequency band separately. Across conditions, significant change in BI alpha and AI theta, beta1, beta2 bands, while between groups, group B had significant change in alpha and group C in beta1 power, mostly involving frontal regions was seen. Mid Frontal PSA exhibited an increased theta power in group C and D (AI), while alpha and beta1 power increased in group B and C (in group C, beta2 increased significantly). Temporal trend analysis (2-minute segments), showed that there was a significant fall in frontal alpha DI in group B; while in A, C and D groups, the drop seen BI reduced DI and AI. Similarly, the beta1 drop reduced DI and AI in group C and D, while it increased in group B (DI) and group A (AI). Music caused relaxation effect with scales B and C causing maximal effect. In line with existing literature, it may be concluded that listening to these melodic scales was associated with mind wandering effect and probable visual imagery/recall.","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"001 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89726433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Migraine is a common debilitating disorder that is undertreated. Music therapy has been used successfully in pain disorders in the past. The paper is intended to provide a systemic review on the state of research specific to music therapy and migraine headache. Methods: Manual search engines of university libraries that includes PubMed Cochrane review, ClinicalTrials.gov were used. Inclusion criteria were subjects with migraine undergoing music therapy and peer reviewed articles published in English language between January 1980 and July 2021. Results: Out of 728 search results, 4 met inclusion criteria. The outcomes regarding the effects of music therapy on patients with migraine were inconsistent. Conclusions: Further studies are needed to evaluate the effects of music therapy on migraine headaches.
{"title":"review of the use of music therapy in the treatment of migraine","authors":"Suzanne Hall, Hope L. O’Brien","doi":"10.47513/mmd.v14i1.842","DOIUrl":"https://doi.org/10.47513/mmd.v14i1.842","url":null,"abstract":"Background: Migraine is a common debilitating disorder that is undertreated. Music therapy has been used successfully in pain disorders in the past. The paper is intended to provide a systemic review on the state of research specific to music therapy and migraine headache. Methods: Manual search engines of university libraries that includes PubMed Cochrane review, ClinicalTrials.gov were used. Inclusion criteria were subjects with migraine undergoing music therapy and peer reviewed articles published in English language between January 1980 and July 2021. Results: Out of 728 search results, 4 met inclusion criteria. The outcomes regarding the effects of music therapy on patients with migraine were inconsistent. Conclusions: Further studies are needed to evaluate the effects of music therapy on migraine headaches.","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79503707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sleep is essential to human survival, yet issues with getting restful, consistent sleep is a common problem. One in three adults do not get the recommended amount of sleep1, creating myriad issues, from physical illness to mental and cognitive disorders, poor work attendance, and disruptions in daily life.2 Traumatic experiences that occur early in life can have life long health implications, including sleep disorders and insufficient sleep.3 With the advent of COVID-19, people in the United States and across the world were forced to quarantine themselves, thereby disturbing previously established norms of behavior, daily engagement with others, and sleeping habits. Being able to rejuvenate the physical, emotional, and mental state through sleep became more important yet also more difficult amidst the stresses of the pandemic.4Healthcare professionals are seeking alternate patient treatment forms regarding healthy sleeping patterns. Music is one solution to this ongoing problem because it is easily accessible, can be personalized to individual tastes, is cost effective, cost avoidant, and lacking in serious side effects. The focus of this article is to explain how music impacts sleep, sleep disorders, and to offer suggestions to optimize sleeping patterns through the conscientious application of music and music therapy. Keywords: sleep, music, health, sleep disorders, pandemic, music therapy
{"title":"The effect of music on sleep","authors":"Ashley Nicole Sluss, Laura Beer, Soo-Jin Kwoun","doi":"10.47513/mmd.v14i1.808","DOIUrl":"https://doi.org/10.47513/mmd.v14i1.808","url":null,"abstract":"Sleep is essential to human survival, yet issues with getting restful, consistent sleep is a common problem. One in three adults do not get the recommended amount of sleep1, creating myriad issues, from physical illness to mental and cognitive disorders, poor work attendance, and disruptions in daily life.2 Traumatic experiences that occur early in life can have life long health implications, including sleep disorders and insufficient sleep.3 With the advent of COVID-19, people in the United States and across the world were forced to quarantine themselves, thereby disturbing previously established norms of behavior, daily engagement with others, and sleeping habits. Being able to rejuvenate the physical, emotional, and mental state through sleep became more important yet also more difficult amidst the stresses of the pandemic.4Healthcare professionals are seeking alternate patient treatment forms regarding healthy sleeping patterns. Music is one solution to this ongoing problem because it is easily accessible, can be personalized to individual tastes, is cost effective, cost avoidant, and lacking in serious side effects. The focus of this article is to explain how music impacts sleep, sleep disorders, and to offer suggestions to optimize sleeping patterns through the conscientious application of music and music therapy. Keywords: sleep, music, health, sleep disorders, pandemic, music therapy ","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88275828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The use of music therapy intervention in the treatment of trauma and posttraumatic stress disorder for veterans and military service men and women has received increasing attention in the literature in recent years. The purpose of this paper is to identify primary music therapy techniques utilized in the treatment of trauma and PTSD to best meet the broad and complex needs of veterans and military service members. To continue development of high-quality music therapy treatment standards for services provided this vulnerable population, clinical rationales and theoretical foundations have also been explored. As such, three research questions have been posed for this investigation. These questions were designed with the intention of confirming treatment efficacy and reliability and re-emphasizing the importance of understanding the theoretical underpinnings necessary to inform and validate a trauma-informed music therapy practice. Research questions for this analysis are stated as: (a) What are the primary music therapy techniques utilized in the treatment of trauma and PTSD with veterans and military service members?, (b) Is justification or rationale offered for the use of these identified music therapy interventions?, and (c) Are music, therapy, music therapy and/or trauma theory(ies) identified as informing the rationale(s) for the chosen music therapy interventions used with this treatment population?
{"title":"Trauma treatment in music therapy with veterans and military service members","authors":"Kristen Stewart","doi":"10.47513/mmd.v14i1.840","DOIUrl":"https://doi.org/10.47513/mmd.v14i1.840","url":null,"abstract":"The use of music therapy intervention in the treatment of trauma and posttraumatic stress disorder for veterans and military service men and women has received increasing attention in the literature in recent years. The purpose of this paper is to identify primary music therapy techniques utilized in the treatment of trauma and PTSD to best meet the broad and complex needs of veterans and military service members. To continue development of high-quality music therapy treatment standards for services provided this vulnerable population, clinical rationales and theoretical foundations have also been explored. As such, three research questions have been posed for this investigation. These questions were designed with the intention of confirming treatment efficacy and reliability and re-emphasizing the importance of understanding the theoretical underpinnings necessary to inform and validate a trauma-informed music therapy practice. Research questions for this analysis are stated as: (a) What are the primary music therapy techniques utilized in the treatment of trauma and PTSD with veterans and military service members?, (b) Is justification or rationale offered for the use of these identified music therapy interventions?, and (c) Are music, therapy, music therapy and/or trauma theory(ies) identified as informing the rationale(s) for the chosen music therapy interventions used with this treatment population?","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88346464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The world seems to turn around faster and faster as we are approaching the third pandemic year, and at the same time many people around the world are seeming to show less control of their life. Pandemia alone, however, is only one part of our major global problems...
{"title":"At the turn of a year-a continuing pandemic","authors":"R. Spintge, J. Loewy","doi":"10.47513/mmd.v14i1.867","DOIUrl":"https://doi.org/10.47513/mmd.v14i1.867","url":null,"abstract":"The world seems to turn around faster and faster as we are approaching the third pandemic year, and at the same time many people around the world are seeming to show less control of their life. Pandemia alone, however, is only one part of our major global problems...","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81052883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
At a neighborhood picnic get-together last weekend, I spotted a crying baby in her mother’s arms. Her mother was bouncing her 20-month, year-old precious one, gently, up and down, inserting some sways- seemingly unbothered, but all the while wishing her baby would settle...
{"title":"Have COVID norms changed how people communicate?","authors":"J. Loewy, R. Spintge","doi":"10.47513/mmd.v13i4.854","DOIUrl":"https://doi.org/10.47513/mmd.v13i4.854","url":null,"abstract":"At a neighborhood picnic get-together last weekend, I spotted a crying baby in her mother’s arms. Her mother was bouncing her 20-month, year-old precious one, gently, up and down, inserting some sways- seemingly unbothered, but all the while wishing her baby would settle...","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87887877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María D. Jáñez, María Jesús Del Olmo, Cintia Rodríguez
The aim of this study is to determine whether a live music therapy session during parent holding had an effect on physiological and comfort outcomes of late-moderate preterm infants, on their parents, and on the ward environment. This is a quasi-experimental study of a cohort of 44 preterm / adult pairs exposed to a music therapy session in the first two weeks after birth. There were 3 moments of observation (before, during, and after the intervention), at which heart rate (HR), oxygen saturation (O2-sat), the infant’s behavioral-emotional activation level, and the environmental response were measured. A statistically significant increase was observed in O2-sat (p<.001) after the intervention, as well as a decrease in HR (p<.001). Personal and environmental stress was observed to decrease (p<.001). A music therapy session in the Neonatal Unit at the time of interaction between parents and premature infants was found to be useful in reducing stress and promoted a positive interaction between parents and infants.
{"title":"The impact of music therapy in late-moderate premature infants, on their parents and their environment, in a Spanish neonatal intermediate care unit.","authors":"María D. Jáñez, María Jesús Del Olmo, Cintia Rodríguez","doi":"10.47513/mmd.v13i4.764","DOIUrl":"https://doi.org/10.47513/mmd.v13i4.764","url":null,"abstract":"The aim of this study is to determine whether a live music therapy session during parent holding had an effect on physiological and comfort outcomes of late-moderate preterm infants, on their parents, and on the ward environment. This is a quasi-experimental study of a cohort of 44 preterm / adult pairs exposed to a music therapy session in the first two weeks after birth. There were 3 moments of observation (before, during, and after the intervention), at which heart rate (HR), oxygen saturation (O2-sat), the infant’s behavioral-emotional activation level, and the environmental response were measured. A statistically significant increase was observed in O2-sat (p<.001) after the intervention, as well as a decrease in HR (p<.001). Personal and environmental stress was observed to decrease (p<.001). A music therapy session in the Neonatal Unit at the time of interaction between parents and premature infants was found to be useful in reducing stress and promoted a positive interaction between parents and infants.","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86196960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Ludwig van Beethoven was born 250 years ago on December 17th, 1770 in Bonn, Germany. Although he was one of the most brilliant composers of all time, his life was shaped by many illnesses. Many know that Beethoven was hard of hearing and later deaf and that he could not longer hear his own works. However, there are many diseases that were little and or not known and that still shaped his life significantly.Methods: This article reports the medical history of this artist, based on authoritative scientific sources.Results: Even when he was young, Beethoven fell ill with smallpox, which gave his face a typical appearance. Since 1804/1805 he had been unable to see properly and was wearing glasses. The first hearing disorders appeared in 1796, treatment began in 1800. From 1814, hearing loss worsened significantly. The cause of hearing disorders is still unclear. From the age of 25, there was colic, diarrhea and fever, probably caused by a chronic pancreatitis. It is certain that Beethoven suffered from hepatitis and cirrhosis of the liver, certainly significantly influenced by alcohol consumption. Liver cirrhosis and esophageal varices were the consequences, and certainly also psychological changes to his difficult personality. In 1825, there was a cough of blood, nosebleeds and ascites and until 1827, 30-40 l of ascites were punctured.. On March 26, 1827, Beethoven died in the liver coma.Conclusions: Beethoven was a brilliant musician and composer who had many illnesses in his life. Above all, his hearing impairment significantly influenced his life. He had also frequent gastroenterological diseases, especially pancreatitis, hepatitis and live cirrhosis. Alcohol certainly played an important role in his life and influenced many illnesses.
{"title":"To the 250th birthday of Ludwig van Beethoven: How sick was the genius musician really in his life?","authors":"H. Trappe","doi":"10.47513/mmd.v13i4.777","DOIUrl":"https://doi.org/10.47513/mmd.v13i4.777","url":null,"abstract":"Background: Ludwig van Beethoven was born 250 years ago on December 17th, 1770 in Bonn, Germany. Although he was one of the most brilliant composers of all time, his life was shaped by many illnesses. Many know that Beethoven was hard of hearing and later deaf and that he could not longer hear his own works. However, there are many diseases that were little and or not known and that still shaped his life significantly.Methods: This article reports the medical history of this artist, based on authoritative scientific sources.Results: Even when he was young, Beethoven fell ill with smallpox, which gave his face a typical appearance. Since 1804/1805 he had been unable to see properly and was wearing glasses. The first hearing disorders appeared in 1796, treatment began in 1800. From 1814, hearing loss worsened significantly. The cause of hearing disorders is still unclear. From the age of 25, there was colic, diarrhea and fever, probably caused by a chronic pancreatitis. It is certain that Beethoven suffered from hepatitis and cirrhosis of the liver, certainly significantly influenced by alcohol consumption. Liver cirrhosis and esophageal varices were the consequences, and certainly also psychological changes to his difficult personality. In 1825, there was a cough of blood, nosebleeds and ascites and until 1827, 30-40 l of ascites were punctured.. On March 26, 1827, Beethoven died in the liver coma.Conclusions: Beethoven was a brilliant musician and composer who had many illnesses in his life. Above all, his hearing impairment significantly influenced his life. He had also frequent gastroenterological diseases, especially pancreatitis, hepatitis and live cirrhosis. Alcohol certainly played an important role in his life and influenced many illnesses.","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80717281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this interview of Dr. William Banfield by music therapist, Dr. Suzanne Hanser, Banfield describes his diagnosis and treatment of COVID-19. While in a medically-induced coma, Banfield heard the music that his wife brought to the hospital, and the music became a vital part of the dreams and nightmares he experienced during his 17 days in a coma (April 4-20, 2020). Dr. Banfield describes how this affected his life and shares lessons about music and meaning.
{"title":"Hearing the Music in COVID-19’s Medically-Induced Coma: An Interview with Dr. William C. Banfield","authors":"S. Hanser, William C. Banfield","doi":"10.47513/mmd.v13i4.825","DOIUrl":"https://doi.org/10.47513/mmd.v13i4.825","url":null,"abstract":"In this interview of Dr. William Banfield by music therapist, Dr. Suzanne Hanser, Banfield describes his diagnosis and treatment of COVID-19. While in a medically-induced coma, Banfield heard the music that his wife brought to the hospital, and the music became a vital part of the dreams and nightmares he experienced during his 17 days in a coma (April 4-20, 2020). Dr. Banfield describes how this affected his life and shares lessons about music and meaning.","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81364160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Boccara, A. Mazeraud, David Cassagnol, F. Tarragano
Coronary angiography is a procedure in which patients tend to present with a moderately high level of stress and anxiety. The present investigation sought to examine the impact of a patient controlled music listening intervention by mobile application (Music-Care) on sedative consumption as primary endpoint, and on pain, anxiety and satisfaction levels. This is a prospective non-randomized controlled clinical study. Patients scheduled to undergo coronary angioplasty under local anesthesia and sedation were recruited. A 76 patients were included, 54 were assigned under the music arm and 22 under the control arm. Medication intake during the procedure has been reported as well as anxiety as measured by numeric rating score and APAIS, pain and satisfaction scores. Music group was administered "U" sequence during the procedure. Patients under music took significantly less midazolam medication (median 1 vs 3 mg in control, p<0.01). Additionally, there was a significant difference (p<0.01) on anxiety (Mmusic = 2.9, Mcontrol = 4.2, p <0.01) but not in pain score. Almost all of the patients from the music group (98%) were satisfied (score ≥ 4) vs 91% in control group. Music-Care program application provides a 2/3 reduction in midazolam sedation during coronary angiography under local anesthesia and sedation. Furthermore, cardiologists appreciated this technique and suggested it to assist with their procedure in ambulatory practice.
{"title":"A web app based-music intervention (MUSIC-CARE) reduces sedative requirement and anxiety during coronary angioplasty","authors":"G. Boccara, A. Mazeraud, David Cassagnol, F. Tarragano","doi":"10.47513/mmd.v13i4.811","DOIUrl":"https://doi.org/10.47513/mmd.v13i4.811","url":null,"abstract":"Coronary angiography is a procedure in which patients tend to present with a moderately high level of stress and anxiety. The present investigation sought to examine the impact of a patient controlled music listening intervention by mobile application (Music-Care) on sedative consumption as primary endpoint, and on pain, anxiety and satisfaction levels. This is a prospective non-randomized controlled clinical study. Patients scheduled to undergo coronary angioplasty under local anesthesia and sedation were recruited. A 76 patients were included, 54 were assigned under the music arm and 22 under the control arm. Medication intake during the procedure has been reported as well as anxiety as measured by numeric rating score and APAIS, pain and satisfaction scores. Music group was administered \"U\" sequence during the procedure. Patients under music took significantly less midazolam medication (median 1 vs 3 mg in control, p<0.01). Additionally, there was a significant difference (p<0.01) on anxiety (Mmusic = 2.9, Mcontrol = 4.2, p <0.01) but not in pain score. Almost all of the patients from the music group (98%) were satisfied (score ≥ 4) vs 91% in control group. Music-Care program application provides a 2/3 reduction in midazolam sedation during coronary angiography under local anesthesia and sedation. Furthermore, cardiologists appreciated this technique and suggested it to assist with their procedure in ambulatory practice.","PeriodicalId":74233,"journal":{"name":"Music and medicine","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76043784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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