Analgesic and Anxiolytic Effects of Virtual Reality and Classical Music Therapy on Tension-Type Headache: A Randomized Controlled Trial
Dönmez S, Şener A, Işık Nİ, Koca S, Akbaş İ
Annals of emergency medicine · 0 citas
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Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2025-06-04 · Ann Emerg Med · vol. 87 · número 2 · págs. 132–142
- Editorial
- Elsevier BV
- Citado
- 2 citas · más que el 79% de estudios similares · 1.2× el promedio de su campo
- Referencias
- 35 trabajos
- Acceso
- De pago
- Áreas de investigación
- Migraine and Headache Studies · Music Therapy and Health · Temporomandibular Joint Disorders
- Palabras clave
- tension-type headache, virtual reality, classical music therapy, analgesia, anxiolytic effects, pain intensity, mood changes, dexketoprofen trometamol, complementary and alternative medicine, non-pharmacological pain management, primary headache, quality of life, depression, sleep quality
- MeSH
- humans, tromethamine, ketoprofen, anti-inflammatory agents, non-steroidal, pain measurement, treatment outcome, music therapy, affect, adult, middle aged, female, male, tension-type headache, young adult, pain management, virtual reality exposure therapy, virtual reality
5 autores
- Safa Dönmez🇹🇷 · autor de correspondenciaMinistry of Health; Ankara Bilkent City Hospital
- Alp Şener🇹🇷Ministry of Health; Ankara Yıldırım Beyazıt University; Ankara Bilkent City Hospital
- Nurullah İshak Işık🇹🇷Ministry of Health; Ankara Etlik City Hospital
- Senem Koca🇹🇷Ministry of Health; Ankara Etlik City Hospital
- İlker Akbaş🇹🇷Kahramanmaraş Sütçü İmam University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Study objective
Tension-type headache is the most common primary headache worldwide, significantly reducing individuals' quality of life. Although nonsteroidal anti-inflammatory drugs are commonly used for the pharmacologic treatment of tension-type headache, complementary and alternative treatment methods are gaining increasing importance. In this context, virtual reality technology stands out as a noninvasive option, particularly in pain management. This study investigates the analgesic effects and acute mood changes associated with virtual reality and classical music therapy in tension-type headache patients.
Methods
This randomized controlled trial involved 140 patients diagnosed with tension-type headache, divided into 2 groups. The control group received intravenous 25-mg dexketoprofen trometamol, whereas the intervention group was provided with virtual reality goggles to listen to classical music in a simulated forest environment in addition to this treatment. Pain intensity was assessed using the visual analog scale (VAS), whereas mood changes were measured using a 5-choice ordinal rating scale.
Results
The mean (SD) values for VAS-0, VAS-30, VAS-60, and VAS-120 in the control group were found to be 80.5 (11.2), 60.1 (17.0), 51.0 (18.0), and 45.9 (19.9), respectively, whereas the mean (SD) values for VAS-0, VAS-30, VAS-60, and VAS-120 in the intervention group were calculated as 79.8 (11.3), 40.35 (26.6), 21.9 (22.2), and 12.1 (15.7), respectively. Pain intensity was observed lower in the intervention group throughout the treatment than the control group. When ΔVAS-30, ΔVAS-60, and ΔVAS-120 values were examined, the values in the control group were 20.3 (13.4), 29.4 (15.9), and 34.5 (17.9), respectively, whereas in the intervention group, these values were 39.5 (22.5), 57.9 (20.1), and 67.7 (15.5), respectively. Regarding the ΔVAS%-30, ΔVAS%-60, and ΔVAS%-120 values, the control group had values of 25.5 (16.2), 36.8 (19.4), and 43.2 (21.9), respectively, whereas the intervention group had values of 50.9 (30.5), 73.6 (25.7), and 85.4 (18.4), respectively. At 120 minutes, the proportion of patients reporting a 5-choice ordinal rating scale score of 4 or 5 (indicating a positive mood) was significantly higher in the intervention group: 81.4% versus 31.4%, with a difference of 50% (95% confidence interval 35.8% to 64.2%).
Conclusion
The findings suggest that the combination of virtual reality and classical music effectively manages pain and improves mood in tension-type headache patients. This approach may reduce medication use and offers an innovative alternative for tension-type headache management, consistent with similar studies in the literature.
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