The effect of music therapy on background pain, anxiety, depression, vital signs, and medication usage in adult burn patients in the Intensive Care Unit: A randomized controlled trial
Ettenberger M, Maya R, Salgado-Vasco A, Cordoba-Silva JG, Amarillo M, Betancourt-Zapata W, Marín-Sánchez J, Gómez-Ortega V, Valderrama M
Burns : journal of the International Society for Burn Injuries · 5 citas
Etiquetas de revisión
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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
- 2025-06-26 · Burns · vol. 51 · número 7 · pág. 107587
- Editorial
- Elsevier BV
- Citado
- 6 citas · más que el 97% de estudios similares · 6.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 79 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Art Therapy and Mental Health · Burn Injury Management and Outcomes
- Palabras clave
- music therapy, music-assisted relaxation, burn patients, intensive care unit, background pain, anxiety, depression, vital signs, analgesic use, EEG, facial electromyography, tachogram, electrophysiological signals, severe pain
- MeSH
- humans, pain, burns, analgesics, electrocardiography, electroencephalography, pain measurement, electromyography, music therapy, depression, anxiety, adult, aged, middle aged, intensive care units, female, male, relaxation therapy, vital signs, pain management
9 autores
- Mark Ettenberger🇨🇴 · autor de correspondenciaFundación Santa Fe de Bogotá
- Rafael Maya🇨🇴Fundación Santa Fe de Bogotá
- Andrés Salgado-Vasco🇨🇴Fundación Santa Fe de Bogotá
- Jose Gabriel Cordoba-Silva🇨🇴Universidad de Los Andes
- Moshé Amarillo
- William Betancourt-Zapata🇨🇴Universidad de Los Andes
- Juliana Marín-Sánchez🇨🇴Fundación Santa Fe de Bogotá
- Viviana Gómez-Ortega🇨🇴Fundación Santa Fe de Bogotá
- Mario Andres Valderrama🇨🇴Universidad de Los Andes
Resumen
El texto original del estudio, en el idioma en que se publicó.
Introduction
Burn patients often experience pain and mental health difficulties in the Intensive Care Unit (ICU). This study investigated the effects of live Music-Assisted Relaxation (MAR) on background pain, mental health, vital signs, and medication administration in adult ICU burn patients.
Method
This was a randomized controlled trial with two parallel arms: standard care + up to six MAR interventions over two weeks, versus standard care alone. Participants were 82 adult ICU burn patients. Primary outcome was perceived background pain. Secondary outcomes were anxiety and depression levels, vital signs, and pain medication usage. Additionally, nine patients participated in electroencephalography, electrocardiography, and electromyography recordings during MAR.
Results
Results showed that background pain was significantly lower in the intervention group than in the control group after MAR sessions 1 and 2, with a large effect for patients reporting severe pain. Time had a significant effect on both anxiety and depression, but this was unrelated to the treatment condition. No differences were found for vital signs or pain medication administration. Analysis of electrophysiological signals during MAR revealed significant changes in delta, theta, beta, and alpha frequency bands during electroencephalography, a significant decrease of the low/high-frequency ratio of the tachogram, and significant decrease of mean frequency of facial electromyography.
Conclusions
The results suggest that music therapy might be effective in reducing background pain during the early stages of hospitalization and specifically for patients with severe pain. Further multicenter studies with a larger sample size are needed to confirm these results.
Trial registration
www.
Clinicaltrials
gov, Identifier: NCT04571255.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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