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The Use of Music Therapy in Pediatric Pain Management

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Music therapy has proven to be a beneficial supplementary approach to managing pain across diverse pediatric clinical environments.

Medically reviewed by

Dr. Veerabhadrudu Kuncham

Published At August 23, 2023
Reviewed AtAugust 23, 2023

Introduction:

Pain can significantly affect the physical and emotional well-being of newborns, infants, and children. It can stimulate fear, anxiety, and sadness, impacting their thoughts and behaviors. Furthermore, pain can lead to physiological changes such as hormone levels, oxygen saturation, heart rate, and breathing rate alterations. Currently, the primary approach to pain management involves medication, such as anti-inflammatory drugs, but these medications can have adverse consequences, particularly in young individuals. Consequently, healthcare professionals utilize alternative techniques to alleviate pain in children. These methods contain various sensory distractions, such as providing pleasant tastes, tactile stimulation, auditory experiences, and visual stimuli. Additionally, nutritional supplementation and music therapy are utilized as supportive measures to enhance the well-being of pediatric patients experiencing pain. This article explores the role of music therapy in pediatric pain management, specifically focusing on its application in pediatric care.

What Is Music Therapy?

Music intervention, which includes practices like music therapy and music treatment, involves using music as a non-invasive and structured approach to enhance pediatric patients' health outcomes. Trained therapists or medical professionals deliver it. Medical intervention helps pediatric patients feel more in control of their situation and offers a mental distraction, promoting emotional comfort and relaxation. These positive effects of medical intervention have been shown to provide relief from pain.

Music therapy is widely acknowledged as a powerful treatment that effectively addresses various conditions, such as pain and anxiety. Its roots can be traced back to the aftermath of World War II when healthcare providers first noticed the positive impact of music on patients' emotional and physical health. Music therapy is recognized as a clinical and evidence-based practice that utilizes music interventions to help individuals achieve their specific goals. Given the growing number of pediatric patients and the importance of comprehensive approaches to managing pain, music therapy has become an invaluable asset in enhancing the overall well-being of young individuals.

What Is the Use of Music Therapy in Pediatric Pain Management?

Pediatric surgical procedures can evoke fear and anxiety in children, leading to increased pain perception and prolonged recovery. Studies have shown that between 50 percent and 75 percent of children undergoing surgery experience significant fear and anxiety, both before and during the procedure. Music therapy offers a non-pharmacological approach to address pediatric surgical patients' emotional and physical challenges.

What Are the Effects of Music Therapy on Pediatric Patients?

Research has demonstrated the effectiveness of music therapy in reducing pain and anxiety levels among pediatric surgical patients. Vital signs, including heart rate, respiration rate, and blood pressure, serve as objective measures to assess the impact of music therapy. Studies have consistently shown that postoperative pediatric patients who listened to music experienced lower heart rate, respiration rate, and blood pressure, indicating reduced pain and anxiety levels. Additionally, self-reported pain and anxiety scores obtained through standardized tools have also shown significant improvements in pediatric patients receiving music therapy.

How Is Music Selection Made in Music Therapy?

The role of music selection in providing therapeutic benefits and pain management is vital. The choice of music is crucial in achieving the desired therapeutic effects. Slow and steady beat music is particularly effective in reducing anxiety levels. Additionally, personalized music selection that aligns with the patient's preferences and positive emotions has shown greater efficacy. The American Music Therapy Association recommends considering individual health considerations, such as heart and respiratory conditions while selecting appropriate music for therapy sessions. Furthermore, avoiding music that may evoke or reinforce negative emotions is essential, as it can hinder healing.

Is Music Therapy Beneficial for Young Children Too?

Music therapy is not limited to older children. Even infants and toddlers can benefit from its therapeutic effects. A study conducted on children aged from birth to three years old demonstrated the effectiveness of music therapy in reducing postoperative pain and anxiety. Although the differences in pain and anxiety scores between the control and experimental groups were relatively small, the findings also support the inclusion of music therapy as a beneficial intervention for young children.

What Are the Benefits of Music Therapy in Pediatric Pain Management?

  • Music therapy offers a non-invasive and cost-effective approach to pediatric pain management. Unlike pharmacological treatments that may carry the risk of side effects or complications, music therapy provides a safe alternative that can be easily integrated into a child's postoperative care plan. It is a non-pharmacological intervention that can be used alone or in combination with other pain management techniques to enhance the overall well-being of pediatric patients.

  • One of the key benefits of music therapy is it can distract and engages children; thus, they help to redirect their attention away from pain and anxiety. Music uniquely captures the imagination and creates a sense of comfort and familiarity, which can be particularly beneficial for young patients undergoing medical procedures. By creating a soothing and pleasant environment, music therapy helps alleviate stress and promote relaxation, ultimately reducing pain perception.

  • Moreover, music therapy has been shown to positively impact physiological responses in pediatric patients. Research establishes that listening to music can result in physiological changes such as decreased heart rate, blood pressure, and respiratory rate. These changes indicate a shift towards a more relaxed state, allowing the body to cope better with pain and promote healing.

  • Music therapy is a versatile option that the therapist can tailor to meet each pediatric patient's individual needs and preferences. The therapist can customize music selection based on the child's age, cultural background, and liking. Whether classical music, lullabies or even the child's favorite songs, it ultimately creates a personalized and meaningful musical experience that helps soothe the pediatric patient.

Conclusion:

Music therapy is a valuable treatment option for pediatric surgical patients, offering a holistic approach to pain management and anxiety reduction. The evidence suggests music therapy can effectively lower pain and anxiety in postoperative pediatric patients. By incorporating music with a slow and steady beat, tailored to individual preferences, healthcare professionals can harness music's therapeutic benefits to support young patients' physical and emotional well-being. As the field of music therapy continues to evolve, further research and implementation can enhance its integration into pediatric healthcare settings, ultimately improving the overall patient experience and outcomes.

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Dr. Veerabhadrudu Kuncham
Dr. Veerabhadrudu Kuncham

Pediatrics

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