Music Therapy Reduces Pain in Spine Surgery Patients
Music therapy has been found to decrease pain in patients recovering from spine surgery, compared to a control group of patients who received standard postoperative care alone. The study, published in The American Journal of Orthopedics, included a team of researchers from The Louis Armstrong Center for Music and Medicine and the Mount Sinai Department of Orthopaedics. About 70 percent of people in the United States experience at least one episode of back pain in their lifetime, and more than 5 million are temporarily or permanently disabled by spinal disorders.
"This study is unique in its quest to integrate music therapy in medicine to treat post-surgical pain" said John Mondanaro, the study's lead author and Clinical Director of The Louis Armstrong Department of Music Therapy. “Postoperative spine patients are at major risk for pain management challenges.”
Visual analog scale (VAS) pain ratings were collected before and after music therapy in the experimental group and within the same time period in the control group. In the control group, VAS pain levels increased slightly, from 5.20 to 5.87. In the experimental group, however, VAS pain levels decreased by more than one point, from 6.20 to 5.09.
“The degree of change in the music group is notable for having been achieved by non-pharmacologic means with little chance of adverse effects,” said Joanne Loewy, DA, co-author of the study and Director of The Louis Armstrong Center for Music and Medicine. “Pain is subjective and personal, and warrants an individualized approach to care. Certified, licensed music therapists are able to tailor treatment to each patient’s musical preferences and meet their pain level.”
Music therapists from the Louis Armstrong Center provided treatment options to each patient, including patient-preferred, live music that supported tension release/relaxation and joint singing and/or rhythmic drumming. Breathwork and visualization techniques were also offered.
Postoperative pain treatment, which is primarily pharmacologic, is a critical component of recovery, particularly during the immediate postoperative period, when pain and anxiety are prominently increased. For this study, researchers provided 30 spine surgery patients with a 30-minute music therapy session within 72 hours after surgery in addition to standard care. Another 30 spine surgery patients received standard postoperative care without music therapy. The 60 patients ranged in age from 40 to 55 years and underwent anterior, posterior, or anterior-posterior spinal fusion.
About the Louis Armstrong Center for Music & Medicine
The Louis Armstrong Center for Music & Medicine is made possible by a generous gift from the David B. Kriser Foundation and through the estate of John H. Slade, directed to Mount Sinai Beth Israel from the late hospital trustee Richard Netter, and with additional support from the Louis Armstrong Educational Foundation, the Helen Sawaya, Heather on Earth, and the Garry Dial Fund, among others. The Center is located at Mount Sinai Downton-Union Square, 10 Union Square East (between 14th and 15th Streets) in Manhattan.
Find more information about the Louis Armstrong Center for Music & Medicine at www.musicandmedicine.org or on Facebook, Twitter, and YouTube.
About the Mount Sinai Health System
The Mount Sinai Health System is an integrated health system committed to providing distinguished care, conducting transformative research, and advancing biomedical education. Structured around seven hospital campuses and a single medical school, the Health System has an extensive ambulatory network and a range of inpatient and outpatient services—from community-based facilities to tertiary and quaternary care.
The System includes approximately 7,100 primary and specialty care physicians; 12 joint-venture ambulatory surgery centers; more than 140 ambulatory practices throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and 31 affiliated community health centers. Physicians are affiliated with the renowned Icahn School of Medicine at Mount Sinai, which is ranked among the highest in the nation in National Institutes of Health funding per investigator. The Mount Sinai Hospital is in the "Honor Roll" of best hospitals in America, ranked No. 15 nationally in the 2016-2017 "Best Hospitals" issue of U.S. News & World Report. The Mount Sinai Hospital is also ranked as one of the nation's top 20 hospitals in Geriatrics, Gastroenterology/GI Surgery, Cardiology/Heart Surgery, Diabetes/Endocrinology, Nephrology, Neurology/Neurosurgery, and Ear, Nose & Throat, and is in the top 50 in four other specialties. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 10 nationally for Ophthalmology, while Mount Sinai Beth Israel, Mount Sinai St. Luke's, and Mount Sinai West are ranked regionally. Mount Sinai's Kravis Children's Hospital is ranked in seven out of ten pediatric specialties by U.S. News & World Report in "Best Children's Hospitals."