Wood Christina, Cutshall Susanne M, Lawson Donna K, Ochtrup Heidi M, Henning Noelle B, Larsen Brianna E, Bauer Brent A, Mahapatra Saswati, Wahner-Roedler Dietlind L
Mayo Clinic Child Life Program, Mayo Clinic, Rochester, MN, USA.
Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Glob Adv Health Med. 2021 Dec 22;10:21649561211058697. doi: 10.1177/21649561211058697. eCollection 2021.
Music therapy (MT) programs have been used in various health care settings to reduce patients' pain, anxiety, and stress. However, few studies have investigated its effects on patients with spinal cord injury (SCI), a frequently serious event requiring extensive rehabilitation.
This pilot study evaluated the feasibility of offering music-assisted relaxation (MAR) during rehabilitation for patients with SCI. We also measured the effect of MAR on the patients' pain, anxiety, and stress levels.
Patients were hospitalized at Mayo Clinic (Rochester, Minnesota) from September 2015 through September 2017 for rehabilitation of an SCI. Eligible patients received 2, 20-minute, personalized MAR sessions. Interventions were facilitated by a board-certified music therapist (MT-BC) and included diaphragmatic breathing, guided imagery, and passive muscle relaxation with live guitar accompaniment and spoken, improvised, or singing voice. Two surveys (Generalized Anxiety Disorder [GAD-7] and Perceived Stress Scale [PSS-10]) were used at the time of study consent and again upon hospital dismissal. Pain, anxiety, and relaxation were assessed before and after both MT sessions with visual analog scales (VASs), scored from 0 to 10. Participants completed a 7-question satisfaction survey after the second MAR session.
Twenty patients were enrolled (12 men, 8 women); 13 (65%) completed the MAR interventions. The mean (SD) age was 53.7 (17.7) years. VAS scores for pain significantly improved after both sessions (P ≤ .02). VAS scores for anxiety also significantly improved after both sessions (P ≤ .02), as did VAS scores for relaxation (P ≤ .02 for both). The satisfaction survey indicated that patients generally believed that they benefited from MT. Rehabilitation staff indicated that MT did not interfere with routine clinical care.
MT with live MAR is a feasible treatment for patients with SCI and may be effective for reducing their pain and anxiety.
音乐疗法（MT）项目已在各种医疗环境中用于减轻患者的疼痛、焦虑和压力。然而，很少有研究调查其对脊髓损伤（SCI）患者的影响，脊髓损伤是一种常常需要广泛康复治疗的严重疾病。
这项初步研究评估了在脊髓损伤患者康复期间提供音乐辅助放松（MAR）的可行性。我们还测量了音乐辅助放松对患者疼痛、焦虑和压力水平的影响。
2015年9月至2017年9月期间，患者在梅奥诊所（明尼苏达州罗切斯特）住院接受脊髓损伤康复治疗。符合条件的患者接受了两次时长20分钟的个性化音乐辅助放松治疗。干预由一名获得委员会认证的音乐治疗师（MT - BC）实施，包括膈式呼吸、引导式意象以及在现场吉他伴奏和口语、即兴或歌唱声音辅助下的被动肌肉放松。在研究同意时以及出院时使用了两项调查问卷（广泛性焦虑障碍量表[GAD - 7]和感知压力量表[PSS - 10]）。在两次音乐治疗课程前后，使用视觉模拟量表（VAS）对疼痛、焦虑和放松程度进行评估，评分范围为0至10分。参与者在第二次音乐辅助放松治疗课程后完成了一项7个问题的满意度调查。
共招募了20名患者（12名男性，8名女性）；13名（65%）完成了音乐辅助放松干预。平均（标准差）年龄为53.7（17.7）岁。两次治疗后疼痛的视觉模拟量表评分均显著改善（P≤0.02）。两次治疗后焦虑的视觉模拟量表评分也显著改善（P≤0.02），放松的视觉模拟量表评分同样显著改善（两者P均≤0.02）。满意度调查表明，患者普遍认为他们从音乐疗法中受益。康复工作人员表示，音乐疗法并未干扰常规临床护理。
现场音乐辅助放松的音乐疗法对脊髓损伤患者是一种可行的治疗方法，可能对减轻他们的疼痛和焦虑有效。
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