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Interet de la musicotherapie dans la prise en charge de la lombalgie chronique en milieu hospitalier (Etude controlee, randomisee sur 65 patients) (Effect of music therapy among hospitalized patients with chronic low back pain: a controlled, randomized trial) [French]
Guetin S, Coudeyre E, Picot MC, Ginies P, Graber-Duvernay B, Ratsimba D, Vanbiervliet W, Blayac JP, Herisson C
Annales de Readaptation et de Medecine Physique 2005 Jun;48(5):217-224
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the influence of music therapy in hospitalized patients with chronic low back pain. METHODS: A controlled, randomized study (N = 65). During a stationary rehabilitation stay of 12 days, 65 patients with low back pain were randomized to receive on alternate months standardized physical therapy plus 4 music therapy sessions between day 1 and day 5 (intervention group; N = 33) or standardized physical therapy alone (control group; N = 32). Scores for pain (as measured on a visual analogue scale (VAS)), disability (Oswestry index) and anxiety and depression (as measured on the hospital anxiety and depression scale (HAD)) were collected on day 1, 5 and 12. Pain intensity was also evaluated on a VAS just before and after music therapy sessions. RESULTS: Introduced music therapy sessions during a stationary rehabilitation stay in patients with chronic low back pain reduce pain (-2.0 +/- 2.7 versus -1.8 +/- 2.6) but not significantly. However, music therapy significantly (p < 0.01) reduced disability as measured on the Owestry index between day 1 and day 5 (-11.8 +/- 17.8 versus -2.5 +/- 9.4), anxiety (-3.5 +/- 3.7 versus -0.9 +/- 2.7) and depression (-2.1 +/- 3.0 versus 0.6 +/- 2.4). The immediate effect on pain intensity (VAS score) was confirmed (p < 0.001). CONCLUSION: Our results confirmed the effectiveness of music therapy for hospitalized patients with chronic low back pain. Music therapy can be a useful complementary treatment in chronic pain and associated anxiety-depression and behavioural consequences.

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