Chih-Chung Hsu1, Wei-Ming Chen2, Su-Ru Chen3, Yen-Ting Tseng3, Pi-Chu Lin4. 1. Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan. 2. School of Medicine, National Yang-Ming University and Director, Division of Joint Reconstruction, Department of Orthopedics, Taipei Veterans General Hospital, Taipei, Taiwan. 3. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan. 4. School of Nursing and Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan pclin02@gmail.com.
Abstract
AIM: This study investigated the effects of music listening on the anxiety, heart rate variability (HRV), and joint range of motion (ROM) of patients undergoing continuous passive motion (CPM) after total knee replacement surgery. METHOD: An experimental design was used. Participants in the experimental group (n = 49) listened to music from 10 min before receiving CPM until the end of the session (25 min in total) on the first and second day following surgery, whereas participants in the control group (n = 42) did not listen to music but rested quietly in bed starting 10 min before and throughout CPM. RESULTS: Compared with the control group, the experimental group exhibited significantly lower anxiety levels (p < .05) and increased CPM angles (p < .05) during treatment and increased active flexion ROM (p < .05) upon discharge. The low-frequency (LF)/high-frequency (HF) power ratio, normalized LF HRV, and normalized HF HRV of the two groups differed significantly, indicating that the patients in the experimental group had greater parasympathetic activity compared with those in the control group. CONCLUSION:Music listening can effectively reduce patient anxiety and enhance the ROM of their joints during postoperative rehabilitation. Health-care practitioners should consider including music listening as a routine practice for postoperative rehabilitation following orthopedic surgery.
RCT Entities:
AIM: This study investigated the effects of music listening on the anxiety, heart rate variability (HRV), and joint range of motion (ROM) of patients undergoing continuous passive motion (CPM) after total knee replacement surgery. METHOD: An experimental design was used. Participants in the experimental group (n = 49) listened to music from 10 min before receiving CPM until the end of the session (25 min in total) on the first and second day following surgery, whereas participants in the control group (n = 42) did not listen to music but rested quietly in bed starting 10 min before and throughout CPM. RESULTS: Compared with the control group, the experimental group exhibited significantly lower anxiety levels (p < .05) and increased CPM angles (p < .05) during treatment and increased active flexion ROM (p < .05) upon discharge. The low-frequency (LF)/high-frequency (HF) power ratio, normalized LF HRV, and normalized HF HRV of the two groups differed significantly, indicating that the patients in the experimental group had greater parasympathetic activity compared with those in the control group. CONCLUSION: Music listening can effectively reduce patientanxiety and enhance the ROM of their joints during postoperative rehabilitation. Health-care practitioners should consider including music listening as a routine practice for postoperative rehabilitation following orthopedic surgery.
Authors: Thomas Sanjay Weber-Spickschen; Christian Colcuc; Alexander Hanke; Jan-Dierk Clausen; Paul Abraham James; Hauke Horstmann Journal: Open Med Inform J Date: 2017-08-10
Authors: Henrik C Bäcker; Chia H Wu; Matthias R G Schulz; Thomas Sanjay Weber-Spickschen; Carsten Perka; Sebastian Hardt Journal: Arch Orthop Trauma Surg Date: 2021-02-06 Impact factor: 3.067