Autonomic nervous system markers of music-elicited analgesia in people with fibromyalgia: A double-blind randomized pilot study
To investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity. We report results from a double-blind two-arm parallel randomized pilot study (NCT04059042) in nine participants with FM. Pain tolerance and threshold were meas...
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Published in | Frontiers in pain research (Lausanne, Switzerland) Vol. 3; p. 953118 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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15.09.2022
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Abstract | To investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity.
We report results from a double-blind two-arm parallel randomized pilot study (NCT04059042) in nine participants with FM. Pain tolerance and threshold were measured objectively using quantitative sensory tests; autonomic nervous system (ANS) reactivity was measured with an electrocardiogram. Participants were randomized to listen to instrumental Western Classical music or a nature sound control to test whether music listening elicits greater analgesic effects over simple auditory distraction. Participants also completed separate control testing with no sound that was counterbalanced between participants.
Participants were randomized 1:1 to music or nature sounds (four Music and five Nature). Although the groups were not different on FM scores, the Music group had marginally worse temporal pain summation (
= 0.06), and the Nature group had higher anxiety scores (
< 0.05). Outcome measures showed a significant difference between groups in the magnitude of change in temporal summation between sessions (
< 0.05), revealing that the Nature group had greater pain reduction during audio compared to silence mode, while the Music group had no difference between the sessions. No significant effects were observed for either mechanical pain tolerance or ANS testing. Within the Music group, there was a trend of vagal response increase from baseline to music listening, but it did not reach statistical significance; this pattern was not observed in the Nature group.
Auditory listening significantly altered pain responses. There may be a greater vagal response to music vs. nature sounds; however, results could be due to group differences in pain and anxiety. This line of study will help in determining whether music could be prophylactic for people with FM when acute pain is expected. |
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AbstractList | PurposeTo investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity.Patients and methodsWe report results from a double-blind two-arm parallel randomized pilot study (NCT04059042) in nine participants with FM. Pain tolerance and threshold were measured objectively using quantitative sensory tests; autonomic nervous system (ANS) reactivity was measured with an electrocardiogram. Participants were randomized to listen to instrumental Western Classical music or a nature sound control to test whether music listening elicits greater analgesic effects over simple auditory distraction. Participants also completed separate control testing with no sound that was counterbalanced between participants.ResultsParticipants were randomized 1:1 to music or nature sounds (four Music and five Nature). Although the groups were not different on FM scores, the Music group had marginally worse temporal pain summation (p = 0.06), and the Nature group had higher anxiety scores (p < 0.05). Outcome measures showed a significant difference between groups in the magnitude of change in temporal summation between sessions (p < 0.05), revealing that the Nature group had greater pain reduction during audio compared to silence mode, while the Music group had no difference between the sessions. No significant effects were observed for either mechanical pain tolerance or ANS testing. Within the Music group, there was a trend of vagal response increase from baseline to music listening, but it did not reach statistical significance; this pattern was not observed in the Nature group.ConclusionAuditory listening significantly altered pain responses. There may be a greater vagal response to music vs. nature sounds; however, results could be due to group differences in pain and anxiety. This line of study will help in determining whether music could be prophylactic for people with FM when acute pain is expected. To investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity. We report results from a double-blind two-arm parallel randomized pilot study (NCT04059042) in nine participants with FM. Pain tolerance and threshold were measured objectively using quantitative sensory tests; autonomic nervous system (ANS) reactivity was measured with an electrocardiogram. Participants were randomized to listen to instrumental Western Classical music or a nature sound control to test whether music listening elicits greater analgesic effects over simple auditory distraction. Participants also completed separate control testing with no sound that was counterbalanced between participants. Participants were randomized 1:1 to music or nature sounds (four Music and five Nature). Although the groups were not different on FM scores, the Music group had marginally worse temporal pain summation ( = 0.06), and the Nature group had higher anxiety scores ( < 0.05). Outcome measures showed a significant difference between groups in the magnitude of change in temporal summation between sessions ( < 0.05), revealing that the Nature group had greater pain reduction during audio compared to silence mode, while the Music group had no difference between the sessions. No significant effects were observed for either mechanical pain tolerance or ANS testing. Within the Music group, there was a trend of vagal response increase from baseline to music listening, but it did not reach statistical significance; this pattern was not observed in the Nature group. Auditory listening significantly altered pain responses. There may be a greater vagal response to music vs. nature sounds; however, results could be due to group differences in pain and anxiety. This line of study will help in determining whether music could be prophylactic for people with FM when acute pain is expected. Purpose To investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity. Patients and methods We report results from a double-blind two-arm parallel randomized pilot study (NCT04059042) in nine participants with FM. Pain tolerance and threshold were measured objectively using quantitative sensory tests; autonomic nervous system (ANS) reactivity was measured with an electrocardiogram. Participants were randomized to listen to instrumental Western Classical music or a nature sound control to test whether music listening elicits greater analgesic effects over simple auditory distraction. Participants also completed separate control testing with no sound that was counterbalanced between participants. Results Participants were randomized 1:1 to music or nature sounds (four Music and five Nature). Although the groups were not different on FM scores, the Music group had marginally worse temporal pain summation ( p = 0.06), and the Nature group had higher anxiety scores ( p < 0.05). Outcome measures showed a significant difference between groups in the magnitude of change in temporal summation between sessions ( p < 0.05), revealing that the Nature group had greater pain reduction during audio compared to silence mode, while the Music group had no difference between the sessions. No significant effects were observed for either mechanical pain tolerance or ANS testing. Within the Music group, there was a trend of vagal response increase from baseline to music listening, but it did not reach statistical significance; this pattern was not observed in the Nature group. Conclusion Auditory listening significantly altered pain responses. There may be a greater vagal response to music vs. nature sounds; however, results could be due to group differences in pain and anxiety. This line of study will help in determining whether music could be prophylactic for people with FM when acute pain is expected. |
Author | McMillan, Miranda L Mansour, Zaid M Chadwick, Andrea L Gustafson, Kathleen M Lepping, Rebecca J Martin, Laura E |
AuthorAffiliation | 5 Department for McMillan and Chadwick, Cofrin Logan Center for Addiction Research and Treatment, University of Kansas , Lawrence, KS , United States 4 Department of Population Health, University of Kansas Medical Center , Kansas City, KS , United States 6 Department of Neurology, University of Kansas Medical Center , Kansas City, KS , United States 3 Department of Physical and Occupational Therapy, The Hashemite University , Zarqa , Jordan 2 Department of Anesthesiology, Pain, and Perioperative Medicine, University of Kansas Medical Center , Kansas City, KS , United States 1 Hoglund Biomedical Imaging Center, University of Kansas Medical Center , Kansas City, KS , United States |
AuthorAffiliation_xml | – name: 1 Hoglund Biomedical Imaging Center, University of Kansas Medical Center , Kansas City, KS , United States – name: 3 Department of Physical and Occupational Therapy, The Hashemite University , Zarqa , Jordan – name: 5 Department for McMillan and Chadwick, Cofrin Logan Center for Addiction Research and Treatment, University of Kansas , Lawrence, KS , United States – name: 6 Department of Neurology, University of Kansas Medical Center , Kansas City, KS , United States – name: 4 Department of Population Health, University of Kansas Medical Center , Kansas City, KS , United States – name: 2 Department of Anesthesiology, Pain, and Perioperative Medicine, University of Kansas Medical Center , Kansas City, KS , United States |
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Keywords | auditory distraction pain music nature sounds quantitative sensory testing |
Language | English |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Edited by: Xuejing Lu, Institute of Psychology (CAS), China This article was submitted to Pain Mechanisms, a section of the journal Frontiers in Pain Research Reviewed by: Fernando Alejandro Barrios, Universidad Nacional Autónoma de México, Mexico; Paloma Barjola, Rey Juan Carlos University, Spain |
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Snippet | To investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity.
We report results... Purpose To investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity. Patients... PurposeTo investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity. Patients and... PurposeTo investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity.Patients and... |
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Title | Autonomic nervous system markers of music-elicited analgesia in people with fibromyalgia: A double-blind randomized pilot study |
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