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The effects of massage and music on pain, anxiety and relaxation in burn patients: Randomized controlled clinical trial.

Burns : journal of the International Society for Burn Injuries
August 1, 2017
T Najafi Ghezeljeh et al. (3 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of massage, alone and combined with music, on pain intensity, anxiety intensity, and relaxation level in burn patients.

Results Summary

The study found that massage, both alone and combined with music, significantly reduced pain and anxiety intensity while increasing relaxation levels compared to the control group, with no significant difference between the interventions.

Population

Burn patients admitted to Shahid Motahari Burns Hospital in Tehran, Iran.

Effective Dosage

Swedish massage for 20 minutes once a day.

Duration

3 consecutive days.

Interactions

None mentioned.

Extracted Claims (18)
InterventionDirectionEndpointPopulationDosageImpactClaim #
music
decrease
pain intensity
burn patients
-
showed a decrease
#1
music
decrease
anxiety intensity
burn patients
-
showed a decrease
#2
music
increase
relaxation level
burn patients
-
showed an increase
#3
massage
decrease
pain intensity
burn patients
-
showed a decrease
#4
massage
decrease
anxiety intensity
burn patients
-
showed a decrease
#5
massage
increase
relaxation level
burn patients
-
showed an increase
#6
music-plus-massage
decrease
pain intensity
burn patients
-
showed a decrease
#7
music-plus-massage
decrease
anxiety intensity
burn patients
-
showed a decrease
#8
music-plus-massage
increase
relaxation level
burn patients
-
showed an increase
#9
music
decrease
pain intensity
burn patients
-
were effective on reducing
#10
music
decrease
anxiety intensity
burn patients
-
were effective on reducing
#11
music
increase
relaxation level
burn patients
-
were effective on increasing
#12
massage
decrease
pain intensity
burn patients
-
were effective on reducing
#13
massage
decrease
anxiety intensity
burn patients
-
were effective on reducing
#14
massage
increase
relaxation level
burn patients
-
were effective on increasing
#15
music-plus-massage
decrease
pain intensity
burn patients
-
were effective on reducing
#16
music-plus-massage
decrease
anxiety intensity
burn patients
-
were effective on reducing
#17
music-plus-massage
increase
relaxation level
burn patients
-
were effective on increasing
#18
Abstract

AIM: The aim of this study was to evaluate the effects of massage and music on pain intensity, anxiety intensity and relaxation level in burn patients. INTRODUCTION: Pain and anxiety are common among burn patients, but there are many physical and psychological consequences. METHODS: This randomized controlled clinical trial with factorial design 2×2 included 240 burn patients admitted at Shahid Motahari Burns Hospital, Tehran, Iran, between September 2013 and May 2015. The patients were allocated into the following groups: (i) control (n=60) receiving the conventional primary care, (ii) music group (n=60) receiving their favorite songs, (iii) massage group (n=60) receiving Swedish massage, and (iv) music-plus-massage group (n=60) receiving a combination of their favorite songs and Swedish massage, for 20min once a day for 3 consecutive days, using random permuted blocks of sizes 4 with a 1:1 ratio. To collect the data before and after the intervention, a specific Visual Analogue Scale (VAS) was applied for pain intensity, anxiety intensity, and relaxation level. The data were analyzed using SPSS, version 21. RESULTS: Our findings showed a decrease in pain and anxiety intensity and an increase in relaxation level in all three intervention groups as compared to the control group, indicating there was no significant difference among the interventions applied. Furthermore, following application of each intervention, pain and anxiety intensity decreased and relaxation level increased in the intervention groups as compared to before intervention. CONCLUSION: Our results revealed that music, massage and a combination of both interventions were effective on reducing pain and anxiety intensity and increasing relaxation level. Due to easy, low-cost and availability of the interventions applied, these complementary therapies are suggested for the burn patients. Although application of a single complementary therapy is cost-effective, further studies are required to determine the most effective and cost-effective method to improve the burn care.

Medical Subject Headings (MeSH)
AdultAgedAnalysis of VarianceAnxietyBurnsCase-Control StudiesCombined Modality TherapyFemaleHumansMaleMassageMiddle AgedMusicMusic TherapyPainPain ManagementPain MeasurementRelaxation Therapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations46
Citations/Year5.8
Relative Citation Ratio3.78
NIH Percentile89.3%
Research Impact Scores
APT Score0.95
Weight Score2.11
Normalized Score0.70
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