A randomized prospective study of music therapy for reducing anxiety during cast room procedures.
BACKGROUND
Cast room procedures, such as cast application and removal, pin removal, and suture removal can cause significant anxiety in young children. The use of music therapy in the cast room to decrease anxiety has not been previously reported.


METHODS
We performed a randomized, prospective study of soft lullaby music compared with no music in 69 children 10 years or younger undergoing cast room procedures. Heart rates (beats per minute) were recorded in the waiting room and cast room using a pulse oximeter.


RESULTS
A total of 28 children were randomized to music and 41 children to no music. The mean rise in heart rate between the waiting room and entering the cast room was -2.7 beats/min in the music group and 4.7 beats/min in the no music group (P = 0.001). The mean difference in heart rate between the waiting room and during the procedure was 15.3 beats/min in the music group and 22.5 beats/min in the no music group (P = 0.05). There were 7 patients in the no music group with heart rate increases of greater than 40 beats/min. No patient in the music group had an increase of this magnitude.


CONCLUSIONS
Playing soft music in the cast room is a simple and inexpensive option for decreasing anxiety in young children during cast room procedures.


METHODS
Randomized Clinical Trial, Level II.
Liu
Raymond W
RW
Department of Orthopaedics, Case Western Reserve University, Cleveland, OH 44106, USA.
Mehta
Priyesh
P
Fortuna
Suzanne
S
Armstrong
Douglas G
DG
Cooperman
Daniel R
DR
Thompson
George H
GH
Gilmore
Allison
A
D001007:Anxiety / Q000517:prevention & control*; D002370:Casts, Surgical; D002675:Child, Preschool; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D007223:Infant; D008297:Male; D009147:Music Therapy; D011446:Prospective Studies; D016896:Treatment Outcome