音楽はあらゆる年齢の人びとによって、日々の状況を過ごしていくための刺激や緊張緩和剤として広く用いられた。運動への動機づけとなるにせよ、忙しい一日の後で緊張祖ほぐす助けとなるにせよ、我々は音楽が身体に及ぼす影響について直観的な理解をしているようである。音楽に対する身体の反応は意識的でも無意識的でもあり、リズムへの同調、ホルモンや神経的反応。気分や感情の変化、そして痛みの感知などが含まれる。本論では、音楽へのこうした生理学的反応について説明し、望ましい身体的反応を起こす音楽を選ぶ際考慮すべきガイドラインを提要したい。健康を増進する音楽の質の例として、リハビリテーションに音楽を使う応用方法についても述べられる。

How Music Can Influence the Body: Perspectives From Current Research

ABSTRACT Introduction Given how many music therapists have shifted their practice to telehealth in accordance with COVID-19 public safety precautions, it is essential for clinicians not only to adjust to the virtual platform, but to embrace the therapeutic potential of technological tools. Just as music is considered a therapeutic agent in music therapy sessions, the authors assert that technology may also be conceptualized and utilized as a means of enhancing therapeutic outcomes. Method Referencing an interactive music therapy protocol adapted for telehealth as part of a pain management study, the authors examine ways in which different aspects of telehealth technology can be used by music therapists to support client goals and bolster the therapeutic relationship. Generalized clinical examples drawn from virtual sessions are incorporated to demonstrate the unique therapeutic possibilities for client agency, client self-efficacy, and the client-therapist relationship afforded by the telehealth platform. Results Among the possibilities afforded by telehealth are enriched opportunities for client choice, reinforcement of learning and implementing new transferrable skills, and enhancing the therapeutic relationship through collaborative troubleshooting and adapted interactive music experiences. Discussion Specific recommendations for music therapists are included to advance the conversation around best practices regarding telehealth. The authors discuss actionable items for music therapists such as utilizing screen-sharing options to enhance musical interactions, validating and exploring clients’ use of technology for self-disclosure, and other strategies for harnessing the therapeutic potential of technology in virtual music therapy sessions.

Embracing technological possibilities in the telehealth delivery of interactive music therapy

Pain may be caused by medical conditions, injury or surgery. Management strategies include pain-relieving medicines, physical or occupational therapy, complementary therapies (such as acupuncture and massage) and cognitive behavioural therapy (CBT). Always see your doctor for diagnosis, treatment and advice on the best pain-management option for you.

Pain management - adults

https://rapm.bmj.com/content/rapm/early/2019/11/29/rapm-2019-100912.full.pdf

Music therapy as sole anxiolytic may not replace standard pharmaceutical agents, but it is definitely contributory: our response to article by Graff et al.

This article is a literary metanalysis that defines interoperability and how it applies to music in medicine. Interoperability is of growing importance in the increasingly high-tech medical world whose machines, monitors, and devices more often than not utilize acoustic alarms. Additionally, this article expands the understanding of interoperability to one that includes the integration of music such as music therapy with clinical medicine. Despite barriers pertaining to cost and infrastructure, the future of medicine is even brighter with the continued application of interoperability regarding music.

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Music Playing a Role in Medical Interoperability

This study uses mixed methodology research to examine the use of music in the chronic pain experience. One hundred and seven adult patients attending an outpatient pain clinic at a general hospital completed a patient survey. 91% rated music as somewhat important to them, 69% benefit from music listening and 43% changed their use of music due to chronic pain. 56% of respondents had an interest in availing of music therapy as part of their treatment. Three themes found in the qualitative results (music for relaxation, positive response to music and music for coping) corresponded with the highly rated reasons for listening to music in the quantitative survey (enjoyment, relaxation and tension relief). Music listening was more common than active participation in music. Seven staff members completed surveys on their use of music and thoughts on music therapy in this setting. Staff rated music as very beneficial for people with chronic pain and 100% saw a role for music therapy in the treatment of patients with chronic pain. This study is one of few to map how people with chronic pain use music to self-care and to explore the role of music therapy in a hospital out-patient pain department. It offers potential for music therapy to be offered as a non-pharmacological intervention to assist people in developing music-based resources and strategies for managing chronic pain. Further investigation is recommended.

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The Use of Music in the Chronic Pain Experience: An Investigation into the Use of Music and Music therapy by Patients and Staff at a Hospital Outpatient Pain Clinic

Katie Fitzpatrick

Papers

The Use of Music in the Chronic Pain Experience: An Investigation into the Use of Music and Music therapy by Patients and Staff at a Hospital Outpatient Pain Clinic

"Music Medicine" May Add Therapeutic Benefit During Closed Nasal Bone Fracture Reduction: Our Response to the Article by Ortega et al.