Abstract
Zusammenfassung. Schmerz stellt einerseits eine große Belastung für die Patienten dar, andererseits sind dadurch höhere Kosten und u.U. längere Krankenhausaufenthalte der Fall. Schmerz ist immer subjektiv und wird individuell unterschiedlich erlebt. Psychische Faktoren, wie Hilflosigkeit, Angst, Depression usw. steigern die Wirkung von Schmerz als physiologischen Stressor und haben Einfluss auf die Schmerzstärke. Ängste, Verspannungen und Herabsetzung der Schlafqualität mindern das Wohlbefinden und verzögern den Genesungsprozess. Musik in Kombination mit einer gesprochenen Entspannungsanleitung kann über den Einfluss auf affektive, kognitive und sensorische Vorgänge eine maßgebliche schmerzhemmende Wirkung entfalten. Ziel der vorliegenden Studie ist es, den Effekt einer standardisierten Musik in Kombination mit einer gesprochenen Entspannungsanleitung, bei chronischen Rückenschmerzpatienten zu evaluieren. Gleichzeitig wird in diesem Beitrag gezeigt, welche Wirkung eine stimulierende Musik bei Patienten mit Morbus Parkinson hat.
Abstract. Pain is a heavy burden and emotional strain for patients. There are more costs and longer stays in hospitals. Pain is always a individual subjective form of suffering. Psychological aspects like helplessness, hopelessness, anxious behaviour, depression etc. influence the degree of pain. Anxious behavior, muscle contraction, and reduction of sleep quality reduce quality of life anf prolong recovery processes. Music in combination with words for relaxation has the power to influence affective, cognitive, and sensoric pain behavior and to reduce pain in this way. It is the aim of this study to evaluate the effect of standardized music with and without spoken words for relaxation in patients with chronic lower back pain. At the same time, what effect a special stimulating music has on patients with morbus parkinson is shown.
Literatur
1989). The effect of music on anxiety. AORN Journal, 50, 112– 118
(2004). Stimulating music increases motor coordination in patients afflictec with Morbus Parkinson. Neuroscience Letters, 361, 4– 8
(2004). Schmerztagebuch . Salzburg: Eigenverlag
(1999). Music and Relaxation for the treatment of chronic pain. In 29. Annual Meeting of the Society for Neuroscience, Miami Beach, Florida, Oct. 23-28, 1999, Abstractband Part 1, Vol. 25 (p. 144, Nr. 60.9)
(1999). Music and relaxation instructions as pain relieving factors in patients with chronic pain. In Abstractband, 9th World Congress on Pain (p. 595). Wien: asp.
(2001). Minimal clinically important difference. Low back pain: outcome measures. Journal of Rheumatology, 28, 2 431– 438
(1988). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193– 213
(1996). Exercises: which ones are worth trying, for which patients, and when?. Spine, 21, 24 2874– 2878
(Dr. Enrico Fazzini: Homepage . Verfügbar unter: www.theparkinsonsdoctor.com[2002]
(o.J.) ().1990). Integrating music in breathing training and relaxation. I. Background, rationale, and relevant elements. Biofeedback and Self-Regulation, 15, 2 161– 169
(2001). Use of music therapy and other ITNIs in Acute care. Journal of Psychosocial Nursing and Mental Health Services, 39, 10 26– 37
(2002). Wirkungen von Musik - Musikpsychologische Forschungsergebnisse. In G. Hofmann & C. Trübsbach (Hrsg.), Mensch und Musik: Diskussionsbeiträge im Schnittpunkt von Musik, Medizin, Physiologie und Psychologie (S. 9-27). Augsburg: Wißner
(1987). The use of music therapy in pain clinics. Music Therapy Perspectives, 4, 24– 27
(1996). Effects of relaxation and music on postoperative pain: a review. Journal of Advanced Nursing, 24, 5 905– 914
(2001). Relaxation and music to reduce postsurgical pain. Journal of Advanced Nursing, 33, 2 208– 215
(1989). Effects of relaxation and music therapy on patients in a coronary care unit with presumptive acute myocardial infarction. Heart and Lung, 18, 6 609– 616
(1977). Music, emotion and autonomic arousal. In M. Critchley & R. A. Henson (Eds.), Music and the brain (pp. 202-216). Springfield, IL: Charles C. Thomas
(1990). Wo Musik zur Musik wird. Münchner Medizinische Wochenschrift, 132, 47 117– 120
(1995). Music therapy: a nursing intervention for the control of pain and anxiety in the ICU: a review of the research literature. Dimensions of Critical Care Nursing, 14, 6 295– 304
(2003). Musik und Emotion - Biologische Grundlagen des Musik-Erlebens . Wien: Springer
(1998). Rhythmic auditory stimulation in gait training for patients with traumatic brain injury. Journal of Music Therapy, 35, 4 228– 241
(1998). Intensity coding of auditory stimuli: an fMRI study. Neuropsychologie, 36, 9 875– 883
(1997). The therapeutic use of music in a care of the elderly setting: a literature review. Journal of Clinical Nursing, 6, 5 341–
(2001). The effects of single-session music therapy interventions on the observed and self-reported levels of pain control, physical comfort, and relaxation of hospice patients. The American Journal of Hospice and Palliative Care, 18, 6 383– 390
(2003). Musiktherapie - Wirkung auf Schmerz, Schlaf und Lebensqualität bei Low back pain. Wiener Medizinische Wochenschrift, 153, 9/10 217– 221
(1997). Rhythmic auditory motor facilitation of gait patterns in patients with Parkinson’s disease. Journal of Neurology, Neurosurgery, and Psychiatry, 62, 1 226–
(1998). Active music therapy and Parkinson’s disease: methods. Functional Neurology, 13, 1 57– 67
(2002). Music and Emotion. Emotional Sounds and the Brain. The Neuro-Affective Foundations of Musical Appreciation, Behavioural Processes On Emotion, 60, 2
(1997). The affective cerebral consequence of music: Happy versus sad effects on the EEG and clinical implications. International Journal of Arts Medicine, 5, 18– 27
(1983a). A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine, 8, 2 141– 144
(1983b). A study of the natural history of back pain. Part II: development of guidelines for trials of treatment in primary care. Spine, 8, 2 145– 150
(1993). Music and pattern change in chronic pain. Advances in Nursing Science, 15, 4– 36
(1990). Emotional-volitional training in the combined treatment of patients with rheumatoid arthritis. Terapevticheski Arkhiv, 62, 1 58– 62
(1992). Musik-Medizin, Physiologische Grundlagen und praktische Anwendungen . Stuttgart: Fischer
(1994). Treatment of chronic musculoskeletal pain. Physical training and group discussions in general practice. Tidsskrift for den Norske laegeforening, 114, 9 1065– 1069
(2001). The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with mus-culoskeletal trauma. Journal of Emergency Nursing: JEN: Official Publication of Emergency Department Nurses Association, 27, 2 124– 131
(1999). The connection between rhythmicity and brain function. IEEE Engineering in Medicine and Biology Magazine: The Quarterly Magazine of the Engineering in Medicine & Biology Society, 18, 2 1018–
(1996). Rhythmic auditory stimulation in gait training for Parkinson’s disease patients. Movement Disorders: Official Journal of the Movement Disorder Society, 11, 2 193– 200
(1991). Educational and behavioral interventions for back pain in primary care. Spine, 21, 24 2851– 2857
(1997). Differentialdiagnose des Kreuzschmerzes. Arzt & Praxis, 7, 51 346– 350
(1997). Therapie akuter und chronischer Vertebralsyndrome. In A. Ulreich (Hrsg.), Proceedings - 11. Gröbminger Symposion für rheumatologische Fortbildung, 1997 (S. 14-19)
(1999). Ergebnisse eines multidisziplinären Rehabilitationskonzepts bei Patienten mit chronischen Lumbalsyndromen. Wiener Medizinische Wochenschrift, 149, 564– 566
(1996). The effects of music interventions on postoperative pain and sleep in coronary artery bypass graft (CABG) patients. Scholarly Inquiry for Nursing Practice, 10, 2 153– 170
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