Effects of Music on Acute Postoperative Pain Intensity and Mobility After Fragility Hip Fracture

Effects of Music on Acute Postoperative Pain Intensity and Mobility After Fragility Hip Fracture: A Randomized Controlled Trial

Music has been proven to be beneficial in postoperative care by reducing pain. The effects of music listening to reduce pain postoperatively are well studied among cases undergoing elective orthopaedic surgery. No study has been conducted focusing on pain control among cases with fragility hip fractures in an acute ward setting with non-schedule non-elective orthopaedic operation.

In Queen Elizabeth Hospital a standardized analgesic protocol is used for all fragility hip fracture cases unless contraindicated, a suboptimal post-operative pain control is not uncommonly seen. Stepping up analgesics is usually a concern in the elderly with a higher rate of side effects, a safe and simple non-pharmacological intervention for pain control is therefore needed.

The aim of this study is to study the effectiveness of incorporating music on pain intensity and mobility with the standard postoperative rehabilitation care of fragility hip fracture in Queen Elizabeth Hospital.

Study Overview

• Status: Recruiting
• Conditions: Hip Fractures
• Intervention / Treatment: Other: music listening

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Kwan Yiu Jeffrey Lau; Phone Number: 62017014; Email: lky194a@ha.org.hk

Study Locations

• Hong Kong
  • Hong Kong, Hong Kong
    • Recruiting
    • Ward G9, Queen Elizabeth Hospital
    • Contact: Kwan Yiu Jeffrey Lau; Phone Number: 62017014; Email: lky194a@ha.org.hk
    • Principal Investigator: Kwan Yiu Jeffrey Lau

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. Emergency admitted to QEH/G9 due to fragility hip fracture (#NOF or # TOF) within the study period
2. Plan for surgical intervention
3. Able to provide written informed consent
4. Able to communicate in Cantonese/ Putonghua/ English

Exclusion Criteria:

1. History of dementia
2. Acute delirium upon admission
3. Disorientated to time, person or place
4. Concurrent fracture at other sites
5. Utilization of other analgesics on top of pain protocol
6. Appreciable deficits in hearing or vision
7. Hemodynamically unstable
8. Plan for neurolysis/ nerve block as definite treatment or opt for conservative treatment

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; Standard of care
Experimental: Music; Music listening at postoperative day 1 and 2, 1 session per day, 20 minutes per session.	Other: music listening; Music listening at postoperative day 1 and 2, 1 session per day, 20 minutes per session.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Pain intensity measured by 11-point pain intensity numerical rating scale after music listening in postoperative Day 1 - 2 among subjects with fragility hip fracture	postoperative day 1 and 2

Secondary Outcome Measures

Outcome Measure	Time Frame
Modified functional ambulatory classification (MFAC) in postoperative Day 3 among subjects with fragility hip fracture	postoperative day 3
New mobility score (NMS) in postoperative Day 3 among subjects with fragility hip fracture	postoperative day 3

Collaborators and Investigators

• Sponsor: Hospital Authority, Hong Kong

Study record dates

Study Major Dates

• Study Start (Actual): January 26, 2024
• Primary Completion (Estimated): June 1, 2024
• Study Completion (Estimated): June 1, 2024

Study Registration Dates

• First Submitted: February 8, 2024
• First Submitted That Met QC Criteria: February 17, 2024
• First Posted (Actual): February 26, 2024

Study Record Updates

• Last Update Posted (Actual): February 26, 2024
• Last Update Submitted That Met QC Criteria: February 17, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: music; pain control; fragility hip fracture
• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Neurologic Manifestations; Wounds and Injuries; Leg Injuries; Femoral Fractures; Hip Injuries; Pain, Postoperative; Fractures, Bone; Hip Fractures; Pain
• Other Study ID Numbers: Music pain FHF

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No