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Effects of Music Therapy in Chronic Neck Pain

18 juni 2026 uppdaterad av: Nurcan Contarli, Karabuk University

The Effects of Music Therapy on Pain, Cervical Position Sense, and Balance in Individuals With Chronic Neck Pain

This study aims to investigate the effects of music therapy on pain, cervical position sense, and balance in individuals with chronic neck pain. Chronic neck pain is a common musculoskeletal disorder that may impair proprioception and postural control, negatively affecting daily functioning and quality of life. Music therapy is a safe, low-cost, and non-pharmacological intervention with potential benefits for pain management and sensorimotor function; however, evidence regarding its effects in musculoskeletal rehabilitation is limited. In this study, nineteen individuals with chronic neck pain will listen to instrumental Turkish Classical Music in the Nihavend mode for 60 minutes. Pain intensity, cervical position sense, and static and dynamic balance will be assessed before and after the intervention. The findings are expected to provide evidence for the clinical use of music therapy as an adjunctive treatment in chronic neck pain rehabilitation.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Detaljerad beskrivning

The aim of this project is to investigate the effects of music therapy on pain, cervical position sense, and body balance in individuals with chronic neck pain. Neck pain is a common musculoskeletal disorder that can lead to disability. It significantly affects daily life activities and is more prevalent in women compared to men. In individuals with neck pain, functional deficiencies in the neck muscles and impairments in cervical mechanoreceptors can influence body balance. Inflammatory mediators and the negative impact of pain on proprioceptors may lead to deterioration in proprioceptive sensation. A reduction in proprioceptive input from the neck may weaken joint movement control and increase the risk of injury. Currently, neck pain is primarily treated with pain relievers, muscle relaxants, and physiotherapy methods. However, in individuals with chronic neck pain, the continuous use of medication may cause side effects and impose a financial burden. Moreover, especially for working individuals, additional treatment time may be required to restore job performance. Furthermore, individuals with neck pain may not always have access to treatment services. Music has been used since ancient times by various civilisations as an alternative treatment method with no side effects. Music therapy is an inexpensive and safe intervention known to reduce pain and anxiety and improve postural control and body awareness. There is limited research on the effects of music therapy in the rehabilitation of musculoskeletal disorders. This study aims to demonstrate the clinically specific effects of music as a simple and cost-effective treatment method, helping individuals with chronic neck pain become more productive in both daily and professional activities. In this study, the effects of music therapy as an alternative treatment method on individuals with chronic neck pain will be examined. Nineteen patients with chronic neck pain will listen to instrumental Turkish Classical Music in the Nihavend mode-which is suggested to have positive effects on mood and pain relief-using a media player and headphones for 60 minutes. Before and after music listening, pain severity, cervical position sense, and static and dynamic balance parameters will be evaluated. It is expected that the results will provide a scientific basis for the broader clinical use of music therapy and contribute significantly to the quality of life of individuals experiencing loss of position sense and balance disorders.

Studietyp

Interventionell

Inskrivning (Beräknad)

19

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Ja

Beskrivning

Inclusion Criteria:

  • Being between 20-50 years old
  • Having experienced neck pain for at least 3 months
  • Having a resting neck pain score of 3 or higher on the Numeric Pain Scale
  • Being willing to participate in the study

Exclusion Criteria:

  • Patients with surgical indications for and/or who have undergone surgery in the cervical region
  • Having received physiotherapy and/or other treatment for neck pain within the last year
  • Those with a history of trauma and systemic disease in the cervical region (malignant condition, systemic rheumatic disease, etc.)
  • Having additional musculoskeletal diseases that may also affect the cervical region (thoracic outlet and scoliosis, etc.)
  • Having a psychiatric illness
  • Being visually impaired

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: music therapy group
The effect of music on individuals with chronic neck pain will be examined as a simple and cheap alternative method. Nihavend Makam instrumental Turkish Classical Music, claimed to affect mood and pain-relieving properties positively, will be listened to for 60 minutes using a media player and headphones for 19 individuals.
Procedur: Music intervention
The effect of music on individuals with chronic neck pain will be examined as a simple and cheap alternative method. Nihavend Makam instrumental Turkish Classical Music, claimed to affect mood and pain-relieving properties positively, will be listened to for 60 minutes using a media player and headphones for 19 individuals.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Pressure-pain threshold assessment
Tidsram: 1 day
An algometer is an instrument that objectively measures pressure pain threshold and pain tolerance. The algometer is a mechanical pressure gauge with a circular rubber tip at the end of a spring-loaded cylinder, a pressure surface area of 1 cm², and displays the measured value in kg/cm². Its caliber range is 100 g and 10 kg/cm². Measurements were taken at the level of the right and left zygapophyseal joints of the dysfunctional cervical segment identified during physical examination. During the assessment, participants will be asked to lie prone, and the algometer probe will be placed perpendicular to the skin at a 90-degree angle. The applied pressure will be gradually increased, and the participant will be asked to report the first instance of pain. Measurements will be taken once, and the result will be recorded in kilograms.
1 day
Cervical joint position sense assessment
Tidsram: 1 day
Positional awareness will be measured using a CROM (CROM Deluxe, Performance Engagement Partners, Roseville, Minnesota, USA) inclinometer. Neck flexion, extension, lateral flexion, and rotation movements will be assessed with eyes closed. CROM Deluxe is an inclinometer developed by the University of Minnesota and its validity and reliability have been demonstrated.
1 day
Balance assessment
Tidsram: 1 day
Postural balance was assessed using the Bertec Balance Legacy System device. The device's rigid platform detects body oscillations. However, a soft surface can be obtained thanks to the foam cushion that can be placed on top. The platform must be placed on a flat surface so that it does not move. The individual's center of pressure is visualized via the platform, and oscillations occurring in the anteroposterior and mediolateral directions can be monitored. Changes occurring on the platform are displayed on a computer screen using Bertec Workbook software. On the screen, a coordinate plane representing the AP and ML directions and a cursor representing body mass are shown within a black square.
1 day
Pain Assessment
Tidsram: 1 day
The Numerical Pain Scale and an algometer will be used in pain assessment. The Numerical Pain Scale uses a vertical line on a plane with scores between 0 and 10. The pain a person feels is represented as follows: "0: no pain", "10: very severe pain". Individuals are asked to rate the pain they feel on a scale of 0 to 10. The validity and reliability of the Numerical Pain Scale for assessing pain have been reported in the literature. It was classified pain intensity as mild (3 cm and below), moderate (3.1-6.9 cm), and severe (7 cm and above) neck pain.
1 day

Samarbetspartners och utredare

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Sponsor

Karabuk University

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 juli 2026

Primärt slutförande (Beräknad)

25 augusti 2026

Avslutad studie (Beräknad)

30 augusti 2026

Studieregistreringsdatum

Först inskickad

14 juni 2026

Först inskickad som uppfyllde QC-kriterierna

14 juni 2026

Första postat (Faktisk)

22 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

23 juni 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

18 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • KBU-FTR-NC-12

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

IPD-planbeskrivning

Data are available from the corresponding author on reasonable request.

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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