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Archives • 2021 • vol.3 • 2026-2031 THE EFFECTIVENESS OF MUSIC THERAPY AS A NON-DRUG APPROACH TO THE CORRECTION OF VARIOUS PATHOLOGICAL PROCESSES IN THE BODY 1 1 3 Voskoboinikova V. V. , Kalko K. O , Kulesha-Liubinets M. M. , 4 5 6 1 Nikolaievska Yu. V. , Samoiliuk O. V. , Rybalko P. , Drogovoz S. M. 1 1 UkraineKharkiv State Academy of Culture, Kharkiv, Ukraine 2 National University of Pharmacy, Kharkiv, Ukraine 3 Vasyl Stefanyk Precarpathian National University, Ivano-Frankivsk, Ukraine 4Kharkiv I. P. KotlyarevskyNational university of Arts, Kharkiv, Ukraine 5 Vinnytsa state pedagogical university named after Mykhailo Kotsiubynsky, Vinnytsa, Ukraine 6Sumy state pedagogical university named after A. S. Makarenko, Sumy, Ukraine *ketrin27kalko@gmail.com Abstract Music therapy is one of the types of additional and alternative medicine. Music therapy is the use of music and/or its elements: sound, rhythm, melody, harmony, dynamics and tempo for therapeutic purposes. Music therapy is an integrative method of treatment that affects the progress of various pathological processes in the body. All activities related to music can have a therapeutic effect, but only music therapy like science and technology has clear therapeutic goals, and this is the only area of knowledge that uses music for therapeutic purposes. Thus, the use of music is an additional therapeutic tool in the treatment of various nervous diseases, cardiovascular, endocrine, excretory systems and is an effective non-drug approach to the correction of various pathological processes in the body. Keywords: musical thinking, influence of music on consciousness, instrumental performance, methods of music therapy. http://pharmacologyonline.silae.it ISSN: 1827-8620 PhOL Voskoboinikova, et al. 2027 (pag 2026-2031) Music therapy is one of the types of additional demonstrated significant differences in degree and and alternative medicine. Music therapy is the use of direction of changes in visual-analog scale pain music and/or its elements: sound, rhythm, melody, estimates (VAS) from before and after intervention harmony, dynamics and tempo for therapeutic (P = 0.01). The pain level of VAS increased somewhat purposes [29]. Music therapy is an integrative in the II control group (to 5.87 from 5.20), but method of treatment that affects the progress of decreased by more than 1 points in the I music various pathological processes in the body. All group (to 5.09 from 6.20). However, in this study activities related to music can have a therapeutic there were no differences in the effect on the level effect, but only music therapy like science and of hospital anxiety, anxiety, depression and technology has clear therapeutic goals, and this is kinesiophobia between the group, which used music the only area of knowledge that uses music for therapy methods and the group without musical therapeutic purposes. therapeutic intervention. Music therapy is an important topic for In the study, which was carried out on research in various fields of anesthesiology [19]. mechanically ventilated patients on the Intensive Music therapy has a "light anxiolytic" impact, which Care Unit, the expediency of the use of music is why the use of music therapy method before the therapy methods was established [13]. Another surgery can reduce anxiety, stress and fear. The use study [34] analyzed the postoperative music of preoperative methods of music therapy helps to therapy effectiveness in order to reduce early reduce the need for the use of postoperative postoperative pain, relieve early postoperative narcotic analgesics and intraoperative sedation [9]. anxiety, prolong sleep time and improve the sleep Thus, in a number of studies it has been quality of patients after mechanical replacement of found that music therapy has positive effect on the the mitral valve and found that music therapy can postoperative pain treatment [20. 10] to reduce the be an effective measure to reduce early need for sedation and anesthesia during surgical postoperative pain, relieve early postoperative and endoscopic procedures [2. 30], to reduce the anxiety. level of anxiety in critically ill patients on mechanic Also, another blind randomized controlled ventilation of the lungs [18. 15], to reduce the level clinical trial [28] found that daily listening to music of endogenous stress after myocardial infarction can help restore cognitive function and mood after [33]. This evidence suggests that proper use of a stroke. For example 60 patients in the acute music therapy can greatly reduce postoperative pain recovery phase after stroke of the middle cerebral and anxiety, as well as reduce the intake of narcotic artery of the left or right hemispheres served as a analgesics. According to the data of the scientific sample group. All patients received standard drug publication [27] it is recommended to add to nursing therapy and underwent rehabilitation. A group of protocols using methods of music therapy as an patients who have been used music therapy alternative non-drug approach to postoperative methods for 2-months has been selected. Control pain correction. was served by patients who did not use methods of In the study [24] it was found that music music therapy. As a result of the study, it was found therapy as a non-drug approach has a beneficial that in the group of patients who used music effect on the treatment of spinal pain. The study therapy methods, verbal memory was restored and involved 60 patients (35 women, 25 men) aged 40 to attention was concentrated in relation to the 55 years with a diagnosis of anterior, posterior or control group. The band also felt less depressed and anterior spondylosis. Patients were randomized to confused than the control group. These results the I group (music group), which, against the demonstrate for the first time that listening to background of standard pharmacotherapy and music early after a stroke can increase cognitive necessary care procedures, used music therapy and recovery and prevent negative mood. the II group (control group), which, against the In another study of the effectiveness of background of standard pharmacotherapy and music therapy methods in patients with acute necessary care procedures, did not apply music cerebral circulatory disorders, it has been found that therapy methods. Both Group I and Group II rhythmic auditory stimulation can be useful for http://pharmacologyonline.silae.it ISSN: 1827-8620 PhOL Voskoboinikova, et al. 2028 (pag 2026-2031) improving walking parameters in patients with depression, anxiety, schizophrenia, autism and stroke, including walking speed, rhythm, step length dementia [12, 3]. and walking symmetry [4]. Another study found that improving In another study, patients who underwent cognitive functions especially memory and early neurological rehabilitation after a stroke increasing serum dopamine levels in the elderly without significant previous musical training were after listening to music with Balinese flute as the taught to play the piano by studying simple finger main tool [17]. exercises and studying children's songs. The In the study [11] involving methods of music duration of this course of medical therapy was 10 therapy: musical recreation, musical improvisation, sessions for half an hour. Patients first received musical composition, listening to music, receptive three individual therapy sessions, and then experience [5] was found reducing depression continued in pairs. The pairs of patients were symptoms and improvement the quality of life in divided into two groups. Patients of one group the patients on hemodialysis. And the meta-analysis played synchronously (group together), while of the data [14] also suggest that musical patients of the other group played one by one intervention effectively reduces anxiety symptoms (group by one). To assess the recovery of Fine in patients with hemodialysis. motor Skills, patients performed standard clinical Rhythm in music can structure behavior tests, such as a Nine-Hole Peg Test (9HPT), the while directly affecting emotions and changing their speed and regularity of tapping with the index physiological functions, such as heart rate, muscle finger, and tapping with the metronome. The mood tone, blood pressure and breathing. Listening to of patients was evaluated by using The Profile of music, also widely used to relieve stress in all fields Mood States (POMS). As a result of the study, it was of medicine, is usually a reliable and effective found that both groups showed improved control of treatment for critically ill patients [23, 26, 31]. Fine motor Skills. During finger tapping using a In dentistry, it has been proved that the use metronome, patients in both groups improved of music reduces the physiological parameters of significantly. Mood tests have shown decreased anxiety in patients during cleaning and extraction of depression and fatigue in both groups. During the teeth. One of the most objective and simple ways to therapy, patients in the group evaluated their measure stress and anxiety is to use cortisol in partner as more likeable, than the group together saliva. Studies have shown that music significantly on a visual-analog scale. The above indicates that reduces the level of cortisol in saliva during rehabilitation after stroke with the help of music simulated situations of dental care, such as showing therapy methods can improve the control of Fine the patient the needle of a carpal syringe and the motor Skills and mood not only separately, but also influence of high-speed dental tip sound. In this in pairs of patients. Patients who played by turn and regard, it has been described that music effectively not simultaneously tended to show more controls anxiety [1]. In addition, among other things, improvement in Fine motor Skills [32]. music can modulate the immune response by The study [8] analyzed the importance of increasing the activity of natural killer cells, alternative practices, such as playing an instrument lymphocytes and interferon-γ, which is an (piano, violin, etc.), singing or performing guided interesting feature, since many diseases are musical exercises as a therapeutic activity for the associated with an imbalance of the immune system elderly with Parkinson's disease. Also, another study [25, 21, 22]. clearly demonstrated the favorable effect of music In a randomized control study, the effect of therapy on motor parameters in patients with passive listening to relaxing raga (Indian music) on Parkinson's disease, Alzheimer's disease and vegetative functions in prehypertension and multiple sclerosis [12, 6, 3]. hypertension patients was investigated. It has been Music has also been able to improve mental found that passive listening of Indian music, state and social functioning in a wide range of together with normal lifestyle changes, plays a role mental disorders, including but not limited to in the normalization of diastolic and systolic BP by modification of vegetative functions and thus can http://pharmacologyonline.silae.it ISSN: 1827-8620 PhOL Voskoboinikova, et al. 2029 (pag 2026-2031) be used as additional therapy along with other and depression: a randomized clinical trial. J lifestyle modifications in patients with hypertension Affect Disord 2015; 184: 13-7. and prehypertension [16]. 4. Bradt J, Magee WL, Dileo C, Wheeler BL, Quite interesting was a comparative study McGilloway E. Music therapy for acquired on the impact of listening to live and recorded music brain injury. Cochrane Database Syst Rev. in the admission department of the outpatient clinic 2010 Jul 7;(7):CD006787. doi: [7]. One clinic provided a playlist with recorded 10.1002/14651858.CD006787.pub2. Update music by two authors, while the other clinic in: Cochrane Database Syst Rev. 2017 Jan provided a music therapy when student played the 20;1:CD006787. PMID: 20614449. guitar, used flute and voice. The questionnaire 5. Bruscia K. Definindo musicoterapia. 2ª ed. evaluated the effect of music on the pain and Rio de Janeiro: Enelivros; 2000. emotional state of patients, as well as the attitude 6. Cervellin G, Lippi G. From music-beat to to music in the waiting room. As a result of the heart-beat: A journey in the complex comparative study, a decrease in the level of interactions between music, brain and heart. anxiety, stress and pain in patients in both clinics Eur J Intern Med 2011; 22: 371-4. was found. Patients of the clinic with live music 7. Collins M, Fitzpatrick K, Kiernan AM, Moss H, reported that music reduced the level of stress, Harmon D. Pilot Study on Music in the nervousness, excitement and pain more than the Waiting Room of Outpatient Pain Clinics. clinic where the music was recorded. This study Pain Manag Nurs. 2021 Oct 20:S1524- once again emphasizes the importance of 9042(21)00211-3. doi: considering the methods of music therapy as an 10.1016/j.pmn.2021.09.002. Epub ahead of additional non-pharmacological method for the print. PMID: 34688552. correction of various pathological conditions of the 8. Côrte B, Lodovici Neto P. A musicoterapia na body. doença de Parkinson [Music therapy on Thus, the use of music is an additional Parkinson disease]. Cien Saude Colet. 2009 therapeutic tool in the treatment of various nervous Nov-Dec;14(6):2295-304. Portuguese. doi: diseases, cardiovascular, endocrine, excretory 10.1590/s1413-81232009000600038. PMID: systems and is an effective non-drug approach to 20069199. the correction of various pathological processes in 9. Fu VX, Oomens P, Klimek M, Verhofstad the body. 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Anesth Analg 2005;100:1316–9. Mar;41(1):74-82. doi: 10.1590/2175-8239-jbn- [table of contents.] 2018-0023. Epub 2018 Sep 13. PMID: 3. Bidabadi SS, Mehryar A. Music therapy as an 30222176; PMCID: PMC6534034. adjunct to standard treatment for obsessive 12. Kamioka H, Tsutani K, Yamada M, Park H, compulsive disorder and co-morbid anxiety Okuizumi H, Tsuruoka K, Honda T, Okada S, Park SJ, Kitayuguchi J, Abe T, Handa S, Oshio http://pharmacologyonline.silae.it ISSN: 1827-8620
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