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Master Thesis

Facteurs prédictifs de réponse à la musicothérapie dans le cadre de douleurs chroniques

Abstract : Chronic pain is a key public health issue given that 10 to 55 % of the French population is said to be concerned. The medical coverage care is complex because it has to take into account the various inherent aspects to it, such as sensory-discriminative, cognitivo-behavioural or emotional aspects. Music therapy has been proved effective and is recommended as a complementary alternative therapy in this field. The objective of this study was to determine predictive factors of receptive patients to music therapy who suffered from chronic pains (using Music care© software) in order to direct them to this specific therapy. A monocentric, retroprospective, before-after study was carried out in the Treatment and Valuation Center of Pain of the CHU Sud Reunion between 06/2013 and 09/2015. This study involved 70 patients, suffering from chronic pains, except migraine, and who benefited from 4 music therapy sessions at least. They have been classified as receptive (39 patients) or non-receptive (31 patients) according to IMMPACT criteria, defined by a global cumulative relief on pain ≥ 10 %. The research on predictive factors proved that patients who gave importance to music were more receptive (p = 0,047). No other statistically significant criteria have been noticed, particularly on socio-professional, pathologies or painful zones’ characteristics. Nevertheless, some tendencies can be brought out: men, fibromyalgia patients, patients in incapacity or suffering from abdomino-pelvic pains, as well as loving classical or popular music seem to be factors for being receptive. To conclude, this study couldn’t highlight clinically pertinent predictive factors, partly due to a lack of power. However, the global decrease in the level of pain is corresponding to those found on the 2 meta-analyses carried out on the topic. Music therapy, as a treatment for chronic pains, remains an advantageous alternative therapy, especially since it contains, so far, no side effects.
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Master Thesis
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Élise Amblard. Facteurs prédictifs de réponse à la musicothérapie dans le cadre de douleurs chroniques . Médecine humaine et pathologie. 2018. ⟨dumas-01716570⟩

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