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

Hip Fractures Clinical Trial

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06277102
• Other study ID #: Music pain FHF
• Status: Recruiting
• Phase: N/A
• Start date: January 26, 2024
• Est. completion date: June 1, 2024

Study information

• Verified date: February 2024
• Source: Hospital Authority, Hong Kong
• Contact: Kwan Yiu Jeffrey Lau
• Phone: 62017014
• Email: lky194a[@]ha.org.hk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: June 1, 2024
• Est. primary completion date: June 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fractures
• Pain
• Pain, Postoperative

Intervention

Other:
• music listening
Music listening at postoperative day 1 and 2, 1 session per day, 20 minutes per session.

Locations

Country	Name	City	State
Hong Kong	Ward G9, Queen Elizabeth Hospital	Hong Kong

Sponsors (1)

Lead Sponsor	Collaborator
Hospital Authority, Hong Kong

Country where clinical trial is conducted

Hong Kong, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Modified functional ambulatory classification (MFAC) in postoperative Day 3 among subjects with fragility hip fracture		postoperative day 3
Secondary	New mobility score (NMS) in postoperative Day 3 among subjects with fragility hip fracture		postoperative day 3