PURPOSE To investigate the role of music on subjects undergoing routine image-guided musculoskeletal corticosteroid injections and its effect on post-procedure pain and subjective overall experience. MATERIALS AND METHODS This prospective study was IRB-approved and HIPAA-compliant. A total of 126 subjects referred for outpatient image-guided musculoskeletal corticosteroid injections were enrolled in the study and randomized into a music offered group ((+)MO) and a no music offered group ((-)MO). (+)MO subjects were given the opportunity to listen to music during their corticosteroid injection. All subjects were then given an anonymous survey on which they recorded their pre-procedural and post-procedural pain on a scale from 0 to 9 and rated their overall experience and how likely they were to recommend our department for musculoskeletal procedures on scales from 1 to 5. RESULTS (+)MO subjects had significantly lower post-procedural pain (p = 0.013) and significantly greater decrease in pain (p = 0.031) compared to (-)MO subjects. Among the (+)MO subjects, there was no statistically significant difference in post-procedure pain (p = 0.34) or change in pain (p = 0.62) if music was accepted or declined. However, subjects who listened to music did have lower post-procedural pain compared to those who did not listen to music (p = 0.012), although the differences in the decrease of pain between the two groups did not quite reach statistical significance (p = 0.062). CONCLUSIONS Playing music during image-guided musculoskeletal corticosteroid injections may reduce patients' post-procedure pain. Offering patients some measure of control over their procedure may be a factor that contributes to decreased post-procedure pain as well.

中文翻译：

---

音乐对图像引导型肌肉骨骼皮质类固醇注射的疼痛和主观体验的影响：一项随机对照试验。

目的研究音乐在接受常规图像引导的肌肉骨骼皮质类固醇注射的受试者中的作用及其对术后疼痛和主观总体体验的影响。材料与方法这项前瞻性研究获得IRB批准且符合HIPAA。总共126名接受门诊图像引导型肌肉骨骼皮质类固醇注射治疗的受试者入选了研究，并随机分为音乐提供组（（+）MO）和无音乐提供组（（-）MO）。（+）MO受试者在注射皮质类固醇期间有机会听音乐。然后，对所有受试者进行匿名调查，在该调查中，他们以0到9的等级记录了其术前和术后的疼痛，并对他们的总体经验进行了评估，并为他们推荐了我们的部门进行了从1到9等级的肌肉骨骼手术。 5.结果（+）MO受试者与（-）MO受试者相比，术后疼痛明显减轻（p = 0.013），疼痛减轻明显（p = 0.031）。在（+）MO受试者中，如果接受或拒绝音乐，则术后疼痛（p = 0.34）或疼痛变化（p = 0.62）无统计学差异。但是，听音乐的受试者与不听音乐的受试者相比，确实有较低的术后疼痛感（p = 0.012），尽管两组之间疼痛减轻的差异并未达到统计学显着性（p = 0.062）。结论在以图像为指导的肌肉骨骼皮质类固醇注射过程中播放音乐可以减轻患者的术后疼痛。为患者提供一定程度的控制程序可能也是导致减轻术后疼痛的一个因素。