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Classical Music and Sound Therapy

By Dr. Randi Fredricks, Ph.D.

Of all the sound therapies in use today, music is the most common. Classical music is often a good choice for music therapy. Classical music can reduce heart rate, blood pressure, pain, and anxiety.

In hospitals, it's used to alleviate pain (along with pain medication or anesthesia), improve patients' moods and counteract depression, promote movement during physical rehabilitation, calm or sedate, induce sleep, counteract fear, and reduce muscle tension. In nursing homes, it's used to boost the residents' level of physical, mental, and social functioning.

You're likely to encounter classical music being used as sound therapy in a variety of situations. Among its many applications:

  • Relieving anxiety before and after surgery.
  • Reducing stress in the hospital's intensive care unit.
  • Relaxing infants and children.
  • Reducing chemotherapy-induced nausea and vomiting.
  • Breaking the cycle of pain in people with chronic pain.
  • Helping stroke patients and people with Parkinson's disease walk normally.
  • Helping some women in labor to forego anesthesia.
  • Reducing anxiety during flexible sigmoidoscopy, an uncomfortable, 5 to 10-minute procedure in which the lower colon and rectum are examined for potentially cancerous polyps.
  • Reducing stress in healthy persons.
Classical music as therapy has been extensively studied, and has yielded a host of positive results. For instance, stroke patients who listened to music with imbedded metronome pulses for 30 minutes a day over a period of 3 weeks were able to walk with better stride, cadence, and foot placement than patients who did not receive the treatments. Similar improvement was seen in patients with Parkinson's disease. The researchers theorized that muscle activity that is synchronized to auditory rhythm becomes more regular and efficient.

Music therapy has also been used successfully during childbirth in at least one set of clinical trials. The mother and her partner were permitted to choose the type of music to be used during the various stages of labor and after delivery. About half the women who tried the technique did not require anesthesia.

In another study, a single, 30-minute music therapy session produced a significant increase in immune system function in 19 children being treated for cancer. A control group of 17 children who did not receive music therapy showed no significant change.

Classical music as therapy ranges from listening to music to improvising tunes, writing songs, discussing lyrics, performing compositions, using music and imagery, and learning through music. Because music therapy is used in so many different ways, there is no one typical approach.

Classical music intended for relaxation should have about 70 to 80 beats per minute, similar to the heart rate. A faster beat may create tension. It should be low in pitch, since a high pitch also fosters tension. Volume should be kept low. High volume can cause pain.

When used to reduce anxiety, music should have a slow, steady rhythm, a low pitch, liberal orchestration, and relaxing melodies. Instrumental selections are considered more effective than vocal music, since patients may focus on words and their meaning rather than relaxing with the music.

About the Author

Dr. Randi Fredricks, Ph.D. is a psychotherapist and author specializing in the treatment of mental health using integrative medicine and natural therapies. She works with individuals, couples, and families at her office in San Jose, California and is the founder of All Things Well, a certified provider of The Listening Program. Dr. Fredricks' publications include the landmark book Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. No part of this article may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems. Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Dr. Randi Fredricks as articles often present the published results of the research of other professionals. Copyright © 2012.



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Dr. Randi Fredricks, Ph.D., is a certified provider of the Listening Program. This site does not provide medical advice, diagnosis, or treatment and is intended for informational purposes only. No therapeutic relationship is established by the use of this site. Dr. Fredricks is a Licensed Marriage Family Therapist MFC 47803.
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