Musical Vibration–Based Electrical Massage for Pain and Physiological Responses Following Femoral Fracture Surgery: A Quasi-Experiment
(1) Universitas Muhammadiyah Semarang
(2) [Scopus-ID: 57553506300], Universitas Muhammadiyah Semarang
(3) Universitas Muhammadiyah Semarang
(*) Corresponding Author
Abstract
Pain after major orthopaedic surgery may delay movement and interfere with sleep and rehabilitation. This study examined musical vibration–based electrical massage for pain and physiological responses following femoral fracture surgery using a three-day, two-group quasi-experimental study. The study took place at Siaga Utama Orthopedic Hospital, Purwodadi, Central Java, Indonesia, in 2026 and included 50 postoperative femoral fracture patients, 25 assigned to intervention and 25 to comparison care. The intervention consisted of E-MASIV, an electrical massage intervention coordinated with musical vibrations. Outcomes were assessed using pain intensity scores, heart rate and respiratory rate measured before and after each daily session. The mean intervention-group pain reduction was 0.04 points on day one, 0.56 on day two and 0.88 on day three. Between-group changes were not different on day one (p = 0.317), but differed on day two (p = 0.035) and day three (p < 0.001). Heart-rate and respiratory-rate changes differed between groups on all three days (reported p < 0.001). In interpretation, multisensory stimulation might divert attention from pain and support relaxation, but the modest absolute pain changes should be considered in relation to analgesic regimens and clinical thresholds. Physiological changes are supportive outcomes rather than independent proof of analgesia. The design and measurement constraints mean that associations should not be represented as definitive causal effects.
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Beatty, J., Prasun, M. A., & Su, Y. (2024). The Effect of Music on Postoperative Agitation, Pain, and Opioid Use among Patients Undergoing Total Knee Replacement. Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses, 25(6), 571–575. https://doi.org/10.1016/j.pmn.2024.04.009 Billar, R., Kappen, P., Mohammadian, S., van den Berg, C., de Rijke, Y., van den Akker, E., van Rosmalen, J., Schnater, J. M., Vincent, A., Dirven, C., Klimek, M., Wijnen, R., Jeekel, J., Huygen, F., & Tiemensma, J. (2023). The effect of recorded music on pain endurance (CRESCENDo) – A randomized controlled trial. Complementary Therapies in Medicine, 77, 102969. https://doi.org/https://doi.org/10.1016/j.ctim.2023.102969
Li, G., Yu, L., Yang, Y., Deng, J., Shao, L., & Zeng, C. (2024). Effects of Perioperative Music Therapy on Patients with Postoperative Pain and Anxiety: A Systematic Review and Meta-Analysis. Journal of Integrative and Complementary Medicine, 30(1), 37–46. https://doi.org/10.1089/jicm.2022.0803
Amaya, L. K., Bella Collins, A., & Mokaya Nyauma, N. (2023). Music as an Adjuvant Therapy in Postoperative Pain and Physiologic Parameters: Pre-Test, Post-Test Intervention Study. Rwanda Journal of Medicine and Health Sciences, 6(3), 290–302. https://doi.org/10.4314/rjmhs.v6i3.3
Akın, B., & Özdemir, S. (2026). The Effect of Music Played During the Postoperative Period on Pain and Anxiety Levels in Women Who Underwent Cesarean Delivery: A Randomized Controlled Trial. Journal of Integrative and Complementary Medicine, 32(3), 296–302. https://doi.org/10.1177/27683605251389490
Bagheri, M., Abbasi, A., Kurdi, S., Moslemi, F., & Mottahedi, M. (2026). Music therapy and Benson relaxation in postoperative care: A randomized controlled trial on pain and kinesiophobia after lumbar discectomy. Explore (New York, N.Y.), 22(2), 103311. https://doi.org/10.1016/j.explore.2025.103311
Cakir, S. K., & Can, C. E. (2026). The Effect of Listening to Music on Postoperative Pain, Physiological Parameters, and Analgesic Consumption After Total Knee Arthroplasty Surgery: A Randomized Controlled Trial. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses. https://doi.org/10.1016/j.jopan.2025.12.002
Chen, X., Chu, Q., Peng, Y., Chen, Y., Kaye, A. D., Liu, H., Yang, J., Wang, T., & Yu, W. (2025). Clinical practice guidelines for postoperative pain management in adults (2024 edition). Journal of Anesthesia and Translational Medicine, 4(3), 161–185. https://doi.org/https://doi.org/10.1016/j.jatmed.2025.09.001
Hojat Ansari, M., Aemmi, S. Z., & Esmaily, H. (2025). Effectiveness of Slow-stroke Back and Hot Stone Electrical Massage Therapy on Postoperative Anxiety Management in Orthopedic Patients: A Randomized Clinical Trial Study. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, 40(5), 1295–1299. https://doi.org/10.1016/j.jopan.2025.01.025
Lopez, B. M. M., Lee, B. M., Miller, M. D., Ibrahim, M. M., Vanderah, T. W. W., & Riegel, A. C. (2025). Postoperative multimodal pain management: a narrative review of current practices, clinical and educational gaps, and future directions. Frontiers in Anesthesiology, Volume 4-2025. https://doi.org/10.3389/fanes.2025.1709252
Sözen, K. K., & Çinaroğlu, N. S. (2025). The Relationship Between Health Literacy Levels and Early Postoperative Pain, Nausea-vomiting in Patients Undergoing Total Hip Replacement Surgery: A Descriptive and Correlational Study. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, 40(5), 1178–1182. https://doi.org/10.1016/j.jopan.2024.11.011
Zhang, Y. Q., Bao, X., Pei, R., & Li, C. (2025). Perioperative Music Therapy Reduces Anxiety, Pain and Medication Use in Orthopaedic Fracture Surgery Under Regional Anaesthesia: A Retrospective Observational Study. Noise & Health, 27(129), 887–894. https://doi.org/10.4103/nah.nah_128_25
Aksu, N. T., & Erdoğan, A. (2024). Examining The Effects Of Connective Tissue Electrical Massage On Pain After Thoracotomy - Randomized Controlled Trial. Türk Fizyoterapi ve Rehabilitasyon Dergisi, 35(1), 56–65. https://doi.org/10.21653/tjpr.1272245
Cole, Jill S, Olson, Anne D, & Dupont-Versteegden, Esther E. (2024). The Effects of Electrical Massage Therapy in Decreasing Pain and Anxiety in Post-Surgical Patients With Breast Cancer: A Systematic Review and Meta-Analysis. Global Advances in Integrative Medicine and Health, 13, 27536130241245100. https://doi.org/10.1177/27536130241245099
Cole, J. S., Olson, A. D., & Dupont-versteegden, E. E. (2024). The Effects of Electrical Massage Therapy in Decreasing Pain and Anxiety in Post-Surgical Patients With Breast Cancer : A Systematic Review and. Global Advances in Integrative Medicine and Health, 13(1), 1–11. https://doi.org/10.1177/27536130241245099
Do, K., Kawana, E., Young, K., Ching, H. H., & Bigcas, J.-L. (2024). Effects of Music on Pain and Anxiety During Otolaryngology Surgery: A Systematic Review and Meta-analysis. OTO Open, 8(4), e70041. https://doi.org/10.1002/oto2.70041
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DOI: https://doi.org/10.26714/seanr.8.2.2026.60-64
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