Objective: Over the past few decades there has been interest in the role of music in the operating theatre. However, despite many reported benefits, a number of potentially harmful effects of music have been identified. This study aimed to explore the effects of rock and classical music on surgical speed, accuracy and perceived distraction when performing multiorgan resection in the board game Operation.
Design: Single-blind, three-arm, randomised controlled trial.
Setting: Imperial Festival, London, May 2016.
Participants: Members of the public (n = 352) aged ≥ 16 years with no previous formal surgical training or hearing impairments.
Methods: Participants were randomised to listen through noise-cancelling headphones to either the sound of an operating theatre, rock music or classical music. Participants were then invited to remove three organs from the board game patient, Cavity Sam, using surgical tweezers.
Main outcome measures: Time taken (seconds) to remove three organs from Cavity Sam; the number of mistakes made in performing the surgery; and perceived distraction, rated on a five-point Likert-type scale from 1 (not at all distracting) to 5 (very distracting).
Results: Rock music impairs the performance of men but not women when undertaking complex surgical procedures in the board game Operation, increasing the time taken to operate and showing a trend towards more surgical mistakes. In addition, classical music was associated with lower perceived distraction during the game, but this effect was attenuated when factoring in how much people liked the music, with suggestions that only people who particularly liked the music of Mozart found it beneficial.
Conclusions: Rock music (specifically Australian rock music) appears to have detrimental effects on surgical performance. Men are advised not to listen to rock music when either operating or playing board games.
- 1. Bosanquet DC, Glasbey JC, Chavez R. Making music in the operating theatre. BMJ 2014; 349: g7436.
- 2. Moris DN, Linos D. Music meets surgery: two sides to the art of “healing”. Surg Endosc 2013; 27: 719-723.
- 3. Ardalan ZSM, Vasudevan A, Hew S, et al. The Value of Audio Devices in the Endoscopy Room (VADER) study: a randomised controlled trial. Med J Aust 2015; 203: 472-475. <MJA full text>
- 4. Allen K, Blascovich J. Effects of music on cardiovascular reactivity among surgeons. JAMA 1994; 272: 882-884.
- 5. Ullmann Y, Fodor L, Schwarzberg I, et al. The sounds of music in the operating room. Injury 2008; 39: 592-597.
- 6. Siu K-C, Suh IH, Mukherjee M, et al. The effect of music on robot-assisted laparoscopic surgical performance. Surg Innov 2010; 17: 306-311.
- 7. Hawksworth C, Asbury AJ, Millar K. Music in theatre: not so harmonious. A survey of attitudes to music played in the operating theatre. Anaesthesia 1997; 52: 79-83.
- 8. Weldon S-M, Korkiakangas T, Bezemer J, Kneebone R. Music and communication in the operating theatre. J Adv Nurs 2015; 71: 2763-2774.
- 9. Miskovic D, Rosenthal R, Zingg U, et al. Randomized controlled trial investigating the effect of music on the virtual reality laparoscopic learning performance of novice surgeons. Surg Endosc 2008; 22: 2416-2420.
- 10. Christenson PG, Peterson JB. Genre and gender in the structure of music preferences. Commun Res 1988; 15: 282-301.
- 11. McNamara L, Ballard ME. Resting arousal, sensation seeking, and music preference. Genet Soc Gen Psychol Monogr 1999; 125: 229.
- 12. Toney GT, Weaver III JB. Effects of gender and gender role self-perceptions on affective reactions to rock music videos. Sex Roles 1994; 30: 567-583.
- 13. Conrad C, Konuk Y, Cao CG, et al. The effect of defined auditory conditions versus mental loading on the laparoscopic motor skill performance of experts. Surg Endosc 2010; 24: 1347-1352.
- 14. Rauscher FH, Shaw GL, Ky CN. Music and spatial task performance. Nature 1993; 365: 611.
- 15. Pietschnig J, Voracek M, Formann AK. Mozart effect–Shmozart effect: a meta-analysis. Intelligence 2010; 38: 314-323.
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