Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Binaural-beat music during knee replacement with spinal anesthesia

Official title: Effect of Binaural Beat Music Played During Knee Arthroplasty With Spinal Anesthesia on Anxiety, Pain and Cortisol Levels.

Run by Nuh Naci Yazgan University · NCT06729294 · Data updated 2026-11-12

This study will test whether listening to binaural beat music during knee replacement under spinal anesthesia reduces anxiety, pain, and cortisol levels in adults.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorNuh Naci Yazgan University
Academic / other
Locations1 site (Kocasinan, Kayseri)
StatusRecruiting
StartedFebruary 1, 2025
Main results expectedDecember 2025
Study endsFebruary 2026
Registry record updatedAugust 20, 2025
Trial IDNCT06729294 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults older than 18 undergoing a first-time unilateral knee arthroplasty under spinal anesthesia (ASA 1–3), who can communicate and have no neurological or psychiatric diagnoses, are ideal candidates.

Probably not a fit

Patients with hearing impairment, those receiving or converted to general anesthesia, those who develop complications or require ICU transfer, or those with relevant neurological/psychiatric conditions are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized controlled experimental study comparing binaural beat music played during spinal anesthesia to a control condition in patients having unilateral knee arthroplasty. Forty adults will be randomized (20 music, 20 control) and measures of anxiety, pain scores, and salivary or serum cortisol will be taken around the procedure. Eligible participants are first-time unilateral knee replacement patients ASA I–III who can communicate and have no neurological or psychiatric diagnosis, and procedures are scheduled as first cases of the day. The intervention is noninvasive music playback during the operation, with standard perioperative care otherwise unchanged.

Why it matters

Potential benefit: If successful, the approach could reduce perioperative anxiety and pain and lower stress hormone responses, potentially improving comfort and recovery.

How similar studies have gone: Previous studies of music interventions and some binaural-beat research have reported mixed but occasionally positive effects on perioperative anxiety and pain, so the approach has some supportive but not definitive evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients who are older than 18 years,
* Who have undergone unilateral knee arthroplasty under spinal anesthesia for the first time,
* Who can communicate verbally,
* Who are in the ASA 1-2-3 group,
* Who do not have a neurological or psychiatric diagnosis will be included in the study.
* Since cortisol levels will be measured in our study, the first cases of the day will be included in the study.

Exclusion Criteria:

* Patients who refused to participate in the study were those with hearing impairment due to age or disease,
* Those who had any contraindications for spinal anesthesia,
* Those who were transferred to intensive care after the procedure,
* Those who developed complications during and after the procedure,
* Those who underwent general anesthesia,
* Those whose type of anesthesia was changed during surgery.

Where it's running

  • Kayseri City Hospital
    Kocasinan, Kayseri, Turkey (Türkiye)
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.