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The effects of music therapy on vital signs, feeding, and sleep in premature infants.
Pediatrics. 2013 May; 131(5):902-18.Ped

Abstract

OBJECTIVES

Recorded music risks overstimulation in NICUs. The live elements of music such as rhythm, breath, and parent-preferred lullabies may affect physiologic function (eg, heart and respiratory rates, O2 saturation levels, and activity levels) and developmental function (eg, sleep, feeding behavior, and weight gain) in premature infants.

METHODS

A randomized clinical multisite trial of 272 premature infants aged ≥32 weeks with respiratory distress syndrome, clinical sepsis, and/or SGA (small for gestational age) served as their own controls in 11 NICUs. Infants received 3 interventions per week within a 2-week period, when data of physiologic and developmental domains were collected before, during, and after the interventions or no interventions and daily during a 2-week period.

RESULTS

Three live music interventions showed changes in heart rate interactive with time. Lower heart rates occurred during the lullaby (P < .001) and rhythm intervention (P = .04). Sucking behavior showed differences with rhythm sound interventions (P = .03). Entrained breath sounds rendered lower heart rates after the intervention (P = .04) and differences in sleep patterns (P < .001). Caloric intake (P = .01) and sucking behavior (P = .02) were higher with parent-preferred lullabies. Music decreased parental stress perception (P < .001).

CONCLUSIONS

The informed, intentional therapeutic use of live sound and parent-preferred lullabies applied by a certified music therapist can influence cardiac and respiratory function. Entrained with a premature infant's observed vital signs, sound and lullaby may improve feeding behaviors and sucking patterns and may increase prolonged periods of quiet-alert states. Parent-preferred lullabies, sung live, can enhance bonding, thus decreasing the stress parents associate with premature infant care.

Authors+Show Affiliations

The Louis Armstrong Center for Music and Medicine, Beth Israel Medical Center, New York, NY 10003, USA. jloewy@chpnet.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23589814

Citation

Loewy, Joanne, et al. "The Effects of Music Therapy On Vital Signs, Feeding, and Sleep in Premature Infants." Pediatrics, vol. 131, no. 5, 2013, pp. 902-18.
Loewy J, Stewart K, Dassler AM, et al. The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics. 2013;131(5):902-18.
Loewy, J., Stewart, K., Dassler, A. M., Telsey, A., & Homel, P. (2013). The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics, 131(5), 902-18. https://doi.org/10.1542/peds.2012-1367
Loewy J, et al. The Effects of Music Therapy On Vital Signs, Feeding, and Sleep in Premature Infants. Pediatrics. 2013;131(5):902-18. PubMed PMID: 23589814.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of music therapy on vital signs, feeding, and sleep in premature infants. AU - Loewy,Joanne, AU - Stewart,Kristen, AU - Dassler,Ann-Marie, AU - Telsey,Aimee, AU - Homel,Peter, Y1 - 2013/04/15/ PY - 2013/4/17/entrez PY - 2013/4/17/pubmed PY - 2013/7/19/medline KW - NICU music interventions KW - acoustic stimulation KW - music medicine KW - music therapy SP - 902 EP - 18 JF - Pediatrics JO - Pediatrics VL - 131 IS - 5 N2 - OBJECTIVES: Recorded music risks overstimulation in NICUs. The live elements of music such as rhythm, breath, and parent-preferred lullabies may affect physiologic function (eg, heart and respiratory rates, O2 saturation levels, and activity levels) and developmental function (eg, sleep, feeding behavior, and weight gain) in premature infants. METHODS: A randomized clinical multisite trial of 272 premature infants aged ≥32 weeks with respiratory distress syndrome, clinical sepsis, and/or SGA (small for gestational age) served as their own controls in 11 NICUs. Infants received 3 interventions per week within a 2-week period, when data of physiologic and developmental domains were collected before, during, and after the interventions or no interventions and daily during a 2-week period. RESULTS: Three live music interventions showed changes in heart rate interactive with time. Lower heart rates occurred during the lullaby (P < .001) and rhythm intervention (P = .04). Sucking behavior showed differences with rhythm sound interventions (P = .03). Entrained breath sounds rendered lower heart rates after the intervention (P = .04) and differences in sleep patterns (P < .001). Caloric intake (P = .01) and sucking behavior (P = .02) were higher with parent-preferred lullabies. Music decreased parental stress perception (P < .001). CONCLUSIONS: The informed, intentional therapeutic use of live sound and parent-preferred lullabies applied by a certified music therapist can influence cardiac and respiratory function. Entrained with a premature infant's observed vital signs, sound and lullaby may improve feeding behaviors and sucking patterns and may increase prolonged periods of quiet-alert states. Parent-preferred lullabies, sung live, can enhance bonding, thus decreasing the stress parents associate with premature infant care. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/23589814/The_effects_of_music_therapy_on_vital_signs_feeding_and_sleep_in_premature_infants_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&amp;pmid=23589814 DB - PRIME DP - Unbound Medicine ER -