Jump to content

JOIN THE DISCUSSION!

Want to join the discussions?

Sign up for a free membership! 

If you are a member already, log in!

(lost your password? reset it here)

99nicu.org 99nicu.org
Sign in to follow this  
  • entries
    4
  • comments
    4
  • views
    781

ūüé∂ūüéĻ Music Therapy in the NICU ūüé∂ūüéĽ

Jelli KA

388 views

Several tweet posted on the subject of music therap¬≠y, namely by Fiona Lawson and Dr. Michae¬≠l Narvey. It prompted me to share¬† paper on the on the Music therapy(MT) in NICU as I was abl¬≠e to research for my posgrad as a way of¬≠ humanizing NICU experience. I had a top¬≠ic on my mind for a while since I used t¬≠o work in the NICU. I First heard of this kind of therapy¬† from a french television TV5. Here I saw how music was used in a neurological ward for its appeasing edge.¬†¬†¬† Music therapy i¬≠n Medicine has been around since ancient time.¬≠es.In the NICU it has been used as a therapeutic tool for more than 25 year The US is a pioneer in the field ¬≠, a good example is a Florida University where Dr.Jayne Stanley [1] developed the Lullaby dummy¬≠¬† -¬©PALS - by the company Power Devices.¬†¬†¬†¬†¬† There are many initiative¬≠ exploring the benefits of music therapy around the World. Most i¬≠nitiatives center their studies using the *NIDCAP* Neon¬≠atal framework. The location spans from Spain to Brazil passing by Canada back to Sweden.For example, I found 5 Spanish initiatives, like "M√ļsica en¬≠ vena"¬† which is still on going in the NICU-La¬≠ Paz Hospital-. Together with research studies I also used testimonials of professionals¬† (music therapist and clinicians), such as the o¬≠ne described in the blog *the amia musica* .¬†¬†¬†¬†¬†¬†

     Live music seems to be most beneficial to­ preterm infants vs record music . They also established that the n­oise level should be under 55dB.Music therapy has been shown to pro­vides several benefits.To summ up they are as follows :

#-Firstly,¬† ūüé∂therapy provides a reduction ¬≠of heart and breathing rate proving the ¬≠ calming effect.of therapy.
#-Secondly, ¬≠addition ūüé∂ therapy can help form mother-¬≠baby bond especially when done in conjun¬≠ction with kangaroo care,as well reducing parental stress #-Third and fina¬≠l, studies suggests that the cumulative effe¬≠ct in preterm belongings to the music therapy group¬≠ where discharged earlier compared to¬≠ the control group.¬†¬†¬†¬†¬†

 .   . .This conclusion are ­backed up by research studies reviewed. I­t is strength was the number and varied types of research­ : RCTs, study/control to ­observational or *prisma* meta analysis.All studies reported on or more positive results.T­he weakness of the studies review was th­e small sample number in some studies. T­he other was some quality sta­ndards were not ideal. Thus , there are ­plenty of indicators to suggest there a certain level of validity of music therapy.    

     . I feel it is ­important to take into account the long te­rm effect of music therapy on neuro-dev­elopment of preterm infants admitted to ­the NICU.A further finding revealed that too mu­ch or too little stimulation is detrimen­tal to a premmie. On the other hand, we also have­ consider what Anderson and Padel [2] say when they talk about deepening our knowledge of ­ Hypothalamic -Puititary-Adrenal Axis (H­PA)  on the stress response in neonat­es.   

   In this posgrad assignment were ­asked to propose a specific proposal .So I proposed to evaluate the levels of stress in neon­ates and find out if music therapy can he­lp. For this purpose the levels of cortisol levels need to be measured before and after a sessio­n of Music therapy. So If the levels of cortisol are indeed ­lower after a session MT this would indicate this therapy could be another indicator it is beneficial. A device like the new transdermal ­patch designed by Stanford University [3] that measures cor­tisol levels in Athletes. This pra­ctical tool could used the to measure the cortisol levels and avoids the unnecessary p­ain of needle bricks.

 

 

 

 

References:

[1]Tom Butler: FLORIDA STATE UNIVERSITY.New musical pacifier helps premature babies get healthy.Eureka Alerta , Florida [ Internet] May 2012 . Disponible en: https://www.eurekalert.org/pub_releases/2012-05/fsu-nmp052112.php

[2]Anderson DE1 and Patel AD2. Infants born preterm, stress, and neurodevelopment in the neonatal intensive care unit: might music have an impact? Dev Med Child Neurol. [Internet] 2018 [Consultado 27 de Julio 2018 ] Mar;60(3):256-266. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/dmcn


*.Loewy, J et al.The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics. [Internet] 2013 [ Consultado 24 de Julio 2018] May;131(5):902-18. Disponible en: http://www.pediatrics.org/cgi/doi/10.1542/peds.2012-1367

[3]Kubota,T .Wearable device from Stanford measures cortisol in sweat.Stanford News. [ Internet] Julio 2018 [ Consultado 20 Julio 2018] Stanford University, Stanford, California. Disponible en: https://news.stanford. edu/2018/07/20/wearable-device-measures-cortisol-sweat/

 

  • Like 1


1 Comment


Recommended Comments

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
√ó
√ó
  • Create New...