Several tweet posted on the subject of music therapy, namely by Fiona Lawson and Dr. Michael Narvey. It prompted me to share paper on the on the Music therapy(MT) in NICU as I was able to research for my posgrad as a way of humanizing NICU experience. I had a topic on my mind for a while since I used to 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 in 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  developed the Lullaby dummy -©PALS - by the company Power Devices. There are many initiative exploring the benefits of music therapy around the World. Most initiatives center their studies using the *NIDCAP* Neonatal framework. The location spans from Spain to Brazil passing by Canada back to Sweden.For example, I found 5 Spanish initiatives, like "Música 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 one 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, 🎶therapy provides a reduction of heart and breathing rate proving the calming effect.of therapy.
#-Secondly, addition 🎶 therapy can help form mother-baby bond especially when done in conjunction with kangaroo care,as well reducing parental stress #-Third and final, studies suggests that the cumulative effect 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  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  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.
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
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
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/