The effects of live singing on the biophysiological functions of preterm infants hospitalized in a neonatal intensive care unit in Greece: A pilot study

Autor/innen

  • Lelouda Stamou Ph.D, Associate Professor, University of Macedonia, Dept. of Music Science and Art, Thessaloniki, Greece.
  • Faiy Evaggelou MΑ Music Therapist, ΜΑ Music, MA Music Performance
  • Vasileios Stamou Ph.D. Research Assistant, Faculty of Health Studies, University of Bradford, Bradford, UK.
  • Elisavet Diamanti Professor, 1st Department of Neonatology & NICU, School of Medicine, Aristotle University of Thessaloniki, Hippokrateion General Hospital, Thessaloniki, Greece
  • Joanne V. Loewy DA, LCAT, MT-BC, Director, The Louis Armstrong Center for Music and Medicine, Mount Sinai Beth Israel Hospital, NYC

DOI:

https://doi.org/10.47513/mmd.v12i2.703

Abstract

The aim of the study was to investigate the effects of live singing on the biophysiological functions, weight gain, head circumference, body length, and duration of hospitalization of preterm infants hospitalized in a neonatal intensive care unit (NICU) in Greece. Forty-one preterm infants 25-33 + 6 days of PCA took part in the study. 14 infants were assigned to the Mother Singing group (MS) in which mothers sang to their infants for 15 minutes every day during the fourteen-day intervention, 13 to the Music Therapist Singing group (MTS) in which a music therapist sang to the infants for 15 minutes every day during the fourteen-day intervention, and 14 in the control group (CG) which did not receive any additional intervention. Infants of both MS and MTS presented statistically significant improvements in heart rate and blood oxygen saturation, compared to CG. No significant differences between groups were found in weight, head circumference, body length, and duration of hospitalization. The use of live singing by mothers or music therapists appears to elicit positive effects on vital biophysiological functions of premature infants. Further investigation of the role of live singing in NICU is warranted.

 

Autor/innen-Biografien

Lelouda Stamou, Ph.D, Associate Professor, University of Macedonia, Dept. of Music Science and Art, Thessaloniki, Greece.

Lelouda Stamou, PhD, is Associate Professor of Music Education at the University of Macedonia, Thessaloniki, Greece. She is also Director of the ‘Music & Society” Program of Graduate Studies with specializations in Music Education and Music Therapy, and director of the Baby Artist Early Childhood Music Program. 

Faiy Evaggelou, MΑ Music Therapist, ΜΑ Music, MA Music Performance

Faiy Evaggelou is a music teacher in public music schools in Greece, teaching the violin (MA Music, MA Performance Studies). She is also active Music Therapist (MA Music therapy), with specialization  in NICU hospitalized infants, trained in the Rhythm, Breath and Lullaby international training course (RBL Tier 1,2).

Vasileios Stamou, Ph.D. Research Assistant, Faculty of Health Studies, University of Bradford, Bradford, UK.

Vasileios Stamou, PhD, is Research Assistant in the Faculty of Health Studies at the University of Bradford, UK. He was also an adjunct lecturer in the ‘Music & Society’ Program of Graduate Studies at the University of Macedonia, Thessaloniki, Greece.

Elisavet Diamanti, Professor, 1st Department of Neonatology & NICU, School of Medicine, Aristotle University of Thessaloniki, Hippokrateion General Hospital, Thessaloniki, Greece

Elisavet Diamanti is Professor of Neonatology, 1st Department of Neonatology & NICU, School of Medicine, Aristotle University of Thessaloniki, Hippokrateion General Hospital, Thessaloniki, Greece.

Joanne V. Loewy, DA, LCAT, MT-BC, Director, The Louis Armstrong Center for Music and Medicine, Mount Sinai Beth Israel Hospital, NYC

Joanne Loewy, DA, LCAT, MT-BC is the Director of The Louis Armstrong Center for Music and Medicine at Mount Sinai Beth Israel Hospital in NYC.

Literaturhinweise

World Health Organization (2018, February 19). Preterm birth key facts. Retrieved from: https://www.who.int/en/news-room/fact-sheets/detail/preterm-birth

Shoemark H, Dearn T. Music Therapy in the Medical Care of Infants. In: Edwards J, ed. The Oxford Handbook Of Music Therapy. Oxford: Oxford University Press; 2016:24-52.

Cassiano R, Gaspardo C, Linhares M. Prematurity, neonatal health status, and later child behavioral/emotional problems: A systematic review. Infant Ment Health J. 2016;37(3):274-288. doi:10.1002/imhj.21563

Gibson A, Carney S, Wales J. Growth and the Premature Baby. Horm Res Paediatr. 2006;65(3):75-81. doi:10.1159/000091510

Standley J. The effect of music-reinforced nonnutritive sucking on feeding rate of premature infants. J Pediatr Nurs. 2003;18(3):169-173. doi:10.1053/jpdn.2003.34

Haslbeck F, Bassler D. Music From the Very Beginning—A Neuroscience-Based Framework for Music as Therapy for Preterm Infants and Their Parents. Front Behav Neurosci. 2018;12. doi:10.3389/fnbeh.2018.00112

Liwang F, Nadobudskaya D, Lestari I, Hendrarto T. Preterm infant physiological responses to music therapy: a systematic review. Paediatr Indones. 2018;58(5):242-51. doi:10.14238/pi58.5.2018.242-51

Standley J. Music therapy for the neonate. Newborn and Infant Nursing Reviews. 2001;1(4):211-216. doi:10.1053/nbin.2001.28099

Minde K, Whitelaw A, Brown J, Fitzhardinge P. Effect of neonatal complications in premature infants on early parent-infant interactions. Developmental Medicine & Child Neurology. 2008;25(6):763-777. doi:10.1111/j.1469-8749.1983.tb13845.x

Bowlby J. Attachment And Loss. [New York]: Basic Books; 1969.

Gerhard S. Why Love Matters: How Affection Shapes A Baby’S Brain. 1st ed. New York: Brunner-Routledge; 2004.

Abdallah B, Badr L, Hawwari M. The efficacy of massage on short and long term outcomes in preterm infants. Infant Behavior and Development. 2013;36(4):662-669. doi:10.1016/j.infbeh.2013.06.009

Davanzo R, Brovedani P, Travan L et al. Intermittent Kangaroo Mother Care. Journal of Human Lactation. 2013;29(3):332-338. doi:10.1177/0890334413489375

Loewy J. Tonal intervallic Synthesis as Integration in Medical Music Therapy. In: Baker F, Uhlig S, ed. Voicework In Music Therapy. Research And Practice. 1st ed. London, Philadelphia: Jessica Kingsley Publishers; 2011:252-268.

Loewy J. Music Therapy for hospitalized infants and their parents. In: Edwards J, ed. Music Therapy And Parent – Infant Bonding. 1st ed. Oxford: University Press.; 2011:179-190.

Loewy J. NICU music therapy: song of kin as critical lullaby in research and practice. Ann N Y Acad Sci. 2015;1337(1):178-185. doi:10.1111/nyas.12648

Loewy J. Music Therapy In The Neonatal Intensive Care Unit. New York: Satchnote; 2000.

Standley J. Music Therapy Research in the NICU: An Updated Meta-Analysis. Neonatal Network. 2012;31(5):311-316. doi:10.1891/0730-0832.31.5.311

Discenza D. Prematures and Feeding Therapy: New Lullaby-Powered Research. Neonatal Network. 2013;32(6):429-430. doi:10.1891/0730-0832.32.6.429

Standley J. A meta-analysis of the efficacy of music therapy for premature infants. J Pediatr Nurs. 2002;17(2):107-113. doi:10.1053/jpdn.2002.124128

Schwartz F. Music and sound effect on perinatal brain development and the premature baby. In: Loewy J, ed. Music Therapy In The Neonatal Intensive Care Unit. 1st ed. New York: The Louis & Lucille Armstrong Music Therapy Program, Beth Israel Medical Center :9-19.

Liu L, Gujjula S, Thanigai P, Kuo S. Still in Womb: Intrauterine Acoustic Embedded Active Noise Control for Infant Incubators. Advances in Acoustics and Vibration. 2008;2008:1-9. doi:10.1155/2008/495317

Arnon S, Shapsa A, Forman L et al. Live Music Is Beneficial to Preterm Infants in the Neonatal Intensive Care Unit Environment. Birth. 2006;33(2):131-136. doi:10.1111/j.0730-7659.2006.00090.x

Stokes A, Agthe A, El Metwally D. Music exposure and maturation of late preterm sleep-wake cycles: a randomised crossover trial. Acta Paediatr. 2017;107(4):582-586. doi:10.1111/apa.14079

van der Heijden M, Oliai Araghi S, Jeekel J, Reiss I, Hunink M, van Dijk M. Do Hospitalized Premature Infants Benefit from Music Interventions? A Systematic Review of Randomized Controlled Trials. PLoS ONE. 2016;11(9):e0161848. doi:10.1371/journal.pone.0161848

Loewy J, Stewart K, Dassler A, Telsey A, Homel P. The Effects of Music Therapy on Vital Signs, Feeding, and Sleep in Premature Infants. Pediatrics. 2013;131(5):902-918. doi:10.1542/peds.2012-1367

Keith D, Russell K, Weaver B. The Effects of Music Listening on Inconsolable Crying in Premature Infants. J Music Ther. 2009;46(3):191-203. doi:10.1093/jmt/46.3.191

Standley J, Swedberg O. NICU music therapy: Post hoc analysis of an early intervention clinical program. Arts Psychother. 2011;38(1):36-40. doi:10.1016/j.aip.2010.10.004

Walworth D, Standley J, Robertson A, Smith A, Swedberg O, Peyton J. Effects of neurodevelopmental stimulation on premature infants in neonatal intensive care: Randomized controlled trial. Journal of Neonatal Nursing. 2012;18(6):210-216. doi:10.1016/j.jnn.2012.01.001

Trehub S, Nakata T. Emotion and music in infancy. Musicae Scientiae. 2001;5(1_suppl):37-61. doi:10.1177/10298649020050s103

Persico G, Antolini L, Vergani P, Costantini W, Nardi M, Bellotti L. Maternal singing of lullabies during pregnancy and after birth: Effects on mother–infant bonding and on newborns’ behaviour. Concurrent Cohort Study. Women and Birth. 2017;30(4):e214-e220. doi:10.1016/j.wombi.2017.01.007

Loewy J. A Clinical Model of Music Therapy in the NICU. In: Nocker – Ribaupierre M, ed. Music Therapy For Premature And Newborn Infants. 1st ed. Gilsum: Barcelona Publishers; 2004:159-176.

Zimme M. Premature Babies Have Premature Mothers: Practical Experiences with Premature Infants and Their Mothers Using Auditive Stimulation With the Mother’s Voice. In: Nocker – Ribaupierre M, ed. Music Therapy For Premature And Newborn Infants. 1st ed. Gilsum: Barcelona Publishers; 2004:113-128.

Loewy, J. First Sounds: Rhythm, Breath & Lullaby [RBL] Trainer Compendium. New York: Satchnote; 2016.

Cassidy J, Standley J. The Effect of Music Listening on Physiological Responses of Premature Infants in the NICU. J Music Ther. 1995;32(4):208-227. doi:10.1093/jmt/32.4.208

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Veröffentlicht

2020-04-24

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Bd. 12 Nr. 2 (2020)

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