Constructing optimal experience for the hospitalized newborn through neuro-based music therapy

Shoemark, Helen; Hanson‐Abromeit, Deanna

doi:10.3389/fnhum.2015.00487

Cited by 35 publications

(27 citation statements)

References 48 publications

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“…Second, Shoemark et al suggest that a music intervention should be selected on predictable patterns in rhythm, melody and phrasing, gradual changes in tempo in a lullaby, smooth melodic contours and an absence of harmonies [ 49 ]. They also suggest a vital role for music therapists in a family-centered approach with positive stimulation from music interventions and interventions including a parent’s voice.…”

Section: Discussionmentioning

confidence: 99%

Do Hospitalized Premature Infants Benefit from Music Interventions? A Systematic Review of Randomized Controlled Trials

et al. 2016

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ObjectiveNeonatal intensive care units (NICU) around the world increasingly use music interventions. The most recent systematic review of randomized controlled trials (RCT) dates from 2009. Since then, 15 new RCTs have been published. We provide an updated systematic review on the possible benefits of music interventions on premature infants’ well-being.MethodsWe searched 13 electronic databases and 12 journals from their first available date until August 2016. Included were all RCTs published in English with at least 10 participants per group, including infants born prematurely and admitted to the NICU. Interventions were either recorded music interventions or live music therapy interventions. All control conditions were accepted as long as the effects of the music intervention could be analysed separately. A meta-analysis was not possible due to incompleteness and heterogeneity of the data.ResultsAfter removal of duplicates the searches retrieved 4893 citations, 20 of which fulfilled the inclusion/exclusion criteria. The 20 included studies encompassed 1128 participants receiving recorded or live music interventions in the NICU between 24 and 40 weeks gestational age. Twenty-six different outcomes were reported which we classified into three categories: physiological parameters; growth and feeding; behavioural state, relaxation outcomes and pain. Live music interventions were shown to improve sleep in three out of the four studies and heart rate in two out of the four studies. Recorded music improved heart rate in two out of six studies. Better feeding and sucking outcomes were reported in one study using live music and in two studies using recorded music.ConclusionsAlthough music interventions show promising results in some studies, the variation in quality of the studies, age groups, outcome measures and timing of the interventions across the studies makes it difficult to draw strong conclusions on the effects of music in premature infants.

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Section: Discussionmentioning

confidence: 99%

Do Hospitalized Premature Infants Benefit from Music Interventions? A Systematic Review of Randomized Controlled Trials

et al. 2016

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“…As we have described, sensory deprivation may also negatively impact on neurodevelopment (Jobe, 2014 ). Adequate stimulation for the development of the preterm brain is thus recommended (Jobe, 2014 ; Shoemark et al, 2015 ). Music interventions—as exemplified by the case vignette above—may be appropriate and are the focus of growing interdisciplinary research activities.…”

Section: Music As Therapy For Preterm Infantsmentioning

confidence: 99%

“…Music interventions—as exemplified by the case vignette above—may be appropriate and are the focus of growing interdisciplinary research activities. They may attenuate the stress response in preterm infants and provide environmental enrichment by meaningful auditory stimulation and social contact (Shoemark et al, 2015 ; Anderson and Patel, 2018 ; Haslbeck and Stegemann, 2018 ).…”

Section: Music As Therapy For Preterm Infantsmentioning

confidence: 99%

Music From the Very Beginning—A Neuroscience-Based Framework for Music as Therapy for Preterm Infants and Their Parents

Haslbeck

Bassler

2018

Front. Behav. Neurosci.

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Human and animal studies demonstrate that early auditory experiences influence brain development. The findings are particularly crucial following preterm birth as the plasticity of auditory regions, and cortex development are heavily dependent on the quality of auditory stimulation. Brain maturation in preterm infants may be affected among other things by the overwhelming auditory environment of the neonatal intensive care unit (NICU). Conversely, auditory deprivation, (e.g., the lack of the regular intrauterine rhythms of the maternal heartbeat and the maternal voice) may also have an impact on brain maturation. Therefore, a nurturing enrichment of the auditory environment for preterm infants is warranted. Creative music therapy (CMT) addresses these demands by offering infant-directed singing in lullaby-style that is continually adapted to the neonate’s needs. The therapeutic approach is tailored to the individual developmental stage, entrained to the breathing rhythm, and adapted to the subtle expressions of the newborn. Not only the therapist and the neonate but also the parents play a role in CMT. In this article, we describe how to apply music therapy in a neonatal intensive care environment to support very preterm infants and their families. We speculate that the enriched musical experience may promote brain development and we critically discuss the available evidence in support of our assumption.

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“…Because infant-directed humming is characterized by musical parameters across cultures such as slower tempo, higher pitch, and a distinctive style of humming and singing 65 , these musical parameters can be used to facilitate communication and interaction with the parent-infant dyad even beyond potential cultural and language barriers 66 . In cases when parents are not accountable (e.g., due to severe mental health issues or drug addiction), CMT should aim to integrate other potential caregivers of the infant.…”

Section: Discussionmentioning

confidence: 99%

“…Music therapy in neonatal care is exactly that: an early and promising intervention to stabilize and nurture the infant as well as to promote connectedness at a time when many other interventions are still at risk to overwhelm the fragile infant. CMT for preterm infants and their parents has emerged as one of these interactive music therapy approaches in the NICU 12,13,14 . CMT is an individualized and interactive approach, resource and needs-oriented 15,16,17 .…”

Section: Introductionmentioning

confidence: 99%

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Haslbeck¹,

Bassler²

2020

JoVE

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Creative music therapy for preterm infants and their parents (CMT) has emerged as a promising family-integrated early intervention involving communicative musicality to improve infant development, parental well-being, and bonding. It aims at relaxing and nurturing the infant as well as promoting safety and social interaction for the parent-infant dyad. A music therapist specially trained in CMT hums or sings in an infantdirected, improvised, lullaby style continually adjusting to the individual needs, expressions, and breathing pattern of the preterm infant. Based on the principles of family-integrated care, the family is incorporated individually in the therapeutic process, namely by delivering CMT during kangaroo care (KC) and by motivating and facilitating parental vocal interaction with their infant to strengthen the parent-infant bonding. CMT aims at relaxing, stimulating, and coregulating premature infants at a time when many other interventions are still risky and can overwhelm the vulnerable patient group. CMT may be advantageous not by educating and teaching parents, but rather by uncovering the intuitive capacities of parenting that are often overshadowed by the traumatic experience of preterm birth. However, CMT can only be provided when the infants are clinically stable. CMT with parental integration is feasible when parents are available and receptive to participate. This paper presents a detailed protocol on how to use CMT to empower preterm infants and their families.

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Constructing optimal experience for the hospitalized newborn through neuro-based music therapy

Cited by 35 publications

References 48 publications

Do Hospitalized Premature Infants Benefit from Music Interventions? A Systematic Review of Randomized Controlled Trials

Do Hospitalized Premature Infants Benefit from Music Interventions? A Systematic Review of Randomized Controlled Trials

Music From the Very Beginning—A Neuroscience-Based Framework for Music as Therapy for Preterm Infants and Their Parents

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

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