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Impact of Physical Contact on Preterm Infants’ Vital Sign Response to Live Music Therapy

Author

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  • Susann Kobus

    (Department of Paediatrics I, University Hospital, University of Duisburg-Essen, 45147 Essen, Germany
    Centre for Translational Neuro- and Behavioural Sciences (C-TNBS), Faculty of Medicine, University of Duisburg-Essen, 45147 Essen, Germany)

  • Marlis Diezel

    (Department of Paediatrics I, University Hospital, University of Duisburg-Essen, 45147 Essen, Germany
    Centre for Translational Neuro- and Behavioural Sciences (C-TNBS), Faculty of Medicine, University of Duisburg-Essen, 45147 Essen, Germany)

  • Monia Vanessa Dewan

    (Department of Paediatrics I, University Hospital, University of Duisburg-Essen, 45147 Essen, Germany
    Centre for Translational Neuro- and Behavioural Sciences (C-TNBS), Faculty of Medicine, University of Duisburg-Essen, 45147 Essen, Germany)

  • Britta Huening

    (Department of Paediatrics I, University Hospital, University of Duisburg-Essen, 45147 Essen, Germany
    Centre for Translational Neuro- and Behavioural Sciences (C-TNBS), Faculty of Medicine, University of Duisburg-Essen, 45147 Essen, Germany)

  • Anne-Kathrin Dathe

    (Department of Paediatrics I, University Hospital, University of Duisburg-Essen, 45147 Essen, Germany
    Centre for Translational Neuro- and Behavioural Sciences (C-TNBS), Faculty of Medicine, University of Duisburg-Essen, 45147 Essen, Germany
    Department of Health and Nursing, Occupational Therapy, Ernst-Abbe-University of Applied Sciences Jena, 07745 Jena, Germany)

  • Ursula Felderhoff-Mueser

    (Department of Paediatrics I, University Hospital, University of Duisburg-Essen, 45147 Essen, Germany
    Centre for Translational Neuro- and Behavioural Sciences (C-TNBS), Faculty of Medicine, University of Duisburg-Essen, 45147 Essen, Germany)

  • Nora Bruns

    (Department of Paediatrics I, University Hospital, University of Duisburg-Essen, 45147 Essen, Germany
    Centre for Translational Neuro- and Behavioural Sciences (C-TNBS), Faculty of Medicine, University of Duisburg-Essen, 45147 Essen, Germany)

Abstract

Evidence that music therapy stabilises vital parameters in preterm infants is growing, but the optimal setting for therapy is still under investigation. Our study aimed to quantify the effect of physical contact during live music therapy in preterm infants born < 32 weeks’ gestational age (GA) on post-therapy vital sign values. Live music therapy was delivered twice-weekly until discharge from hospital to 40 stable infants < 32 weeks’ GA. Baseline and post-therapy heart rate, respiratory rate, oxygen saturation and physical contact during each session were recorded. 159 sessions were performed with, and 444 sessions without, physical contact. Descriptive and multivariable regression analyses based on directed acyclic graphs were performed. The mean GA was 28.6 ± 2.6 weeks, and 26 (65%) infants were male. Mean absolute values for heart and respiratory rates lowered during music therapy regardless of physical contact. The mean post-therapy SaO2 was higher compared to baseline values regardless of physical contact (mean differences −8.6 beats/min; −13.3 breaths/min and +2.0%). There were no clinically relevant changes in vital sign responses between therapy sessions, with or without physical contact, or adjusted post-therapy values for any of the studied vital signs. Physical contact caused better baseline and post-therapy vital sign values but did not enhance the vital sign response to music therapy. Thus, the effect of music therapy on preterm infants’ vital signs is independent of physical contact and parents’ presence during music therapy in the neonatal intensive care unit.

Suggested Citation

  • Susann Kobus & Marlis Diezel & Monia Vanessa Dewan & Britta Huening & Anne-Kathrin Dathe & Ursula Felderhoff-Mueser & Nora Bruns, 2022. "Impact of Physical Contact on Preterm Infants’ Vital Sign Response to Live Music Therapy," IJERPH, MDPI, vol. 19(15), pages 1-9, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9524-:d:879098
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    References listed on IDEAS

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    1. Susann Kobus & Marlis Diezel & Britta Huening & Monia Vanessa Dewan & Ursula Felderhoff-Mueser & Nora Bruns, 2021. "Parents’ Perception of Family-Centered Music Therapy with Stable Preterm Infants," IJERPH, MDPI, vol. 18(23), pages 1-9, December.
    2. Susann Kobus & Marlis Diezel & Monia Vanessa Dewan & Britta Huening & Anne-Kathrin Dathe & Ursula Felderhoff-Mueser & Nora Bruns, 2021. "Music Therapy Is Effective during Sleep in Preterm Infants," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
    3. Loïs C. Span & Nienke H. van Dokkum & Anne-Greet Ravensbergen & Arend F. Bos & Artur C. Jaschke, 2021. "Combining Kangaroo Care and Live-Performed Music Therapy: Effects on Physiological Stability and Neurological Functioning in Extremely and Very Preterm Infants," IJERPH, MDPI, vol. 18(12), pages 1-12, June.
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    Cited by:

    1. Susann Kobus & Marlis Diezel & Monia Vanessa Dewan & Britta Huening & Anne-Kathrin Dathe & Peter B. Marschik & Ursula Felderhoff-Mueser & Nora Bruns, 2022. "Music Therapy in Preterm Infants Reduces Maternal Distress," IJERPH, MDPI, vol. 20(1), pages 1-11, December.

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