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Combining Kangaroo Care and Live-Performed Music Therapy: Effects on Physiological Stability and Neurological Functioning in Extremely and Very Preterm Infants.

Published version
Peer-reviewed

Repository DOI


Type

Article

Change log

Authors

Span, Loïs C 
van Dokkum, Nienke H  ORCID logo  https://orcid.org/0000-0003-2706-0372
Ravensbergen, Anne-Greet 
Bos, Arend F 
Jaschke, Artur C 

Abstract

Interventions such as kangaroo care (KC) and live-performed music therapy (LPMT), are increasingly used to facilitate stress reduction in neonates. This study aims to investigate the effect of combining the two on physiological responses and neurological functioning in very preterm infants. Infants received six sessions of LPMT. KC was added to one LPMT session. Physiological responses included heart rate, respiratory rate and oxygen saturation. We videotaped infants for 30 min before and after two sessions to assess general movements (GMs). We included 17 infants, gestational age median 26.0 weeks (IQR 25.6-30.6 weeks), of whom six were males. Combined interventions showed a decrease in heart rate from mean 164 bpm before to 157 bpm during therapy, p = 0.001. Oxygen saturation levels increased during combination therapy from median 91.4% to 94.5%, p = 0.044. We found no effects of LPMT or combined interventions on GMs. Infants with a postnatal age (PNA) <7 days generally seem to display less optimal GMs after therapy compared with infants with a PNA >7 days. In conclusion, combining interventions is equally beneficial for physiological stability and neurological functioning as LPMT alone. Future studies should focus on the effects of this combination on parent-infant bonding.

Description

Keywords

general movement optimality score, general movements, kangaroo care, live-performed music therapy, Child, Heart Rate, Humans, Infant, Newborn, Infant, Premature, Infant, Very Low Birth Weight, Kangaroo-Mother Care Method, Male, Music Therapy

Journal Title

Int J Environ Res Public Health

Conference Name

Journal ISSN

1661-7827
1660-4601

Volume Title

18

Publisher

MDPI AG