Abstract Ref Number = APCP405
THE PHYSIOLOGIC RESPONSES OF MUSIC THERAPY FOR PRETERM INFANTS IN NICU A SYSTEMATIC REVIEW
Ferry Liwang,Dinarda Ulf Nadobudskaya,Indah Lestari
Faculty of Medicine Universitas Indonesia
Background : Prematurity is still the leading cause of mortality and morbidities in neonates. The premature changes of environment cause stress to the infants, which could lead to hemodynamic instability. Recent studies showed that music therapy as a non-invasive, low-cost intervention that can be easily implemented, have positive impacts to hemodynamic parameters of preterm infants in NICU. This study aims to evaluate the preterm infants’ physiologic responses to music therapy.
Material : A systematic review was performed in 12 electronic databases from 2000–April 2018. Included were all parallel or crossover randomized clinical trials of music therapy versus standard care, comparison therapy, or placebo in preterm infants that were published in English. Outcomes were physiologic indicators (heart rate, respiratory rate, and oxygen saturation). Risk of bias was assessed regarding randomization, allocation sequence concealment, blinding, incomplete outcome data, selective outcome reporting, and other biases.
Results : The search yielded 20 articles addressing these concerns. These studies included 1161 preterm infants between 28 and 37 weeks gestational age receiving recorded music, recorded mother’s voice or lullaby, or live music interventions in NICU with intensity between 45-70 dB. Recorded music improved all outcomes in eight out of thirteen studies. Seven studies used classical music as melodic elements. Mozart seemed to have more positive effect than other classical instruments. However, eight studies showed no significant results.
Conclusions : Despite the finding that music interventions demonstrate promising results in some studies, the variation in quality of the studies, age groups, outcome measures, type and timing of the interventions across the studies makes it difficult to conclude the effects of music in preterm infants.
Keywords: music therapy physiologic responses preterm infants