Use of Music During Physical Therapy Intervention in a Neonatal Intensive Care Unit: A Randomized Controlled Trial

Moran, Cristiane Aparecida; Cacho, Roberta de Oliveira; Cacho, Ênio Walker Azevedo; Sousa, Klayton Galante; Souza, Jane Carla de; Filho, Gentil Gomes da Fonseca; Pereira, Silvana Alves

doi:10.7322/jhgd.103004

Cited by 8 publications

(16 citation statements)

References 24 publications

(50 reference statements)

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“…When considering oxygen saturation, however, the results differ from those presented in other articles that did not reach statistical significance in the increase of this variable (8,13,14) .…”

Section: Resultscontrasting

confidence: 95%

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Efeitos da musicoterapia nos recém-nascidos pré-termos em ventilação não invasiva: estudo quase-experimental

et al. 2021

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Objetivo: Avaliar os efeitos da musicoterapia nas respostas fisiológicas do recém-nascido pré-termo em ventilação não invasiva. Método: Trata-se de um estudo quase-experimental, de grupo único, do tipo antes e depois, com trinta recém-nascidos prematuros, hospitalizados em uma Unidade de Terapia Intensiva Neonatal (UTIN). Resultados: Houve efeitos benéficos da musicoterapia em relação às variáveis frequência respiratória (FR), frequência cardíaca (FC) e saturação de oxigênio. Ao considerar a primeira variável como controle, na FR, observou-se redução de até seis incursões por minuto (p <0,001) e em relação a FC, de até sete batimentos por minuto (p=<0,002). Considerando a saturação de oxigênio, identificou-se o aumento em média de 2% (p=0,003). A variável temperatura axilar apresentou aumento de 0,1ºC após a intervenção (p=0,05; desvio padrão 0,13). Em relação à escala de dor, identificou-se uma redução de um ponto, alterando-se da classificação de dor leve para nenhuma dor (p=0,001; desvio padrão 0,8).

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Section: Resultscontrasting

confidence: 95%

“…Results that are similar to those presented in several studies, but that do not address patients on NIV. The main results evidenced are reductions in respiratory frequency (8,13) and in heart rate (14) .…”

Section: Resultsmentioning

confidence: 99%

Efeitos da musicoterapia nos recém-nascidos pré-termos em ventilação não invasiva: estudo quase-experimental

et al. 2021

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“…Previous research has already evidenced that these interventions have a beneficial effect on PTI's brain development, mainly in the improvement of emotional regulation capabilities 14 . However, in the current review, conflicting results were found for outcomes such as HR, RR, satO2, BP, weight gain, circadian rhythm, feeding behaviour or rate and behavioural states 29,32‐34,37,39,40,46,49,51‐55 …”

Section: Discussionmentioning

confidence: 60%

Clinical benefits of music‐based interventions on preterm infants' health: A systematic review of randomised trials

et al. 2022

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Aim This systematic review aimed to differentiate and isolate the results of different music‐based interventions used with preterm infants in the neonatal intensive care unit and explore their clinical benefits. Methods The last search was performed on 5 July 2021 on Web of Science, Scopus, EMBASE, PsycINFO, CINAHL, LILACS and CENTRAL. Only randomised clinical trials that explored the health benefits of music‐based interventions were considered. Results A total of 39 studies were included. All music‐based interventions were divided into music medicine and music therapy. The overall results suggested that music medicine interventions were associated with a significant improvement in pain relief; in turn, improvements in cardiac and respiratory function, weight gain, eating behaviour, and quiet alert and sleep states were more consistent in studies that followed a music therapy approach with the presence of a music therapist. Conclusion This review supports the beneficial effects of music‐based interventions on the health of preterm infants in a neonatal intensive care unit; however, it also offers suggestions for future studies in order to increase the number of interventions with music therapists, since the results of music therapy approaches were more consistent for physiological and behavioural outcomes.

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“…A study conducted at the Touch Research Institute has showed that twenty minutes of massage every night for asthmatic children can help them to breathe better. This positive finding led to further questions on whether massage therapy, provided by parents, can improve the baby's mental, motoric and social development (Moran et al, 2015;Trivedi, 2015).…”

Section: Discussionmentioning

confidence: 99%

Extremity Strengthening Exercise on Neonates Receiving Phototherapy

2020

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Neonatal jaundice is a clinical condition found in infants, which is characterized by yellow staining of the skin and sclera due to the accumulation of unconjugated bilirubin excess. This is the leading cause of death in 60%-80% of newborns. This research aimed to investigate the effects of an extremity strengthening exercise on neonates, who were receiving phototherapy in terms of defecation frequency, vital signs, enteral feeding and body weight. In this quasi experimental study, 34 aterm neonates with jaundice, who had been admitted for phototherapy, were selected through quota sampling. Subjects were assigned to either an exercise or a control group. The neonates in the exercise group received a passive extremities exercise for 15 to 20 minutes on their extremities twice a day for 3 days, while the neonates in the control group did not receive the exercise. Statistical analysis was performed using an independent t test and the Mann Whitney test. Demographic and clinical characteristics, the defecation frequency, vital signs, total feeding amount and body weight were identified and compared between the two groups.On the third day, the exercise group showed a significantly higher defecation frequency (p=0.000) and a significant increase in their respiration rate (p=0.029); however, there was no significant increase in their vital signs (heart rate p=0.583 and temperature p=0.807;) enteral feeding rate (p=0.202) and body weight (p=0.181). It can be concluded that the extremity strengthening exercise can increase the defecation frequency in neonates with jaundice who are receiving phototherapy. The amount of exercise carried out was limited in order to stabilise body temperature and heart rate.

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Use of Music During Physical Therapy Intervention in a Neonatal Intensive Care Unit: A Randomized Controlled Trial

Cited by 8 publications

References 24 publications

Efeitos da musicoterapia nos recém-nascidos pré-termos em ventilação não invasiva: estudo quase-experimental

Efeitos da musicoterapia nos recém-nascidos pré-termos em ventilação não invasiva: estudo quase-experimental

Clinical benefits of music‐based interventions on preterm infants' health: A systematic review of randomised trials

Extremity Strengthening Exercise on Neonates Receiving Phototherapy

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