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Systematic Review

The Role of Music Therapy with Infants with Perinatal Brain Injury

1
Noah’s Ark Children’s Hospice, University College Hospital London, London EN5 4NP, UK
2
Institute for Women’s Health, University College, London WC1E 6HU, UK
3
University Medical Centre Groningen, ArtEZ University of the Arts, 6812 CE Arnhem, The Netherlands
*
Author to whom correspondence should be addressed.
Academic Editor: Brian A Coffman
Brain Sci. 2022, 12(5), 578; https://doi.org/10.3390/brainsci12050578
Received: 30 March 2022 / Revised: 25 April 2022 / Accepted: 27 April 2022 / Published: 29 April 2022
Perinatal brain injury occurs in 5.14/1000 live births in England. A significant proportion of these injuries result from hypoxic ischaemic encephalopathy (HIE) in term infants and intracranial haemorrhage (IVH) or periventricular leukomalacia (PVL) in preterm infants. Standardised care necessitates minimal handling from parents and professionals to reduce the progression of injury. This can potentially increase parental stress through the physical inability to bond with their baby. Recent research highlights the ability of music therapy (MT) to empower parental bonding without handling, through sharing culturally informed personal music with their infant. This review therefore aimed to systematically evaluate the use of MT with infants diagnosed with perinatal brain injury in a neonatal intensive care unit (NICU). Search terms were combined into three categories (audio stimulation (MT), population (neonates) and condition (brain injury), and eight electronic databases were used to identify relevant studies following PRISMA guidelines. Eleven studies using music or vocal stimulation with infants diagnosed with perinatal brain injury were identified and quality assessed using Cochrane ROB2, the ROBINSI Tool and the Newcastle Ottawa Scale. Studies used either voice as live (n = 6) or pre-recorded (n = 3) interventions or pre-recorded instrumental music (n = 2). Studies had two primary areas of focus: developmental outcomes and physiological effects. Results suggested the use of music interventions led to a reduction of infants’ pain scores during procedures and cardiorespiratory events, improved feeding ability (increase oral feeding rate, volume intake and feeds per day) and resulted in larger amygdala volumes than control groups. Additionally, MT intervention on the unit supported long-term hospitalised infants in the acquisition of developmental milestones. Vocal soothing was perceived to be an accessible intervention for parents. However, infants with PVL showed signs of stress in complex interventions, which also potentially resulted in an increase in maternal anxiety in one study. MT with infants diagnosed with perinatal brain injury can have positive effects on infants’ behavioural and neurological parameters and support parental involvement in their infants’ developmental care. Further feasibility studies are required using MT to determine appropriate outcome measures for infants and the support required for parents to allow future comparison in large-scale randomised control trials. View Full-Text
Keywords: neonate; hypoxic ischemic encephalopathy; perinatal brain injury; music therapy; auditory stimulation; vocal stimulation neonate; hypoxic ischemic encephalopathy; perinatal brain injury; music therapy; auditory stimulation; vocal stimulation
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MDPI and ACS Style

Ormston, K.; Howard, R.; Gallagher, K.; Mitra, S.; Jaschke, A. The Role of Music Therapy with Infants with Perinatal Brain Injury. Brain Sci. 2022, 12, 578. https://doi.org/10.3390/brainsci12050578

AMA Style

Ormston K, Howard R, Gallagher K, Mitra S, Jaschke A. The Role of Music Therapy with Infants with Perinatal Brain Injury. Brain Sciences. 2022; 12(5):578. https://doi.org/10.3390/brainsci12050578

Chicago/Turabian Style

Ormston, Kirsty, Rachel Howard, Katie Gallagher, Subhabrata Mitra, and Arthur Jaschke. 2022. "The Role of Music Therapy with Infants with Perinatal Brain Injury" Brain Sciences 12, no. 5: 578. https://doi.org/10.3390/brainsci12050578

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