Barbora Červenková


Preterm birth is associated with increased risk of neurological, cognitive, motor or sensory impairment  and  behavioral problems. Music therapy appears to promote neurobehavioral outcomes and can improve  brain structure functions.

The aim of the study presented in the article is to analyse a potential of  a special music therapy technique to shorten time to achieve full oral intake in children born extremely preterm, to (<28 weeks) with bronchopulmonary dysplasia (BPD). We used the mother's singing during breastfeeding, with the slow  tempo (60 beats per minute) and a recurring pattern of stressed (strong) and unstressed  (weak) syllables (each second was highlighted) to help preterm babies to organize coordination of sucking swallowing and breathing.  This therapeutic approach is based on the theory and methods  of neurological music therapy called Patterned Sensory Enhancement (PSE). A total of 40 children were included in this Oxford pretest - posttest  study design. The experimental group used the PSE intervention technique (n = 20) was compared with the control group of children (n = 20) without the specific therapy.



bronchopulmonary dysplasia, neurologic music therapy, oral food intake, premature babies

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Abromeit, D.H. (2003). The newborn individualized developmental care and assessment program (NIDCAP) as a model for clinical music therapy interventions with premature infants. Music Therapy Perspectives, 21(2), 60-68. Retrieved from:

Arnon, S., Diamant, C., Bauer, S., Regev, R., Sirota, G. & Litmanovitz, I. (2014) Maternal singing during kangaroo care led to autonomic stability in preterm infants and reduced maternal anxiety. Acta paediatrica, 103 (10), 1039-1044. Retrieved from:

Arnon, S., Shapsa, A., Forman, L., Regev, R., Bauer, S., Litmanovitz L. & Dolfin, T. (2006) Live music is beneficial to preterm infants in the neonatal intensive care unit environment. Birth, 33(2), 131-136. Retrieved from:

Bieleninik, Ł., Ghetti, C.M., & Gold, C. (2016). Music therapy for premature infants and their parents/caregivers: A systematic review and meta-analysis. Nordic Journal of Music Therapy, 25(sup1), 131-131. Retrieved from:

Burke, M., Walsh, J., Oehler, J., & Gingras, J. (1995). Music therapy following suctioning: four case studies. Neonatal network, 14(7), 41–49.

Chou, L., Wang, R., Chen, S., & Pai, L. (2003). Effects of music therapy on oxygen saturation in premature infants receiving endotracheal suctioning. Journal of Nursing Research, 11(3), 209-216. Retrieved from:

Efendi, D., & Tane, R. (2019). The effects of music therapy on vital signs, feeding, and sleep in premature infants. NurseLine Journal, 4(1), 31. Retrieved form:

Garunkstiene, R., Buinauskiene, J., Uloziene, I., & Markuniene, E. (2014). Controlled trial of live versus recorded lullabies in preterm infants. Nordic Journal of Music Therapy, 23(1), 71-88. Retrieved from:

Gewolb, I.H., Bosnia, J.F., Reynolds, E. W., & Vice, F.L. (2007). Integration of suck and swallow rhythms during feeding in preterm infants with and without bronchopulmonary dysplasia. Developmental Medicine & Child Neurology, 45(5), 344-348. Retrieved from:

Ghetti, C., Bieleninik,Ł., Hysing, M., Kvestad, I., Assmus, J., Romeo, R., Ettenberger, M., Arnon, S., Vederhus, B.J., Gaden, T.S., Gold, Ch. (2019) Longitudinal Study of music Therapy’s Effectiveness for Premature infants and their caregivers (LongSTEP): protocol for an international randomised trial. BMJ Open. DOI: 10.1136/bmjopen-2018-025062

Hartling, L., Shaik, M.S., Tjosvold, L., Leicht, R., Liang, Y., & Kumar, M. (2009). Music for medical indications in the neonatal period: A systematic review of randomised controlled trials. Archives of Disease in Childhood - Fetal and Neonatal Edition, 94(5), F349-F354. Retrieved from:

Haslbeck, F.B. (2012). Music therapy for premature infants and their parents: an integrative review. Nordic Journal of Music Therapy, 21(3), 203-226. Retrieved from:

Haslbeck, F.B. (2014). The interactive potential of creative music therapy with premature infants and their parents: A qualitative analysis. Nordic Journal of Music Therapy, 23(1), 36-70. Retrieved from:

Haslbeck, F.B., Bucher, H., Bassler, D., & Hagmann, C. (2017). Creative music therapy to promote brain structure, function, and neurobehavioral outcomes in preterm infants: A randomized controlled pilot trial protocol. Pilot and Feasibility Studies, 3(1). Retrieved from:

Kemper, K.J., & Hamilton, C. (2008). Live harp music reduces activity and increases weight gain in stable premature infants. The Journal of Alternative and Complementary Medicine, 14(10), 1185-1186. Retrieved from:

Loewy, J., Stewart, K., Dassler, A., Telsey, A., & Homel, P. (2013). The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics. 131(5), 902-918. Retrieved from:

Lordier, L., Meskaldji, 0D., Grouiller, F., Pittet, M.P., Vollenweider, A., Vasung, L., Borradori-Tolsa, C., Lazeyras, F., Grandjean, D., Van De Ville, D., & Hüppi, P.S. (2019). Music in premature infants enhances high-level cognitive brain networks. Proceedings of the National Academy of Sciences, June 11, 2019, 116(24) 12103-12108. Retrieved from:

Oetter, P., Richter, E.W., & Frick, S.M. (1995). M.O.R.E.: Integrating the mouth with sensory and postural functions. 2nd ed. Framingham : Therapro.

Penn, A. & Shatz, C. (1999). Brain waves and brain wiring: The role of endogenous and sensory-driven neural activity in development. Pediatric Research, 45(4), 447–458. Retrieved from:

Rainey, P.M.M. (2003). Relating improvisational music therapy with severely and multiply disabled children to communication development. Journal of Music Therapy, 40(3), 227–246.

Rajeshri, R.M., Jayendra, R.G., Rhushita, M.P., & Tushar, A. (2016). The effects of music on vital signs, weight, and wellbeing of premature infants. Indian Journal of Maternal-Fetal and Neonatal Medicine, 3(2), 73-79. Retrieved from:

Standley, J.M. (2012). Music therapy research in the NICU: An updated meta-analysis. Neonatal Network, 31(5), 311-316. Retrieved from:

Standley, J.M., & Walworth, D. (2010). Music therapy with premature infants: Research and developmental interventions. 2nd ed. Silver Spring : American Music Therapy Association

Thaut, M.H., & Hoemberg, V. (2014). Handbook of Neurologic music therapy. Oxford : Oxford University Press

Thomas, K.A., & Uran, A. (2007). How the nicu environment sounds to a preterm infant. MCN, The American Journal of Maternal/Child Nursing, 32(4), 250-253. Retrieved from:

Tramo, M.J., Lense, M., Van Ness, C., Kagan, J., Settle, M.D., & Cronin, J.H. (2011). Effects of music on physiological and behavioral indices of acute pain and stress in premature infants: Clinical trial and literature review. Music and Medicine, 3(2), 72-83. Retrieved from:

Uematsu, H., & Sobue, I. (2019). Effect of music (Brahms lullaby) and non-nutritive sucking on heel Lance in preterm infants: A randomized controlled crossover trial. Paediatrics & Child Health, 24(1), 63-63. Retrieved from:

Williams, M.S., & Shellenberger, S. (1996). How does your engine run? A leader's guide to the alert program for self-regulation. Tulsa : TherapyWorks.

Whipple, J. (2008). The effect of music-reinforced Nonnutritive sucking on state of preterm, low birthweight infants experiencing Heelstick. Journal of Music Therapy, 45(3), 227-272. Retrieved from:

Yildiz, A., & Arikan, D. (2011). The effects of giving pacifiers to premature infants and making them listen to lullabies on their transition period for total oral feeding and sucking success. Journal of Clinical Nursing, 21(5-6), 644-656. Retrieved from:



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