Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Kodakyar Ave., Daneshjo Blvd, Evin, Tehran, Iran.
Pediatric Neurorehabilitation Research Center, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran.
Eur J Pediatr. 2023 Dec;182(12):5681-5692. doi: 10.1007/s00431-023-05237-0. Epub 2023 Oct 12.
Prematurity may produce long-term complications in the physical and cognitive development of infants. There is a need for interventions that can improve feeding and reduce the length of NICU stay and separation time between the infant and mother. This study aimed to explore the clinical effect of premature infant oral motor intervention [PIOMI] combined with music therapy [MT] on feeding progression in premature infants.Premature infants with gestational ages between 26 and 30 weeks were included in the study. Fifty-two participants were randomly divided into intervention and control groups. All infants received PIOMI, and the intervention group received additional MT. The participants of the two groups were compared based on weight gain, feeding progression, Preterm Oral Feeding Readiness Scale [POFRAS], milk volume, and length of hospitalization. The data were analyzed using independent sample t-tests, covariance tests, and repeated measure ANOVA used to compare three group means.The intervention group reached independent oral feeding 8 days earlier [P = .018] than the control group. Length of hospitalization was 6 days shorter [P = .224] for the intervention group, and the mean volume of milk on the 10th day was 215.38 ± 56.4 in the intervention group and 155.69 ± 68.9 in the control group, respectively [P = .001]. The mean score of the POFRAS scale on the 10th day was 28.65 ± 3.0 in the intervention groups and 20.96 ± 3.3 in the control groups, retrospectively [P = .001]. There was no difference in weight gain between the two groups [P = .522].Conclusion: PIOMI combined with MT was effective for the feeding progression of premature infants, and infants who received both these interventions were discharged sooner than control infants. Thus, MT should be considered part of feeding interventions for preterm infants with gestational ages between 26 and 30 weeks.Trial registration: Clinical trial registration number: IRCT20210502051155N1 on 18/9/2021 What is Known -- What is New: • There is numerous study about the eff ect of music therapy or oral motor interventi on. However, premature Infants havenot been yet studied to determine whether music therapy and oral motor interventi ons may synergize to aid their feedingprogression.
早产儿可能会在身体和认知发育方面长期出现并发症。需要采取干预措施，以改善喂养情况，减少新生儿重症监护病房（NICU）的住院时间和母婴分离时间。本研究旨在探讨早产儿口腔运动干预（PIOMI）联合音乐疗法（MT）对早产儿喂养进展的临床效果。
研究纳入胎龄 26-30 周的早产儿。52 名参与者被随机分为干预组和对照组。所有婴儿均接受 PIOMI，干预组在此基础上接受 MT。根据体重增加、喂养进展、早产儿口腔喂养准备量表（POFRAS）、奶量和住院时间对两组进行比较。采用独立样本 t 检验、协方差检验和重复测量方差分析比较三组均值。
干预组达到独立口服喂养的时间比对照组早 8 天[P = .018]。干预组的住院时间缩短了 6 天[P = .224]，干预组第 10 天的平均奶量为 215.38 ± 56.4ml，对照组为 155.69 ± 68.9ml[P = .001]。干预组第 10 天 POFRAS 量表的平均得分为 28.65 ± 3.0，对照组为 20.96 ± 3.3[P = .001]。两组间体重增加无差异[P = .522]。
PIOMI 联合 MT 对早产儿喂养进展有效，接受这两种干预措施的婴儿出院时间早于对照组。因此，应考虑将音乐疗法作为胎龄 26-30 周早产儿喂养干预的一部分。
临床试验注册号：IRCT20210502051155N1，于 2021 年 9 月 18 日注册。
已知内容——新内容：
• 有许多关于音乐疗法或口腔运动干预的研究。然而，尚未研究早产儿是否可以通过音乐疗法和口腔运动干预协同促进其喂养进展。
