Effect of classical music therapy on behavioural parameters among preterm neonates

Introduction: The popularity and credibility of alternative treatment modalities such as music therapy have increased over the past decade. The primary purpose of this study is to assess the effect of classical music therapy on behavioural parameters among preterm neonates. Methods: The research approach of the study was Quasi experimental with time series design. Classical music (Instrumental Flute) was played for preterm neonates with MP3 player for a total duration of 30 minutes at 20 to 30dB-SPL. The behavioural responses were assessed by Neonatal Behavioural Assessment Scale, and parameters were recorded at 5 minute intervals during the therapy period and for the pre music and after music therapy period, the time intervals were 2.5 minutes. The study duration was 60 minutes, 15 minutes before music therapy (BMT), 30 minutes of music therapy (DMT) and 15 minutes after music therapy (AMT). 50 preterm neonates admitted in newborn nursery were selected by convenient sampling and studied for 4 consecutive days. Day 1 and 3 for music therapy (experimental group) and day 2 and 4 as control group when no music was played through headphone. Here the subjects act as control group on alternate days. Results: Regarding the neonatal behaviours in the experimental group with music therapy, 98% of preterm neonates were in the deep sleep states during music (DMT) and 97% had an ongoing effect after music (AMT) for a short period and found that music therapy is statistically highly significant (U= 9.9 (DMT) 9.85 (AMT), P= <0.001). Conclusion: Listening to classical music therapy in Preterm neonates showed deep sleep behaviour states. These effects appear to persist beyond the music therapy for a short period and may play a useful role to achieve relaxation for babies in NICU.