Multimodal Neurological Enhancement Intervention for Self-regulation in Premature Infants.

Multimodal Neurological Enhancement Intervention for Self-regulation in Premature Infants. Adv Neonatal Care. 2019 Apr 02;: Authors: Cevasco-Trotter AM, Hamm EL, Yang X, Parton J Abstract BACKGROUND: The neonatal intensive care unit is often a noisy, overstimulating environment that disrupts infants' regulation of physiological and behavioral states and interrupts caregiver bonding; however, infants benefit from early intervention, including the use of multimodal neurological enhancement (MMNE) intervention to provide appropriate neurodevelopmental stimulation. No one has investigated whether it assists infants in self-regulation. PURPOSE: The purpose of this retrospective longitudinal analysis was to examine the effect of a music therapy intervention, MMNE, on self-regulation of premature infants as measured by changes in heart rate (HR). METHODS: A convenience sample of 60 premature infants received 486 MMNE sessions provided by a board-certified music therapist (MT-BC). Documentation, taken during routine clinical services, involved recording infant's HRs from the standard monitor for 3 minutes at baseline, during, and after a 20-minute MMNE intervention. RESULTS: Infants' mean HRs were decreased during and post-MMNE sessions compared with baseline (P< .004 and P< .001, respectively). Furthermore, infants with a baseline HR above 170 had significant decreases both during and after the MMNE session (P&...
Source: Advances in Neonatal Care - Category: Nursing Authors: Tags: Adv Neonatal Care Source Type: research