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Se-Yeon Park Paediatric SHO 29 nd May 2012

Se-Yeon Park Paediatric SHO 29 nd May 2012. Definition of Music Therapy. Prescribed use of music and musical interventions for the purpose of restoring, maintaining and improving health and well-being.

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Se-Yeon Park Paediatric SHO 29 nd May 2012

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  1. Se-Yeon Park Paediatric SHO 29nd May 2012

  2. Definition of Music Therapy • Prescribed use of music and musical interventions for the purpose of restoring, maintaining and improving health and well-being. • Provides a means with which people can build connections with their inner selves and with others around them.

  3. Background • Can be one-to-one or in groups, live vs recorded, passive vs active participation. • Has been used for centuries (eg David playing the harp for King Saul, Hipprocrates played music for his mental patients) • There is now a BAMT established 2011 • Increasing evidence showing effectiveness

  4. Music Therapy for children • Pain/Anxiety • Growth • Palliative care • Disability • Social ability • Happiness!

  5. Music therapy + • Several studies/reviews suggest music may reduce pain during procedures: -venepuncture/immunisations -lumbar puncture -burn dressing changes -post operative management • Balan R, Bavdekar SB, Jadhav S. Can Indian classical instrumental music reduce pain felt during venepuncture?Indian J Pediatr. 2009 May;76(5):469-73. Epub 2009 Apr 23. • Klassen JA et al. Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials. AmbulPediatr. 2008 Mar-Apr;8(2):117-28.

  6. Music therapy + Anxiety • Music significantly (p=0.017) reduced anxiety in A+E • Aromatherapy was not significantly effective (p=0.347) • Live music reduced the time needed for MRI scans (decreased movements + break requests) • Music helped with crying in premature infants • Holm L, Fitzmaurice L. Emergency department waiting room stress: can music or aromatherapy improve anxiety scores?PaediatrEmerg Care. 2008 Dec;24(12):836-8. • Walworth DD. Effect of live music therapy for patients undergoing magnetic resonance imaging. J Music Ther. 2010 Winter;47(4):335-50. • Keith DR, Russell K, Weaver BS. The effects of music listening on inconsolable crying in premature infants. J Music Ther. 2009 Fall;46(3):191-203.

  7. Music therapy + Growth • Energy expenditure is decreased (10%) • Live harp music led to reduced activity (p<0.01 – from 5000 to 490 movements per hour) - increased weight gain (p<0.01 – 19.1g/kg/d vs 13.3) • Lubetzky R et al. Effect of music by Mozart on energy expenditure in growing preterm infants. Pediatrics. 2010 Jan;125(1):e24-8. Epub 2009 Dec 7. • Kemper KJ, Hamilton C. Live harp music reduces activity and increases weight gain in stable premature infants. J Altern Complement Med. 2008 Dec;14(10):1185-6.

  8. Music therapy + Palliative Care • Beneficial for pain control, distress and mood, and quality of life • Parents 23 times more likely to report satisfaction with the palliative care package (p<0.05) Hanser S. Music therapy in adult oncology: research issues. A Review. J Soc Integr Oncol. 2006 Spring;4(2):62-6. Lindenfelser KJ et al. Music therapy in pediatric palliatrive care: family-centered care to enhance quality of life. Am J Hosp Palliat Care 2012 May 29(3):219-26 Knapp et al. Music therapy in an integrated pediatric palliative care program. Am J Hosp Palliat Care. 2009 Dec-2010 Jan;26(6):449-55. Epub 2009 Aug 7.

  9. Music therapy + Disability • Pitch perception improved in prelingually deafened children with cochlear implants • Synergistic effect with acupuncture to improve movement in cerebral palsy (p<0.05) • Increases attentive behaviour in visually impaired children (p=0.02) • Chen JK, Chuang AY, McMahon C, Hsieh JC, Tung TH, Li LP. Music training improves pitch perception in prelingually deafened children with cochlear implants. Pediatrics. 2010 Apr;125(4):e793-800. Epub 2010 Mar 8. • Yu HB, Liu YF, Wu LX. Acupuncture combined with music therapy for treatment of 30 cases of cerebral palsy. J Tradit Chin Med. 2009 Dec;29(4):243-8. • Robb SL. Music interventions and group participation skills of preschoolers with visual impairments: raising questions about music, arousal, and attention. J Music Ther. 2003 Winter;40(4):266-82.

  10. Music therapy + Social • May improve peer awareness • Reduces aggression and improves self esteem • May help children with autism / delayed speech development to communicate -Sussman JE. The effect of music on peer awareness in preschool age children with developmental disabilities. J Music Ther. 2009 Spring;46(1):53-68. -ChoiAN, Lee MS, Lee JS. Group Music Intervention Reduces Aggression and Improves Self-esteem in Children with Highly Aggressive Behavior: A Pilot Controlled Trial. Evid Based Complement Alternat Med. 2010 Jun;7(2):213-7. Epub 2008 Jul 17. -Gold C, Wigram T, ElefantC.Musictherapy for autistic spectrum disorder. Cochrane Database Syst Review. 2006 Apr 19;(2):CD004381. -Gross et al. Effects of music therapy in the treatment of children with delayed speech development – results of a pilot study. BMC Complement Altern Med 2010 Jun 21;10-39

  11. Music therapy + Happiness • Music therapy leads to greater happiness than play therapy • May promote positive parenting and child development Hendon C, Bohon LM. Hospitalized children's mood differences during play and music therapy. Child Care Health Dev. 2008 Mar;34(2):141-4. Nicholson JM et al. Impact of music therapy to promote positive parenting and child development. J Health Psychol. 2008 Mar;13(2):226-38.

  12. Summary • Inexpensive • Non-pharmacological • Non-invasive • Potential benefit psychologically and physiologically. • However studies are too heterogeneous • Larger/International multi-centre cooperation required Austin D. The psychophysiological effects of music therapy in intensive care units. Paediatr Nurs. 2010 Apr;22(3):14-20. Mrazova M, Celec P. A systematic review of randomized controlled trials using music therapy for children. J Altern Complement Med. 2010 Oct;16(10):1089-95. Epub 2010 Oct 9.

  13. Possible suggestions ??? • Music in the waiting room in A+E • Music on the wards • Encourage music in each cubicle • Considering hiring a music therapist • Instruments in the play area • Mini concerts

  14. In the meantime… feel free to sing!!

  15. Thank you for listening! “Music speaks what cannot be expressed, soothes the mind and gives it rest, heals the heart and makes it whole, flows from heaven to the soul.”

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