1. Creative music therapy in preterm infants effects cerebrovascular oxygenation and perfusion.
- Author
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Scholkmann F, Haslbeck F, Oba E, Restin T, Ostojic D, Kleiser S, Verbiest BCH, Zohdi H, Wolf U, Bassler D, Bucher HU, Wolf M, and Karen T
- Subjects
- Humans, Infant, Newborn, Female, Male, Oxygen metabolism, Prefrontal Cortex metabolism, Prefrontal Cortex physiology, Prefrontal Cortex blood supply, Brain metabolism, Brain blood supply, Brain physiology, Auditory Cortex physiology, Auditory Cortex metabolism, Music Therapy methods, Infant, Premature, Spectroscopy, Near-Infrared, Cerebrovascular Circulation physiology, Oxygen Saturation physiology
- Abstract
Creative music therapy (CMT) has been shown to promote the development of brain function and structure in preterm infants. We aimed to investigate the effect of CMT on cerebral oxygenation and perfusion to examine how the brain reacts to CMT. Absolute levels of cerebrovascular oxygen saturation (StO
2 ) were measured in clinically stable preterm-born neonates (n = 20, gestational age: ≥30 weeks and < 37 weeks) using two near-infrared spectroscopy (NIRS)-based tissue oximeters over the right prefrontal cortex and left auditory cortex. We applied the systemic physiology augmented functional NIRS approach. Each CMT session lasted 55 min and involved 9 intervals, including two 10-minute intervals during which the music therapist hummed and held the neonate. We found that CMT-induced changes in cerebrovascular StO2 , perfusion and systemic physiology (i) could be classified into two groups (group 1: increase in StO2 during the first singing interval, group 2: decrease in StO2 ), (ii) differed in female neonates compared to male neonates, and (iii) correlated with individual blood haematocrit levels. Our exploratory study (i) demonstrates the impact of CMT on the neonate's physiology and (ii) highlights the need to analyze functional NIRS measurements in neonates separately according to their response pattern to avoid erroneous conclusions, e.g. when only the group average of the signal change is determined., Competing Interests: Declarations Competing interests F.H., T.K., T.R., T.R., B.C.H.V., E.O., H.Z, H.U.B., U.W. and D.B. declare no conflict of interest. D.O. and S.K. are affiliated with and MW is co-founder and president of the board of OxyPrem AG (a University of Zurich spin-off that produces an improved version of the near-infrared spectroscopy oximeters employed in the study). S.K., D.O., and M.W. had no influence on how the data were analyzed by F.S. F. S. provided scientific consulting for companies producing fNIRS devices (NIRx GmbH, Berlin, Germany; Kernel, Culver City, Los Angeles, USA)., (© 2024. The Author(s).)- Published
- 2024
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