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Music and Medicine
Music Therapy for Infants

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Dr. Joanne Loewy: The fetus hears the mother’s heartbeat 26 million times before the baby is born. So with this Gato box we could actually recreate the heart sounds.

The Gato box is actually a drum, but we use it without the mallet as a box. And we try to entrain to the baby’s heart rate so we could create a rhythm for the suck, much like if you went to the gym and you went on the treadmill and you play music, you would entrain to that beat. It would help you work out, the rhythm would support your movement.

We use it without a mallet because it would be too jarring. You’ll notice it’s a kind of quiet sound and it’s enclosed, much like the baby would experience in the womb.

We expect the heart rate to go up a little bit in the transition, so we saw that at the beginning. It was high 189, 190. But then very soon the baby was stable transitioning from quiet alert to almost a sleep state.

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6 comments
Michael -- June 25th, 2009 at 1:59 pm

In response to the series in general as well as specifically related to the segment on babies and music)

I like the shows – can you put them on the new PBS video server so that I might watch entire episodes I have missed ? I don’t watch much broadcast TV anymore.
(<> in Phila at least)

it might be explained in another part of the program, but why are the sounds not just recorded so the baby would have access to them more (and presumably have a greater commensurate benefit from the increased exposure)

also it might be explained in another part of the program, but does the performer have some sort of palsy or is that hand movement she is doing part of an idiosyncratci performative aspect ?

thanks

Michael

Michael -- June 25th, 2009 at 2:00 pm

http://video.whyy.org/video

for missing reference to above

JEN -- June 28th, 2009 at 2:34 pm

In a quick response to the question re: recording the rhythm, it is much more effective and appropriate to use live music in order to respond and adapt to your client’s needs ‘in the moment’.

Micheline -- June 28th, 2009 at 6:23 pm

As a neonatologist and a music therapist, I can share with you that the live music is a criticial aspect of the music therapy being implemented and as I understand, is being researched at this hospital and other hospitals throughout the Northeast. The movement of the music therapist’s play/pulse in this case is entrained to the infant’s vital signs. It is carefully timed, and played to match the meter of the suck rhythm-in this case. And in another clip is matched to the respiratory rhythm. The rhythm used depends on diagnosis and/or goal. One cannot achieve this with recorded music, where the pulse is fixed and the dynamic level is not carefully monitored. Recorded sounds and music are not ‘alive’-Though recordings may be lovely; recorded music is not attuned to match the infant’s meter-or vital rhythms which change from moment to moment and warrant the attention and attunement of a trained music therapist-who can also show and instill parents/caregivers capacity for emphasizing such attunement.

Fran -- June 29th, 2009 at 1:15 am

thank you soo much for making this documentry. One day i hope to become a music therapist and this helped me understand more about it.

Krista -- October 10th, 2009 at 11:22 am

Live music, provided by a music therapist, is necessary for music therapy to be effective because it is necessary to react “in the moment”, changing to meet the needs of the client immediately. The energy created by the human being is also an aspect of the therapy that can not be ignored. Consider the difference of listening to a band on recording, as opposed to in concert. Even if you can not see, you can feel the difference. Also consider reading a book to a child. A child will get more out of reading with an adult, than to listening to the book on recording.

For these reasons, live music has been primarily used in music therapy. It has been proven, however, that recorded music can be used for very specific goals in the NICU. The work of Jane Standley with FSU has shown that a pacifier activated lullaby (which is a recording of lullabies) can be used to encourage babies to suck with increasing strength and also at more consistent intervals to keep from tiring themselves out. This intervention is still overseen by a trained music therapist, however, it is sometimes appropriate for interventions to utilize recorded music.

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