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Effect of premature infant oral motor intervention [PIOMI] combined with music therapy on feeding progression of preterm infants: a randomized control trial

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Abstract

Prematurity may produce long-term complications in the physical and cognitive development of infants. There is a need for interventions that can improve feeding and reduce the length of NICU stay and separation time between the infant and mother. This study aimed to explore the clinical effect of premature infant oral motor intervention [PIOMI] combined with music therapy [MT] on feeding progression in premature infants.

Premature infants with gestational ages between 26 and 30 weeks were included in the study. Fifty-two participants were randomly divided into intervention and control groups. All infants received PIOMI, and the intervention group received additional MT. The participants of the two groups were compared based on weight gain, feeding progression, Preterm Oral Feeding Readiness Scale [POFRAS], milk volume, and length of hospitalization. The data were analyzed using independent sample t-tests, covariance tests, and repeated measure ANOVA used to compare three group means.

The intervention group reached independent oral feeding 8 days earlier [P = .018] than the control group. Length of hospitalization was 6 days shorter [P = .224] for the intervention group, and the mean volume of milk on the 10th day was 215.38 ± 56.4 in the intervention group and 155.69 ± 68.9 in the control group, respectively [P = .001]. The mean score of the POFRAS scale on the 10th day was 28.65 ± 3.0 in the intervention groups and 20.96 ± 3.3 in the control groups, retrospectively [P = .001]. There was no difference in weight gain between the two groups [P = .522].

Conclusion: PIOMI combined with MT was effective for the feeding progression of premature infants, and infants who received both these interventions were discharged sooner than control infants. Thus, MT should be considered part of feeding interventions for preterm infants with gestational ages between 26 and 30 weeks.

Trial registration: Clinical trial registration number: IRCT20210502051155N1 on 18/9/2021

What is Known -- What is New:

• There is numerous study about the eff ect of music therapy or oral motor interventi on. However, premature Infants havenot been yet studied to determine whether music therapy and oral motor interventi ons may synergize to aid their feedingprogression.

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Data is available upon reasonable request.

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Acknowledgements

The authors would like to acknowledge physicians, nurses, and the parents of newborns in hospitals. This article was derived from a master thesis affiliated to University of Social Welfare and Rehabilitation Sciences.

Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

Author information

Authors and Affiliations

  1. Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Kodakyar Ave., Daneshjo Blvd, Evin, Tehran, Iran

    Elmira Shokri, Talieh Zarifian & Kiana GhasrHamidi

  2. Pediatric Neurorehabilitation Research Center, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran

    Farin Soleimani

  3. School of Nursing and Health Sciences, Illinois Wesleyan University, STV Hall, 203 Beecher St, Bloomington, IL, 61702, USA

    Brenda Lessen Knoll

  4. Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

    Ziba Mosayebi

  5. Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

    Mahdi Noroozi

  6. Department of Health and Rehabilitation Sciences, University of Cape Town, Cape Town, South Africa

    Michelle Pascoe

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  1. Elmira Shokri
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  2. Talieh Zarifian
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by E.S., T.Z., and F.S. The first draft of the manuscript was written by E.S., and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. Conceptualization: E.S., F.S., T.Z. Methodology: E.S., T.Z., F.S., M.N., Z.M. Formal analysis and investigation: E.S., K.G., T.Z., F.S. Writing-original draft preparation: E.S. Writing-review and editing: T.Z., F.S., B.L., M.P.

Corresponding author

Correspondence to Talieh Zarifian.

Ethics declarations

Ethics approval and consent to participate

Ethical approval of all procedures performed in this study involving human participants was in accordance with the ethical standards of the institutional and/or national research committee. This study was reviewed and approved by the ethics committee at the University of Social Welfare and Rehabilitation Sciences [IR.USWR.REC.1400.106]. Registration of the trial protocol has been approved in the Iranian Registry of Clinical Trials on 18/9/2021 [IRCT20210502051155N1], and written informed consent was obtained from the parents of all children. We confirm that all procedures were undertaken in accordance with relevant guidelines and regulations.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Competing interests

The authors declare no competing interests.

Additional information

Communicated by Daniele De Luca

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https://www.researchsquare.com/article/rs-2066214/v1.pdf

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Shokri, E., Zarifian, T., Soleimani, F. et al. Effect of premature infant oral motor intervention [PIOMI] combined with music therapy on feeding progression of preterm infants: a randomized control trial. Eur J Pediatr 182, 5681–5692 (2023). https://doi.org/10.1007/s00431-023-05237-0

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