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Published on: November 4, 2010
Music therapy in pediatric asthma improves pulmonary function while reducing hospitalizations
Joanne Loewy1, Cody Goldsmith2, Saarang Deshpande3
1Louis Armstrong Center for Music and Medicine, Mount Sinai Beth Israel, New York City, NY, USA.
Insights
Music therapy (MT) can improve pediatric asthma management by enhancing lung function and reducing hospitalizations. This child-friendly intervention also boosts quality of life for patients and their caregivers.
Area of Science:
- Pediatric Pulmonology
- Complementary Medicine
- Behavioral Pediatrics
Background:
- Asthma is a chronic respiratory condition in children requiring effective management strategies.
- Standard asthma care can be augmented with complementary therapies to improve patient outcomes.
- Music therapy (MT) has shown potential benefits in various health conditions, but its role in pediatric asthma needs further evaluation.
Purpose of the Study:
- To assess the efficacy of music therapy (MT) as an adjunct to standard care for pediatric asthma.
- To determine MT's impact on pulmonary function, healthcare utilization, and quality of life in children with asthma.
Main Methods:
- A randomized controlled trial involving 173 pediatric patients with asthma.
- Participants were assigned to three groups: individualized MT, group MT, or standard care (control).
- Outcomes measured included pulmonary function tests (FEV1, FVC, FEF25-75, PEF), hospitalizations, ER visits, missed school days, and quality of life (Juniper).
Main Results:
- Music therapy groups showed significant improvements in FEV1/FVC ratio compared to the control group.
- The Music Plus group demonstrated significant improvement in FEF25-75 and a marked reduction in hospitalizations (1.16 fewer per patient-year).
- Caregivers reported significant improvements in their children's quality of life in both MT groups compared to controls.
Conclusions:
- Music therapy presents a promising, low-risk complementary intervention for improving pediatric asthma management.
- MT positively impacts key clinical outcomes, including pulmonary function, hospitalizations, and quality of life.
- Further research is warranted to integrate MT into routine pediatric asthma care protocols.
Abstract:
Objective: The aim of this study was to evaluate music therapy (MT), in conjunction with standard care, as a complementary option for asthma management in pediatric patients.Methods: 173 children were randomly assigned to one of three groups: 1) Music: a single individualized MT session along with a recorder and journal with instructions for home use; 2) Music Plus: weekly group MT sessions along with a recorder and journal for home use; or 3) Control: standard of care. Primary endpoints included pulmonary function tests (FEV1, FVC, FEF25-75, PEF), hospitalizations, ER visits, missed school days, and quality of life (Juniper).Results: Significant intergroup differences relative to Controls were observed for FEV1/FVC (Music and Music Plus, p < 0.05) and FEF25-75 (Music Plus; p < 0.01). Music Plus participants experienced fewer hospitalizations compared to Controls (p < 0.001), corresponding to 1.16 fewer hospitalizations per patient-year. Caregivers' perception of their children's QOL significantly increased in the Music (p = 0.011) and Music Plus (p < 0.001) groups compared to Controls.Conclusion: These results reflect MT's potential to favorably impact pediatric asthma management as a child-friendly, low-risk intervention. Further research is needed to substantiate the possible benefits of incorporating MT into standard treatment regimens.
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