The relationship between auditory stimulation and gross motor activity of short-gestation infants

Authors

  • Dr. Jacqueline S. Chapman

    Associate Professor, Corresponding author
    1. Faculty of Nursing, at the University of Toronto, Ontario, Canada
    • Faculty of Nursing, University of Toronto, 50 St. George Street, Toronto, Onatario, Canada M5S 1A1
    Search for more papers by this author
    • She is also in her fourth year as a National Health Research Scholar.


Abstract

The short-gestation infant is at risk for both mortality and morbidity. His writhing contributes to weight loss; his extrauterine environment does not contain the multimodality patterned afferent stimuli that excite the developing brain in utero. Sound is the most effective modality to achieve concurrent decrement in motility along with enhancement of cortical activity. It was anticipated that by 36 gestational weeks, subjects exposed to 5 min. of patterned sound 6 times a day would (a) evidence less gross motor activity and (b) evidence a greater decrease in motor actitvity with a maternal auditory stimulus than with a musical auditory stimulus. The sample consisted of 80 males and 73 females whose gestational age at birth was 26 to 33 weeks. Fifty-two subjects were randomly assigned to the control group, 50 to a tape of their mother's voice, and 51 to a lullaby. Limb activity was measured just before discharge by accelerometers worn unilaterally for a 24-hr. period on the ankle and wrist prior to transfer to the alternate side for a further 24 hr. No statistically significant differences were demonstrated among the three groups' limb patterns. Large intragroup variation in gross activity precluded demonstration of between-group differences. The majority of subjects evidenced predominance of upper limb activity and laterality.

Ancillary