Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCT

BackgroundGeneral Movements (GMs) are part of the spontaneous movement repertoire and assessing them helps to determine the integrity of the central nervous system in newborns. The aim of this study was to investigate the effects of maternal singing and speaking in the Neonatal Intensive Care Unit (...

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Main Authors: Manuela Filippa, Gianluca Filippa, Elisa Della Casa, Alberto Berardi, Odoardo Picciolini, Sara Chiara Meloni, Clara Lunardi, Alessandra Cecchi, Alessandra Sansavini, Luigi Corvaglia, Didier Grandjean, EVC Group, Fabrizio Ferrari
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1536646/full
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author Manuela Filippa
Gianluca Filippa
Elisa Della Casa
Alberto Berardi
Odoardo Picciolini
Sara Chiara Meloni
Clara Lunardi
Alessandra Cecchi
Alessandra Sansavini
Luigi Corvaglia
Luigi Corvaglia
Didier Grandjean
EVC Group
Fabrizio Ferrari
author_facet Manuela Filippa
Gianluca Filippa
Elisa Della Casa
Alberto Berardi
Odoardo Picciolini
Sara Chiara Meloni
Clara Lunardi
Alessandra Cecchi
Alessandra Sansavini
Luigi Corvaglia
Luigi Corvaglia
Didier Grandjean
EVC Group
Fabrizio Ferrari
author_sort Manuela Filippa
collection DOAJ
description BackgroundGeneral Movements (GMs) are part of the spontaneous movement repertoire and assessing them helps to determine the integrity of the central nervous system in newborns. The aim of this study was to investigate the effects of maternal singing and speaking in the Neonatal Intensive Care Unit (NICU) on preterm infants’ GMs at term equivalent age and at 3 months.MethodsIn this multi-center randomized clinical trial, 56 stable preterm infants (25–32 weeks) were randomized to either an intervention group – in which mothers were asked to speak and sing to their infants for 20 min, 3 times per week, for 2 weeks – or to a control group. GMs were recorded both before and after the intervention – which took place at term equivalent age – and again at 3 months corrected age. The GMs were blindly coded based on the muted video tracks to produce both a general score and a detailed score.ResultsBefore the intervention, there were no significant differences between the two groups. The intervention wielded a significant effect on the GMs general score (p < 0.05). The effect was also marginally significant for the GMs detailed score (p = 0.06). To avoid influencing outcomes, future research should control for differences in maternal engagement outside of the intervention.ConclusionLive maternal singing and speaking are fundamental human practices that, in this study, enhanced preterm infants’ general movements and potentially supported their neurobehavioral development. Integrating and supporting early vocal interaction into routine NICU care is crucial for at-risk populations.
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spelling doaj-art-7c4a559103ba451fb818fe4b0ab9f0532025-01-29T13:09:36ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011610.3389/fpsyg.2025.15366461536646Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCTManuela Filippa0Gianluca Filippa1Elisa Della Casa2Alberto Berardi3Odoardo Picciolini4Sara Chiara Meloni5Clara Lunardi6Alessandra Cecchi7Alessandra Sansavini8Luigi Corvaglia9Luigi Corvaglia10Didier Grandjean11EVC GroupFabrizio Ferrari12Department of Psychology and Educational Sciences, University of Geneva, Geneva, SwitzerlandIndependent Researcher, Aosta, ItalyNeonatal Intensive Care Unit, Women’s and Children’s Health Department, University Hospital of Modena, Modena, ItalyDepartment of Medical and Surgical Sciences of Mother, Children and Adults, University Hospital of Modena, Modena, ItalyPediatric Physical Medicine & Rehabilitation Unit, IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyPediatric Physical Medicine & Rehabilitation Unit, IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Neurosciences, Psychology, Drug Research and Child Health, Careggi University Hospital of Florence, Florence, ItalyDivision of Neonatology, Careggi University Hospital, School of Medicine, University of Florence, Florence, ItalyDepartment of Psychology “Renzo Canestrari”, University of Bologna, Bologna, ItalyNeonatal Intensive Care Unit, IRCCS AOU Bologna, Bologna, Italy0Department of Medical and Surgical Sciences, University of Bologna, Bologna, ItalyDepartment of Psychology and Educational Sciences, University of Geneva, Geneva, SwitzerlandDepartment of Medical and Surgical Sciences of Mother, Children and Adults, University Hospital of Modena, Modena, ItalyBackgroundGeneral Movements (GMs) are part of the spontaneous movement repertoire and assessing them helps to determine the integrity of the central nervous system in newborns. The aim of this study was to investigate the effects of maternal singing and speaking in the Neonatal Intensive Care Unit (NICU) on preterm infants’ GMs at term equivalent age and at 3 months.MethodsIn this multi-center randomized clinical trial, 56 stable preterm infants (25–32 weeks) were randomized to either an intervention group – in which mothers were asked to speak and sing to their infants for 20 min, 3 times per week, for 2 weeks – or to a control group. GMs were recorded both before and after the intervention – which took place at term equivalent age – and again at 3 months corrected age. The GMs were blindly coded based on the muted video tracks to produce both a general score and a detailed score.ResultsBefore the intervention, there were no significant differences between the two groups. The intervention wielded a significant effect on the GMs general score (p < 0.05). The effect was also marginally significant for the GMs detailed score (p = 0.06). To avoid influencing outcomes, future research should control for differences in maternal engagement outside of the intervention.ConclusionLive maternal singing and speaking are fundamental human practices that, in this study, enhanced preterm infants’ general movements and potentially supported their neurobehavioral development. Integrating and supporting early vocal interaction into routine NICU care is crucial for at-risk populations.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1536646/fullprematuritymaternal voicegeneral movementsearly interventionsensorimotor system
spellingShingle Manuela Filippa
Gianluca Filippa
Elisa Della Casa
Alberto Berardi
Odoardo Picciolini
Sara Chiara Meloni
Clara Lunardi
Alessandra Cecchi
Alessandra Sansavini
Luigi Corvaglia
Luigi Corvaglia
Didier Grandjean
EVC Group
Fabrizio Ferrari
Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCT
Frontiers in Psychology
prematurity
maternal voice
general movements
early intervention
sensorimotor system
title Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCT
title_full Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCT
title_fullStr Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCT
title_full_unstemmed Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCT
title_short Maternal singing and speech have beneficial effects on preterm infant’s general movements at term equivalent age and at 3 months: an RCT
title_sort maternal singing and speech have beneficial effects on preterm infant s general movements at term equivalent age and at 3 months an rct
topic prematurity
maternal voice
general movements
early intervention
sensorimotor system
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1536646/full
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