The sounds of stillness - Music therapy in paediatric ultrasound

Abstract

Introduction: Ultrasound of children can be challenging for a variety of reasons including barriers to verbal communication; stages of development; and a lack of cooperation. The dynamic nature of sonography does not often require the need for an absolute lack of motion to acquire diagnostic images like CT/MRI which can necessitate general anaesthesia. However, imaging quality and patient and family experience can be optimised with techniques aimed at engaging or distracting the child during the examination, music therapy (MT) is one such technique. We hypothesize that MT has value in paediatric medical imaging and clinicians may make more use of this technique. Method: Literature review of music therapy (MT) in diagnostic imaging environments was undertaken. Results: Distinct from distraction therapy, MT is a form of engagement that can be tailored to individual patient characteristics. Music therapists are skilled in evaluation of children's moods and musical preferences and determining appropriate parental involvement. They are able to consider developmental and coping factors and target therapy more effectively. Live MT is able to immediately adapt to changing circumstances during an examination. MT has a role in paediatric imaging and radiological procedural support. Conclusion: Better awareness and understanding of the role of MT would facilitate more effective engagement of this technique in paediatric medical imaging. Pre-planning is important, and commencing engagement outside the clinical area in collaboration with the patient and their family can maximise benefit. Take home message: Sonographers in a paediatric setting should be aware of this tailored approach to patient engagement.L6222772292018-05-29 <br />