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Paisa R, Andersen J, Ganis F, Percy-Smith LM, Serafin S. A Concert-Based Study on Melodic Contour Identification among Varied Hearing Profiles-A Preliminary Report. J Clin Med 2024; 13:3142. [PMID: 38892853 PMCID: PMC11172703 DOI: 10.3390/jcm13113142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 05/14/2024] [Accepted: 05/22/2024] [Indexed: 06/21/2024] Open
Abstract
Background: This study investigated how different hearing profiles influenced melodic contour identification (MCI) in a real-world concert setting with a live band including drums, bass, and a lead instrument. We aimed to determine the impact of various auditory assistive technologies on music perception in an ecologically valid environment. Methods: The study involved 43 participants with varying hearing capabilities: normal hearing, bilateral hearing aids, bimodal hearing, single-sided cochlear implants, and bilateral cochlear implants. Participants were exposed to melodies played on a piano or accordion, with and without an electric bass as a masker, accompanied by a basic drum rhythm. Bayesian logistic mixed-effects models were utilized to analyze the data. Results: The introduction of an electric bass as a masker did not significantly affect MCI performance for any hearing group when melodies were played on the piano, contrary to its effect on accordion melodies and previous studies. Greater challenges were observed with accordion melodies, especially when accompanied by an electric bass. Conclusions: MCI performance among hearing aid users was comparable to other hearing-impaired profiles, challenging the hypothesis that they would outperform cochlear implant users. A cohort of short melodies inspired by Western music styles was developed for future contour identification tasks.
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Affiliation(s)
- Razvan Paisa
- Multisensory Experience Lab, Aalborg University Copenhagen, A.C. Meyers Vænge 15, 2450 Copenhagen, Denmark; (F.G.); (S.S.)
| | - Jesper Andersen
- The Royal Danish Academy for Music, Rosenørns Alle 22, 1970 Frederiksberg, Denmark;
| | - Francesco Ganis
- Multisensory Experience Lab, Aalborg University Copenhagen, A.C. Meyers Vænge 15, 2450 Copenhagen, Denmark; (F.G.); (S.S.)
| | | | - Stefania Serafin
- Multisensory Experience Lab, Aalborg University Copenhagen, A.C. Meyers Vænge 15, 2450 Copenhagen, Denmark; (F.G.); (S.S.)
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Limb CJ, Mo J, Jiradejvong P, Jiam NT. The Impact of Vocal Boost Manipulations on Musical Sound Quality for Cochlear Implant Users. Laryngoscope 2023; 133:938-947. [PMID: 35906889 DOI: 10.1002/lary.30324] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 06/27/2022] [Accepted: 06/28/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To evaluate the impact of vocal boost manipulations on cochlear implant (CI) musical sound quality appraisals. METHODS An anonymous, online study was distributed to 33 CI users. Participants listened to auditory tokens and assessed the musical quality of acoustic stimuli with vocal boosting and attenuation using a validated sound quality rating scale. Four versions of real-world musical stimuli were created: a version with +9 dB vocal boost, a version with -9 dB vocal attenuation, a composite stimulus containing a 1,000 Hz low-pass filter and white noise ("anchor"), and an unaltered version ("hidden reference"). Subjects listened to all four versions and provided ratings based on a 100-point scale that reflected the perceived sound quality difference of the music clip relative to the reference excerpt. RESULTS Vocal boost increased musical sound quality ratings relative to the reference clip (11.7; 95% CI, 1.62-21.8, p = 0.016) and vocal attenuation decreased musical sound quality ratings relative to the reference clip (28.5; 95% CI, 18.64-38.44, p < 0.001). When comparing the non-musical training group and musical training group, there was a significant difference in musical sound quality rating scores for the vocal boost condition (21.2; 95% CI: 1.76-40.7, p = 0.028). CONCLUSIONS CI-mediated musical sound quality appraisals are impacted by vocal boost and attenuation. Musically trained CI users to report greater musical sound quality enhancement with a vocal boost with respect to CI users with no musical training background. Implementation of front-end vocal boost manipulations in music may improve sound quality and music appreciation among CI users. LEVEL OF EVIDENCE 2 (Individual cohort study) Laryngoscope, 133:938-947, 2023.
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Affiliation(s)
- Charles J Limb
- Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco School of Medicine, San Francisco, California, USA
| | - Jonathan Mo
- Department of Computer and Information Science, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Patpong Jiradejvong
- Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco School of Medicine, San Francisco, California, USA
| | - Nicole T Jiam
- Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco School of Medicine, San Francisco, California, USA
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Gfeller K, Veltman J, Mandara R, Napoli MB, Smith S, Choi Y, McCormick G, McKenzie T, Nastase A. Technological and Rehabilitative Concerns: Perspectives of Cochlear Implant Recipients Who Are Musicians. Trends Hear 2022; 26:23312165221122605. [PMID: 36203400 PMCID: PMC9549092 DOI: 10.1177/23312165221122605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 06/21/2022] [Accepted: 08/11/2022] [Indexed: 11/28/2022] Open
Abstract
In these perspectives, we share the experiences of eight cochlear implant (CI) recipients who are musicians, and their efforts within and outside of audiological appointments to achieve satisfying music experiences. Their experiences were previously shared in a panel discussion as part of the 3rd Music and Cochlear Implant Symposium hosted at The University of Cambridge, United Kingdom. Following the symposium, the panel members and moderator developed and completed a follow-up questionnaire to facilitate a formal analysis of the following questions: (a) What forms of support for optimizing music exist within clinical CI appointments, including counseling, mapping, assessment, and rehabilitation? (b) What forms of support do CI users who are interested in music desire? (c) What self-initiated approaches can be used to improve music perception, enjoyment, and participation? Using qualitative methodology, the questionnaire data were coded, aggregated into themes, and then into core categories. The primary themes that emerged from the data were (a) limited levels of support for optimizing music outcomes within normal clinical appointments, (b) difficulties in current mapping and assessment in relation to music perception, and (c) limited availability of clinically sponsored training/rehabilitation for music. These CI recipients then recommended clinical protocol changes and described self-initiated rehabilitation. These findings were examined in relation to literature on clinical practices for CI users, auditory rehabilitation, and patient-centered care, emphasizing best practices and barriers to audiological care. The data as related to healthcare trends were conceptualized and developed into a proposed Reciprocal Model for Music Rehabilitation (RMMR).
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Affiliation(s)
- Kate Gfeller
- Department of Otolaryngology—Head and Neck Surgery, The University of Iowa, Iowa City, IA, USA
| | - Joke Veltman
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | | | | | - Sarah Smith
- Auditory Implant Service, University of Southampton, Southampton, UK
| | - Yoon Choi
- Independent Scholars, Brooklyn, NY, USA
| | - Gaelen McCormick
- Eastman School of Music, University of
Rochester, Rochester, NY, USA
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Abstract
OBJECTIVES Variations in loudness are a fundamental component of the music listening experience. Cochlear implant (CI) processing, including amplitude compression, and a degraded auditory system may further degrade these loudness cues and decrease the enjoyment of music listening. This study aimed to identify optimal CI sound processor compression settings to improve music sound quality for CI users. DESIGN Fourteen adult MED-EL CI recipients participated (Experiment No. 1: n = 17 ears; Experiment No. 2: n = 11 ears) in the study. A software application using a modified comparison category rating (CCR) test method allowed participants to compare and rate the sound quality of various CI compression settings while listening to 25 real-world music clips. The two compression settings studied were (1) Maplaw, which informs audibility and compression of soft level sounds, and (2) automatic gain control (AGC), which applies compression to loud sounds. For each experiment, one compression setting (Maplaw or AGC) was held at the default, while the other was varied according to the values available in the clinical CI programming software. Experiment No. 1 compared Maplaw settings of 500, 1000 (default), and 2000. Experiment No. 2 compared AGC settings of 2.5:1, 3:1 (default), and 3.5:1. RESULTS In Experiment No. 1, the group preferred a higher Maplaw setting of 2000 over the default Maplaw setting of 1000 (p = 0.003) for music listening. There was no significant difference in music sound quality between the Maplaw setting of 500 and the default setting (p = 0.278). In Experiment No. 2, a main effect of AGC setting was found; however, no significant difference in sound quality ratings for pairwise comparisons were found between the experimental settings and the default setting (2.5:1 versus 3:1 at p = 0.546; 3.5:1 versus 3:1 at p = 0.059). CONCLUSIONS CI users reported improvements in music sound quality with higher than default Maplaw or AGC settings. Thus, participants preferred slightly higher compression for music listening, with results having clinical implications for improving music perception in CI users.
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Kranti Bhavana, Sangam, Shamshad, Chandan Kumar. An evaluation of music perception, appreciation, and overall music enjoyment in prelingual paediatric cochlear implant users utilizing simplified techniques: An Indian study. Int J Pediatr Otorhinolaryngol 2021; 150:110898. [PMID: 34450545 DOI: 10.1016/j.ijporl.2021.110898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 07/27/2021] [Accepted: 08/21/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION This study was aimed to evaluate the speech abilities, music habits, ability to perceive and enjoy music in prelingual paediatric cochlear implantees between the age group (18-84 months). Testing paediatric CI recipients for their music habits is challenging. This study offers some unique yet simplified tools to test musical parameters in paediatric CI recipients. MATERIAL METHODS Twenty-seven paediatric CI recipients who had received at least one year of auditory verbal therapy post-implantation were selected. They were tested for their speech abilities using the CAP (Category of Auditory Performance) and SIR (Speech Intelligibility Ratings) score. Music habits (Musicality Rating Scale/MRS), music perception (Pitch, timbre, melody) and music enjoyment (Subjective Assessment of Music Enjoyment/SAME) were assessed using various tools. All these parameters were compared with age and sex-matched controls who had normal hearing. RESULTS Simple pitch discrimination, timbre recognition, and melody identification was observed in 29.60%, 37.03%, and 37.03% of implantees, respectively, compared to 88.88%, 81.48% and 88.88%, in normal-hearing children. The mean scores of CAP, SIR and MRS in cochlear implant users who perceived pitch timbre and melody differed significantly from those who did not. The mean SAME score of the normal-hearing group [4.37 ± 0.74] differs significantly from the paediatric cochlear implant user group [2.59 ± 1.47]. (p < .000). CONCLUSION This study offers some novel, simplified tools to assess music habits in paediatric cochlear implantees. These can be utilized in low resource settings and can be helpful for rehabilitationists training these children.
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Affiliation(s)
- Kranti Bhavana
- Department of Otorhinolaryngology, All India Institute of Medical Sciences, Patna, India.
| | - Sangam
- All India Institute of Medical Sciences, Patna, India
| | - Shamshad
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, India
| | - Chandan Kumar
- Clinical Director Speech and Hearing Care Pvt. Ltd., India
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Fletcher MD. Can Haptic Stimulation Enhance Music Perception in Hearing-Impaired Listeners? Front Neurosci 2021; 15:723877. [PMID: 34531717 PMCID: PMC8439542 DOI: 10.3389/fnins.2021.723877] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 08/11/2021] [Indexed: 01/07/2023] Open
Abstract
Cochlear implants (CIs) have been remarkably successful at restoring hearing in severely-to-profoundly hearing-impaired individuals. However, users often struggle to deconstruct complex auditory scenes with multiple simultaneous sounds, which can result in reduced music enjoyment and impaired speech understanding in background noise. Hearing aid users often have similar issues, though these are typically less acute. Several recent studies have shown that haptic stimulation can enhance CI listening by giving access to sound features that are poorly transmitted through the electrical CI signal. This “electro-haptic stimulation” improves melody recognition and pitch discrimination, as well as speech-in-noise performance and sound localization. The success of this approach suggests it could also enhance auditory perception in hearing-aid users and other hearing-impaired listeners. This review focuses on the use of haptic stimulation to enhance music perception in hearing-impaired listeners. Music is prevalent throughout everyday life, being critical to media such as film and video games, and often being central to events such as weddings and funerals. It represents the biggest challenge for signal processing, as it is typically an extremely complex acoustic signal, containing multiple simultaneous harmonic and inharmonic sounds. Signal-processing approaches developed for enhancing music perception could therefore have significant utility for other key issues faced by hearing-impaired listeners, such as understanding speech in noisy environments. This review first discusses the limits of music perception in hearing-impaired listeners and the limits of the tactile system. It then discusses the evidence around integration of audio and haptic stimulation in the brain. Next, the features, suitability, and success of current haptic devices for enhancing music perception are reviewed, as well as the signal-processing approaches that could be deployed in future haptic devices. Finally, the cutting-edge technologies that could be exploited for enhancing music perception with haptics are discussed. These include the latest micro motor and driver technology, low-power wireless technology, machine learning, big data, and cloud computing. New approaches for enhancing music perception in hearing-impaired listeners could substantially improve quality of life. Furthermore, effective haptic techniques for providing complex sound information could offer a non-invasive, affordable means for enhancing listening more broadly in hearing-impaired individuals.
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Affiliation(s)
- Mark D Fletcher
- University of Southampton Auditory Implant Service, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton, United Kingdom.,Institute of Sound and Vibration Research, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton, United Kingdom
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Fuller C, Free R, Maat B, Başkent D. Self-reported music perception is related to quality of life and self-reported hearing abilities in cochlear implant users. Cochlear Implants Int 2021; 23:1-10. [PMID: 34470590 DOI: 10.1080/14670100.2021.1948716] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES To investigate the relationship between self-reported music perception and appreciation and (1) quality of life (QoL), and (2) self-assessed hearing ability in 98 post-lingually deafened cochlear implant (CI) users with a wide age range. METHODS Participants filled three questionnaires: (1) the Dutch Musical Background Questionnaire (DMBQ), which measures the music listening habits, the quality of the sound of music and the self-assessed perception of elements of music; (2) the Nijmegen Cochlear Implant Questionnaire (NCIQ), which measures health-related QoL; (3) the Speech, Spatial and Qualities (SSQ) of hearing scale, which measures self-assessed hearing ability. Additionally, speech perception was behaviorally measured with a phoneme-in-word identification. RESULTS A decline in music listening habits and a low rating of the quality of music after implantation are reported in DMBQ. A significant relationship is found between the music measures and the NCIQ and SSQ; no significant relationships are observed between the DMBQ and speech perception scores. CONCLUSIONS The findings suggest some relationship between CI users' self-reported music perception ability and QoL and self-reported hearing ability. While the causal relationship is not currently evaluated, the findings may imply that music training programs and/or device improvements that improve music perception may improve QoL and hearing ability.
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Affiliation(s)
- Christina Fuller
- Department of Otorhinolaryngology/Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.,Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands.,Treant Zorggroep, Emmen, Netherlands
| | - Rolien Free
- Department of Otorhinolaryngology/Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.,Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands
| | - Bert Maat
- Department of Otorhinolaryngology/Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.,Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands
| | - Deniz Başkent
- Department of Otorhinolaryngology/Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.,Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands
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Yüksel M, Atılgan A, Çiprut A. Music Listening Habits and Music Perception Abilities of Prelingually Deafened Adolescent Cochlear Implant Recipients. J Am Acad Audiol 2020; 31:740-745. [PMID: 33321542 DOI: 10.1055/s-0040-1719132] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Music is a very important art form that can evoke strong emotions and involvement with it can have a considerable impact on cochlear implant (CI) recipients' quality of life. It is well known that music perception is limited in CI with fully electric hearing and CI recipients have significantly poorer music-appraisal ability when compared with normal hearing subjects. Considering the importance of music on the life of an adolescent and negative impact of hearing loss on mental health, understanding and improving music listening habits and perception abilities can have a positive impact on the mental health of CI user adolescents. PURPOSE This study aims to evaluate music listening habits and music perception abilities of prelingually deafened adolescent CI users to reveal the relationship between self-reported assessment and psychophysical measurement. RESEARCH DESIGN The psychophysical measures of music perception and self-reported music listening habits of adolescent CI users were obtained. STUDY SAMPLE Twenty-nine prelingually deafened adolescent CI users were evaluated in this study. DATA COLLECTION AND ANALYSIS The Turkish Clinical Assessment of Music Perception (T-CAMP) test was used to evaluate music perception abilities. These abilities were evaluated with a three-item questionnaire assessing enjoyment of music, listening habits, and comprehension of lyrics. Pearson's correlation coefficients were calculated to assess the relationship between the T-CAMP subtests and questionnaire items. RESULTS Statistically significant correlations were observed between the melody-recognition subtest of T-CAMP and all three questionnaire items. The correlation between the enjoyment and rate items on the questionnaire was also statistically significant. CONCLUSION The present study shows that adolescent CI users also enjoy and listen to music in ways similar to postlingually deafened adult CI users. It also demonstrates that melody-recognition abilities have a significant relationship with music enjoyment and listening habits in prelingually deafened adolescent CI users.
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Affiliation(s)
- Mustafa Yüksel
- Audiology and Speech Disorders Program, Institute of Health Sciences, Marmara University, İstanbul, Turkey.,Department of Speech and Language Therapy, School of Health Sciences, Ankara Medipol University, Ankara, Turkey
| | - Atılım Atılgan
- Audiology Department, Marmara University Faculty of Medicine, İstanbul, Turkey
| | - Ayça Çiprut
- Audiology Department, Marmara University Faculty of Medicine, İstanbul, Turkey
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Fletcher MD, Thini N, Perry SW. Enhanced Pitch Discrimination for Cochlear Implant Users with a New Haptic Neuroprosthetic. Sci Rep 2020; 10:10354. [PMID: 32587354 PMCID: PMC7316732 DOI: 10.1038/s41598-020-67140-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 06/03/2020] [Indexed: 11/25/2022] Open
Abstract
The cochlear implant (CI) is the most widely used neuroprosthesis, recovering hearing for more than half a million severely-to-profoundly hearing-impaired people. However, CIs still have significant limitations, with users having severely impaired pitch perception. Pitch is critical to speech understanding (particularly in noise), to separating different sounds in complex acoustic environments, and to music enjoyment. In recent decades, researchers have attempted to overcome shortcomings in CIs by improving implant technology and surgical techniques, but with limited success. In the current study, we take a new approach of providing missing pitch information through haptic stimulation on the forearm, using our new mosaicOne_B device. The mosaicOne_B extracts pitch information in real-time and presents it via 12 motors that are arranged in ascending pitch along the forearm, with each motor representing a different pitch. In normal-hearing subjects listening to CI simulated audio, we showed that participants were able to discriminate pitch differences at a similar performance level to that achieved by normal-hearing listeners. Furthermore, the device was shown to be highly robust to background noise. This enhanced pitch discrimination has the potential to significantly improve music perception, speech recognition, and speech prosody perception in CI users.
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Affiliation(s)
- Mark D Fletcher
- University of Southampton Auditory Implant Service, University of Southampton, University Road, Southampton, SO17 1BJ, United Kingdom.
| | - Nour Thini
- Faculty of Engineering and Physical Sciences, University of Southampton, University Road, Southampton, SO17 1BJ, United Kingdom
| | - Samuel W Perry
- University of Southampton Auditory Implant Service, University of Southampton, University Road, Southampton, SO17 1BJ, United Kingdom
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Gfeller K, Driscoll V, Schwalje A. Adult Cochlear Implant Recipients' Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon. Front Neurosci 2019; 13:1229. [PMID: 31824240 PMCID: PMC6882382 DOI: 10.3389/fnins.2019.01229] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 10/30/2019] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Cochlear implants (CIs), which have been designed primarily to support spoken communication of persons with severe to profound hearing loss, are highly effective in supporting speech perception in quiet listening conditions. CI users as a group achieve significantly poorer perception and appraisal of music, and speech perception is compromised when background music is present, though outcomes vary considerably across recipients. A number of factors have been identified that contribute to variable music listening experiences, but many questions remain, particularly regarding experiences in everyday life from the perspective of CI users. PURPOSE The purpose of this study was twofold: The first aim was to explore the perspectives of adult CI recipients regarding two experiences with music in everyday life: purposeful music listening and background music that competes with spoken conversation. The second aim was to develop a framework of everyday music experiences based upon CI perspectives that could inform future rehabilitative practices and research initiatives. METHODS Qualitative and patient-engaged research methodologies were used to emphasize the perspectives of the CI users. Participants included 40 experienced adult CI users ranging in age from 19 to 81 enrolled in 13 CI centers. Participants completed on-line semi-structured open-ended questionnaires regarding purposeful music listening and background music in conjunction with spoken communication. Responses were analyzed using an iterative inductive coding process consistent with grounded theory methodology. The interrelated themes that emerged from the data were then organized into a model synthesizing components from models on music response and self-management for persons with chronic health conditions. OUTCOMES Data analyses informed the development of a Dynamic Problem Solving Model for Management of Music Listening Environments adapted from Hill-Briggs (2003) Problem Solving Model of Chronic Illness Self-Management. Key findings were: (1) Music listening is a dynamic, multifaceted experience; satisfactory listening depended upon optimal combinations of factors; (2) Music listening is effortful, but the extent of satisfaction is influenced by expectations and self-management of the situation; (3) CI users have limited access to resources for optimizing music experiences. Many CI users would consider rehabilitation, but level of commitment and priorities differ across CI users.
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Affiliation(s)
- Kate Gfeller
- School of Music, College of Liberal Arts and Sciences, The University of Iowa, Iowa City, IA, United States,Department of Communication Sciences and Disorders, College of Liberal Arts and Sciences, The University of Iowa, Iowa City, IA, United States,Iowa Cochlear Implant Clinical Research Center, Department of Otolaryngology, The University of Iowa Hospitals and Clinics, Iowa City, IA, United States,*Correspondence: Kate Gfeller,
| | - Virginia Driscoll
- School of Music, College of Liberal Arts and Sciences, The University of Iowa, Iowa City, IA, United States,Iowa Cochlear Implant Clinical Research Center, Department of Otolaryngology, The University of Iowa Hospitals and Clinics, Iowa City, IA, United States
| | - Adam Schwalje
- Iowa Cochlear Implant Clinical Research Center, Department of Otolaryngology, The University of Iowa Hospitals and Clinics, Iowa City, IA, United States
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Fuller C, Başkent D, Free R. Early Deafened, Late Implanted Cochlear Implant Users Appreciate Music More Than and Identify Music as Well as Postlingual Users. Front Neurosci 2019; 13:1050. [PMID: 31680802 PMCID: PMC6798179 DOI: 10.3389/fnins.2019.01050] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 09/19/2019] [Indexed: 11/13/2022] Open
Abstract
Introduction: Typical cochlear implant (CI) users, namely postlingually deafened and implanted, report to not enjoy listening to music, and find it difficult to perceive music. Another group of CI users, the early-deafened (during language acquisition) and late-implanted (after a long period of auditory deprivation; EDLI), report a higher music appreciation, but is this related to a better music perception? Materials and Methods: Sixteen EDLI and fifteen postlingually deafened (control group) CI users participated in the study. The inclusion criteria for EDLI were: severe or profound hearing loss onset before the age of 6 years, implantation after the age of 16 years, and CI experience more than 1 year. Subjectively, music perception and appreciation was evaluated using the Dutch Musical Background Questionnaire. Behaviorally, music perception was measured with melodic contour identification (MCI), using two instruments (piano and organ), each tested with and without a masking contour. Semitone distance between successive tones of the target varied from 1 to 3 semitones. Results: Subjectively, the EDLI group reported to appreciate music more than postlingually deafened CI users. Behaviorally, while clinical phoneme recognition test score on average was lower in the EDLI group, melodic contour identification did not significantly differ between the two groups. There was, however, an effect of instrument and masker for both groups; the piano was the best-recognized instrument, and for both instruments, the masker with non-overlapping pitch was best recognized. Discussion: EDLI group reported higher appreciation of music than postlingual control group, even though behaviorally measured music perception did not differ significantly between the two groups. Both surprising findings since EDLI CI users would be expected to have lower outcomes based on the early deafness onset, long duration of auditory deprivation, and on average lower clinical speech scores. Perhaps, the music perception difficulty comes from similar electric hearing limitations in both groups. The higher subjective appreciation in EDLI might be due to the lack of a musical memory, with no ability to compare music heard via the CI to acoustic music perception. Overall, our findings support a benefit from implantation for a positive music experience in EDLI CI users.
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Affiliation(s)
- Christina Fuller
- Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands.,Department of Otorhinolaryngology, Treant Zorggroep, Emmen, Netherlands
| | - Deniz Başkent
- Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands
| | - Rolien Free
- Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands
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Burns T, Rajan R. A Mathematical Approach to Correlating Objective Spectro-Temporal Features of Non-linguistic Sounds With Their Subjective Perceptions in Humans. Front Neurosci 2019; 13:794. [PMID: 31417350 PMCID: PMC6685481 DOI: 10.3389/fnins.2019.00794] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 07/16/2019] [Indexed: 11/13/2022] Open
Abstract
Non-linguistic sounds (NLSs) are a core feature of our everyday life and many evoke powerful cognitive and emotional outcomes. The subjective perception of NLSs by humans has occasionally been defined for single percepts, e.g., their pleasantness, whereas many NLSs evoke multiple perceptions. There has also been very limited attempt to determine if NLS perceptions are predicted from objective spectro-temporal features. We therefore examined three human perceptions well-established in previous NLS studies ("Complexity," "Pleasantness," and "Familiarity"), and the accuracy of identification, for a large NLS database and related these four measures to objective spectro-temporal NLS features, defined using rigorous mathematical descriptors including stimulus entropic and algorithmic complexity measures, peaks-related measures, fractal dimension estimates, and various spectral measures (mean spectral centroid, power in discrete frequency ranges, harmonicity, spectral flatness, and spectral structure). We mapped the perceptions to the spectro-temporal measures individually and in combinations, using complex multivariate analyses including principal component analyses and agglomerative hierarchical clustering.
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Affiliation(s)
| | - Ramesh Rajan
- Biomedicine Discovery Institute, Monash University, Melbourne, VIC, Australia
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Fuller CD, Galvin JJ, Maat B, Başkent D, Free RH. Comparison of Two Music Training Approaches on Music and Speech Perception in Cochlear Implant Users. Trends Hear 2019; 22:2331216518765379. [PMID: 29621947 PMCID: PMC5894911 DOI: 10.1177/2331216518765379] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
In normal-hearing (NH) adults, long-term music training may benefit music and speech perception, even when listening to spectro-temporally degraded signals as experienced by cochlear implant (CI) users. In this study, we compared two different music training approaches in CI users and their effects on speech and music perception, as it remains unclear which approach to music training might be best. The approaches differed in terms of music exercises and social interaction. For the pitch/timbre group, melodic contour identification (MCI) training was performed using computer software. For the music therapy group, training involved face-to-face group exercises (rhythm perception, musical speech perception, music perception, singing, vocal emotion identification, and music improvisation). For the control group, training involved group nonmusic activities (e.g., writing, cooking, and woodworking). Training consisted of weekly 2-hr sessions over a 6-week period. Speech intelligibility in quiet and noise, vocal emotion identification, MCI, and quality of life (QoL) were measured before and after training. The different training approaches appeared to offer different benefits for music and speech perception. Training effects were observed within-domain (better MCI performance for the pitch/timbre group), with little cross-domain transfer of music training (emotion identification significantly improved for the music therapy group). While training had no significant effect on QoL, the music therapy group reported better perceptual skills across training sessions. These results suggest that more extensive and intensive training approaches that combine pitch training with the social aspects of music therapy may further benefit CI users.
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Affiliation(s)
- Christina D Fuller
- 1 Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,2 Graduate School of Medical Sciences, University of Groningen, the Netherlands.,3 Research School of Behavioral and Cognitive Neurosciences, University of Groningen, the Netherlands
| | - John J Galvin
- 1 Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,2 Graduate School of Medical Sciences, University of Groningen, the Netherlands.,3 Research School of Behavioral and Cognitive Neurosciences, University of Groningen, the Netherlands.,4 House Ear Institute, Los Angeles, CA, USA.,5 Department of Head and Neck Surgery, David Geffen School of Medicine, UCLA, CA, USA
| | - Bert Maat
- 1 Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,2 Graduate School of Medical Sciences, University of Groningen, the Netherlands.,3 Research School of Behavioral and Cognitive Neurosciences, University of Groningen, the Netherlands
| | - Deniz Başkent
- 1 Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,2 Graduate School of Medical Sciences, University of Groningen, the Netherlands.,3 Research School of Behavioral and Cognitive Neurosciences, University of Groningen, the Netherlands
| | - Rolien H Free
- 1 Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,2 Graduate School of Medical Sciences, University of Groningen, the Netherlands.,3 Research School of Behavioral and Cognitive Neurosciences, University of Groningen, the Netherlands
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A Follow-Up Study on Music and Lexical Tone Perception in Adult Mandarin-Speaking Cochlear Implant Users. Otol Neurotol 2018; 38:e421-e428. [PMID: 28984805 DOI: 10.1097/mao.0000000000001580] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim was to evaluate the development of music and lexical tone perception in Mandarin-speaking adult cochlear implant (CI) users over a period of 1 year. STUDY DESIGN Prospective patient series. SETTING Tertiary hospital and research institute. PATIENTS Twenty five adult CI users, with ages ranging from 19 to 75 years old, participated in a year-long follow-up evaluation. There were also 40 normal hearing adult subjects who participated as a control group to provide the normal value range. INTERVENTIONS Musical sounds in cochlear implants (Mu.S.I.C.) test battery was undertaken to evaluate music perception ability. Mandarin Tone Identification in Noise Test (M-TINT) was used to assess lexical tone recognition. The tests for CI users were completed at 1, 3, 6, and 12 months after the CI switch-on. MAIN OUTCOMES MEASURES Quantitative and statistical analysis of their results from music and tone perception tests. RESULTS The performance of music perception and tone recognition both demonstrated an overall improvement in outcomes during the entire 1-year follow-up process. The increasing trends were obvious in the early period especially in the first 6 months after switch-on. There was a significant improvement in the melody discrimination (p < 0.01), timbre identification (p < 0.001), tone recognition in quiet (p < 0.0001), and in noise (p < 0.0001). CONCLUSIONS Adult Mandarin-speaking CI users show an increasingly improved performance on music and tone perception during the 1-year follow-up. The improvement was the most prominent in the first 6 months of CI use. It is essential to strengthen the rehabilitation training within the first 6 months.
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Abstract
OBJECTIVE Cochlear implantation is associated with poor music perception and enjoyment. Reducing music complexity has been shown to enhance music enjoyment in cochlear implant (CI) recipients. In this study, we assess the impact of harmonic series reduction on music enjoyment. STUDY DESIGN Prospective analysis of music enjoyment in normal-hearing (NH) individuals and CI recipients. SETTING Single tertiary academic medical center. PATIENTS NH adults (N = 20) and CI users (N = 8) rated the Happy Birthday song on three validated enjoyment modalities-musicality, pleasantness, and naturalness. INTERVENTION Subjective rating of music excerpts. MAIN OUTCOME MEASURES Participants listened to seven different instruments play the melody, each with five levels of harmonic reduction (Full, F3+F2+F1+F0, F2+F1+F0, F1+F0, F0). NH participants listened to the segments both with and without CI simulation. Linear mixed effect models (LME) and likelihood ratio tests were used to assess the impact of harmonic reduction on enjoyment. RESULTS NH listeners without simulation rated segments with the first four harmonics (F3+F2+F1+F0) most pleasant and natural (p <0.001, p = 0.004). NH listeners with simulation rated the first harmonic alone (F0) most pleasant and natural (p <0.001, p = 0.003). Their ratings demonstrated a positive linear relationship between harmonic reduction and both pleasantness (slope estimate = 0.030, SE = 0.004, p <0.001, LME) and naturalness (slope estimate = 0.012, SE = 0.003, p = 0.003, LME). CI recipients also found the first harmonic alone (F0) to be most pleasant (p = 0.003), with a positive linear relationship between harmonic reduction and pleasantness (slope estimate = 0.029, SE = 0.008, p <0.001, LME). CONCLUSION Harmonic series reduction increases music enjoyment in CI and NH individuals with or without CI simulation. Therefore, minimization of the harmonics may be a useful strategy for enhancing musical enjoyment among both NH and CI listeners.
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Dritsakis G, van Besouw RM, O’ Meara A. Impact of music on the quality of life of cochlear implant users: a focus group study. Cochlear Implants Int 2017; 18:207-215. [DOI: 10.1080/14670100.2017.1303892] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Giorgos Dritsakis
- Institute of Sound and Vibration Research (ISVR), University of Southampton, Highfield SO171BJ, UK
| | - Rachel M. van Besouw
- Institute of Sound and Vibration Research (ISVR), University of Southampton, Highfield SO171BJ, UK
| | - Aoife O’ Meara
- Institute of Sound and Vibration Research (ISVR), University of Southampton, Highfield SO171BJ, UK
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[Music therapy in adults with cochlear implants : Effects on music perception and subjective sound quality]. HNO 2016; 64:880-890. [PMID: 27837214 DOI: 10.1007/s00106-016-0279-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND People with severe hearing impairments and deafness can achieve good speech comprehension using a cochlear implant (CI), although music perception often remains impaired. A novel concept of music therapy for adults with CI was developed and evaluated in this study. METHODS This study included 30 adults with a unilateral CI following postlingual deafness. The subjective sound quality of the CI was rated using the hearing implant sound quality index (HISQUI) and musical tests for pitch discrimination, melody recognition and timbre identification were applied. As a control 55 normally hearing persons also completed the musical tests. RESULTS In comparison to normally hearing subjects CI users showed deficits in the perception of pitch, melody and timbre. Specific effects of therapy were observed in the subjective sound quality of the CI, in pitch discrimination into a high and low pitch range and in timbre identification, while general learning effects were found in melody recognition. CONCLUSION Music perception shows deficits in CI users compared to normally hearing persons. After individual music therapy in the rehabilitation process, improvements in this delicate area could be achieved.
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Abstract
Direct stimulation of the auditory nerve via a Cochlear Implant (CI) enables profoundly hearing-impaired people to perceive sounds. Many CI users find language comprehension satisfactory, but music perception is generally considered difficult. However, music contains different dimensions which might be accessible in different ways. We aimed to highlight three main dimensions of music processing in CI users which rely on different processing mechanisms: (1) musical discrimination abilities, (2) access to meaning in music, and (3) subjective music appreciation. All three dimensions were investigated in two CI user groups (post- and prelingually deafened CI users, all implanted as adults) and a matched normal hearing control group. The meaning of music was studied by using event-related potentials (with the N400 component as marker) during a music-word priming task while music appreciation was gathered by a questionnaire. The results reveal a double dissociation between the three dimensions of music processing. Despite impaired discrimination abilities of both CI user groups compared to the control group, appreciation was reduced only in postlingual CI users. While musical meaning processing was restorable in postlingual CI users, as shown by a N400 effect, data of prelingual CI users lack the N400 effect and indicate previous dysfunctional concept building.
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The Effects of Training on Music Perception and Appreciation for Cochlear Implant Recipients. ACTA ACUST UNITED AC 2016. [DOI: 10.1155/2016/6286514] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
The aim of this study was to compare the effectiveness of a music appreciation training program (MATP) to that of focused music listening (FML) for improving music and/or speech in noise perception for postlingually deafened cochlear implant (CI) recipients. It was hypothesized that the MATP would show greater improvements than FML. Ten CI recipients were randomly divided into two groups: one undertaking the MATP and the other undertaking FML. Participants completed four 30-minute sessions per week for 8 weeks, with tests of music and speech-in-noise perception being administered four times per participant: before and after a control period, immediately after the intervention, and 4–8 weeks after intervention. There was a significant pre- to posttraining difference for the MATP group on the instrument identification test, as well as for half of the quality rating assessments. Although no statistically significant improvements were obtained for the FML group, there was a trend of higher scores postintervention for the instrument and ensemble identification tests, and compliance was substantially better than for the MATP group. While the results showed that only the music training significantly improved music perception, the potential of FML to benefit some CI recipients for some tasks was also observed.
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Shirvani S, Jafari Z, Motasaddi Zarandi M, Jalaie S, Mohagheghi H, Tale MR. Emotional Perception of Music in Children With Bimodal Fitting and Unilateral Cochlear Implant. Ann Otol Rhinol Laryngol 2015; 125:470-7. [PMID: 26681623 DOI: 10.1177/0003489415619943] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Biological, structural, and acoustical constraints faced by cochlear implant (CI) users can alter the perception of music. Bimodal fitting not only provides bilateral hearing but can also improve auditory skills. This study was conducted to assess the impact of this amplification style on the emotional perception of music among children with hearing loss (HL). METHODS Twenty-five children with congenital severe to profound HL and unilateral CIs, 20 children with bimodal fitting, and 30 children with normal hearing participated in this study. Their emotional perceptions of music were measured using a method where children indicated happy or sad feelings induced by music by pointing to pictures of faces showing these emotions. RESULTS Children with bimodal fitting obtained significantly higher mean scores than children with unilateral CIs for both happy and sad music items and in overall test scores (P < .001). Both groups with HL obtained significantly lower scores than children with normal hearing (P < .001). CONCLUSIONS Bimodal fitting results in a better emotional perception of music compared to unilateral CI. Given the influence of music in neurological and linguistic development and social interactions, it is important to evaluate the possible benefits of bimodal fitting prescriptions for individuals with unilateral CIs.
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Affiliation(s)
- Sareh Shirvani
- Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Zahra Jafari
- Department of Basic Sciences in Rehabilitation, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran Canadian Center for Behavioral Neuroscience (CCBN), Lethbridge University, Lethbridge, Alberta, Canada
| | - Masoud Motasaddi Zarandi
- Cochlear Implant Research Center, AmirAlam Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Shohre Jalaie
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Hamed Mohagheghi
- Department of Audiology, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Grasmeder ML, Verschuur CA. Perception of the pitch and naturalness of popular music by cochlear implant users. Cochlear Implants Int 2015; 16 Suppl 3:S79-90. [DOI: 10.1179/1467010015z.000000000266] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Music Engineering as a Novel Strategy for Enhancing Music Enjoyment in the Cochlear Implant Recipient. Behav Neurol 2015; 2015:829680. [PMID: 26543322 PMCID: PMC4620405 DOI: 10.1155/2015/829680] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Revised: 03/10/2015] [Accepted: 03/12/2015] [Indexed: 11/17/2022] Open
Abstract
Objective. Enjoyment of music remains an elusive goal following cochlear implantation. We test the hypothesis that reengineering music to reduce its complexity can enhance the listening experience for the cochlear implant (CI) listener. Methods. Normal hearing (NH) adults (N = 16) and CI listeners (N = 9) evaluated a piece of country music on three enjoyment modalities: pleasantness, musicality, and naturalness. Participants listened to the original version along with 20 modified, less complex, versions created by including subsets of the musical instruments from the original song. NH participants listened to the segments both with and without CI simulation processing. Results. Compared to the original song, modified versions containing only 1–3 instruments were less enjoyable to the NH listeners but more enjoyable to the CI listeners and the NH listeners with CI simulation. Excluding vocals and including rhythmic instruments improved enjoyment for NH listeners with CI simulation but made no difference for CI listeners. Conclusions. Reengineering a piece of music to reduce its complexity has the potential to enhance music enjoyment for the cochlear implantee. Thus, in addition to improvements in software and hardware, engineering music specifically for the CI listener may be an alternative means to enhance their listening experience.
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Calvino M, Gavilán J, Sánchez-Cuadrado I, Pérez-Mora RM, Muñoz E, Díez-Sebastián J, Lassaletta L. Using the HISQUI29 to assess the sound quality levels of Spanish adults with unilateral cochlear implants and no contralateral hearing. Eur Arch Otorhinolaryngol 2015; 273:2343-53. [PMID: 26440105 DOI: 10.1007/s00405-015-3789-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 09/23/2015] [Indexed: 10/23/2022]
Abstract
To evaluate cochlear implant (CI) users' self-reported level of sound quality and quality of life (QoL). Sound quality was self-evaluated using the hearing implant sound quality index (HISQUI29). HISQUI29 scores were further examined in three subsets. QoL was self-evaluated using the glasgow benefit inventory (GBI). GBI scores were further examined in three subsets. Possible correlations between the HISQUI29 and GBI were explored. Additional possible correlations between these scores and subjects' pure tone averages, speech perception scores, age at implantation, duration of hearing loss, duration of CI use, gender, and implant type were explored. Subjects derived a "moderate" sound quality level from their CI. Television, radio, and telephone tasks were easier in quiet than in background noise. 89 % of subjects reported their QoL benefited from having a CI. Mean total HISQUI29 score significantly correlated with all subcategories of the GBI. Age at implantation inversely correlated with the total HISQUI29 score and with television and radio understanding. Sentence in noise scores significantly correlated with all sound perception scores. Women had a better mean score in music perception and in telephone use than did men. CI users' self-reported levels of sound quality significantly correlated with their QoL. Cochlear implantation had a beneficial impact on subjects' QoL. Understanding speech is easier in quiet than in noise. Music perception remains a challenge for many CI users. The HISQUI29 and the GBI can provide useful information about the everyday effects of future treatment modalities, rehabilitation strategies, and technical developments.
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Affiliation(s)
- Miryam Calvino
- Department of Otolaryngology, IdiPAZ Research Institute, La Paz University Hospital, Paseo de La Castellana 261, 28046, Madrid, Spain
| | - Javier Gavilán
- Department of Otolaryngology, IdiPAZ Research Institute, La Paz University Hospital, Paseo de La Castellana 261, 28046, Madrid, Spain
| | - Isabel Sánchez-Cuadrado
- Department of Otolaryngology, IdiPAZ Research Institute, La Paz University Hospital, Paseo de La Castellana 261, 28046, Madrid, Spain
| | - Rosa M Pérez-Mora
- Department of Otolaryngology, IdiPAZ Research Institute, La Paz University Hospital, Paseo de La Castellana 261, 28046, Madrid, Spain
| | - Elena Muñoz
- Department of Otolaryngology, IdiPAZ Research Institute, La Paz University Hospital, Paseo de La Castellana 261, 28046, Madrid, Spain
| | - Jesús Díez-Sebastián
- Clinical Epidemiology Unit, La Paz University Hospital, Paseo de La Castellana 261, 28046, Madrid, Spain
| | - Luis Lassaletta
- Department of Otolaryngology, IdiPAZ Research Institute, La Paz University Hospital, Paseo de La Castellana 261, 28046, Madrid, Spain.
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Hutter E, Argstatter H, Grapp M, Plinkert PK. Music therapy as specific and complementary training for adults after cochlear implantation: A pilot study. Cochlear Implants Int 2015; 16 Suppl 3:S13-21. [PMID: 26047068 DOI: 10.1179/1467010015z.000000000261] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVES Although cochlear implant (CI) users achieve good speech comprehension, they experience difficulty perceiving music and prosody in speech. As the provision of music training in rehabilitation is limited, a novel concept of music therapy for rehabilitation of adult CI users was developed and evaluated in this pilot study. METHODS Twelve unilaterally implanted, postlingually deafened CI users attended ten sessions of individualized and standardized training. The training started about 6 weeks after the initial activation of the speech processor. Before and after therapy, psychological and musical tests were applied in order to evaluate the effects of music therapy. CI users completed the musical tests in two conditions: bilateral (CI + contralateral, unimplanted ear) and unilateral (CI only). RESULTS After therapy, improvements were observed in the subjective sound quality (Hearing Implant Sound Quality Index) and the global score on the self-concept questionnaire (Multidimensional Self-Concept Scales) as well as in the musical subtests for melody recognition and for timbre identification in the unilateral condition. Discussion Preliminary results suggest improvements in subjective hearing and music perception, with an additional increase in global self-concept and enhanced daily listening capacities. CONCLUSIONS The novel concept of individualized music therapy seems to provide an effective treatment option in the rehabilitation of adult CI users. Further investigations are necessary to evaluate effects in the area of prosody perception and to separate therapy effects from general learning effects in CI rehabilitation.
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Limb CJ, Roy AT. Technological, biological, and acoustical constraints to music perception in cochlear implant users. Hear Res 2014; 308:13-26. [DOI: 10.1016/j.heares.2013.04.009] [Citation(s) in RCA: 138] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Revised: 04/04/2013] [Accepted: 04/22/2013] [Indexed: 11/30/2022]
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Driscoll VD. The Effects of Training on Recognition of Musical Instruments by Adults with Cochlear Implants. Semin Hear 2012; 33:410-418. [PMID: 23503992 DOI: 10.1055/s-0032-1329230] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
This study examines the efficiency and effectiveness of three types of training on recognition of musical instruments by adults with cochlear implants (CI). Seventy-one adults with CIs were randomly assigned to one of three training conditions: feedback on response accuracy, feedback-plus (response accuracy plus correct answer), and direct instruction. Each participant completed three training sessions per week over a five-week time period in which they listened to recorded excerpts of eight different musical instruments. Results showed significant pre-to-posttest improvement in music instrument recognition accuracy for all three training conditions (22.9-25.7%, p< 0.0001). Time when tested (week), bilateral CI use, and age were significant predictors of performance. Participants who wore bilateral implants scored significantly higher than participants with unilateral implants at all three time points; hearing aid use was not a significant predictor. These results may have practical implications for numerous types of auditory rehabilitation for persons who use CIs.
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Affiliation(s)
- Virginia D Driscoll
- Iowa Cochlear Implant Clinical Research Center, University of Iowa, Hospital and Clinics
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Looi V, Gfeller K, Driscoll V. MUSIC APPRECIATION AND TRAINING FOR COCHLEAR IMPLANT RECIPIENTS: A REVIEW. Semin Hear 2012; 33:307-334. [PMID: 23459244 DOI: 10.1055/s-0032-1329222] [Citation(s) in RCA: 91] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
In recent years, there has been increasing interest in music perception of cochlear implant (CI) recipients, and a growing body of research conducted in this area. The majority of these studies have examined perceptual accuracy for pitch, rhythm, and timbre. Another important, but less commonly studied aspect of music listening is appreciation, or appraisal. Despite the ongoing research into potential technological improvements that may improve music perception for recipients, both perceptual accuracy and appreciation generally remain poor for most recipients. Whilst perceptual accuracy for music is important, appreciation and enjoyment also warrants research as it also contributes to clinical outcomes and perceived benefits. Music training is being shown to offer excellent potential for improving music perception and appreciation for recipients.Therefore, the primary topics of this review are music appreciation and training. However, a brief overview of the psychoacoustic, technical, and physiological factors associated with a recipient's perception of music is provided, as these are important factors in understanding the listening experience for CI recipients. The purpose of this review is to summarize key papers that have investigated these issues, in order to demonstrate that i) music enjoyment and appraisal is an important and valid consideration in evaluating music outcomes for recipients, and ii) that music training can improve music listening for many recipients, and is something that can be offered to persons using current technology.
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Affiliation(s)
- Valerie Looi
- c/o Cochlear - Asia Pacific, 1 University Ave, Macquarie University 2109 NSW
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Fuller C, Free R, Maat B, Başkent D. Musical background not associated with self-perceived hearing performance or speech perception in postlingual cochlear-implant users. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2012; 132:1009-1016. [PMID: 22894221 DOI: 10.1121/1.4730910] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
In normal-hearing listeners, musical background has been observed to change the sound representation in the auditory system and produce enhanced performance in some speech perception tests. Based on these observations, it has been hypothesized that musical background can influence sound and speech perception, and as an extension also the quality of life, by cochlear-implant users. To test this hypothesis, this study explored musical background [using the Dutch Musical Background Questionnaire (DMBQ)], and self-perceived sound and speech perception and quality of life [using the Nijmegen Cochlear Implant Questionnaire (NCIQ) and the Speech Spatial and Qualities of Hearing Scale (SSQ)] in 98 postlingually deafened adult cochlear-implant recipients. In addition to self-perceived measures, speech perception scores (percentage of phonemes recognized in words presented in quiet) were obtained from patient records. The self-perceived hearing performance was associated with the objective speech perception. Forty-one respondents (44% of 94 respondents) indicated some form of formal musical training. Fifteen respondents (18% of 83 respondents) judged themselves as having musical training, experience, and knowledge. No association was observed between musical background (quantified by DMBQ), and self-perceived hearing-related performance or quality of life (quantified by NCIQ and SSQ), or speech perception in quiet.
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Affiliation(s)
- Christina Fuller
- Department of Otorhinolaryngology/Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
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