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Akbulut AA, Karaman Demirel A, Çiprut A. Music Perception and Music-Related Quality of Life in Adult Cochlear Implant Users: Exploring the Need for Music Rehabilitation. Ear Hear 2024:00003446-990000000-00342. [PMID: 39256903 DOI: 10.1097/aud.0000000000001580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/12/2024]
Abstract
OBJECTIVES Cochlear implant (CI) users face difficulties in accurately perceiving basic musical elements such as pitch, melody, and timbre. Music significantly affects the quality of life (QoL) of CI users. Individually and culturally influenced music perception exceeds psychophysical measures in capturing the subjective music enjoyment of CI users. Understanding the music perception, enjoyment, and habits of CI users is crucial for approaches to improve music-related QoL (MuRQoL). Therefore, this study aims to investigate music perception skills, experiences, and participation in music activities in a large group of adult CI users, and to understand the importance of these factors and their impact on QoL of CI users. DESIGN This study included 214 CI recipients with diverse auditory experiences who were aged between 18 and 65 years and were unilateral, bimodal, or bilateral users for at least 1 year and 193 normal hearing (NH) controls. All participants completed the information forms and the MuRQoL questionnaire. To assess the impact of music on QoL and identify personalized rehabilitation needs, the scores for each question in both parts of the questionnaire were intersected on a matrix. Data were presented in detail for the CI group and compared between CI and NH groups. RESULTS A statistically significant difference was found between the matched CI and NH groups in favor of the NH group in terms of music perception and music engagement. Participants who received music education at any point in their lives had significantly higher MuRQoL questionnaire scores. There was no significant relationship found between the duration of auditory rehabilitation, pre-CI hearing aid usage, music listening modality, and MuRQoL questionnaire scores. Unilateral CI users had significantly lower scores in music perception and music engagement subsections compared with bimodal and bilateral CI users. Also, it was found that music had a strong negative impact on QoL in 67/214 of the CI users. CONCLUSIONS Although CI users scored significantly lower than NH individuals on the first part of the questionnaire, which asked about musical skills, enjoyment, and participation in musical activities, findings suggest that CI users value music and music enjoyment just as much. The study reveals the influence of factors such as education level, age, music education, type of hearing loss and auditory rehabilitation on music perception, music enjoyment, and participation in music activities through self-report. The results indicate that for many CI users, music has a strong negative impact on QoL, highlighting the need for personalized music interventions, the inclusion of self-report questionnaires, and music perception tests in clinical evaluations.
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Affiliation(s)
- Ahmet Alperen Akbulut
- Department of Audiology, Hamidiye Faculty of Health Sciences, University of Health Sciences, Istanbul, Türkiye
- Department of Otorhinolaryngology, Audiology and Speech Disorders PhD Program, Institute of Health Sciences, Marmara University, Istanbul, Türkiye
| | - Ayşenur Karaman Demirel
- Department of Otorhinolaryngology, Audiology and Speech Disorders PhD Program, Institute of Health Sciences, Marmara University, Istanbul, Türkiye
- Vocational School of Health Services, Istanbul Okan University, Istanbul, Türkiye
| | - Ayça Çiprut
- Department of Audiology, Faculty of Medicine, Marmara University, Istanbul, Türkiye
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Zuazua-Gonzalez A, Calvino M, Postigo Á, Domingo C, Gavilán J, Lassaletta L. Spanish translation and validation of the Music-Related Quality of Life Questionnaire (MuRQoL) in postlingually deaf cochlear implant users. Eur Arch Otorhinolaryngol 2024; 281:4575-4584. [PMID: 38668790 PMCID: PMC11393212 DOI: 10.1007/s00405-024-08628-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 03/19/2024] [Indexed: 09/14/2024]
Abstract
PURPOSE The aim of this study was to translate and validate the "Music-Related Quality of Life Questionnaire" into Spanish (sMuRQoL) and assess its convergent validity and discriminative capacity by comparing its scores with the outcomes of the musical perception test Meludia. METHODS The sMuRQoL was completed by 129 patients: 55 cochlear implant (CI) users and 74 normal hearing (NH) individuals. Conducted in this study were an exploratory factor analysis, an evaluation of internal consistency, an assessment of score stability through test-retest reliability, a comparison of sMuRQoL scores between CI users and NH individuals and an examination of potential evidence of convergent validity and discriminative capacity of sMuRQoL in relation to other tools. This involved the comparison of the questionnaire scores with the Meludia outcomes. RESULTS The sMuRQoL demonstrated a two-dimensional structure. All the dimensions displayed high internal consistency (α = 0.879-0.945) and score stability (ICC = 0.890-0.942). There were significant differences in the Frequency test between NH and CI users (d = 1.19-1.45). There's evidence of convergent validity between the scores of the Frequency test and the results of Meludia (r = 0.242-0.645). Additionally, the Frequency test demonstrate a good discriminative capacity to identify patients with poorer musical perception. CONCLUSIONS The sMuRQoL is a reliable questionnaire, with adequate evidence of validity based on internal structure. This study provides an accessible, cost-effective, and quick-to-administer instrument in Spanish, optimizing available healthcare resources and bringing us closer to the patient needs.
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Affiliation(s)
- Alejandro Zuazua-Gonzalez
- Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - Miryam Calvino
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute. Universidad Autónoma de Madrid, Madrid, Spain
- Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III (CIBERER-U761), Madrid, Spain
| | - Álvaro Postigo
- Department of Psychology, Universidad de Oviedo, Oviedo, Spain
| | - Carlos Domingo
- Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - Javier Gavilán
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute. Universidad Autónoma de Madrid, Madrid, Spain
| | - Luis Lassaletta
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute. Universidad Autónoma de Madrid, Madrid, Spain.
- Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III (CIBERER-U761), Madrid, Spain.
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Calvino M, Zuazua A, Sanchez-Cuadrado I, Gavilán J, Mancheño M, Arroyo H, Lassaletta L. Meludia platform as a tool to evaluate music perception in pediatric and adult cochlear implant users. Eur Arch Otorhinolaryngol 2024; 281:629-638. [PMID: 37480418 PMCID: PMC10796694 DOI: 10.1007/s00405-023-08121-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 07/10/2023] [Indexed: 07/24/2023]
Abstract
PURPOSE Music perception is one of the greatest challenges for cochlear implant (CI) users. The aims of this study were: (i) to evaluate the music perception of CI users using the online Meludia music training program as music testing platform, (ii) to compare performance among three age groups, and (iii) to compare CI users with their normal hearing (NH) peers. METHODS 138 individuals participated, divided between children (6-10 y), adolescents (11-16 y), and adults (≥ 17 y). Five music perception tasks were evaluated: Rhythm, Spatialization, Stable/unstable, Melody, and Density. We also administered the music related quality of life (MuRQoL) questionnaire for adults, and a music questionnaire for pediatric population (6-16 y) (MuQPP). RESULTS A significantly higher percentage of the adolescent CI users completed the five tasks compared to the other age groups. Both pediatric and adolescent CI users had similar performance to their NH peers in most categories. On the MuRQoL, adult NH listeners reported more music exposure than CI users (3.8 ± 0.6 vs 3.0 ± 0.6, p < 0.01), but both groups reported similar levels of perceived music importance (3.4 ± 0.7 vs 3.2 ± 1.1, p = 0.340). On the MuQPP, pediatric CI users who scored highly on music perception also had higher reported questionnaire scores (54.2 ± 12.9 vs 40.9 ± 12.1, p = 0.009). CONCLUSIONS Meludia can be used to evaluate music perception and to use for music training in CI users of all ages. Adolescents had the highest performance in most musical tasks. Pediatric CI users were more similar to their NH peers. The importance of music in adult CI users was comparable to their NH peers.
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Affiliation(s)
- Miryam Calvino
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute, Paseo de la Castellana 261, 28046, Madrid, Spain.
- Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III (CIBERER-U761), Madrid, Spain.
| | - Alejandro Zuazua
- Department of Otorhinolaryngology, Hospital Infanta Leonor, Madrid, Spain
| | - Isabel Sanchez-Cuadrado
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Javier Gavilán
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Marta Mancheño
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Helena Arroyo
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Luis Lassaletta
- Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute, Paseo de la Castellana 261, 28046, Madrid, Spain
- Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III (CIBERER-U761), Madrid, Spain
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Calvino M, Zuazua-González A, Gavilán J, Lassaletta L. Objective and Subjective Assessment of Music Perception and Musical Experiences in Young Cochlear Implant Users. Audiol Res 2024; 14:86-95. [PMID: 38247564 PMCID: PMC10801469 DOI: 10.3390/audiolres14010008] [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: 11/20/2023] [Revised: 01/11/2024] [Accepted: 01/16/2024] [Indexed: 01/23/2024] Open
Abstract
For many individuals, music has a significant impact on the quality and enjoyability of life. Cochlear implant (CI) users must cope with the constraints that the CI imposes on music perception. Here, we assessed the musical experiences of young CI users and age-matched controls with normal hearing (NH). CI users and NH peers were divided into subgroups according to age: children and adolescents. Participants were tested on their ability to recognize vocal and instrumental music and instruments. A music questionnaire for pediatric populations (MuQPP) was also used. CI users and NH peers identified a similar percentage of vocal music. CI users were significantly worse at recognizing instruments (p < 0.05) and instrumental music (p < 0.05). CI users scored similarly to NH peers on the MuQPP, except for the musical frequency domain, where CI users in the children subgroup scored higher than their NH peers (p = 0.009). For CI users in the children subgroup, the identification of instrumental music was positively correlated with music importance (p = 0.029). Young CI users have significant deficits in some aspects of music perception (instrumental music and instrument identification) but have similar scores to NH peers in terms of interest in music, frequency of music exposure, and importance of music.
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Affiliation(s)
- Miryam Calvino
- Department of Otorhinolaryngology, Hospital La Paz, IdiPAZ Research Institute, 28046 Madrid, Spain; (M.C.); (J.G.)
- Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III (CIBERER-U761), 28029 Madrid, Spain
| | | | - Javier Gavilán
- Department of Otorhinolaryngology, Hospital La Paz, IdiPAZ Research Institute, 28046 Madrid, Spain; (M.C.); (J.G.)
| | - Luis Lassaletta
- Department of Otorhinolaryngology, Hospital La Paz, IdiPAZ Research Institute, 28046 Madrid, Spain; (M.C.); (J.G.)
- Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III (CIBERER-U761), 28029 Madrid, Spain
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Althoff J, Gajecki T, Nogueira W. Remixing Preferences for Western Instrumental Classical Music of Bilateral Cochlear Implant Users. Trends Hear 2024; 28:23312165241245219. [PMID: 38613359 PMCID: PMC11301731 DOI: 10.1177/23312165241245219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 03/15/2024] [Indexed: 04/14/2024] Open
Abstract
For people with profound hearing loss, a cochlear implant (CI) is able to provide access to sounds that support speech perception. With current technology, most CI users obtain very good speech understanding in quiet listening environments. However, many CI users still struggle when listening to music. Efforts have been made to preprocess music for CI users and improve their music enjoyment. This work investigates potential modifications of instrumental music to make it more accessible for CI users. For this purpose, we used two datasets with varying complexity and containing individual tracks of instrumental music. The first dataset contained trios and it was newly created and synthesized for this study. The second dataset contained orchestral music with a large number of instruments. Bilateral CI users and normal hearing listeners were asked to remix the multitracks grouped into melody, bass, accompaniment, and percussion. Remixes could be performed in the amplitude, spatial, and spectral domains. Results showed that CI users preferred tracks being panned toward the right side, especially the percussion component. When CI users were grouped into frequent or occasional music listeners, significant differences in remixing preferences in all domains were observed.
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Affiliation(s)
- Jonas Althoff
- Department of Otolaryngology, Hannover Medical School, Hannover, Germany
- Cluster of Excellence Hearing4all, Hanover, Germany
| | - Tom Gajecki
- Department of Otolaryngology, Hannover Medical School, Hannover, Germany
- Cluster of Excellence Hearing4all, Hanover, Germany
| | - Waldo Nogueira
- Department of Otolaryngology, Hannover Medical School, Hannover, Germany
- Cluster of Excellence Hearing4all, Hanover, Germany
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Abdulbaki H, Mo J, Limb CJ, Jiam NT. The Impact of Musical Rehabilitation on Complex Sound Perception in Cochlear Implant Users: A Systematic Review. Otol Neurotol 2023; 44:965-977. [PMID: 37758325 DOI: 10.1097/mao.0000000000004025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
Abstract
OBJECTIVE Musical rehabilitation has been used in clinical and nonclinical contexts to improve postimplantation auditory processing in implanted individuals. This systematic review aimed to evaluate the efficacy of music rehabilitation in controlled experimental and quasi-experimental studies on cochlear implant (CI) user speech and music perception. DATABASES REVIEWED PubMed/MEDLINE, EMBASE, Web of Science, PsycARTICLES, and PsycINFO databases through July 2022. METHODS Controlled experimental trials and prospective studies were included if they compared pretest and posttest data and excluded hearing aid-only users. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were then used to extract data from 11 included studies with a total of 206 pediatric and adult participants. Interventions included group music therapy, melodic contour identification training, auditory-motor instruction, or structured digital music training. Studies used heterogeneous outcome measures evaluating speech and music perception. Risk of bias was assessed using the National Heart, Lung, and Blood Institute Quality Assessment Tool. RESULTS A total of 735 studies were screened, and 11 met the inclusion criteria. Six trials reported both speech and music outcomes, whereas five reported only music perception outcomes after the intervention relative to control. For music perception outcomes, significant findings included improvements in melodic contour identification (five studies, p < 0.05), timbre recognition (three studies, p < 0.05), and song appraisal (three studies, p < 0.05) in their respective trials. For speech prosody outcomes, only vocal emotion identification demonstrated significant improvements (two studies, p < 0.05). CONCLUSION Music rehabilitation improves performance on multiple measures of music perception, as well as tone-based characteristics of speech (i.e., emotional prosody). This suggests that rehabilitation may facilitate improvements in the discrimination of spectrally complex signals.
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Affiliation(s)
- Hasan Abdulbaki
- University of California San Francisco School of Medicine, San Francisco
| | - Jonathan Mo
- University of California Davis School of Medicine, Sacramento
| | - Charles J Limb
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California
| | - Nicole T Jiam
- Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts
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Tzvi-Minker E, Keck A. How Can We Compare Cochlear Implant Systems across Manufacturers? A Scoping Review of Recent Literature. Audiol Res 2023; 13:753-766. [PMID: 37887848 PMCID: PMC10604631 DOI: 10.3390/audiolres13050067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 09/27/2023] [Accepted: 10/06/2023] [Indexed: 10/28/2023] Open
Abstract
Electric stimulation via a cochlear implant (CI) enables people with severe-to-profound sensorineural hearing loss to regain speech understanding and music appreciation and, thus, allow them to actively engage in social life. Three main manufacturers (CochlearTM, MED-ELTM, and Advanced BionicsTM "AB") have been offering CI systems, thus challenging CI recipients and otolaryngologists with a difficult decision as currently no comprehensive overview or meta-analysis on performance outcomes following CI implantation is available. The main goals of this scoping review were to (1) map the literature on speech and music performance outcomes and to (2) find whether studies have performed outcome comparisons between devices of different manufacturers. To this end, a literature search was conducted to find studies that address speech and music outcomes in CI recipients. From a total of 1592 papers, 188 paper abstracts were analyzed and 147 articles were found suitable for an examination of full text. From these, 42 studies were included for synthesis. A total of 16 studies used the consonant-nucleus-consonant (CNC) word recognition test in quiet at 60 db SPL. We found that aside from technical comparisons, very few publications compared speech outcomes across manufacturers of CI systems. However, evidence suggests that these data are available in large CI centers in Germany and the US. Future studies should therefore leverage large data cohorts to perform such comparisons, which could provide critical evaluation criteria and assist both CI recipients and otolaryngologists to make informed performance-based decisions.
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Haumann NT, Petersen B, Friis Andersen AS, Faulkner KF, Brattico E, Vuust P. Mismatch negativity as a marker of music perception in individual cochlear implant users: A spike density component analysis study. Clin Neurophysiol 2023; 148:76-92. [PMID: 36822119 DOI: 10.1016/j.clinph.2023.01.015] [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: 06/27/2022] [Revised: 01/19/2023] [Accepted: 01/24/2023] [Indexed: 02/10/2023]
Abstract
OBJECTIVE Ninety percent of cochlear implant (CI) users are interested in improving their music perception. However, only few objective behavioral and neurophysiological tests have been developed for tracing the development of music discrimination skills in CI users. In this study, we aimed to obtain an accurate individual mismatch negativity (MMN) marker that could predict behavioral auditory discrimination thresholds. METHODS We measured the individual MMN response to four magnitudes of deviations in four different musical features (intensity, pitch, timbre, and rhythm) in a rare sample of experienced CI users and a control sample of normally hearing participants. We applied a recently developed spike density component analysis (SCA), which can suppress confounding alpha waves, and contrasted it with previously proposed methods. RESULTS Statistically detected individual MMN predicted attentive sound discrimination ability with high accuracy: for CI users 89.2% (278/312 cases) and for controls 90.5% (384/424 cases). As expected, MMN was detected for fewer CI users when the sound deviants were of smaller magnitude. CONCLUSIONS The findings support the use of MMN responses in individual CI users as a diagnostic tool for testing music perception. SIGNIFICANCE For CI users, the new SCA method provided more accurate and replicable diagnostic detections than preceding state-of-the-art.
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Affiliation(s)
- Niels Trusbak Haumann
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark.
| | - Bjørn Petersen
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark
| | - Anne Sofie Friis Andersen
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark
| | | | - Elvira Brattico
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark
| | - Peter Vuust
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Universitetsbyen 3, 8000 Aarhus C, Denmark
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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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Musical Mistuning Perception and Appraisal in Cochlear Implant Recipients. Otol Neurotol 2023; 44:e281-e286. [PMID: 36922018 DOI: 10.1097/mao.0000000000003860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023]
Abstract
OBJECTIVE Music is a very crucial art form that can evoke emotions, and the harmonious presence of the human voice in music is an impactful part of this process. As a result, vocals have had some significant effects on contemporary music. The mechanism behind the cochlear implant (CI) recipients perceiving different aspects of music is clear; however, how well they perceive vocal tuning within music it is not well known. Hence, this study evaluated the mistuning perception of CI recipients and compared their performance with normal-hearing (NH) listeners. STUDY DESIGN, SETTING, AND PATIENTS A total of 16 CI users (7 cisgender men, 9 cisgender women) and 16 sex-matched NH controls with an average age of 30.2 (±10.9; range, 19-53) years and 23.5 (±6.1; range, 20-37) years, respectively, were enrolled in this study. We evaluated the mistuning ability using the mistuning perception test (MPT) and assessed self-perceived music perception and engagement using the music-related quality-of-life questionnaire. Test performance was measured and reported on the item-response theory metric with a z score ranging from -4 to +4. RESULTS A significant difference in the MPT scores was found between NH and CI recipients, whereas a significant correlation was noted between the music-related quality-of-life questionnaire-frequency subscale and MPT scores. No significant correlations were found between age, CI age, and CI usage duration and MPT performance. CONCLUSIONS This study revealed that musical mistuning perception is a limitation for CI recipients, similar to previously evaluated aspects of music perception. Hence, it is important to consider this aspect in the assessment of music perception, enjoyment, and music-based auditory interventions in CI recipients, as vocals are paramount in music perception and recreation. The MPT is a convenient and accessible tool for mistuning assessment in CI and hearing-aid users.
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Takahashi Y, Fujii S, Osakabe Y, Hoshino H, Konno R, Kakamu T, Fukushima T, Matsumoto T, Yoshida K, Aoki S, Kanno K, Oi N, Ueda Y, Suzutani K, Sato A, Mori Y, Wada T, Shiga T, Itagaki S, Miura I, Yabe H. Impaired mismatch negativity reflects the inability to perceive beat interval in patients with schizophrenia. Schizophr Res 2023; 254:40-41. [PMID: 36796272 DOI: 10.1016/j.schres.2023.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 01/11/2023] [Accepted: 02/05/2023] [Indexed: 02/16/2023]
Affiliation(s)
- Yuichi Takahashi
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan; Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine, Japan.
| | - Shinya Fujii
- Faculty of Environment and Information Studies, Keio University, Endo 5322, Fujisawa, Kanagawa 252-0882, Japan
| | - Yusuke Osakabe
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Hiroshi Hoshino
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Rei Konno
- Faculty of Environment and Information Studies, Keio University, Endo 5322, Fujisawa, Kanagawa 252-0882, Japan
| | - Takeyasu Kakamu
- Department of Hygiene and Preventive Medicine, Fukushima Medical University School of Medicine, Japan
| | - Tetsuhito Fukushima
- Department of Hygiene and Preventive Medicine, Fukushima Medical University School of Medicine, Japan
| | - Takatomo Matsumoto
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Kumi Yoshida
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Shuntaro Aoki
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Kazuko Kanno
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Naoyuki Oi
- Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine, Japan
| | - Yuka Ueda
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan; Fukushima Prefectural Medical Centre of Mental Health
| | - Ken Suzutani
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Aya Sato
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Yuhei Mori
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Tomohiro Wada
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Tetsuya Shiga
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Shuntaro Itagaki
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Itaru Miura
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
| | - Hirooki Yabe
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima-shi, Fukushima 960-1101, Japan
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12
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Bissmeyer SRS, Goldsworthy RL. Combining Place and Rate of Stimulation Improves Frequency Discrimination in Cochlear Implant Users. Hear Res 2022; 424:108583. [PMID: 35930901 PMCID: PMC10849775 DOI: 10.1016/j.heares.2022.108583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 06/20/2022] [Accepted: 07/21/2022] [Indexed: 11/04/2022]
Abstract
In the auditory system, frequency is represented as tonotopic and temporal response properties of the auditory nerve. While these response properties are inextricably linked in normal hearing, cochlear implants can separately excite tonotopic location and temporal synchrony using different electrodes and stimulation rates, respectively. This separation allows for the investigation of the contributions of tonotopic and temporal cues for frequency discrimination. The present study examines frequency discrimination in adult cochlear implant users as conveyed by electrode position and stimulation rate, separately and combined. The working hypothesis is that frequency discrimination is better provided by place and rate cues combined compared to either cue alone. This hypothesis was tested in two experiments. In the first experiment, frequency discrimination needed for melodic contour identification was measured for frequencies near 100, 200, and 400 Hz using frequency allocation modeled after clinical processors. In the second experiment, frequency discrimination for pitch ranking was measured for frequencies between 100 and 1600 Hz using an experimental frequency allocation designed to provide better access to place cues. The results of both experiments indicate that frequency discrimination is better with place and rate cues combined than with either cue alone. These results clarify how signal processing for cochlear implants could better encode frequency into place and rate of electrical stimulation. Further, the results provide insight into the contributions of place and rate cues for pitch.
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Affiliation(s)
- Susan R S Bissmeyer
- Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, United States; Auditory Research Center, Health Research Association, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, 1640 Marengo Street Suite 326, Los Angeles, CA 90033, United States.
| | - Raymond L Goldsworthy
- Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, United States; Auditory Research Center, Health Research Association, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, 1640 Marengo Street Suite 326, Los Angeles, CA 90033, United States
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13
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Leterme G, Guigou C, Guenser G, Bigand E, Bozorg Grayeli A. Effect of Sound Coding Strategies on Music Perception with a Cochlear Implant. J Clin Med 2022; 11:jcm11154425. [PMID: 35956042 PMCID: PMC9369156 DOI: 10.3390/jcm11154425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 07/15/2022] [Accepted: 07/26/2022] [Indexed: 11/21/2022] Open
Abstract
The goal of this study was to evaluate the music perception of cochlear implantees with two different sound processing strategies. Methods: Twenty-one patients with unilateral or bilateral cochlear implants (Oticon Medical®) were included. A music trial evaluated emotions (sad versus happy based on tempo and/or minor versus major modes) with three tests of increasing difficulty. This was followed by a test evaluating the perception of musical dissonances (marked out of 10). A novel sound processing strategy reducing spectral distortions (CrystalisXDP, Oticon Medical) was compared to the standard strategy (main peak interleaved sampling). Each strategy was used one week before the music trial. Results: Total music score was higher with CrystalisXDP than with the standard strategy. Nine patients (21%) categorized music above the random level (>5) on test 3 only based on mode with either of the strategies. In this group, CrystalisXDP improved the performances. For dissonance detection, 17 patients (40%) scored above random level with either of the strategies. In this group, CrystalisXDP did not improve the performances. Conclusions: CrystalisXDP, which enhances spectral cues, seemed to improve the categorization of happy versus sad music. Spectral cues could participate in musical emotions in cochlear implantees and improve the quality of musical perception.
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Affiliation(s)
- Gaëlle Leterme
- Otolaryngology, Head and Neck Surgery Department, Dijon University Hospital, 21000 Dijon, France; (G.L.); (G.G.); (A.B.G.)
- ImVia Research Laboratory, Bourgogne-Franche-Comté University, 21000 Dijon, France
| | - Caroline Guigou
- Otolaryngology, Head and Neck Surgery Department, Dijon University Hospital, 21000 Dijon, France; (G.L.); (G.G.); (A.B.G.)
- ImVia Research Laboratory, Bourgogne-Franche-Comté University, 21000 Dijon, France
- Correspondence: ; Tel.: +33-615718531
| | - Geoffrey Guenser
- Otolaryngology, Head and Neck Surgery Department, Dijon University Hospital, 21000 Dijon, France; (G.L.); (G.G.); (A.B.G.)
| | - Emmanuel Bigand
- LEAD Research Laboratory, CNRS UMR 5022, Bourgogne-Franche-Comté University, 21000 Dijon, France;
| | - Alexis Bozorg Grayeli
- Otolaryngology, Head and Neck Surgery Department, Dijon University Hospital, 21000 Dijon, France; (G.L.); (G.G.); (A.B.G.)
- ImVia Research Laboratory, Bourgogne-Franche-Comté University, 21000 Dijon, France
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14
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Gauer J, Nagathil A, Eckel K, Belomestny D, Martin R. A versatile deep-neural-network-based music preprocessing and remixing scheme for cochlear implant listeners. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2022; 151:2975. [PMID: 35649910 DOI: 10.1121/10.0010371] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 04/13/2022] [Indexed: 06/15/2023]
Abstract
While cochlear implants (CIs) have proven to restore speech perception to a remarkable extent, access to music remains difficult for most CI users. In this work, a methodology for the design of deep learning-based signal preprocessing strategies that simplify music signals and emphasize rhythmic information is proposed. It combines harmonic/percussive source separation and deep neural network (DNN) based source separation in a versatile source mixture model. Two different neural network architectures were assessed with regard to their applicability for this task. The method was evaluated with instrumental measures and in two listening experiments for both network architectures and six mixing presets. Normal-hearing subjects rated the signal quality of the processed signals compared to the original both with and without a vocoder which provides an approximation of the auditory perception in CI listeners. Four combinations of remix models and DNNs have been selected for an evaluation with vocoded signals and were all rated significantly better in comparison to the unprocessed signal. In particular, the two best-performing remix networks are promising candidates for further evaluation in CI listeners.
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Affiliation(s)
- Johannes Gauer
- Institute of Communication Acoustics, Ruhr-Universität Bochum, Bochum, Germany
| | - Anil Nagathil
- Institute of Communication Acoustics, Ruhr-Universität Bochum, Bochum, Germany
| | - Kai Eckel
- Institute of Communication Acoustics, Ruhr-Universität Bochum, Bochum, Germany
| | - Denis Belomestny
- Faculty of Mathematics, Universität Duisburg-Essen, Essen, Germany
| | - Rainer Martin
- Institute of Communication Acoustics, Ruhr-Universität Bochum, Bochum, Germany
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15
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Hwa TP, Tian LL, Caruana F, Chun M, Mancuso D, Cellum IP, Lalwani AK. Novel Web-Based Music Re-Engineering Software for Enhancement of Music Enjoyment Among Cochlear Implantees. Otol Neurotol 2021; 42:1347-1354. [PMID: 34224548 DOI: 10.1097/mao.0000000000003262] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVES Cochlear implant (CI) listeners experience diminished music perception and enjoyment from a variety of patient-related and implant-related factors. We investigate the hypothesis that patient-directed music re-engineering may enhance music enjoyment with CI. STUDY DESIGN Prospective cohort study. SETTING Academic cochlear implant center. SUBJECTS AND METHODS A multidisciplinary team of neurotologists, audiologists, and a sound/audio engineer collaborated with a web developer to create a music re-engineering application. Experienced adult CI listeners rated original excerpts from five major genres of music on enjoyment using a visual analog scale (VAS). Subjects were then allowed to re-engineer the original by adjusting treble frequencies, bass frequencies, percussion emphasis, and reverberation and again rated on enjoyment. RESULTS Total of 46 subjects, with a mean age of 57.6 years (SD = 16; range, 18-90) participated in the study. User-mixed audio was rated higher across all measures of enjoyment than original recordings (mean difference +0.92; p < 0.05, CI [0.22, 1.62]), an effect that was seen across all genres except for country music. Subjects preferred louder bass frequencies (mean difference +7.1 dB; p < 0.01, CI [2.15, 24.3]) and more reverberation (mean difference +6.6 ms; p < 0.01, CI [2.85, 10.7]). Re-engineered music increased enjoyment in 57%, and 79% reported an interest in being able to mix music of their own choosing. CONCLUSION User-directed music re-engineering increases music enjoyment for CI listeners. The cochlear implantee preferred heightened bass, reverberation, and treble across musical genres. These findings support the implementation of patient-directed music re-engineering to enhance music enjoyment with technology that is readily available today.
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Affiliation(s)
- Tiffany Peng Hwa
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center
| | - Lisa Likun Tian
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center
| | - Francesco Caruana
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center
| | - Michael Chun
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center
| | - Dean Mancuso
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center
| | - Ilana P Cellum
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center
| | - Anil K Lalwani
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center
- Department of Mechanical Engineering, Fu School of Engineering, Columbia University, New York, New York
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16
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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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17
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TÜRK Ç, KÖSEOĞLU A, ZEREN S. İşitme Kayıplı Bireylerde Müzik Algısı. İSTANBUL GELIŞIM ÜNIVERSITESI SAĞLIK BILIMLERI DERGISI 2021. [DOI: 10.38079/igusabder.947027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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18
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Simões PN, Lüders D, José MR, Romanelli G, Lüders V, Santos RS, de Araújo CM. Musical Perception Assessment of People With Hearing Impairment: A Systematic Review and Meta-Analysis. Am J Audiol 2021; 30:458-473. [PMID: 33784174 DOI: 10.1044/2021_aja-20-00146] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose People with hearing impairment (HI) face numerous challenges that can be minimized with the use of hearing aids and cochlear implants. Despite technological advances in these assistive hearing devices, musical perception remains difficult for these people. Tests and protocols developed to assess the musical perception of this audience were the target of this systematic review, whose objective was to investigate how assessments of musical perception in people with HI are carried out. Method Searches for primary articles were carried out in the PubMed/MEDLINE, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, and ASHAWire databases. Search results were managed using EndNote X9 software, and analysis was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Statement. Results The 16 cross-sectional included studies analyzed music perception data from people with HI compared to a control group of participants with normal hearing. Among these, four studies were selected to be included in a meta-analysis, performed with timbre and melody. Variability was observed in the tests and between the levels of auditory perception skills analyzed in relation to the components of music. With respect to the tests, sound stimuli generated by synthesizers were the most used stimuli; with the exception of timbre evaluation, the most frequent test environment was a booth with sound attenuation, and the average intensity for presenting sound stimuli was 70 dB SPL. The most evaluated sound component was pitch, followed by rhythm and timbre, with a pattern of responses based on adaptive and psychoacoustic methods. Conclusions The heterogeneity of the musical parameters and the auditory abilities evaluated by the tests is a fact that can compromise evidence found in this area of study. It is worth considering the quality of samples that were recorded with real musical instruments and digitized afterward, in comparison with synthesized samples that do not seem to accurately represent real instruments. The need to minimize semantic parallelism that involves the auditory skills and elements of music involved in the assessment of musical perception is highlighted.
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Affiliation(s)
- Pierangela Nota Simões
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Brazil
- Faculty of Arts, Universidade Estadual do Paraná, Curitiba, Brazil
| | - Debora Lüders
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Brazil
| | - Maria Renata José
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Brazil
| | - Guilherme Romanelli
- Postgraduate Program in Music, Universidade Federal do Paraná, Curitiba, Brazil
| | - Valéria Lüders
- Postgraduate Program in Music, Universidade Federal do Paraná, Curitiba, Brazil
| | - Rosane Sampaio Santos
- Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Brazil
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19
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Dornhoffer JR, Reddy P, Meyer TA, Schvartz-Leyzac KC, Dubno JR, McRackan TR. Individual Differences in Speech Recognition Changes After Cochlear Implantation. JAMA Otolaryngol Head Neck Surg 2021; 147:280-286. [PMID: 33410869 DOI: 10.1001/jamaoto.2020.5094] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Importance Cochlear implantation is highly effective at improving hearing outcomes, but results have been limited to groupwise analysis. That is, limited data are available for individual patients that report comparisons of preoperative aided speech recognition and postimplantation speech recognition. Objective To assess changes in preoperative aided vs postoperative speech recognition scores for individual patients receiving cochlear implants when considering the measurement error for each speech recognition test. Design, Setting, and Participants This cross-sectional study used a prospectively maintained database of patients who received cochlear implants between January 1, 2012, and December 31, 2017, at a tertiary, university-based referral center. Adults with bilateral sensorineural hearing loss undergoing cochlear implantation with 6- or 12-month postoperative measures using 1 or more speech recognition tests were studied. Exposures Cochlear implantation. Main Outcomes and Measures Postoperative word recognition (consonant-nucleus-consonant word test), sentence recognition (AzBio sentences in quiet), and sentence recognition in noise (AzBio sentences in +10-dB signal-to-noise ratio) scores, and association of each speech recognition score change with aided preoperative score to each test's measurement error. Results Analysis of data from a total of 470 implants from 323 patients included 253 male (53.8%) patients; the mean (SD) age was 61.2 (18.3) years. Most patients had statistically significant improvement in all speech recognition tests postoperatively beyond measurement error, including 262 (84.8%) for word recognition, 226 (87.6%) for sentence recognition, and 33 (78.6%) for sentence recognition in noise. A small number of patients had equivalent preoperative and postoperative scores, including 45 (14.5%) for word recognition, 28 (10.9%) for sentence recognition, and 9 (21.4%) for sentence recognition in noise. Four patients (1.6%) had significantly poorer scores in sentence recognition after implantation. The associations between age at implantation and change in speech recognition scores were -0.12 (95% CI, -0.23 to -0.01) for word recognition, -0.22 (95% CI, -0.34 to -0.10) for sentence recognition, and -0.10 (95% CI, -0.39 to 0.21) for sentence recognition in noise. Patients with no significant improvement were similarly distributed between all preoperative aided speech scores for word recognition (range, 0%-58%) and sentence recognition (range, 0%-56%) testing. Conclusions and Relevance In this cross-sectional study, with respect to preoperative aided speech recognition, postoperative cochlear implant outcomes for individual patients were largely encouraging. However, improvements in scores for individual patients remained highly variable, which may not be adequately represented in groupwise analyses and reporting of mean scores. Presenting individual patient data from a large sample of individuals with cochlear implants provides a better understanding of individual differences in speech recognition outcomes and contributes to more complete interpretations of successful outcomes after cochlear implantation.
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Affiliation(s)
- James R Dornhoffer
- Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston
| | - Priyanka Reddy
- Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston
| | - Ted A Meyer
- Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston
| | - Kara C Schvartz-Leyzac
- Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston
| | - Judy R Dubno
- Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston
| | - Theodore R McRackan
- Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston
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20
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Duret S, Bigand E, Guigou C, Marty N, Lalitte P, Bozorg Grayeli A. Participation of Acoustic and Electric Hearing in Perceiving Musical Sounds. Front Neurosci 2021; 15:558421. [PMID: 34025335 PMCID: PMC8131516 DOI: 10.3389/fnins.2021.558421] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Accepted: 04/12/2021] [Indexed: 11/29/2022] Open
Abstract
Introduction: The objective of our study was to evaluate musical perception and its relation to the quality of life in patients with bimodal binaural auditory stimulation. Materials and Methods: Nineteen adult patients with a cochlear implant (CI) for minimum 6 months, and moderate to severe contralateral hearing loss with a hearing aid (HA), and 21 normal hearing adults were included in this prospective, cross-sectional study. Pure-tone and speech audiometry, musical test evaluating sound perception characteristics and musical listening abilities, Munich questionnaire for musical habits, and the APHAB questionnaire were recoded. Performance in musical perception test with HA, CI, and HA + CI, and potential correlations between music test, audiometry and questionnaires were investigated. Results: Bimodal stimulation improved musical perception in several features (sound brightness, roughness, and clarity) in comparison to unimodal hearing, but CI did not add to HA performances in texture, polyphony or musical emotion and even appeared to interfere negatively in pitch perception with HA. Musical perception performances (sound clarity, instrument recognition) appeared to be correlated to hearing-related quality of life (APHAB RV and EC subdomains) but not with speech performances suggesting that the exploration of musical perception complements speech understanding evaluation to better describe every-day life hearing handicap. Conclusion: Testing musical sound perception provides important information on hearing performances as a complement to speech audiometry and appears to be related to hearing-related quality of life.
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Affiliation(s)
- Sonia Duret
- Otolaryngology Department, Dijon University Hospital, Dijon, France
| | - Emmanuel Bigand
- LEAD Research Laboratory, CNRS UMR-5022, Bourgogne-Franche-Comté University, Dijon, France
| | - Caroline Guigou
- Otolaryngology Department, Dijon University Hospital, Dijon, France.,ImVia Research Laboratory, Bourgogne-Franche-Comté University, Dijon, France
| | - Nicolas Marty
- LEAD Research Laboratory, CNRS UMR-5022, Bourgogne-Franche-Comté University, Dijon, France
| | - Philippe Lalitte
- Institut de Recherche en Musicologie (IReMus), CNRS- UMR 8223, Bourgogne-Franche-Comté University, Dijon, France
| | - Alexis Bozorg Grayeli
- Otolaryngology Department, Dijon University Hospital, Dijon, France.,ImVia Research Laboratory, Bourgogne-Franche-Comté University, Dijon, France
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21
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D'Onofrio KL, Gifford RH. Bimodal Benefit for Music Perception: Effect of Acoustic Bandwidth. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:1341-1353. [PMID: 33784471 PMCID: PMC8608177 DOI: 10.1044/2020_jslhr-20-00390] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 10/15/2020] [Accepted: 12/04/2020] [Indexed: 05/29/2023]
Abstract
Purpose The challenges associated with cochlear implant (CI)-mediated listening are well documented; however, they can be mitigated through the provision of aided acoustic hearing in the contralateral ear-a configuration termed bimodal hearing. This study extends previous literature to examine the effect of acoustic bandwidth in the non-CI ear for music perception. The primary aim was to determine the minimum and optimum acoustic bandwidth necessary to obtain bimodal benefit for music perception and speech perception. Method Participants included 12 adult bimodal listeners and 12 adult control listeners with normal hearing. Music perception was assessed via measures of timbre perception and subjective sound quality of real-world music samples. Speech perception was assessed via monosyllabic word recognition in quiet. Acoustic stimuli were presented to the non-CI ear in the following filter conditions: < 125, < 250, < 500, and < 750 Hz, and wideband (full bandwidth). Results Generally, performance for all stimuli improved with increasing acoustic bandwidth; however, the bandwidth that is both minimally and optimally beneficial may be dependent upon stimulus type. On average, music sound quality required wideband amplification, whereas speech recognition with a male talker in quiet required a narrower acoustic bandwidth (< 250 Hz) for significant benefit. Still, average speech recognition performance continued to improve with increasing bandwidth. Conclusion Further research is warranted to examine optimal acoustic bandwidth for additional stimulus types; however, these findings indicate that wideband amplification is most appropriate for speech and music perception in individuals with bimodal hearing.
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Affiliation(s)
- Kristen L D'Onofrio
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - René H Gifford
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
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22
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Hwa TP, Wen CZ, Ruckenstein MJ. Assessment of music experience after cochlear implantation: A review of current tools and their utilization. World J Otorhinolaryngol Head Neck Surg 2021; 7:116-125. [PMID: 33997721 PMCID: PMC8103528 DOI: 10.1016/j.wjorl.2021.02.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 11/24/2020] [Accepted: 02/18/2021] [Indexed: 11/16/2022] Open
Abstract
Objective To provide an overview of the current available music assessment tools after cochlear implantation (CI); to report on the utilization of music assessments in the literature; to propose potential future directions in music assessment after CI. Methods A thorough search was performed in PubMed, Embase, and The Cochrane Library through October 31, 2020. MeSH search terms, keywords, and phrases included “cochlear implant,” “cochlear prosthesis,” “auditory prosthesis,” “music,” “music assessment,” “music questionnaire,” “music perception,” “music enjoyment, and “music experience.” Potentially relevant studies were reviewed for inclusion, with particular focus on assessments developed specifically for the cochlear implant population and intended for widespread use. Results/conclusions Six hundred and forty-three studies were screened for relevance to assessment of music experience among cochlear implantees. Eighty-one studies ultimately met criteria for inclusion. There are multiple validated tools for assessment of music experience after cochlear implantation, each of which provide slightly differing insights into the patients’ subjective and/or objective post-activation experience. However, no single assessment tool has been adopted into widespread use and thus, much of the literature pertaining to this topic evaluates outcomes non-uniformly, including single-use assessments designed specifically for the study at hand. The lack of a widely accepted universal tool for assessment of music limits our collective understanding the contributory and mitigating factors applicable to current music experience of cochlear implantees, and limits our ability to uniformly evaluate the success of new implant technologies or music training paradigms.
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Affiliation(s)
- Tiffany P Hwa
- Department of Otolaryngology Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Christopher Z Wen
- Department of Otolaryngology Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Michael J Ruckenstein
- Department of Otolaryngology Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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Translation and validation of the music-related quality of life questionnaire for adults with cochlear implant in Turkish language. Eur Arch Otorhinolaryngol 2021; 279:685-693. [PMID: 33599840 DOI: 10.1007/s00405-021-06693-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Accepted: 02/08/2021] [Indexed: 10/22/2022]
Abstract
PURPOSE It is important to assess the impact of music on cochlear implant (CI) users' quality of life. The aim of this study was to adapt and validate the music-related quality of life questionnaire into the Turkish language for adult CI users. METHODS 161 CI users and 162 normal-hearing adults were included in the study. The final Turkish version of the questionnaire was prepared and evaluated for validity and reliability. The internal consistency of the questionnaire and test-retest reliability were evaluated by Cronbach's α and ICC index. Factor analysis and 'know-group' method was used to determine the construct validity. RESULTS Sampling adequacy for execution of factor analysis was confirmed by the results of Kaiser-Meyer-Olkin (= 0.91) and Bartlett test (p < 0.05). 2 factors for each scale were identified from exploratory factor analysis. Confirmatory factor analysis confirmed the questionnaire met the criteria standards for adequacy of fit. The reliability coefficient was determined at least 0.80. Correlation between items indicated excellent (> .80) internal consistency. CONCLUSION The Turkish version of the questionnaire has good validity and reliability and can be used to investigate the relationship between music and quality of life and as a diagnostic tool in identifying individuals who need music support and to guide and evaluate music rehabilitation.
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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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D'Onofrio KL, Caldwell M, Limb C, Smith S, Kessler DM, Gifford RH. Musical Emotion Perception in Bimodal Patients: Relative Weighting of Musical Mode and Tempo Cues. Front Neurosci 2020; 14:114. [PMID: 32174809 PMCID: PMC7054459 DOI: 10.3389/fnins.2020.00114] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 01/29/2020] [Indexed: 11/13/2022] Open
Abstract
Several cues are used to convey musical emotion, the two primary being musical mode and musical tempo. Specifically, major and minor modes tend to be associated with positive and negative valence, respectively, and songs at fast tempi have been associated with more positive valence compared to songs at slow tempi (Balkwill and Thompson, 1999; Webster and Weir, 2005). In Experiment I, we examined the relative weighting of musical tempo and musical mode among adult cochlear implant (CI) users combining electric and contralateral acoustic stimulation, or "bimodal" hearing. Our primary hypothesis was that bimodal listeners would utilize both tempo and mode cues in their musical emotion judgments in a manner similar to normal-hearing listeners. Our secondary hypothesis was that low-frequency (LF) spectral resolution in the non-implanted ear, as quantified via psychophysical tuning curves (PTCs) at 262 and 440 Hz, would be significantly correlated with degree of bimodal benefit for musical emotion perception. In Experiment II, we investigated across-channel spectral resolution using a spectral modulation detection (SMD) task and neural representation of temporal fine structure via the frequency following response (FFR) for a 170-ms /da/ stimulus. Results indicate that CI-alone performance was driven almost exclusively by tempo cues, whereas bimodal listening demonstrated use of both tempo and mode. Additionally, bimodal benefit for musical emotion perception may be correlated with spectral resolution in the non-implanted ear via SMD, as well as neural representation of F0 amplitude via FFR - though further study with a larger sample size is warranted. Thus, contralateral acoustic hearing can offer significant benefit for musical emotion perception, and the degree of benefit may be dependent upon spectral resolution of the non-implanted ear.
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Affiliation(s)
- Kristen L D'Onofrio
- Cochlear Implant Research Laboratory, Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, United States
| | | | - Charles Limb
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, United States
| | - Spencer Smith
- Department of Communication Sciences and Disorders, The University of Texas at Austin, Austin, TX, United States
| | - David M Kessler
- Cochlear Implant Research Laboratory, Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, United States
| | - René H Gifford
- Cochlear Implant Research Laboratory, Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, United States
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Gauer J, Nagathil A, Martin R, Thomas JP, Völter C. Interactive Evaluation of a Music Preprocessing Scheme for Cochlear Implants Based on Spectral Complexity Reduction. Front Neurosci 2019; 13:1206. [PMID: 31803001 PMCID: PMC6872501 DOI: 10.3389/fnins.2019.01206] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 10/25/2019] [Indexed: 11/17/2022] Open
Abstract
Music is difficult to access for the majority of CI users as the reduced dynamic range and poor spectral resolution in cochlear implants (CI), amongst others constraints, severely impair their auditory perception. The reduction of spectral complexity is therefore a promising means to facilitate music enjoyment for CI listeners. We evaluate a spectral complexity reduction method for music signals based on principal component analysis that enforces spectral sparsity, emphasizes the melody contour and attenuates interfering accompanying voices. To cover a wide range of spectral complexity reduction levels a new experimental design for listening experiments was introduced. It allows CI users to select the preferred level of spectral complexity reduction interactively and in real-time. Ten adult CI recipients with post-lingual bilateral profound sensorineural hearing loss and CI experience of at least 6 months were enrolled in the study. In eight consecutive sessions over a period of 4 weeks they were asked to choose their preferred version out of 10 different complexity settings for a total number of 16 recordings of classical western chamber music. As the experiments were performed in consecutive sessions we also studied a potential long term effect. Therefore, we investigated the hypothesis that repeated engagement with music signals of reduced spectral complexity leads to a habituation effect which allows CI users to deal with music signals of increasing complexity. Questionnaires and tests about music listening habits and musical abilities complemented these experiments. The participants significantly preferred signals with high spectral complexity reduction levels over the unprocessed versions. While the results of earlier studies comprising only two preselected complexity levels were generally confirmed, this study revealed a tendency toward a selection of even higher spectral complexity reduction levels. Therefore, spectral complexity reduction for music signals is a useful strategy to enhance music enjoyment for CI users. Although there is evidence for a habituation effect in some subjects, such an effect has not been significant in general.
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Affiliation(s)
- Johannes Gauer
- Department of Electrical Engineering and Information Technology, Institute of Communication Acoustics, Ruhr-Universität Bochum, Bochum, Germany
| | - Anil Nagathil
- Department of Electrical Engineering and Information Technology, Institute of Communication Acoustics, Ruhr-Universität Bochum, Bochum, Germany
| | - Rainer Martin
- Department of Electrical Engineering and Information Technology, Institute of Communication Acoustics, Ruhr-Universität Bochum, Bochum, Germany
| | - Jan Peter Thomas
- Department of Otorhinolaryngology, Head and Neck Surgery, St. Elisabeth-Hospital, Ruhr-Universität Bochum, Bochum, Germany
| | - Christiane Völter
- Department of Otorhinolaryngology, Head and Neck Surgery, St. Elisabeth-Hospital, Ruhr-Universität Bochum, Bochum, Germany
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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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Zimmer V, Verhey JL, Ziese M, Böckmann-Barthel M. Harmony Perception in Prelingually Deaf, Juvenile Cochlear Implant Users. Front Neurosci 2019; 13:466. [PMID: 31139046 PMCID: PMC6518352 DOI: 10.3389/fnins.2019.00466] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Accepted: 04/24/2019] [Indexed: 12/02/2022] Open
Abstract
Prelingually deaf children listening through cochlear implants (CIs) face severe limitations on their experience of music, since the hearing device degrades relevant details of the acoustic input. An important parameter of music is harmony, which conveys emotional as well as syntactic information. The present study addresses musical harmony in three psychoacoustic experiments in young, prelingually deaf CI listeners and normal-hearing (NH) peers. The discrimination and preference of typical musical chords were studied, as well as cadence sequences conveying musical syntax. The ability to discriminate chords depended on the hearing age of the CI listeners, and was less accurate than for the NH peers. The groups did not differ with respect to the preference of certain chord types. NH listeners were able to categorize cadences, and performance improved with age at testing. In contrast, CI listeners were largely unable to categorize cadences. This dissociation is in accordance with data found in postlingually deafened adults. Consequently, while musical harmony is available to a limited degree to CI listeners, they are unable to use harmony to interpret musical syntax.
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Affiliation(s)
- Victoria Zimmer
- Department of Experimental Audiology, Otto von Guericke University of Magdeburg, Magdeburg, Germany
| | - Jesko L Verhey
- Department of Experimental Audiology, Otto von Guericke University of Magdeburg, Magdeburg, Germany
| | - Michael Ziese
- Department of Experimental Audiology, Otto von Guericke University of Magdeburg, Magdeburg, Germany
| | - Martin Böckmann-Barthel
- Department of Experimental Audiology, Otto von Guericke University of Magdeburg, Magdeburg, Germany
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Self-Adjustment of Upper Electrical Stimulation Levels in CI Programming and the Effect on Auditory Functioning. Ear Hear 2018; 38:e232-e240. [PMID: 28125445 DOI: 10.1097/aud.0000000000000404] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES With current cochlear implants (CIs), CI recipients achieve good speech perception in quiet surroundings. However, in acoustically complex, real-life environments, speech comprehension remains difficult and sound quality often remains poor. It is, therefore, a challenge to program CIs for such environments in a clinic. The CI manufacturer Cochlear Ltd. recently introduced a remote control that enables CI recipients to alter the upper stimulation levels of their user programs themselves. In this concept, called remote assistant fitting (RAF), bass and treble controls can be adjusted by applying a tilt to emphasize either the low- or high-frequency C-levels, respectively. This concept of self-programming may be able to overcome limitations associated with fine-tuning the CI sound processor in a clinic. The aim of this study was to investigate to what extent CI recipients already accustomed to their clinically fitted program would adjust the settings in daily life if able to do so. Additionally, we studied the effects of these changes on auditory functioning in terms of speech intelligibility (in quiet and in noise), noise tolerance, and subjectively perceived speech perception and sound quality. DESIGN Twenty-two experienced adult CI recipients (implant use >12 months) participated in this prospective clinical study, which used a within-subject repeated measures design. All participants had phoneme scores of ≥70% at 65 dB SPL in quiet conditions, and all used a Cochlear Nucleus CP810 sound processor. Auditory performance was tested by a speech-in-quiet test, a speech-in-noise test, an acceptable noise level test, and a questionnaire about perceived auditory functioning, that is, a speech and sound quality (SSQ-C) questionnaire. The first session consisted of a baseline test in which the participants used their own CI program and were instructed on how to use RAF. After the first session, participants used RAF for 3 weeks at home. After these 3 weeks, the participants returned to the clinic for auditory functioning tests with their self-adjusted programs and completed the SSQ-C. RESULTS Fifteen participants (68%) adjusted their C-level frequency profile by more than 5 clinical levels for at least one electrode. Seven participants preferred a higher contribution of the high frequencies relative to the low frequencies, while five participants preferred more low-frequency stimulation. One-third of the participants adjusted the high and low frequencies equally, while some participants mainly used the overall volume to change their settings. Several parts of the SSQ-C questionnaire scores showed an improvement in perceived auditory functioning after the subjects used RAF. No significant change was found on the auditory functioning tests for speech-in-quiet, speech-in-noise, or acceptable noise level. CONCLUSIONS In conclusion, the majority of experienced CI users made modest changes in the settings of their programs in various ways and were able to do so with the RAF. After altering the programs, the participants experienced an improvement in speech perception in quiet environments and improved perceived sound quality without compromising auditory performance. Therefore, it can be concluded that self-adjustment of CI settings is a useful and clinically applicable tool that may help CI recipients to improve perceived sound quality in their daily lives.
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Riley PE, Ruhl DS, Camacho M, Tolisano AM. Music Appreciation after Cochlear Implantation in Adult Patients: A Systematic Review. Otolaryngol Head Neck Surg 2018; 158:1002-1010. [DOI: 10.1177/0194599818760559] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective The cochlear implant (CI) improves quality of life for people who are severely and profoundly deafened, allowing implantees to perceive speech at levels similar to those of individuals with normal hearing. However, patients with CIs generally report a reduced appreciation of music after implantation. We aimed to systematically review the English-language literature for studies evaluating music enjoyment and perception among adult patients with CIs. Data Sources A systematic review of PubMed/MEDLINE, Scopus, Embase, and the Cochrane Library. Review Methods The PRISMA statement was utilized to identify English-language studies reporting music appreciation among adults with CIs. Two independent reviewers performed searches through May 2017. Included studies investigated parameters related to music enjoyment and music perception, including (1) pitch and timbre perception, (2) noise-canceling algorithms, and (3) the presence of dissonant chords, lyrics, or visual cues. Results A total of 508 articles were screened for relevance. Forty-one full-text articles were evaluated, and 18 met final inclusion criteria. Studies used heterogeneous methods of outcome measurement for identifying music appreciation. The outcome measures suggest that rhythm and lyrics are important components of enjoyment. Patients with CIs had difficulty with pitch and timbre perception. Conclusion The heterogeneous outcome measures identified in this systematic review suggest that rhythm and lyrics are important components of enjoyment, while patients with CIs had difficulty with pitch and timbre perception. Because there is no standardized reporting metric for music appreciation among adult patients with CIs, a standardized validated outcome-measuring tool is warranted.
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Affiliation(s)
- Phoebe E. Riley
- Uniformed Services University Health Systems, Walter Reed Army Medical Center, Bethesda, Maryland, USA
| | - Douglas S. Ruhl
- Department of Otolaryngology–Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington, USA
- Department of Otolaryngology–Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA
| | - Macario Camacho
- Department of Otolaryngology–Head and Neck Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA
| | - Anthony M. Tolisano
- Department of Otolaryngology–Head and Neck Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA
- Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
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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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Sattar A. To Have an Ear: Music and the Otological Experience. THE JOURNAL OF MEDICAL HUMANITIES 2016; 37:289-298. [PMID: 24994077 DOI: 10.1007/s10912-014-9290-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This essay analyzes the historical development of otology in relation to music. It illustrates the integral role of music perception and appreciation in the study of hearing, where hearing operates not simply as a scientific phenomenon but signifies particular meaningful experiences in society. The four historical moments considered-Helmholtz's piano-keyed cochlea, the ear phonautograph, the hearing aid, and the cochlear implant-show how the sounds, perceptions, and instruments of music have mediated and continue to mediate our relationships with hearing. To have an ear, one does not just bear a physiological hearing mechanism; one experiences the aesthetics of musical sound.
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Affiliation(s)
- Atia Sattar
- Provost's Postdoctoral Scholar in the Humanities, Department of Comparative Literature, USC Dornsife, 3501 Troudsdale Parkway, Taper Hall of Humanities 161, Los Angeles, CA, 90089, USA.
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Moran M, Rousset A, Looi V. Music appreciation and music listening in prelingual and postlingually deaf adult cochlear implant recipients. Int J Audiol 2016; 55 Suppl 2:S57-63. [DOI: 10.3109/14992027.2016.1157630] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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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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Melodic pitch perception and lexical tone perception in Mandarin-speaking cochlear implant users. Ear Hear 2015; 36:102-10. [PMID: 25099401 DOI: 10.1097/aud.0000000000000086] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To examine the relationship between lexical tone perception and melodic pitch perception in Mandarin-speaking cochlear implant (CI) users and to investigate the influence of previous acoustic hearing on CI users' speech and music perception. DESIGN Lexical tone perception and melodic contour identification (MCI) were measured in 21 prelingual and 11 postlingual young (aged 6-26 years) Mandarin-speaking CI users. Lexical tone recognition was measured for four tonal patterns: tone 1 (flat F0), tone 2 (rising F0), tone 3 (falling-rising F0), and tone 4 (falling F0). MCI was measured using nine five-note melodic patterns that contained changes in pitch contour, as well as different semitone spacing between notes. RESULTS Lexical tone recognition was generally good (overall mean = 81% correct), and there was no significant difference between subject groups. MCI performance was generally poor (mean = 23% correct). MCI performance was significantly better for postlingual (mean = 32% correct) than for prelingual CI participants (mean = 18% correct). After correcting for outliers, there was no significant correlation between lexical tone recognition and MCI performance for prelingual or postlingual CI participants. Age at deafness was significantly correlated with MCI performance only for postlingual participants. CI experience was significantly correlated with MCI performance for both prelingual and postlingual participants. Duration of deafness was significantly correlated with tone recognition only for prelingual participants. CONCLUSIONS Despite the prevalence of pitch cues in Mandarin, the present CI participants had great difficulty perceiving melodic pitch. The availability of amplitude and duration cues in lexical tones most likely compensated for the poor pitch perception observed with these CI listeners. Previous acoustic hearing experience seemed to benefit postlingual CI users' melodic pitch perception. Longer CI experience was associated with better MCI performance for both subject groups, suggesting that CI users' music perception may improve as they gain experience with their device.
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Frederigue-Lopes NB, Bevilacqua MC, Costa OA. Munich Music Questionnaire: adaptation into Brazilian Portuguese and application in cochlear implant users. Codas 2015; 27:13-20. [DOI: 10.1590/2317-1782/20152013062] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Accepted: 12/27/2014] [Indexed: 11/22/2022] Open
Abstract
PURPOSE: To translate the Munich Music Questionnaire (MUMU) to Brazilian Portuguese, to adapt it culturally, and to describe the results obtained among adult users of cochlear implant (CI). METHODS: We translated the questionnaire to Brazilian Portuguese, reviewed the grammatical and idiomatic equivalences (back-translation), and adapted it from a linguistic and cultural perspective. The resulting version of this process was applied among adult CI users through direct interviews. RESULTS: The Brazilian Portuguese version of MUMU was applied to 19 adult CI users with postlingual hearing loss, who had been users of the device for at least one year. The answers to the questionnaire were analyzed by distribution of frequency and percentage of occurrence in each question. The results showed a decrease in the frequency of CI users that listen to music, comparing the period before hearing loss and after the CI. Regarding the role that music played in the life of each participant, the responses did not score change, so the music remained being an important factor in the life of the evaluated subjects, even after the CI. CONCLUSION: The subjective evaluation tool MUMU was translated and culturally adapted to the population studied. In Brazilian Portuguese, it was called Questionário de Música de Munique. The study showed its applicability in the daily monitoring of CI users, thus providing a profile of the activities related to music in everyday life.
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Falcón-González JC, Borkoski-Barreiro S, Limiñana-Cañal JM, Ramos-Macías Á. Recognition of Music and Melody in Patients With Cochlear Implants, Using a New Programming Approach for Frequency Assignment. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/j.otoeng.2014.02.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Volkova A, Trehub SE, Schellenberg EG, Papsin BC, Gordon KA. Children's identification of familiar songs from pitch and timing cues. Front Psychol 2014; 5:863. [PMID: 25147537 PMCID: PMC4123732 DOI: 10.3389/fpsyg.2014.00863] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2014] [Accepted: 07/20/2014] [Indexed: 11/13/2022] Open
Abstract
The goal of the present study was to ascertain whether children with normal hearing and prelingually deaf children with cochlear implants could use pitch or timing cues alone or in combination to identify familiar songs. Children 4–7 years of age were required to identify the theme songs of familiar TV shows in a simple task with excerpts that preserved (1) the relative pitch and timing cues of the melody but not the original instrumentation, (2) the timing cues only (rhythm, meter, and tempo), and (3) the relative pitch cues only (pitch contour and intervals). Children with normal hearing performed at high levels and comparably across the three conditions. The performance of child implant users was well above chance levels when both pitch and timing cues were available, marginally above chance with timing cues only, and at chance with pitch cues only. This is the first demonstration that children can identify familiar songs from monotonic versions—timing cues but no pitch cues—and from isochronous versions—pitch cues but no timing cues. The study also indicates that, in the context of a very simple task, young implant users readily identify songs from melodic versions that preserve pitch and timing cues.
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Affiliation(s)
- Anna Volkova
- Department of Psychology, University of Toronto Mississauga Mississauga, ON, Canada
| | - Sandra E Trehub
- Department of Psychology, University of Toronto Mississauga Mississauga, ON, Canada
| | - E Glenn Schellenberg
- Department of Psychology, University of Toronto Mississauga Mississauga, ON, Canada
| | - Blake C Papsin
- Department of Otolaryngology, University of Toronto Toronto, ON, Canada
| | - Karen A Gordon
- Department of Otolaryngology, University of Toronto Toronto, ON, Canada
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Falcón-González JC, Borkoski-Barreiro S, Limiñana-Cañal JM, Ramos-Macías A. Recognition of music and melody in patients with cochlear implants, using a new programming approach for frequency assignment. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2014; 65:289-96. [PMID: 24890686 DOI: 10.1016/j.otorri.2014.02.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2013] [Accepted: 02/05/2014] [Indexed: 11/28/2022]
Abstract
INTRODUCTION AND OBJECTIVE Music is a universal, cross-cultural phenomenon. Perception and enjoyment of music are still not solved with current technological objectives of cochlear implants. The objective of this article was to advance the development and validation of a method of programming of cochlear implants that implements a frequency allocation strategy. We compared standard programming vs frequency programming in every subject. METHODS We studied a total of 40 patients with cochlear implants. Each patient was programmed with a optimal version of the standard program, using the Custom Sound Suite 3.2 cochlear platform. Speech tests in quiet were performed using syllable word lists from the protocol for the assessment of hearing in the Spanish language. Patients implanted bilaterally were tested in both ears at the same time. For assessing music listening habits we used the Munich Music Questionnaire and «MACarena»(minimum auditory capability) software. RESULTS All patients achieved better results in recognition, instrument tests and tonal scales with frequency programming (P<.005). Likewise, there were better results with frequency programming in recognising harmonics and pitch test (P<.005). CONCLUSIONS Frequency programming achieves better perception and recognition results in patients in comparison with standard programming. Bilateral stimulation patients have better perception of musical patterns and better performance in recognition of tonal scales, harmonics and musical instruments compared with patients with unilateral stimulation. Modification and frequency allocation during programming allows decreased levels of current intensity and increase the dynamic range, which allows mapping of each audio band less obtrusively and improves the quality of representation of the signal.
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Affiliation(s)
- Juan C Falcón-González
- Unidad de Hipoacusia, Programa de Implantes Cocleares, Servicio de ORL y PCF, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, España.
| | - Silvia Borkoski-Barreiro
- Unidad de Hipoacusia, Programa de Implantes Cocleares, Servicio de ORL y PCF, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, España
| | - José María Limiñana-Cañal
- Unidad de Investigación, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, España
| | - Angel Ramos-Macías
- Unidad de Hipoacusia, Programa de Implantes Cocleares, Servicio de ORL y PCF, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, España
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Volkova A, Trehub SE, Schellenberg EG, Papsin BC, Gordon KA. Children with bilateral cochlear implants identify emotion in speech and music. Cochlear Implants Int 2013; 14:80-91. [DOI: 10.1179/1754762812y.0000000004] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Scorpecci A, Zagari F, Mari G, Giannantonio S, D'Alatri L, Di Nardo W, Paludetti G. Investigation on the music perception skills of Italian children with cochlear implants. Int J Pediatr Otorhinolaryngol 2012; 76:1507-14. [PMID: 22835928 DOI: 10.1016/j.ijporl.2012.07.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2012] [Revised: 06/29/2012] [Accepted: 07/01/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVE To compare the music perception skills of a group of Italian-speaking children with cochlear implants to those of a group of normal hearing children; to analyze possible correlations between implanted children's musical skills and their demographics, clinical characteristics, phonological perception, and speech recognition and production abilities. METHODS 18 implanted children aged 5-12 years and a reference group of 23 normal-hearing subjects with typical language development were enrolled. Both groups received a melody identification test and a song (i.e. original version) identification test. The implanted children also received a test battery aimed at assessing speech recognition, speech production and phoneme discrimination. RESULTS The implanted children scored significantly worse than the normal hearing subjects in both musical tests. In the cochlear implant group, phoneme discrimination abilities were significantly correlated with both melody and song identification skills, and length of device use was significantly correlated with song identification skills. CONCLUSIONS Experience with device use and phonological perception had a moderate-to-strong correlation to implanted children's music perception abilities. In the light of these findings, it is reasonable to assume that a rehabilitation program specifically aimed at improving phonological perception could help pediatric cochlear implant recipients better understand the basic elements of music; moreover, a training aimed at improving the comprehension of the spectral elements of music could enhance implanted children's phonological skills.
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Affiliation(s)
- Alessandro Scorpecci
- ENT Department A. Gemelli Hospital, Catholic University of the Sacred Heart, Rome, Italy.
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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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Wright R, Uchanski RM. Music perception and appraisal: cochlear implant users and simulated cochlear implant listening. J Am Acad Audiol 2012; 23:350-65; quiz 379. [PMID: 22533978 DOI: 10.3766/jaaa.23.5.6] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND The inability to hear music well may contribute to decreased quality of life for cochlear implant (CI) users. Researchers have reported recently on the generally poor ability of CI users to perceive music, and a few researchers have reported on the enjoyment of music by CI users. However, the relation between music perception skills and music enjoyment is much less explored. Only one study has attempted to predict CI users' enjoyment and perception of music from the users' demographic variables and other perceptual skills (Gfeller et al, 2008). Gfeller's results yielded different predictive relationships for music perception and music enjoyment, and the relationships were weak, at best. PURPOSE The first goal of this study is to clarify the nature and relationship between music perception skills and musical enjoyment for CI users, by employing a battery of music tests. The second goal is to determine whether normal hearing (NH) subjects, listening with a CI simulation, can be used as a model to represent actual CI users for either music enjoyment ratings or music perception tasks. RESEARCH DESIGN A prospective, cross-sectional observational study. Original music stimuli (unprocessed) were presented to CI users, and music stimuli processed with CI-simulation software were presented to 20 NH listeners (CIsim). As a control, original music stimuli were also presented to five other NH listeners. All listeners appraised 24 musical excerpts, performed music perception tests, and filled out a musical background questionnaire. Music perception tests were the Appreciation of Music in Cochlear Implantees (AMICI), Montreal Battery for Evaluation of Amusia (MBEA), Melodic Contour Identification (MCI), and University of Washington Clinical Assessment of Music Perception (UW-CAMP). STUDY SAMPLE Twenty-five NH adults (22-56 yr old), recruited from the local and research communities, participated in the study. Ten adult CI users (46-80 yr old), recruited from the patient population of the local adult cochlear implant program, also participated in this study. DATA COLLECTION AND ANALYSIS Musical excerpts were appraised using a seven-point rating scale, and music perception tests were scored as designed. Analysis of variance was performed on appraisal ratings, perception scores, and questionnaire data with listener group as a factor. Correlations were computed between musical appraisal ratings and perceptual scores on each music test. RESULTS Music is rated as more enjoyable by CI users than by the NH listeners hearing music through a simulation (CIsim), and the difference is statistically significant. For roughly half of the music perception tests, there are no statistically significant differences between the performance of the CI users and of the CIsim listeners. Generally, correlations between appraisal ratings and music perception scores are weak or nonexistent. CONCLUSIONS NH adults listening to music that has been processed through a CI-simulation program are a reasonable model for actual CI users for many music perception skills, but not for rating musical enjoyment. For CI users, the apparent independence of music perception skills and music enjoyment (as assessed by appraisals) indicates that music enjoyment should not be assumed and should be examined explicitly.
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Affiliation(s)
- Rose Wright
- St. Louis Children's Hospital, Cochlear Implant Program, St. Louis, MO, USA
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Bartel LR, Greenberg S, Friesen LM, Ostroff J, Bodmer D, Shipp D, Chen JM. Qualitative case studies of five cochlear implant recipients' experience with music. Cochlear Implants Int 2011; 12:27-33. [PMID: 21756456 DOI: 10.1179/146701010x486435] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Cochlear implantation has revolutionized the management of those who suffer from severe-to-profound hearing loss because many patients now achieve excellent speech understanding with objective testing. Nevertheless, speech understanding in noisy conditions and music appreciation remain significant challenges to cochlear implant (CI) users. Music appreciation is an extremely complex experience that is difficult to quantify through a conventional outcome study. This paper aims at documenting the experience of five CI patients with regard to music appreciation using qualitative techniques. This information was obtained through a semi-structured interview process. The interviews were then transcribed and analysed using a constant comparative method of qualitative description. The results together with medical case records were used to identify emerging themes. The common themes that evolved were: musical background, the experience of receiving the implant, current experience with music, attention, musical prediction ability, internal hearing, hedonic vs. critical listening, determination, and timbre perception. By documenting their experiences in this manner, novel insights into the patient perspective are provided that are unique to the literature. These descriptions will aid clinicians and researchers who work in the area of cochlear implantation to better understand the needs of their patients.
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Philips B, Vinck B, De Vel E, Maes L, D'Haenens W, Keppler H, Dhooge I. Characteristics and determinants of music appreciation in adult CI users. Eur Arch Otorhinolaryngol 2011; 269:813-21. [PMID: 21847672 DOI: 10.1007/s00405-011-1718-4] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2011] [Accepted: 07/12/2011] [Indexed: 10/17/2022]
Abstract
The main objective of this study was to assess the associations between self-reported listening habits and perception of music and speech perception outcomes in quiet and noise for both unilateral cochlear implant (CI) users and bimodal (CI in one ear, hearing aid in contra-lateral ear) users. Information concerning music appreciation was gathered by means of a newly developed questionnaire. Moreover, audiological data (pure-tone audiometry, speech tests in noise and quiet) were gathered and the relationship between speech perception and music appreciation is studied. Bimodal users enjoy listening to music more in comparison with unilateral CI users. Also, music training within rehabilitation is still uncommon, while CI recipients believe that music training might be helpful to maximize their potential with current CI technology. Music training should not be exclusively reserved for the good speech performers. Therefore, a music training program (MTP) that consists of different difficulty levels should be developed. Hopefully, early implementation of MTP in rehabilitation programs can enable adult CI users to enjoy and appreciate music and to maximize their potential with commercially available technology. Furthermore, because bimodal users consider the bimodal stimulation to be the most enjoyable way to listen to music, CI users with residual hearing in the contra-lateral ear should be encouraged to continue wearing their hearing aid in that ear.
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Affiliation(s)
- Birgit Philips
- Ear-Nose-Throat and Logopaedic-Audiologic Sciences, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 2P1, 9000, Ghent, Belgium.
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Looi V, Winter P, Anderson I, Sucher C. A music quality rating test battery for cochlear implant users to compare the FSP and HDCIS strategies for music appreciation. Int J Audiol 2011; 50:503-18. [DOI: 10.3109/14992027.2011.562246] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Magnusson L. Comparison of the fine structure processing (FSP) strategy and the CIS strategy used in the MED-EL cochlear implant system: Speech intelligibility and music sound quality. Int J Audiol 2010; 50:279-87. [DOI: 10.3109/14992027.2010.537378] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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