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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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Mertel K, Dimitrijevic A, Thaut M. Can Music Enhance Working Memory and Speech in Noise Perception in Cochlear Implant Users? Design Protocol for a Randomized Controlled Behavioral and Electrophysiological Study. Audiol Res 2024; 14:611-624. [PMID: 39051196 PMCID: PMC11270222 DOI: 10.3390/audiolres14040052] [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: 05/28/2024] [Revised: 06/18/2024] [Accepted: 07/04/2024] [Indexed: 07/27/2024] Open
Abstract
BACKGROUND A cochlear implant (CI) enables deaf people to understand speech but due to technical restrictions, users face great limitations in noisy conditions. Music training has been shown to augment shared auditory and cognitive neural networks for processing speech and music and to improve auditory-motor coupling, which benefits speech perception in noisy listening conditions. These are promising prerequisites for studying multi-modal neurologic music training (NMT) for speech-in-noise (SIN) perception in adult cochlear implant (CI) users. Furthermore, a better understanding of the neurophysiological correlates when performing working memory (WM) and SIN tasks after multi-modal music training with CI users may provide clinicians with a better understanding of optimal rehabilitation. METHODS Within 3 months, 81 post-lingual deafened adult CI recipients will undergo electrophysiological recordings and a four-week neurologic music therapy multi-modal training randomly assigned to one of three training focusses (pitch, rhythm, and timbre). Pre- and post-tests will analyze behavioral outcomes and apply a novel electrophysiological measurement approach that includes neural tracking to speech and alpha oscillation modulations to the sentence-final-word-identification-and-recall test (SWIR-EEG). Expected outcome: Short-term multi-modal music training will enhance WM and SIN performance in post-lingual deafened adult CI recipients and will be reflected in greater neural tracking and alpha oscillation modulations in prefrontal areas. Prospectively, outcomes could contribute to understanding the relationship between cognitive functioning and SIN besides the technical deficits of the CI. Targeted clinical application of music training for post-lingual deafened adult CI carriers to significantly improve SIN and positively impact the quality of life can be realized.
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Affiliation(s)
- Kathrin Mertel
- Music and Health Research Collaboratory (MaHRC), University of Toronto, Toronto, ON M5S 1C5, Canada;
| | - Andrew Dimitrijevic
- Sunnybrook Cochlear Implant Program, Sunnybrook Hospital, Toronto, ON M4N 3M5, Canada;
| | - Michael Thaut
- Music and Health Research Collaboratory (MaHRC), University of Toronto, Toronto, ON M5S 1C5, Canada;
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Deniz B, Deniz R, Ataş A. Loudness Balancing Optimization for Better Speech Intelligibility, Music Perception, and Spectral Temporal Resolution in Cochlear Implant Users. Otol Neurotol 2024; 45:e385-e392. [PMID: 38518764 DOI: 10.1097/mao.0000000000004164] [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: 03/24/2024]
Abstract
HYPOTHESIS The behaviorally based programming with loudness balancing (LB) would result in better speech understanding, spectral-temporal resolution, and music perception scores, and there would be a relationship between these scores. BACKGROUND Loudness imbalances at upper stimulation levels may cause sounds to be perceived as irregular, gravelly, or overly echoed and may negatively affect the listening performance of the cochlear implant (CI) user. LB should be performed after fitting to overcome these problems. METHODS The study included 26 unilateral Med-EL CI users. Two different CI programs based on the objective electrically evoked stapedial reflex threshold (P1) and the behaviorally program with LB (P2) were recorded for each participant. The Turkish Matrix Sentence Test (TMS) was applied to evaluate speech perception; the Random Gap Detection Test (RGDT) and Spectral-Temporally Modulated Ripple Test (SMRT) were applied to evaluate spectral temporal resolution skills; the Mini Profile of Music Perception Skills (mini-PROMS) and Melodic Contour Identification (MCI) tests were applied to evaluate music perception, and the results were compared. RESULTS Significantly better scores were obtained with P2 in TMS tests performed in noise and quiet. SMRT scores were significantly correlated with TMS in quiet and noise, and mini-PROMS sound perception results. Although better scores were obtained with P2 in the mini-PROMS total score and MCI, a significant difference was found only for MCI. CONCLUSION The data from the current study showed that equalization of loudness across CI electrodes leads to better perceptual acuity. It also revealed the relationship between speech perception, spectral-temporal resolution, and music perception.
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Affiliation(s)
- Burcu Deniz
- Istanbul University-Cerrahpaşa, Faculty of Health Science, Department of Audiology, İstanbul, Türkiye
| | - Rişvan Deniz
- Koç University Hospital, Department of Audiology, İstanbul, Türkiye
| | - Ahmet Ataş
- Koç University, Faculty of Medicine, Department of Otorhinolaryngology, İstanbul, Türkiye
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Lee HH, Groves K, Ripollés P, Carrasco M. Audiovisual integration in the McGurk effect is impervious to music training. Sci Rep 2024; 14:3262. [PMID: 38332159 PMCID: PMC10853564 DOI: 10.1038/s41598-024-53593-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 02/01/2024] [Indexed: 02/10/2024] Open
Abstract
The McGurk effect refers to an audiovisual speech illusion where the discrepant auditory and visual syllables produce a fused percept between the visual and auditory component. However, little is known about how individual differences contribute to the McGurk effect. Here, we examined whether music training experience-which involves audiovisual integration-can modulate the McGurk effect. Seventy-three participants completed the Goldsmiths Musical Sophistication Index (Gold-MSI) questionnaire to evaluate their music expertise on a continuous scale. Gold-MSI considers participants' daily-life exposure to music learning experiences (formal and informal), instead of merely classifying people into different groups according to how many years they have been trained in music. Participants were instructed to report, via a 3-alternative forced choice task, "what a person said": /Ba/, /Ga/ or /Da/. The experiment consisted of 96 audiovisual congruent trials and 96 audiovisual incongruent (McGurk) trials. We observed no significant correlations between the susceptibility of the McGurk effect and the different subscales of the Gold-MSI (active engagement, perceptual abilities, music training, singing abilities, emotion) or the general musical sophistication composite score. Together, these findings suggest that music training experience does not modulate audiovisual integration in speech as reflected by the McGurk effect.
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Affiliation(s)
- Hsing-Hao Lee
- Department of Psychology, New York University, New York, USA.
| | - Karleigh Groves
- Department of Psychology, New York University, New York, USA
- Center for Language, Music, and Emotion (CLaME), New York University, New York, USA
- Music and Audio Research Lab (MARL), New York University, New York, USA
| | - Pablo Ripollés
- Department of Psychology, New York University, New York, USA
- Center for Language, Music, and Emotion (CLaME), New York University, New York, USA
- Music and Audio Research Lab (MARL), New York University, New York, USA
| | - Marisa Carrasco
- Department of Psychology, New York University, New York, USA
- Center for Neural Science, New York University, New York, USA
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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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Shukor NFA, Seo YJ, Han W. Meta-Analysis Exploring the Effects of Music Training in Cochlear Implant Users by Age. J Audiol Otol 2023; 27:193-204. [PMID: 37533349 PMCID: PMC10603281 DOI: 10.7874/jao.2023.00087] [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: 03/14/2023] [Revised: 05/02/2023] [Accepted: 05/26/2023] [Indexed: 08/04/2023] Open
Abstract
BACKGROUND AND OBJECTIVES The present study aimed to explore meaningful change in the musical performance of cochlear implant (CI) users according to age after receiving music training compared to the other CI users who did not receive any music training and normal hearing (NH) listeners. Materials and. METHODS Article search was conducted from five journal databases. In accordance with PICOS criteria, 29 articles and 15 articles were included for the CI and NH groups, respectively. A total of 44 articles consisting of 407 CI users and 486 NH participants were then analyzed. Using the data gathered from pre- and post-training, meta-analysis was applied by the random-effects model, and then piecewise meta-regression was employed. RESULTS CI users with music training showed better performance than those without the training across all ages. The curve change in musical performance when training showed that the CI users was similar to the general pattern of NH performance, indicating that the CI users gained benefits from music training and developed perceptual ability, even though it was not as high as the level of NH counterparts. CONCLUSIONS This finding supports the benefits of active engagement with music for both CI users and NH listeners, while noting the important role of music as one of the primary aural rehabilitation approaches.
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Affiliation(s)
- Nor Farawaheeda Ab Shukor
- Laboratory of Hearing and Technology, Research Institute of Audiology and Speech Pathology, Hallym University, Chuncheon, Korea
- Division of Speech Pathology and Audiology, College of Natural Sciences, Hallym University, Chuncheon, Korea
| | - Young Joon Seo
- Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Woojae Han
- Laboratory of Hearing and Technology, Research Institute of Audiology and Speech Pathology, Hallym University, Chuncheon, Korea
- Division of Speech Pathology and Audiology, College of Natural Sciences, Hallym University, Chuncheon, Korea
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Virzob CRB, Poenaru M, Morar R, Horhat ID, Balica NC, Prathipati R, Moleriu RD, Toma AO, Juganaru I, Bloanca V, Chicin GN, Fericean RM, Domuta EM, Iurciuc M, Iurciuc S. Efficacy of Bilateral Cochlear Implantation in Pediatric and Adult Patients with Profound Sensorineural Hearing Loss: A Retrospective Analysis in a Developing European Country. J Clin Med 2023; 12:jcm12082948. [PMID: 37109284 PMCID: PMC10144087 DOI: 10.3390/jcm12082948] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 04/06/2023] [Accepted: 04/12/2023] [Indexed: 04/29/2023] Open
Abstract
This retrospective study aimed to evaluate the outcomes of bilateral cochlear implantation in patients with severe-to-profound sensorineural hearing loss at the Timisoara Municipal Emergency Clinical Hospital ENT Clinic. The study involved 77 participants, divided into four groups based on their hearing loss characteristics and implantation history. Assessments were conducted pre- and post-implantation, focusing on speech perception, speech production, and reading achievement. Standard surgical procedures were performed, and participants were provided with a comprehensive rehabilitation program involving auditory training and communication therapy. The variables considered for analysis included demographic factors, implantation period, and quality of life assessment, with no statistically significant differences pre-implantation between the four study groups. Results revealed significant improvements in speech perception, speech production, and reading achievement after cochlear implantation. In adult patients, speech perception scores increased from 21.3% to 73.4% for WIPI and from 22.7% to 68.4% for HINT after 12 months of rehabilitation. Speech production scores improved from 33.5% to 76.8% and reading achievement scores increased from 76.2 to 106.3. Moreover, there was a significant improvement in patients' quality of life following cochlear implantation, with mean scores increasing from 2.0 to 4.2. Although it is known that bilateral cochlear implantation significantly improves speech perception, speech production, reading achievement, and quality of life in patients with severe-to-profound sensorineural hearing loss, this is the first study of its kind from Romania. Further research is warranted to optimize patient selection and rehabilitation strategies to maximize outcomes and determine better policies towards funding and access of cochlear implants for a wider range of patients in need.
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Affiliation(s)
- Claudia Raluca Balasa Virzob
- Department of Ear-Nose-Throat, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Marioara Poenaru
- Department of Ear-Nose-Throat, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Raluca Morar
- Department of Ear-Nose-Throat, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Ioana Delia Horhat
- Department of Ear-Nose-Throat, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Nicolae Constantin Balica
- Department of Ear-Nose-Throat, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Reshmanth Prathipati
- Santiram Medical College and General Hospital, Faculty of Genenral Medicine, Nandyala 518001, Andhra Pradesh, India
| | - Radu Dumitru Moleriu
- Mathematics Department, Faculty of Mathematics and Computer Science, West University Timisoara, 4th Vasile Parvan, 300223 Timisoara, Romania
| | - Ana-Olivia Toma
- Discipline of Dermatology, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Iulius Juganaru
- Department of Pediatrics, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Vlad Bloanca
- Department of Plastic Surgery, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Gratiana Nicoleta Chicin
- Faculty of General Medicine, "Vasile Goldis" Western University of Arad, Bulevardul Revolutiei 94, 310025 Arad, Romania
- National Institute of Public Health, Strada Doctor Leonte Anastasievici 1-3, 050463 Bucuresti, Romania
| | - Roxana Manuela Fericean
- Doctoral School, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Eugenia Maria Domuta
- Surgery Department, Faculty of Medicine and Pharmacy, University of Oradea, Piata 1 Decembrie 10, 410073 Oradea, Romania
| | - Mircea Iurciuc
- Department of Cardiology, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
- Research Center of the Institute of Cardiovascular Diseases Timisoara, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Stela Iurciuc
- Department of Cardiology, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
- Research Center of the Institute of Cardiovascular Diseases Timisoara, Faculty of General Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
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The Acoustic Change Complex Compared to Hearing Performance in Unilaterally and Bilaterally Deaf Cochlear Implant Users. Ear Hear 2022; 43:1783-1799. [PMID: 35696186 PMCID: PMC9592183 DOI: 10.1097/aud.0000000000001248] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVES Clinical measures evaluating hearing performance in cochlear implant (CI) users depend on attention and linguistic skills, which limits the evaluation of auditory perception in some patients. The acoustic change complex (ACC), a cortical auditory evoked potential to a sound change, might yield useful objective measures to assess hearing performance and could provide insight in cortical auditory processing. The aim of this study is to examine the ACC in response to frequency changes as an objective measure for hearing performance in CI users. DESIGN Thirteen bilaterally deaf and six single-sided deaf subjects were included, all having used a unilateral CI for at least 1 year. Speech perception was tested with a consonant-vowel-consonant test (+10 dB signal-to-noise ratio) and a digits-in-noise test. Frequency discrimination thresholds were measured at two reference frequencies, using a 3-interval, 2-alternative forced-choice, adaptive staircase procedure. The two reference frequencies were selected using each participant's frequency allocation table and were centered in the frequency band of an electrode that included 500 or 2000 Hz, corresponding to the apical electrode or the middle electrode, respectively. The ACC was evoked with pure tones of the same two reference frequencies with varying frequency increases: within the frequency band of the middle or the apical electrode (+0.25 electrode step), and steps to the center frequency of the first (+1), second (+2), and third (+3) adjacent electrodes. RESULTS Reproducible ACCs were recorded in 17 out of 19 subjects. Most successful recordings were obtained with the largest frequency change (+3 electrode step). Larger frequency changes resulted in shorter N1 latencies and larger N1-P2 amplitudes. In both unilaterally and bilaterally deaf subjects, the N1 latency and N1-P2 amplitude of the CI ears correlated to speech perception as well as frequency discrimination, that is, short latencies and large amplitudes were indicative of better speech perception and better frequency discrimination. No significant differences in ACC latencies or amplitudes were found between the CI ears of the unilaterally and bilaterally deaf subjects, but the CI ears of the unilaterally deaf subjects showed substantially longer latencies and smaller amplitudes than their contralateral normal-hearing ears. CONCLUSIONS The ACC latency and amplitude evoked by tone frequency changes correlate well to frequency discrimination and speech perception capabilities of CI users. For patients unable to reliably perform behavioral tasks, the ACC could be of added value in assessing hearing performance.
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Peng-Li D, Alves Da Mota P, Correa CMC, Chan RCK, Byrne DV, Wang QJ. “Sound” Decisions: The Combined Role of Ambient Noise and Cognitive Regulation on the Neurophysiology of Food Cravings. Front Neurosci 2022; 16:827021. [PMID: 35250463 PMCID: PMC8888436 DOI: 10.3389/fnins.2022.827021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Accepted: 01/17/2022] [Indexed: 12/24/2022] Open
Abstract
Our ability to evaluate long-term goals over immediate rewards is manifested in the brain’s decision circuit. Simplistically, it can be divided into a fast, impulsive, reward “system 1” and a slow, deliberate, control “system 2.” In a noisy eating environment, our cognitive resources may get depleted, potentially leading to cognitive overload, emotional arousal, and consequently more rash decisions, such as unhealthy food choices. Here, we investigated the combined impact of cognitive regulation and ambient noise on food cravings through neurophysiological activity. Thirty-seven participants were recruited for an adapted version of the Regulation of Craving (ROC) task. All participants underwent two sessions of the ROC task; once with soft ambient restaurant noise (∼50 dB) and once with loud ambient restaurant noise (∼70 dB), while data from electroencephalography (EEG), electrodermal activity (EDA), and self-reported craving were collected for all palatable food images presented in the task. The results indicated that thinking about future (“later”) consequences vs. immediate (“now”) sensations associated with the food decreased cravings, which were mediated by frontal EEG alpha power. Likewise, “later” trials also increased frontal alpha asymmetry (FAA) —an index for emotional motivation. Furthermore, loud (vs. soft) noise increased alpha, beta, and theta activity, but for theta activity, this was solely occurring during “later” trials. Similarly, EDA signal peak probability was also higher during loud noise. Collectively, our findings suggest that the presence of loud ambient noise in conjunction with prospective thinking can lead to the highest emotional arousal and cognitive load as measured by EDA and EEG, respectively, both of which are important in regulating cravings and decisions. Thus, exploring the combined effects of interoceptive regulation and exteroceptive cues on food-related decision-making could be methodologically advantageous in consumer neuroscience and entail theoretical, commercial, and managerial implications.
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Affiliation(s)
- Danni Peng-Li
- Food Quality Perception and Society Team, iSENSE Lab, Department of Food Science, Aarhus University, Aarhus, Denmark
- Sino-Danish College (SDC), University of Chinese Academy of Sciences, Beijing, China
- Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- *Correspondence: Danni Peng-Li,
| | - Patricia Alves Da Mota
- Food Quality Perception and Society Team, iSENSE Lab, Department of Food Science, Aarhus University, Aarhus, Denmark
- Department of Clinical Medicine, Center for Music in the Brain, Aarhus University, Aarhus, Denmark
| | - Camile Maria Costa Correa
- Food Quality Perception and Society Team, iSENSE Lab, Department of Food Science, Aarhus University, Aarhus, Denmark
| | - Raymond C. K. Chan
- Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Derek Victor Byrne
- Food Quality Perception and Society Team, iSENSE Lab, Department of Food Science, Aarhus University, Aarhus, Denmark
- Sino-Danish College (SDC), University of Chinese Academy of Sciences, Beijing, China
| | - Qian Janice Wang
- Food Quality Perception and Society Team, iSENSE Lab, Department of Food Science, Aarhus University, Aarhus, Denmark
- Sino-Danish College (SDC), University of Chinese Academy of Sciences, Beijing, China
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Camarena A, Manchala G, Papadopoulos J, O’Connell SR, Goldsworthy RL. Pleasantness Ratings of Musical Dyads in Cochlear Implant Users. Brain Sci 2021; 12:brainsci12010033. [PMID: 35053777 PMCID: PMC8773901 DOI: 10.3390/brainsci12010033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 12/21/2021] [Accepted: 12/22/2021] [Indexed: 11/28/2022] Open
Abstract
Cochlear implants have been used to restore hearing to more than half a million people around the world. The restored hearing allows most recipients to understand spoken speech without relying on visual cues. While speech comprehension in quiet is generally high for recipients, many complain about the sound of music. The present study examines consonance and dissonance perception in nine cochlear implant users and eight people with no known hearing loss. Participants completed web-based assessments to characterize low-level psychophysical sensitivities to modulation and pitch, as well as higher-level measures of musical pleasantness and speech comprehension in background noise. The underlying hypothesis is that sensitivity to modulation and pitch, in addition to higher levels of musical sophistication, relate to higher-level measures of music and speech perception. This hypothesis tested true with strong correlations observed between measures of modulation and pitch with measures of consonance ratings and speech recognition. Additionally, the cochlear implant users who were the most sensitive to modulations and pitch, and who had higher musical sophistication scores, had similar pleasantness ratings as those with no known hearing loss. The implication is that better coding and focused rehabilitation for modulation and pitch sensitivity will broadly improve perception of music and speech for cochlear implant users.
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Affiliation(s)
- Andres Camarena
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; (A.C.); (G.M.); (J.P.); (S.R.O.)
| | - Grace Manchala
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; (A.C.); (G.M.); (J.P.); (S.R.O.)
| | - Julianne Papadopoulos
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; (A.C.); (G.M.); (J.P.); (S.R.O.)
- Thornton School of Music, University of Southern California, Los Angeles, CA 90089, USA
| | - Samantha R. O’Connell
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; (A.C.); (G.M.); (J.P.); (S.R.O.)
| | - Raymond L. Goldsworthy
- Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; (A.C.); (G.M.); (J.P.); (S.R.O.)
- Correspondence:
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11
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Pinheiro MMC, Mancini PC, Soares AD, Ribas Â, Lima DP, Cavadas M, Banhara MR, Carvalho SADS, Buzo BC. Comparison of Speech Recognition in Cochlear Implant Users with Different Speech Processors. J Am Acad Audiol 2021; 32:469-476. [PMID: 34847587 DOI: 10.1055/s-0041-1735252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Speech recognition in noisy environments is a challenge for both cochlear implant (CI) users and device manufacturers. CI manufacturers have been investing in technological innovations for processors and researching strategies to improve signal processing and signal design for better aesthetic acceptance and everyday use. PURPOSE This study aimed to compare speech recognition in CI users using off-the-ear (OTE) and behind-the-ear (BTE) processors. DESIGN A cross-sectional study was conducted with 51 CI recipients, all users of the BTE Nucleus 5 (CP810) sound processor. Speech perception performances were compared in quiet and noisy conditions using the BTE sound processor Nucleus 5 (N5) and OTE sound processor Kanso. Each participant was tested with the Brazilian-Portuguese version of the hearing in noise test using each sound processor in a randomized order. Three test conditions were analyzed with both sound processors: (i) speech level fixed at 65 decibel sound pressure level in a quiet, (ii) speech and noise at fixed levels, and (iii) adaptive speech levels with a fixed noise level. To determine the relative performance of OTE with respect to BTE, paired comparison analyses were performed. RESULTS The paired t-tests showed no significant difference between the N5 and Kanso in quiet conditions. In all noise conditions, the performance of the OTE (Kanso) sound processor was superior to that of the BTE (N5), regardless of the order in which they were used. With the speech and noise at fixed levels, a significant mean 8.1 percentage point difference was seen between Kanso (78.10%) and N5 (70.7%) in the sentence scores. CONCLUSION CI users had a lower signal-to-noise ratio and a higher percentage of sentence recognition with the OTE processor than with the BTE processor.
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Affiliation(s)
| | - Patricia Cotta Mancini
- Department of Speech-Language Pathology and Audiology, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Alexandra Dezani Soares
- Centro do Deficiente Auditivo - Hospital São Paulo, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Ângela Ribas
- Centro de Implante Coclear do Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil
| | - Danielle Penna Lima
- Centro de Implantes Cocleares do Hospital do Coração de Natal, Natal, Brazil
| | - Marcia Cavadas
- Department of Speech-Language Pathology and Audiology, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.,Equipe Sonora, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Marcos Roberto Banhara
- Centro Especializado de Reabilitação IV do Hospital Santo Antônio/Obras Sociais Irmã Dulce, Salvador, Bahia, Brazil
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12
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Dincer D'Alessandro H, Boyle PJ, Portanova G, Mancini P. Music perception and speech intelligibility in noise performance by Italian-speaking cochlear implant users. Eur Arch Otorhinolaryngol 2021; 279:3821-3829. [PMID: 34596714 PMCID: PMC8484297 DOI: 10.1007/s00405-021-07103-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Accepted: 09/20/2021] [Indexed: 11/26/2022]
Abstract
Objective The goal of this study was to investigate the performance correlations between music perception and speech intelligibility in noise by Italian-speaking cochlear implant (CI) users. Materials and methods Twenty postlingually deafened adults with unilateral CIs (mean age 65 years, range 46–92 years) were tested with a music quality questionnaire using three passages of music from Classical Music, Jazz, and Soul. Speech recognition in noise was assessed using two newly developed adaptive tests in Italian: The Sentence Test with Adaptive Randomized Roving levels (STARR) and Matrix tests. Results Median quality ratings for Classical, Jazz and Soul music were 63%, 58% and 58%, respectively. Median SRTs for the STARR and Matrix tests were 14.3 dB and 7.6 dB, respectively. STARR performance was significantly correlated with Classical music ratings (rs = − 0.49, p = 0.029), whereas Matrix performance was significantly correlated with both Classical (rs = − 0.48, p = 0.031) and Jazz music ratings (rs = − 0.56, p = 0.011). Conclusion Speech with competitive noise and music are naturally present in everyday listening environments. Recent speech perception tests based on an adaptive paradigm and sentence materials in relation with music quality measures might be representative of everyday performance in CI users. The present data contribute to cross-language studies and suggest that improving music perception in CI users may yield everyday benefit in speech perception in noise and may hence enhance the quality of listening for CI users.
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Affiliation(s)
| | - Patrick J Boyle
- Department of Experimental Psychology, Cambridge University, Cambridge, UK
- European Research Center, Advanced Bionics GmbH, Hannover, Germany
| | - Ginevra Portanova
- Department of Sense Organs, Sapienza University of Rome, Viale dell'Università 31, 00161, Rome, Italy
| | - Patrizia Mancini
- Department of Sense Organs, Sapienza University of Rome, Viale dell'Università 31, 00161, Rome, Italy.
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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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Rapid Assessment of Non-Verbal Auditory Perception in Normal-Hearing Participants and Cochlear Implant Users. J Clin Med 2021; 10:jcm10102093. [PMID: 34068067 PMCID: PMC8152499 DOI: 10.3390/jcm10102093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 04/26/2021] [Accepted: 05/06/2021] [Indexed: 01/17/2023] Open
Abstract
In the case of hearing loss, cochlear implants (CI) allow for the restoration of hearing. Despite the advantages of CIs for speech perception, CI users still complain about their poor perception of their auditory environment. Aiming to assess non-verbal auditory perception in CI users, we developed five listening tests. These tests measure pitch change detection, pitch direction identification, pitch short-term memory, auditory stream segregation, and emotional prosody recognition, along with perceived intensity ratings. In order to test the potential benefit of visual cues for pitch processing, the three pitch tests included half of the trials with visual indications to perform the task. We tested 10 normal-hearing (NH) participants with material being presented as original and vocoded sounds, and 10 post-lingually deaf CI users. With the vocoded sounds, the NH participants had reduced scores for the detection of small pitch differences, and reduced emotion recognition and streaming abilities compared to the original sounds. Similarly, the CI users had deficits for small differences in the pitch change detection task and emotion recognition, as well as a decreased streaming capacity. Overall, this assessment allows for the rapid detection of specific patterns of non-verbal auditory perception deficits. The current findings also open new perspectives about how to enhance pitch perception capacities using visual cues.
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McKay CM. No Evidence That Music Training Benefits Speech Perception in Hearing-Impaired Listeners: A Systematic Review. Trends Hear 2021; 25:2331216520985678. [PMID: 33634750 PMCID: PMC7934028 DOI: 10.1177/2331216520985678] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
As musicians have been shown to have a range of superior auditory skills to non-musicians (e.g., pitch discrimination ability), it has been hypothesized by many researchers that music training can have a beneficial effect on speech perception in populations with hearing impairment. This hypothesis relies on an assumption that the benefits seen in musicians are due to their training and not due to innate skills that may support successful musicianship. This systematic review examined the evidence from 13 longitudinal training studies that tested the hypothesis that music training has a causal effect on speech perception ability in hearing-impaired listeners. The papers were evaluated for quality of research design and appropriate analysis techniques. Only 4 of the 13 papers used a research design that allowed a causal relation between music training and outcome benefits to be validly tested, and none of those 4 papers with a better quality study design demonstrated a benefit of music training for speech perception. In spite of the lack of valid evidence in support of the hypothesis, 10 of the 13 papers made claims of benefits of music training, showing a propensity for confirmation bias in this area of research. It is recommended that future studies that aim to evaluate the association of speech perception ability and music training use a study design that differentiates the effects of training from those of innate perceptual and cognitive skills in the participants.
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Affiliation(s)
- Colette M McKay
- Bionics Institute, Melbourne, Australia.,Department of Medical Bionics, The University of Melbourne, Melbourne, Australia.,Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Australia
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