Scorpecci Alessandro, Zagari Felicia, Mari Giorgia, Giannantonio Sara, D'Alatri Lucia, Di Nardo Walter, Paludetti Gaetano
ENT Department A. Gemelli Hospital, Catholic University of the Sacred Heart, Rome, Italy.
Int J Pediatr Otorhinolaryngol. 2012 Oct;76(10):1507-14. doi: 10.1016/j.ijporl.2012.07.005. Epub 2012 Jul 24.
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.
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.
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.
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.
比较一组使用人工耳蜗的意大利语儿童与一组正常听力儿童的音乐感知技能；分析植入儿童的音乐技能与其人口统计学特征、临床特征、语音感知以及言语识别和产出能力之间可能存在的相关性。
招募了18名年龄在5至12岁的植入儿童以及一个由23名具有典型语言发展的正常听力受试者组成 的参照组。两组都接受了旋律识别测试和歌曲（即原版）识别测试。植入儿童还接受了旨在评估言语识别、言语产出和音素辨别能力的一组测试。
在两项音乐测试中，植入儿童的得分均显著低于正常听力受试者。在人工耳蜗植入组中，音素辨别能力与旋律和歌曲识别技能均显著相关，且设备使用时长与歌曲识别技能显著相关。
设备使用经验和语音感知与植入儿童的音乐感知能力存在中度至高度的相关性。鉴于这些研究结果，合理的假设是，一个专门旨在提高语音感知的康复计划可以帮助接受儿科人工耳蜗植入的儿童更好地理解音乐的基本元素；此外，一项旨在提高对音乐频谱元素理解的训练可以增强植入儿童的语音技能。
