Department of Otorhinolaryngology-Head and Neck Surgery, University of Groningen, University Medical Center Groningen, The Netherlands.
Otol Neurotol. 2013 Aug;34(6):1041-7. doi: 10.1097/MAO.0b013e31828f47dd.
The early-deafened, late-implanted (EDLI) CI users constitute a relatively new and understudied clinical population. To contribute to a better understanding of the implantation outcome, this study evaluated this population for self-reported enjoyment and perception of music. Additionally, correlations of these measures with the self-reported quality of life and everyday hearing ability and a behaviorally measured word recognition test were explored.
EDLI CI users from the Northern Netherlands were sent 4 questionnaires: 1) Dutch Musical Background Questionnaire (enjoyment and perception of music), 2) Nijmegen Cochlear Implant Questionnaire (quality of life), 3) Cochlear Implant Functioning Index (auditory-related functioning), and 4) Speech, Spatial and Qualities of Hearing Scale (hearing ability). Complementary, behavioral word recognition in quiet tests (phoneme score) were completed.
Twelve (60%) of 20 participants reported music to sound pleasant. In general, the self-perceived quality of music was scored positively. No correlations were observed between enjoyment and perception of music, quality of life, hearing ability, and word recognition.
The results indicate that, differently than postlingually deafened, EDLI CI users enjoy music and rate the quality of music positively. Potential explanations for the absence of correlations between the music measures and the other outcomes could be that other factors, such as speech perception, contribute more to quality of life of EDLI CI users or that this group simply lacks previous exposure to music with acoustic hearing. Overall, these positive findings may give extra support for implant candidacy of early-deafened individuals, but further studies should be conducted.
失聪时间早、植入时间晚(EDLI)的人工耳蜗使用者构成了一个相对较新且研究不足的临床群体。为了更好地了解植入效果,本研究评估了这一人群对音乐的自我感知享受和感知。此外,还探讨了这些测量值与自我报告的生活质量和日常听力能力以及行为测量的单词识别测试之间的相关性。
来自荷兰北部的 EDLI 人工耳蜗使用者收到了 4 份问卷:1)荷兰音乐背景问卷(对音乐的享受和感知),2)奈梅亨人工耳蜗植入问卷(生活质量),3)人工耳蜗功能指数(听觉相关功能),和 4)言语、空间和听力质量量表(听力能力)。此外,还完成了安静环境下的行为单词识别测试(音位得分)。
20 名参与者中有 12 名(60%)报告音乐听起来令人愉悦。总体而言,自我感知的音乐质量评分较高。在享受和感知音乐、生活质量、听力能力和单词识别之间未观察到相关性。
结果表明,与后天失聪的人工耳蜗使用者不同,EDLI 人工耳蜗使用者喜欢音乐,并对音乐质量给予积极评价。音乐测量值与其他结果之间缺乏相关性的潜在解释可能是,其他因素(如语音感知)对 EDLI 人工耳蜗使用者的生活质量贡献更大,或者该群体缺乏使用声学听力的音乐的先前经验。总体而言,这些积极的发现可能为早期失聪个体的植入候选资格提供额外支持,但需要进一步研究。