Shukor Nor Farawaheeda Ab, Lee Jihyeon, Seo Young Joon, Han Woojae
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.
Clin Exp Otorhinolaryngol. 2021 Feb;14(1):15-28. doi: 10.21053/ceo.2020.00101. Epub 2020 Jul 11.
This study aimed to evaluate the efficacy of music training on the improvement of musical perception among hearing-impaired listeners using a systematic review and meta-analysis. Article search was conducted from five databases, Scopus, ScienceDirect, Web of Knowledge, CINAHL, and PubMed. A total of 186 participants from 10 studies investigating the music training effects on individuals fitted with hearing assistive devices and outcome measurements were included. The meta-analysis showed standardized mean difference as a measure of the effect size, in musical improvement between the preand post-training. Although the funnel plot yielded an asymmetrical graph, the Egger's regression showed no significant publication bias. Interestingly, subgroup analysis showed that the training effect was greater in children than in adults. With a necessity of longer training period to significantly improve their musical perception, cochlear implant only users had better effect compared to bi-modal users with both cochlear implant and hearing aids. However, the difference in the training effect between the users with and without previous musical experience was nonsignificant. The present study concludes that auditory music training brings hearing-impaired listeners into better musical perception while informing that training effects differ depending on age, duration of the training, and the type of hearing device used.
本研究旨在通过系统评价和荟萃分析，评估音乐训练对改善听力受损听众音乐感知的效果。从Scopus、ScienceDirect、Web of Knowledge、CINAHL和PubMed这五个数据库中进行文献检索。共有来自10项研究的186名参与者被纳入，这些研究调查了音乐训练对佩戴听力辅助设备个体的影响以及结果测量。荟萃分析显示，标准化平均差作为效应大小的衡量指标，用于评估训练前后音乐能力的改善情况。尽管漏斗图呈现出不对称图形，但Egger回归显示无显著的发表偏倚。有趣的是，亚组分析表明，儿童的训练效果比成人更好。由于需要更长的训练时间才能显著改善他们的音乐感知，与同时使用人工耳蜗和助听器的双模式使用者相比，仅使用人工耳蜗的使用者效果更好。然而，有或没有音乐经验的使用者在训练效果上的差异并不显著。本研究得出结论，听觉音乐训练能使听力受损听众获得更好的音乐感知，同时表明训练效果因年龄、训练时长和所使用的听力设备类型而异。
