Duret Sonia, Bigand Emmanuel, Guigou Caroline, Marty Nicolas, Lalitte Philippe, Bozorg Grayeli Alexis
Otolaryngology Department, Dijon University Hospital, Dijon, France.
LEAD Research Laboratory, CNRS UMR-5022, Bourgogne-Franche-Comté University, Dijon, France.
Front Neurosci. 2021 May 5;15:558421. doi: 10.3389/fnins.2021.558421. eCollection 2021.
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. 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. 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. 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.
我们研究的目的是评估双耳双模听觉刺激患者的音乐感知及其与生活质量的关系。本前瞻性横断面研究纳入了19名成年患者，他们均接受人工耳蜗（CI）植入至少6个月，对侧存在中度至重度听力损失并佩戴助听器（HA），以及21名听力正常的成年人。记录了纯音和言语听力测试、评估声音感知特征和音乐聆听能力的音乐测试、慕尼黑音乐习惯问卷以及APHAB问卷。研究了使用HA、CI以及HA + CI时的音乐感知测试表现，以及音乐测试、听力测试和问卷之间的潜在相关性。与单峰听力相比，双模刺激在几个特征（声音亮度、粗糙度和清晰度）方面改善了音乐感知，但CI在音质、复调或音乐情感方面并未提升HA的表现，甚至在音高感知方面似乎对HA产生了负面影响。音乐感知表现（声音清晰度、乐器识别）似乎与听力相关的生活质量（APHAB RV和EC子域）相关，但与言语表现无关，这表明探索音乐感知可补充言语理解评估，以更好地描述日常生活中的听力障碍。测试音乐声音感知可为听力表现提供重要信息，作为言语听力测试的补充，并且似乎与听力相关的生活质量有关。
